Dr. POOJA KHAMAR

Dr. ROHIT SHETTY

Abstract

Purpose: To outline evaluation of patients post-refractive surgery presenting with myopic, hyperopic shift, asthenopia & algorithmic approach to manage the same Methods: Out of 2000 patients who underwent refractive surgery during the year 2019, 65 were unhappy after surgery. Patients presenting with blurred vision, difficulty in night vision underwent refraction, dry eye evaluation, topography, aberrometry, contact lens (CL) trial, orthoptic evaluation. Patients improving with CL trial were given glasses or subjected to laser treatment. Patients with dry eye were given targeted dry eye treatment. Patients with high dysfunctional lens index (DLI) underwent lens-based procedure. Results: 30 had dry eye, 24 orthoptic issues, 6 early lens changes, 5 decentered ablation. Appropriate treatment was given to all. Conclusion: A systematic algorithmic approach helps identify the true cause leading to patient dissatisfaction & helps in appropriate management.

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