Q: Dear KeraNet Members, A 17 year old patient came into my office yesterday with her mother after having bulbar conjunctival tattooing done to both eyes four days ago with purple ink. Pictures below. There is one entry point in each quadrant where the “body sculpting artist” dipped a needle into ink and irrigated saline under the […]
Bulbar Conjunctival Tattooing Read More »
Q: Kera-gurus: I have a 52 year old guy who had Custom LASIK one month ago for myopic astigmatism (OD -3.00 + 0.25 and OS -3.25 + 1.25). He is slightly overcorrected with refraction of +0.50 + 0.25 in each eye. He’s doing fine for distance activities such as soccer and driving. But he is
Custom LASIK over correction Read More »
Q: I saw a patient today for the first time who is an internist has been treated for dry eye for years. She really looked to me more like chronic inflammatory OSD due to blepharitis and possible allergy with Rosace, plugging of the glands, loss of lashes, conjunctivochalsis etc. She had no plugs in but
Q: Good thought, John, but to what would we be responding on social media? Though it is likely a small audience, posting a response to Ophthalmology/Optometry Times is at least relevant. A post to Twitter/FB/etc. may seem like a random rant, unless the article has also been tweeted out, in which case we can respond
MDs Defending ODs Performing Procedures Read More »
Q: 27 year old woman wants Lasik. MR -5.75 +0.50 x 95 20/20 – 5.25+0.50 x 85 20/20 Pachs 574 OD, 599 OS Topographies attached. What concerns me is the skewed topography left eye. Would you recommend: 1. No refractive surgery 2. PRK 3. Lasik Thanks, David Atlanta, GA A: Hi David In general, if
Q: When McLean originally published this technique (Ophthalmology, 1986), it was with a regular, non-bent 20g needle. The advantage of using such a large needle is that there is zero chance of perforating. When Peter Laibson discussed this technique at the AAO, he suggested maybe using a smaller (i.e. 25g) needle. With that, unbent, folks
25g needle bending Read More »
Q: Dear All, I would highly recommend the above EXCELLENT review article (link below). Many of our colleagues worked very hard to produce and excellent summary of the “state of the art”. Randy Highland Park, IL A: dear randy, parag, roy, and everyone else i just read this article in the blue journal, it agree
Re: Mitomycin-C OTA — published in June Ophthalmology Read More »
Q: Dear Kerafriends, Jim is right (as always) – I’m really not feeling safe in offering LASIK, as besides the skewed axis seen on axial curvature maps and the PTA quite near 40%, her Pentacam shows some suspect parameters, mainly: ART max < 386 and BAD-D > 1,22 – Sandra, you can find some interesting
Re: Would you submit this 42yo woman to refractive surgery? Read More »
Hi Kamran Pls see below On Jun 13, 2015, at 11:17 AM, Kamran wrote: Hi Emil I hope you are doing well. I wanted to ask you a question in regards to a comment that you had made about slightly overcorrecting younger myopic patients who undergo refractive surgery (regardless of ASA/PRK, LASIK, etc). You had
Re: Myopic (Over)Correction in Younger Patients Read More »
Q: I will put my $0.02 here for what it’s worth. In theory the structural integrity from SMILE should be better but independent in vivo research is needed. Dan Reinstein is a consultant for Zeiss. SMILE has a lot of attractive features but sadly my evaluation from peers who used it and abandoned it is
If you are unsure about what procedure to choose or need more information please feel free to ask Dr.Chynn one question.
We are the only center in the country allowing you to ask our doctor a question, and he will answer personally.
Dr. Chynn graduated from Dartmouth + Columbia + Harvard + Emory + NYU and has been featured on CNN, ABC, NBC, CBS, Discovery Channel & in the NY Times & Wall St. Journal
He’s performed 1,000 PRKs, 5,000 LASIKs, 10,000 epiLASEKs, 15,000 LASEKs – more than any surgeon in the US
He got LASIK in his right eye & LASEK in his left eye, so is UNIQUELY qualified to tell you the +/-‘s of BOTH procedures – from BOTH a Surgeon’s & Patient’s point-of-view!