• 
• 
• 
• 
  • Ogłoszenia
  • Plan wydawniczy
  • Regulamin ogłaszania prac
  • Zasady recenzowania i recenzenci
• 
• 
• 
• 

Wydanie 2/2006

Zastosowanie topografii rogówki w laserowej chirurgii refrakcyjnej

The Use of Corneal Topography in Laser Refractive Surgery

Jerzy Szaflik^1,2, Sebastian Gajda¹, Wojciech Kołodziejczyk¹, Iwona Liberek

¹ Katedra i Klinika Okulistyki II Wydziału Lekarskiego Akademii Medycznej w Warszawie
Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik
² Centrum Mikrochirurgii Oka LASER w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik
³ Klinika Okulistyki Centrum Medycznego Kształcenia Podyplomowego w Warszawie
Po. kierownika: dr n. med. Iwona Liberek

Summary: The article summarises the question of using corneal topography particularly the Orbscan II slit scanning system in examining patiens before laser refractive surgery (PRK, LASIK, LASEK) especially evaluating the risk of postsurgical ectasia, in performing the procedures of customised ablation, in analysing the outcomes and diagnosing complications. Essential for carring out the procedure safely is carefull patient qualification focused on finding signs and symptoms which could be contraindications for laser refractive surgery. Special attention has to be paid to early (or forme fruste) keratoconus. Orbscan II turns out to be very usefull for all mentioned above purposes. Nevertheless other methods of evaluating the shape of the cornea in sense of ruling out early keratoconus are also described. These are mainly numerical indices known as Rabinowitz’s method, Klyce/Maeda method or KISA% index. The authors present also the figures with examples of Orbscan II examination results with broad comment.

Keywords: refractive surgery, corneal topography, Orbscan II, ectasia.

powrót