The Experts below are selected from a list of 15450 Experts worldwide ranked by ideXlab platform
Deborah S. Jacobs - One of the best experts on this subject based on the ideXlab platform.
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Advances in scleral lenses for Refractive Surgery complications.
Current Opinion in Ophthalmology, 2015Co-Authors: Amy Parminder, Deborah S. JacobsAbstract:The last two decades have brought advances in materials and manufacturing of large diameter rigid gas-permeable contact lenses, and a greater appreciation of the role of scleral lenses for therapeutic indications. The purpose of this review is to provide an update on the use of rigid gas-permeable scleral lenses in the management of patients with complications after Refractive Surgery. There are recent reports on clinical experience with specific scleral lens designs from single institutions in cohorts that include patients who have undergone Refractive Surgery. Typically, these are patients with 'irregular corneas' after radial keratotomy or LASER assisted in-situ keratomileusis, but patients with keratectasia, dry eye syndrome, and corneal neuralgia are also reported. Visual outcomes and wearing success rates are high in these reports, although outcomes for Refractive Surgery patients are not reported separately. Clinicians who encounter patients with complications after corneal Refractive Surgery should be aware of advances in scleral lenses. Scleral lenses are an alternative to surgical intervention in patients who might otherwise be considered poor contact lens candidates.
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Advances in scleral lenses for Refractive Surgery complications.
Current Opinion in Ophthalmology, 2015Co-Authors: Amy Parminder, Deborah S. JacobsAbstract:PURPOSE OF REVIEW The last two decades have brought advances in materials and manufacturing of large diameter rigid gas-permeable contact lenses, and a greater appreciation of the role of scleral lenses for therapeutic indications. The purpose of this review is to provide an update on the use of rigid gas-permeable scleral lenses in the management of patients with complications after Refractive Surgery. RECENT FINDINGS There are recent reports on clinical experience with specific scleral lens designs from single institutions in cohorts that include patients who have undergone Refractive Surgery. Typically, these are patients with 'irregular corneas' after radial keratotomy or LASER assisted in-situ keratomileusis, but patients with keratectasia, dry eye syndrome, and corneal neuralgia are also reported. Visual outcomes and wearing success rates are high in these reports, although outcomes for Refractive Surgery patients are not reported separately. SUMMARY Clinicians who encounter patients with complications after corneal Refractive Surgery should be aware of advances in scleral lenses. Scleral lenses are an alternative to surgical intervention in patients who might otherwise be considered poor contact lens candidates.
Erin D. Stahl - One of the best experts on this subject based on the ideXlab platform.
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Pediatric Refractive Surgery.
Current opinion in ophthalmology, 2017Co-Authors: Erin D. StahlAbstract:PURPOSE OF REVIEW Refractive Surgery procedures have been performed on children since the early 1980s. This article will review this history as well as current thoughts on treating children with large Refractive errors. RECENT FINDINGS Pediatric Refractive Surgery has developed slowly as very few children fit the criteria for treatment. For this reason, practice patterns are varied and publications are rare. Publications in recent years have focused on intraocular procedures over laser Refractive Surgery. SUMMARY Pediatric Refractive Surgery is an evolving field as surgeons try to find the best long-term treatments for these young patients.
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Pediatric Refractive Surgery: A 2015 Perspective.
Missouri medicine, 2015Co-Authors: Erin D. StahlAbstract:Pediatric Refractive Surgery is an emerging field that can allow visual development in children where convention treatments have failed. The select groups of children who are eligible for Refractive Surgery at this young age are facing a life-long struggle with poor vision and have few other options. This article will discuss the groups of children that can benefit from this treatment, the difficulties faced in translating an adult Surgery to the pediatric population and the benefits from performing the procedures.
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Pediatric Refractive Surgery
Pediatric clinics of North America, 2014Co-Authors: Erin D. StahlAbstract:Refractive Surgery is performed in children who are at risk for permanent vision loss and have no other conventional options for treatment. Various forms of Refractive Surgery including corneal laser, phakic intraocular lenses, Refractive lens exchange, and Refractive lensectomy have been shown to be successful in treating children with debilitating Refractive errors. Careful assessment of risks, benefits, and long-term goals of treatment should be considered and discussed with patients and families.
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Current thoughts in pediatric Refractive Surgery.
Journal of pediatric ophthalmology and strabismus, 2008Co-Authors: Erin D. StahlAbstract:The goal of this article is to review current literature regarding the emerging field of pediatric Refractive Surgery. This encompasses current thought in adult Refractive Surgery, published literature in pediatric Refractive Surgery, and future possibilities for Refractive technology in the pediatric population. This study includes a comprehensive review of literature in the general Refractive Surgery, cornea, and pediatric literature.
Amy Parminder - One of the best experts on this subject based on the ideXlab platform.
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Advances in scleral lenses for Refractive Surgery complications.
Current Opinion in Ophthalmology, 2015Co-Authors: Amy Parminder, Deborah S. JacobsAbstract:The last two decades have brought advances in materials and manufacturing of large diameter rigid gas-permeable contact lenses, and a greater appreciation of the role of scleral lenses for therapeutic indications. The purpose of this review is to provide an update on the use of rigid gas-permeable scleral lenses in the management of patients with complications after Refractive Surgery. There are recent reports on clinical experience with specific scleral lens designs from single institutions in cohorts that include patients who have undergone Refractive Surgery. Typically, these are patients with 'irregular corneas' after radial keratotomy or LASER assisted in-situ keratomileusis, but patients with keratectasia, dry eye syndrome, and corneal neuralgia are also reported. Visual outcomes and wearing success rates are high in these reports, although outcomes for Refractive Surgery patients are not reported separately. Clinicians who encounter patients with complications after corneal Refractive Surgery should be aware of advances in scleral lenses. Scleral lenses are an alternative to surgical intervention in patients who might otherwise be considered poor contact lens candidates.
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Advances in scleral lenses for Refractive Surgery complications.
Current Opinion in Ophthalmology, 2015Co-Authors: Amy Parminder, Deborah S. JacobsAbstract:PURPOSE OF REVIEW The last two decades have brought advances in materials and manufacturing of large diameter rigid gas-permeable contact lenses, and a greater appreciation of the role of scleral lenses for therapeutic indications. The purpose of this review is to provide an update on the use of rigid gas-permeable scleral lenses in the management of patients with complications after Refractive Surgery. RECENT FINDINGS There are recent reports on clinical experience with specific scleral lens designs from single institutions in cohorts that include patients who have undergone Refractive Surgery. Typically, these are patients with 'irregular corneas' after radial keratotomy or LASER assisted in-situ keratomileusis, but patients with keratectasia, dry eye syndrome, and corneal neuralgia are also reported. Visual outcomes and wearing success rates are high in these reports, although outcomes for Refractive Surgery patients are not reported separately. SUMMARY Clinicians who encounter patients with complications after corneal Refractive Surgery should be aware of advances in scleral lenses. Scleral lenses are an alternative to surgical intervention in patients who might otherwise be considered poor contact lens candidates.
Amy K. Hutchinson - One of the best experts on this subject based on the ideXlab platform.
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Refractive Surgery in children treatment options outcomes and controversies
American Journal of Ophthalmology, 2009Co-Authors: Yassine J Daoud, Amy K. Hutchinson, David K Wallace, Jonathan C Song, Terry KimAbstract:Purpose To summarize the evolution of the treatment of pediatric Refractive errors, with an emphasis on recent advancements in the use of Refractive Surgery to treat children. Design Literature review. Methods We searched MEDLINE (1950 through October 2007), the Cochrane library (December through October 2007), and the Cumulative Index for Nursing and Allied Health Literature (December 1982 through October 2007) for English language articles using the following search strategy with MeSH terms and key words: pediatric Refractive errors and amblyopia, anisometropia, hyperopia, myopia, laser in situ keratomileusis ( LASIK ), photoRefractive keratectomy ( PRK ), laser epithelial keratomileusis ( LASEK ), excimer laser, Refractive intraocular lens (IOL) . We also searched the bibliographies of all identified articles. Results No multicenter, long-term, controlled trial has been published on the use of Refractive Surgery in children. The current literature shows that LASIK, PRK, and LASEK show promising results in children with Refractive amblyopia over the intermediate follow-up period. Corneal haze and myopic regression are the main complications, especially in very high myopia (> 12 diopters). In such patients with extremely high myopia, small studies have reported phakic IOLs or clear lens extraction with or without IOL implantation to be a useful alternative. Conclusions Refractive Surgery is appropriate in children with severe anisometropia or bilateral high ametropia that is resistant to conventional therapy. More information is needed before pediatric Refractive Surgery can be widely adopted by the ophthalmic community. This could be achieved with a large, prospective, multicenter, randomized, controlled clinical trial.
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Pediatric Refractive Surgery.
Current opinion in ophthalmology, 2003Co-Authors: Amy K. HutchinsonAbstract:PURPOSE OF REVIEW This article reviews the literature on pediatric Refractive Surgery from 1995 to 2003 and discusses the practical issues surrounding the application of modern Refractive Surgery to children. RECENT FINDINGS Preliminary data show that Refractive Surgery can be successfully performed in children and that the short term complication rate seems to be similar to that reported in adults. SUMMARY Refractive Surgery may hold promise for cases in which traditional treatment methods have failed. Additional study is needed to define the role of Refractive Surgery in children and in the treatment of amblyopia and strabismus.
Abdulrahman Mohammed Al-amri - One of the best experts on this subject based on the ideXlab platform.
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Prevalence of Keratoconus in a Refractive Surgery Population.
Journal of ophthalmology, 2018Co-Authors: Abdulrahman Mohammed Al-amriAbstract:Objective. This study examined the prevalence of keratoconus among patients who were interested in undergoing Refractive Surgery. Corneal tomography measurements were used to help detect keratoconus. Methods. Adult subjects who presented to the private hospital Cataract and Refractive Surgery Unit (Abha, Saudi Arabia) for Refractive Surgery evaluation were considered for inclusion in this cross-sectional, retrospective study. All subjects were from the Aseer province, a southern, high-altitude region in Saudi Arabia, and presented between January and December 2017. The incidence of keratoconus and other Refractive Surgery contraindications were examined. Results. A total of 2931 patients were considered for inclusion in analyses. Of these, 2280 patients (77.8%) were not candidates for Refractive Surgery. These 2280 patients had a mean age of 24.1 ± 6.6 years and 1231 patients (54.0%) were male. Of the subjects who did not undergo Refractive Surgery, 548 (24%) had keratoconus, 400 (17.5%) were keratoconus suspects, 344 (15.1%) had thin corneas, 321 (14.1%) had high myopia, and 52 (2.3%) had a high astigmatism. An additional 479 subjects (21%) were candidates for Refractive Surgery, but chose not to undergo a procedure. Conclusion. The incidence of keratoconus in Saudi Arabian Refractive Surgery prospects was 18.7%. Keratoconus was the most common reason for not performing Refractive Surgery and accounted for 24.0% of cases in which Surgery was not performed.
