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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
A 32-year-old woman with moderate myopia and mild dry eye has worn soft contact lenses for 12 years. She notes decreased tolerance of the lenses and must remove them after only four to five hours. On examination, her refraction is 4.25 + 1.0 x 90 (3.75 diopters of spherical equivalent and 1 diopter of astigmatism at 90 degrees) in the right eye
The Clinical Problem
Strategies and Evidence
Benefits of PRK and LASIK
Risks
Preoperative Screening
Areas of Uncertainty
PRK versus LASIK
Custom Corneal Ablation Procedures
Guidelines
Conclusions and Recommendations
Source Information
From Cole Eye Institute, the Cleveland Clinic Foundation, Cleveland.
Address reprint requests to Dr. Wilson at Cole Eye Institute, the Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44195 or at wilsons4@ccf.org.
This article has been cited by other articles:
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