{"id":41,"date":"2020-08-07T17:09:24","date_gmt":"2020-08-07T17:09:24","guid":{"rendered":"https:\/\/www.pacificvision.org\/blog\/?p=41"},"modified":"2024-04-09T09:01:58","modified_gmt":"2024-04-09T09:01:58","slug":"5-essential-corneal-tests-for-accurate-screening-of-refractive-surgery-candidates","status":"publish","type":"post","link":"https:\/\/www.pacificvision.org\/blog\/5-essential-corneal-tests-for-accurate-screening-of-refractive-surgery-candidates\/","title":{"rendered":"5 Essential Corneal Tests for Accurate Screening of Refractive Surgery Candidates"},"content":{"rendered":"\n

Accurate corneal evaluation to determine candidacy and establish what procedure is best for each patient is as important as the procedure itself.  We have come a long way from topography and ultrasound pachymetry of 30 years ago. As the field of refractive surgery matured, new methods of examining cornea have been added. We now have 5 different methods to evaluate cornea prior to refractive surgery. Each of these methods may have false positives and false negatives. Each is prone to artifact, from subtle angle kappa, to tear film, to human error in performing each test. It is, therefore, essential that we don\u2019t rely on only several of these tests, but perform all 5 for each patient to accurately distinguish between healthy and structurally robust cornea vs. pre-ectatic vs. subclinical epithelial basement membrane dystrophy vs. contact lens warpage. Correct diagnosis is essential to successful outcome and great vision long term. <\/p>\n\n\n\n\"Patient\n\n\n\n

 At Pacific Vision Institute<\/a>, we see patients who have gone to multiple consults and received conflicting opinions. We often find that performing all 5 corneal tests invariably establishes a clear, definitive diagnosis and treatment plan for each patient.  <\/p>\n\n\n\n