Future shock: the long term consequences of refractive surgery

Lim-Bon-Siong, R.; Mardelli, Pierre G.; Pepose, Jay S.

doi:10.1136/bjo.81.6.428

Cited by 24 publications

(9 citation statements)

References 13 publications

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“…Cirurgias refrativas induzem mudanças na curvatura, espessura, forma, estrutura e composição bioquímica da córnea (8) . Além disso, córneas doadoras que tenham sido previamente submetidas à cirurgia refrativa para correção de miopia podem induzir hipermetropia substancial e irregularidades de superfí-cie no olho receptor resultando em astigmatismo irregular e acuidade visual final baixa (9) .…”

Section: Discussionunclassified

Transplante de córnea com uso inadvertido de córnea de doador previamente submetido à cirurgia refrativa: relato de caso

Farias¹,

Parolim²,

Sousa³

2005

Arq. Bras. Oftalmol.

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Section: Discussionunclassified

Transplante de córnea com uso inadvertido de córnea de doador previamente submetido à cirurgia refrativa: relato de caso

Farias¹,

Parolim²,

Sousa³

2005

Arq. Bras. Oftalmol.

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“…Many of the procedures described above have a relatively short track record, and thus the long term effects on the health and stability of the ocular tissues are unknown; as an example there has recently been a case reported of late onset corneal thinning following LASIK 30. There are also other long term consequences for the eye and the eye surgeon following refractive surgery—the implications for transplanting corneas (the author has already experienced a donor cornea with radial keratotomy scars sent from an eye bank), the possibility of underrecording intraocular pressure in an eye that has reduced corneal thickness due to previous refractive surgery, and the effect of previous refractive surgery on IOL power calculations 31. These problems may be compounded in years to come when a patient forgets to mention, and is not asked, about refractive surgery performed 20 or more years before.…”

Section: The Futurementioning

confidence: 99%

Refractive surgery

McDonnell

1999

British Journal of Ophthalmology

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Refractive surgery, par excellence, is the ophthalmic surgery of the end of the millennium. This type of surgery is performed mostly for non-sight threatening conditions; it frequently involves high technology such as lasers and computers; the great majority of this type of surgery is done in the developed world; patients have very high expectations of the surgery and want very detailed explanations about results and complications; and there is a burgeoning medicolegal industry linked to the outcome of refractive surgery.All these aspects of refractive surgery are starting to be echoed to a greater or lesser extent in many other areas of ophthalmic surgery. To give an example, the concept of detailed informed consent, and linked with it, the use of very lengthy and explicit consent forms, information leaflets, and educational videos are ideas which first appeared extensively in refractive surgery, but are now spreading to other areas of ophthalmology. So if we want to have a feel for the way ophthalmology is going to be going in the next millennium then we need look no further than refractive surgery today.

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“…It has been noted that intraocular lens (IOL) power calculation after corneal refractive surgery may be inaccurate and lead to postoperative refractive surprise. 1,2 Recently, the double-K method 3,4 has been proposed to allow more accurate IOL power calculation in patients who have had LASIK. The same method has also been in use in the Holladay 2 formula for about 10 years.…”

mentioning

confidence: 99%