Refractive Lens Exchange (RLE)

AT CLARITY LASER VISION

POST OP COACHING

MONTH 4

EXPECTED VISION

Within 1 line of expected BCVA
Refraction settled now

PATIENT EXPERIENCES

Minor dryness

TESTS TO PERFORM

UCVA
IOP
Refraction
Slit Lamp Exam
Dilated fundus exam

POINTS TO DISCUSS

No more activity restrictions
Encourage artificial tears

MEDICATION PROTOCOL

Preservative free artificial tears qid
If dry, can restart warm compresses, blinking exercises, lid scrubs and in office thermotherapeutic treatments

Exam Walkthrough:

LATE POST OP CAPSULAR BAG

Posterior Pole Exam

Is patient 20/happy?

Pro Tip:

Refracting after a Vivity IOL is different than a
regular refraction.

Show Me How

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Call (403) 640-0400

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Our Testimonials

I was involved in a serious life-threatening incident while in the care of a hospital. Grover Law Firm represented me in a medical malpractice law suit against some of the biggest medical institutions in Alberta. I was grossly outmatched by the defendant’s financial resources and medical expertise. Fortunately, my lawyer thoroughly investigated my case and was able to identify the specific party at fault amidst a complex medical institution. I was able to achieve a fair settlement against one of the biggest medical facility in Alberta.

R.S Calgary, AB

Grover Law Firm achieved the compensation that I needed for the brain injury I suffered in a car accident, and it was a pleasure working with them.

D.R Calgary, AB

I was involved in a front end collision and was told by the insurance company that my injuries are capped by law to a minimal amount. I was initially hesitant to pursuit a law suit as i thought my injuries would quickly resolve. I am not the type of person to complain, but as my injury lingered on from weeks to months, I find it started to affect my work and livelihood. My father referred me to Steve Grover who took on my case. He carefully reviewed my medical records and found an MRI report that points to a more serious injury. My lawyer presented the medical evidence in Judicial Dispute Resolution, and I was able to settle my case for many times the defendant’s initial offer without going to trial.

S.T Calgary, AB

Contributor: Jesse Vislisel, MD
Photographer: Stefani Karakas, CRA
http://webeye.ophth.uiowa.edu/eyeforum/atlas/pages/capsular-phimosis/index.htm

Blur

Glare

Reduced VA

Photophobia

Blur

Glare

Starbursts

Photophobia

Haze

Striaie

Fibrosis

Elshnig pearls

Pro Tip:

Posterior capsular opacification comes in many forms and can be subtle. If pt complaining of vision decline and you aren't sure, send to surgeon for a
consult to determine if a YAG capsulotomy is appropriate.

Blur

Glare

Starbursts

Photophobia

Maddox rod effect: When the pt describes streaks of light at night that go perpendicular to the striaie you observe. (See Pro Tips on how to identify.)

Pro Tip:

To determine "Maddox Rod effect", have the patient close one eye and shine the transilluminator towards their eye from 16 inches away. Have the patient describe the direction of the starbursts. They will usually be perpendicular to the striaie present.