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Post Info TOPIC: some miniark aspects


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Posts: 437
Date: Thu Jan 5 11:03 PM, 2006
some miniark aspects

The best outcomes of miniark is when KC stages are early, I or II. Which I perfectly understand. The corneal tissue has enough keratocytes that are healthy enough to react as wanted to produced a healthy corneal wound healing with new scar collagen. Later stages, III or IV, corneal wound healing will be not as wanted and the results may be not as wanted. But what about morphological aspects? I mean nipples and ovals (not yet globes ). I think nipples are the best for they are in the center of the cornea andthere is a place for the incisions away from the optical axis. But what with a very decentered oval? I think it will be not easy to chose where to make incisions. Have anybody heard about this aspect and probably somebody has outcomes on nipples and on ovals to compare?


Date: Fri Jan 6 5:52 AM, 2006

Sounds prefectly logical to me mate what you say...

I would guess that the postion and steepness of the cone matters a lot in what results can be achieved, like you say Yarsky...

Although re-touches and doing it in stages, stage by stage is thought to be the way for some, who are otherwise out of the scope!

By how much i don't know...

Not forgetting that advanced cones, can not be done as a "rule", which this summer Lombadri announced. 



Status: Offline
Posts: 16
Date: Sun Jan 8 3:45 PM, 2006

Hi Yarsky,

it's exactly as you say. In some cases it's really difficult to make the right incisions. I think you need many years of experience to practise this.
You can not standardise this method and this is an important factor why other ophtalmologists don't like this method. We live in a perfect technical world. With high tech which is standardiseable.

Quintrix wrote an important information. In some cases (like mine) you have the brake throug not until the retouch. For some patients (not many!) it's hard to see no success after the first operation and some cancel the treatment after this.
I also think that in some cases Prof. Lombardi can not predict this before the first operation.

A german optician of a Lombardi patient called Lombardis work a work of fine art. And there are not many artists under the ophtalmologists. They have an other job as doing fine arts (they are doing an other kind of art).

Best regards

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