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I. Typical Corneal Refractive Procedures
A. LASIK
1. Overview of the procedure with pictures and video
a. Microkeratome
b Femtosecond laser (IntraLase)
2. Overview of the typical post-op care
B. PRK
1. Overview of the procedure with pictures and video
2. Overview of the typical post-op care
3. Epi-Lasik, Lasek
II. Dos and Don’ts for post-op patients
A. Medications
B. Follow-up appointments
C. Don’t touch the eyes
D. Swimming
III. Common Complications-General
A. Patient expectations
1. Improper education prior to surgery- what to do
2. Surgical goals not met- how to manage these cases
B. Infection
1. Know it when you see it
a. What to watch for
b. Description with pictures
2. How to treat it
C. Glare and Halos
1. What to listen for
2. When and why
3. Treatment options
D. Loss of BCVA
1. Pinhole
2. Dilated eye exam
3. When to be concerned and when to refer
IV. Lasik Complications-Common
A. Flap Complications
1. Mechanical complications with photos
2. Striae/dislodged flap with photos
B. Epithelial Ingrowth
1. What it is
2. How to recognize it-verbal description and photos
3. How to manage it and when to refer
C. Diffuse Lamellar Keratitis-DLK
1. What is it
2. How to recognize it- verbal description and photos
3. How to manage it and when to refer
D. Superficial Punctate Keratitis
1. How to treat it
2. When to be concerned- verbal description and photos
E. Other
1. Subconjunctival Hemorrhage
2. Interface Opacities
V. PRK Complications-Common
A. Epithelial Complications
1. What, why and when
2. How to manage it and when to refer
B. Infiltrates
1. What are they
2. How to recognize them-verbal description and photos
3. How to manage them and when to refer
C. Haze
1. How to define it-verbal description and photos
2. How to manage it and when to refer
D. Steroid Responders
1. How to properly diagnose them
2. How to treat, avoid further complications, and when to refer
E. Over and under corrections
1. When to be concerned
2. How to control it
VI. Enhancements
A. Who to enhance
B. When to consider Enhancing
C. Treatment options
D. What your patient needs to know
VII. Counseling Patients
A. Listen to your patient
1. Their motivation
2. Their concern
B. What they need to hear
1. Acknowledge their concerns
2. A clear game plan
C. Encourage your patient