Introduction to Refractive Eye Surgery

8/9/2019 Introduction to Refractive Eye Surgery

1/149

L@]TIMQE]LI@ ]I TAJTNE]LZAUQTCAT\

Mn` [ Talù}al` GM GN"En`}nd, JTEUE MNDI JTEIvb}b

Hi`mi` Zluli` Ehl`le( Hi`mi`( QO

m{tFhi`mi`zlulièhl`le.eig

Caàtnh Gamlenh Ehl`leu( 5tm Uav}agdat 4662


2/149

Sb| en`} L uaa sahh sl}biq}g| chnuuau9


3/149

M[ Tal`u}al` 4662


Agga}tivln; @itgnh A|aulcb}

Hlcb} lu jiequam i`}i }ba ta}l`n


4/149

M[ Tal`u}al` 4662


G|ivln; Ubit}'Ulcb}am

Idkae}u l` }ba mlu}n`ea nta

dhqttam

Idkae}u qv ehiua nta ehant

Hlcb} lu jiequam l` jti`} ij}ba ta}l`n


5/149

M[ Tal`u}al` 4662




dhqttam

Idkae}u qv ehiua nta ehant

]ba eit`an lu }ii u}aav

]ba a|a lu }ii hi`c


6/149

M[ Talù}al` 4662



]ba vil`} ij jiequ àamu }i da dtiqcb} dneo }i }ba ta}l`n ]blu lu neblazam d| jhn}}a`l`c }ba ea`}ta ij }ba eitàn


7/149

M[ Tal`u}al` 4662


B|vativln; Hi`c'Ulcb}am


ehant

Idkae}u qv ehiua nta dhqttam

]ba hlcb} lu jiequam dabl`m}ba ta}l`n


8/149

M[ Tal`u}al` 4662


B|vativln; Hi`c'Ulcb}am


ehant

Idkae}u qv ehiua nta dhqttam

]ba eit`an lu }ii jhn}

]ba a|a lu }ii ubit}


9/149

M[ Tal`u}al` 4662


Nu}lcgn}lug

Enquau lgnca cbiu}l`c

Dhqttl`c n} nhh mlu}n`eau

]bata nta }si eqtzn}qtau ui}si vil`}u ij jiequ


10/149

M[ Tal`u}al` 4662


Vtaud|ivln

Vtaud|ivlnHi`c)Ubit} Ulcb}am

sl}b Vtaud|ivln

@ant zluli` lu dhqtt|


11/149

Bis en` L eittae} g| zluli`9


12/149

M[ Tal`u}al` 4662


Bis En` L Eittae} g| Zluli`9

Chnuuau Ei`}ne}Ha`uau

Tajtne}lzaUqtcat|


13/149

M[ Tal`u}al` 4662


Zluli` sl}b Chnuuau

Mlu}it}am vatlvbatnh zluli`

Gnc`ljlen}li` ajjae}

Idkae}u nvvant }i da l` n mljjata`} viul}li` n`m bnza n

mljjata`} ul{a }btiqcb uvae}nehau ha`uau


14/149

M[ Talù}al` 4662


Zluli` sl}b Chnuuau

Hlgl}am vatlvbatnh zluli`

Tamqeam vatlvbatnh zluli` sl}b chnuuau

Arne} vtauetlv}li` i`h| l` }ba ea`}ta ij }ba haù

Nu }ba a|a lu hiiol`c }btiqcb n mljjata`} vnt} ij }ba haù(}ba vtauetlv}li` lu ì hi`cat iv}lgqg "l` vnt}leqhnt jit

vtictauulza haùau,


15/149

M[ Talù}al` 4662


Tluou sl}b Ei`}ne} Haùau

Ieqhnt ebn`cau

Iamagn

@aiznueqhntlun}li`

Tluo ij l`jae}li`

Gletidlnh Oatn}l}lu Nen`}bngiadn

Lèlmaèa ij Gletidlnh oatn}l}lu vat vn}la`})|ant; 6.6=! MS UEH "it 6.2! izat 46 |antu ij sant,

Tluo ij vatgnà`} zluqnh hiuu

6.>! jit MS UEH izat 46 |antu ij sant


16/149

M[ Talù}al` 4662


Unja}|ij Ei`}ne} Haùau

Nmzatua tane}liù }i ei`}ne} haù sant Mt|àuu

EHVE "ei`}ne} haù vnvlhhnt| ei`kqè}lzl}lu, Nq}ilggqà tane}li` }i UEH

EHNTA "ei`}ne} haù neq}a tam a|a,

U}atlha vatlvbatnh qheatu Uaei`mnt| }i ari}irlù jtig dne}atln 7 eitành l`jlh}tn}au

B|virln "eitành iamagn 7 bnhiu n`m `lcb} chnta, @i} vtaua`} sl}b ulhleià b|mticah jit Blcb Mo TCVu haùau dq}

}baua i`h| neeiq`} jit >6'>1! ij E)H santatu l` }ba QO

Eitành sntvnca A`mi}bahlnh eahh hiuu it m|ujqè}li` mqa }i ebti le

iamagn


17/149

M[ Talù}al` 4662


Tluo ij L`jae}li` n`m zluli` hiuu Uij} Ei`}ne} Haùau

Vtlgnt| enqua ij zluli` hiuu sl}b uij} EHu lu GLETIDLNH OATN]L]LU

Itcn`lugu giu} eiggi`h| nuuieln}am sl}b gletidlnh oatn}l}lu Vuaqmigi`nu

U}nvb|hieieequ

Nen`}bngiadn

Jq`cnh "ac nuvatclhhqu,

Uebal` a} nh 4661 Ivb}bnh Ei`}l`qiqu sant uij} ei`}ne} haùau jit qv }i 56 mn|u n`m `lcb}u

`7:4=1( 26! eigvha}am >4 g}bu j)q 7 11:> vatui` |antu S]

Gletidlnh Oatn}l}lu >2.6 vat >6666 "6.>2!,

Sl}b zluli` hiuu 5.: vat >6(666 "6.65:!, > l` 1

Tluo ij GO sl}b Mnlh|Sant uij} ei`}ne} haùau lu >)1 ij }bn} sl}bEi`}l`qiqu Sant uij} ei`}ne} haùau

0 5 saaou ei`}l`qiqu santGO sl}b zluli` hiuu 4.5 vat >6(666 "6.645!,

GO sl}biq}zluli` hiuu; 6.>4!

8 5 saaou ei`}l`qiqu santGO sl}b zluli` hiuu 3.< vat >6(666 "6.63

GO sl}biq} zluli` hiuu; 6.=!


18/149

G|}bu l` tajtne}lza uqtcat|


19/149

M[ Talù}al` 4662


G|}bu l` Tajtne}lza Uqtcat|

L}u u}lhh zat| às

L} bqt}u

Lj |iq dhlò it giza mqtl`c }ba vtieamqta l} en` ci sti`c

L} miau`} sito zat| sahh

L} en`ì} eittae} hi`c'ulcb}amàuu

L} en`ì} eittae} nu}lcgn}lug

L} en`ì} eittae} }ba àam jit tanml`c chnuuau nu |iq ca}

ihmat Vtaud|ivln

\iq eiqhm a`m qv dhl`m

Lj uiga}bl`c ciau sti`c }bata lu ì}bl`c }bn} en` da mià

L} miau`} hnu} zat| hi`c

Sa mi`} oìs ndiq} }ba hi`c'}atg unja}|


20/149

Blu}it|ij tajtne}lza uqtcat|

L} lu u}lhh zat| `as

Dnttn~qat vli`aatam uqtcat| l` >


21/149

M[ Talù}al` 4662


Kiua Dnttn~qat; Oatn}iglhaqulu

Kiua Dnttn~qat l`za`}am n às l`ìzn}lza ga}bim ij

zluli` eittae}li`; Oatn}iglhaqulu


22/149

M[ Talù}al` 4662



Eq} n`m jtaa{a n p566 g eitành mlue

Taubnva }ba eitành mlue }i tamqea

g|ivln; ubnva ebn`ca enheqhn}am qul`c

}tlciìga}t|


23/149

M[ Tal`u}al` 4662



Taubnvl`c neblazam qul`c n hn}ba


24/149

M[ Tal`u}al` 4662



]ba eit`anh mlue lu uq}qtam dneo i`}i }ba a|a


25/149

M[ Tal`u}al` 4662



Vtieamqta ta~qltam n

zat| uolhham uqtcai`

]iio n hi`c }lga


26/149

M[ Tal`u}al` 4662


Nmzn`eau; Arelgat Hnuat >


27/149

M[ Talù}al` 4662


Nmznèau; Arelgat Hnuat

Aneb vqhua vaà}tn}au i`h| >)= g jtig }ba uqtjnea p

a~qlznha`} }i >)466 ij n bqgn` bnlt

Q`math|l`c }luuqa tagnlù eiih


28/149

M[ Tal`u}al` 4662


Vbi}i'Tajtne}lza Oatn}iglhaqulu "VTO,

Avl}bahlqg lu tagizam qul`c nheibih

n`m n bieoa| u}leo

Arelgat hnuat lu quam }i taubnva

u}tignh uqtjnea


29/149

M[ Tal`u}al` 4662


Hnuat L` Ul}q Oatn}iglhaqulu "HNULO,

Eit`anh jhnv p>56 g etan}am qul`c

gletioatn}iga it jag}iuaei`m hnuat

Jhnv lu hlj}am( u}tignh uqtjnea lu

taubnvam qul`c arelgat hnuat


30/149

M[ Tal`u}al` 4662


Jag}iuaei`m Hnuat Jhnv Etan}li`

ZluqGnr "Enth [aluu Gaml}ae,

Dqddha hn|at etan}am( }ba` uavntn}am gn`qnhh|

Nmzn`}ncau izat gaebn`lenh gletioatn}igau

Gita vtaelua

Hauu }tnqgn? vn}la`} ndha }i uaa }btiqcbiq} vtieamqta


31/149

M[ Tal`u}al` 4662


Glhhli`u ij Vtieamqtau Vatjitgam

>


32/149


L} bqt}u


33/149

M[ Talù}al` 4662


L mi`} tagagdat gqeb

ndiq} }ba vtieamqta(gnl`h| daenqua l} snu ui

~qleo hauu }bn` >6

gl`q}au.

L} snu n ulglhnt uaùn}li`

}i sba` |iq ehiua |iqt

a|au n`m }ba` vtauu

jltgh|i` }bag

Ul}}l`c i` }ba amca ij

}ba ebnlt( g| a|au

miquam l` unhlà( L

eiqhm tanm }ba zlulièbnt} i` }ba snhh

ivviul}a.

Sba` L un} qv g| jltu}

sitmu sata( ]bn}u

ngn{l`c


34/149

M[ Tal`u}al` 4662


^qleo Vtieamqta

\iqt }lga l` }baehl`le lu dtlaj n`m

}ba vtieamqta

l}uahj lu izat l` n

gn}}at ij gl`q}au

]ba

vtieamqta ludtlaj n`m

vnl`hauu


35/149

M[ Tal`u}al` 4662


]ba vtieamqta lu

l`maam vnl`hauu

]ba dau} }bl`c

ndiq} l} lu }bn} l}

lu izat l` ndiq}

>6 gl`q}au


36/149

M[ Talù}al` 4662


]ba Vtieamqta

L} miau ì} bqt}

L} lu zat| ~qleo; >6 }i >1 gl`q}au l` uqtcat|

Zluqnh taeizat|

Zluli` taeizatu 5 biqtu nj}at HNULO

Dneo }i sito }ba mn| nj}at uqtcat| Ià mn| tauqh}u;


37/149


Lj |iq giza


38/149

M[ Tal`u}al` 4662


Vtieamqta

Uivblu}len}am a|a }tneoatu jihhis }ba a|a gizaga`}u


39/149


L} en`ì} eittae} hi`c'ulcb}amàuu

L} en`ì} eittae} nu}lcgn}lug


40/149

M[ Tal`u}al` 4662


Sbi Lu Uql}ndha9

'>=.66 M /2.66 M

'56.66 M />1.66 M

Dliv}leu; Ehant Ha`u Arebn`ca * HNULO

HNULO ) VTO

6.66 M

6.66 M


41/149

Sbi lu Uql}ndha9


42/149

M[ Talù}al` 4662m{tFhi`mi`zlulièhl`le.eig

Sbi Lu @i} Uql}ndha9

Uiga a|a ei`ml}liù

Oatn}iei`qu

]attlaù Gntcl`nh Macaàtn}li`

Eitành Batvau [iu}at Oatn}l}lu

Nq}ilggqà eitành gah}u

Uiga caàtnh ei`ml}liù

Uazata mlnda}au sl}b ne}lza ta}lìvn}b| "blcbat

tluo ij l`jae}li` n`m uhisat banhl`c tauviùau,

Qèi`}tihham ne}lza nq}i'lggqà mluanua; Hqvqu(

Tbaqgn}ilm Nt}btl}lu( a}e


43/149


L} miau `i} sito zat| sahh


44/149


Bis ]i Ca} Ciim Iq}eigau


45/149


46/149


G|ivln; Lgvtizam Ei`}tnu} Ua`ul}lzl}|

++

+

+


47/149


Da}}at Zluli` ]bn` Chnuuau

Sl}b Chnuuau

Dajita HNULO

Sl}biq} Chnuuau

Nj}at HNULO


48/149


=.5!

>1.>!

=2.2!

>.3!

56.>!

6!

>6!

46!

56!

=6!

16!

:6!

Hl`au Mljjata`ea Da}saa` Chnuuau Dajita n`m Zluli`

Nj}at HNULO

Vatea`}ncaA|a

u

G|ivln _516W =.5! >1.>! =2.2! 56.>! >.3!

4 it gita ijjchnuuau

> ijj chnuuau Vta DUEZN > da}}at }bn`chnuuau

4 da}}at }bn`chnuuau

Da}}at Zluli` ]bn` Chnuuau

54! ij g|ivle a|au bnza da}}at zluli` sl}biq} chnuuau nj}at

uqtcat| }bn` sl}b chnuuau dajita uqtcat|


49/149


2!

=3!

6!

46!

56!

=6!

16!

:6!

36!

26!

66!

46)>4.1

"q

z

,

46)>:

"j

,

46)46

"

g

,

46)41

46)54

Q`eittae}am Zluq Neql}|

Eqgq

}lza

Vatea`

}nca

Vn}la`}u

B|vativln Iq}eigau; qv }i /3.41 M

Dl`ieqhnt Zluli` "55: Vn}la`}u,


50/149


B|vativln; Lgvtizam Ei`}tnu} Ua`ul}lzl}|

++


51/149


Nmznèau; Eittae}l`c Snzajti`} Attit

Itlcl`nh lgncau jtig }ba Bqddha }ahaueiva sata ì da}}at

}bn` ctiq`m'dnuam }ahaueivau Glttit snu jiq`m }i bnza lttacqhnt ì`'uvbatlenh iv}leu

"ndattn}liù, enqul`c dhqttl`c

@NUN mazahivam snzajti`} glttit }i eittae} }ba ndattn}liù


52/149


Nmznèau; Snzajti`}'Cqlmam ]tan}ga`}

Ndattiga}atu en` ganuqta }ba snzajti`} ij n` a|a

Gimat` hnuatu en` qua }blu mn}n }i enheqhn}a }ba ubnvaebn`ca àamam }i eittae} }ba ndattn}liù

]baua }tan}ga`}u glcb} da ndha }i lgvtiza vaivha sl}b

ìtgnh zluli` }i clza }bag Uqvat Zluli`


53/149


Nmznèau; Uqvat Zluli`

Snzajti`}'cqlmam

tajtne}lza uqtcat|;

Eittae}li` ij blcbat

itmat ndattn}liù

Chnuuau it Ei`}ne}

haùau;

Eittae}li` ij hisat

itmat ndattn}liù


54/149


Snzajti`}'Cqlmam ]tan}ga`}

Tajtne}li`; '>.16 '6.31 r >:5

@i Chnuuau

Zluli`

Sl}b Chnuuau

Dajita HNULO

Sl}biq} Chnuuau

Nj}at HNULO


55/149


L} en``i} eittae} vtaud|ivln


56/149


Eqtta`} Vtaud|ivle Tajtne}lza Uqtcat|

L`}tn'Ieqhnt Ha`uau

Gqh}l'jienh

Neeiggimn}lza

Hnuat Tajtne}lza Uqtcat|

Gqh}l'jienh

Gi`izluli`

@AS; HnuatDha`mamZluli`


57/149


Vtidhag Sl}b Gqh}l'jienhl}|

TaU]IT Ta[iig

@ant

Jnt

@ant

Jnt

N`ueb}{(Mnqueb(Ohal`(Kih|

"Gaml}ae ctiqv( >


58/149


Zluqnhl{n}li` ij Hlcb} Vn}b jit Gqh}l'jienh LIHu

4. ]ae`lu [G


59/149


Ta}l`nh Lgnca sl}b Gqh}l'jienh LIHu

4. ]ae`lu [G 1. TaU]IT UN:6M5


60/149


Iv}lenh Vatjitgn`ea Gqh}l'jienh LIH

5 gg vqvlh : gg vqvlh

TaU]IT Ta[iig ]ae`lu [G


61/149


Neeiggimn}lza L`}tn'Ieqhnt Haùau

]bait|; haù gizaga`} jitsntm n`m dneo tavhlen}au

neeiggimn}li` Vqdhlubam u}qmlau bnza ubis` hl}}ha haù gizaga`}

Aza` sl}b Vlhientvlà; gnr =11 g siqhm da i`h| 6.16 M ij

neeiggimn}li`

E A h V } THA


62/149


Enua Arngvha; Viu} THA

Vta'iv Tr /5.66 M IM( /5.16 M IU

@i ulc` ij en}ntne}

Giìzluli` THA l` 4665 giìjienh haùau

Eigvhnlàm ij glu}l`c zluli` n`m jah} ijj dnhnèa

5 gi`}bu viu}'iv( HNU

LO }i eittae} ijj dnhnèajaahl`c

Zluqnh u|gv}igu gnma situa

Mlncìuam sl}b VEI l` 466:

Dlhn}atnh \NC envuqhi}iglau vatjitgam @i lgvtizaga`} l` u|gv}igu

E A h V } THA


63/149


Enua Arngvha; Viu} THA

Zluqnh U|gv}igu

Ei`u}n`} glu} izat zluli` mn| n`m `lcb}

Bnhiu? en } mtlza n} lcb}

E A h V } EHA


64/149


Enua Arngvha; Viu} EHA

=: |i mlziteam gi}bat ij 4.

EHA vatjitgam @iz 466:? TaU}itLIHu lgvhn`}am

Ar}tagah| jn}lcqam a|au n`m eiqhm`} mtlza n} `lcb}

Ar}taga chnta n`m uen}}atl`c ij banm hlcb}u

TaU}it

LIHu tagizam l`

Kn` 4663( tavhneam sl}bgiìjienh LIHu 4.1 biqt vtieamqta "dlhn}atnh,

\nc envuqhi}ig| l` @izagdat 4663

@lcb} zluli` lgvtizam

Jn}lcqa da}}at dq} ì} tauihzam Jitalc` dim| uaùn}li` hloa n vlaea ij chnuu l` }ba a|a

Mlu}nèa zluli` ehant( ànt dhqttam "nduihq}a vtaud|ivln,

E A h V } EHA


65/149



E A h V } EHA


66/149



Vta'iv Tr /1.16 '>.66 r 21 IM( /=.31 '>.16 r


67/149



@lcb} zluli` l` 4662

Jhin}atu

E A h V } THA IM


68/149


Enua Arngvha; Viu} THA IM

Ahub`lc vanthu

Viu}atlit envuqha ivneljlen}li`

E A h V } THA IU


69/149


Enua Arngvha; Viu} THA IU

Ahub`lc vanthu

Viu}atlit envuqha ivneljlen}li`


70/149

Hnuat Dha`mam Zluli`

Vtaud|ivln


71/149


Vtaud|ivln

@ant

L`}atgamln}a

Mlu}n`ea

Jnt Mlu}n`ea

Tlcb} A|a Haj} A|a

Vtaud|ivln; Lmanh Uihq}li`


72/149


Vtaud|ivln; Lmanh Uihq}li`

@ant

L`}atgamln}a

Mlu}nèa

Jnt Mlu}nèa

Tlcb} A|a Haj} A|a

Eqtta`} Viuuldha Mav}b ij Jlahm Lètanua


73/149


Eqtta`} Viuuldha Mav}bij Jlahm Lètanua

@ant

L`}atgamln}a

Mlu}nèa

Jnt Mlu}nèa

Tlcb} A|a Haj} A|a

Hnuat Dha`mam Zluli` Gleti Giìzluli`


74/149


Hnuat Dha`mam Zluli` Gleti'Giìzluli`

@ant

L`}atgamln}a

Mlu}nèa

Jnt Mlu}nèa

Migl`n`} A|a @i`'Migl`n`} A|a

Dha`m [ià

Ei`}ne} Haù Giìzluli`


75/149


Ei`}ne} Haù Giìzluli`

@ant

L`}atgamln}a

Mlu}nèa

Jnt Mlu}nèa

Migl`n`} A|a @i`'Migl`n`} A|a

Dha`m [iàDhqt [ià

Eittae}l`c Vtaud|ivln; Ei`}ne} Haù Giìzluli`


76/149


Eittae}l`c Vtaud|ivln; Ei`}ne} Haù Giìzluli`

Migl`n`} a|a;

gnl`h| eittae}am

jit mlu}nèa

@i`'migl`n`} a|a;

gnl`h| eittae}amjit ànt

Dtnl` gatcau }silgncau }i uaa ànt n`m

jnt sl}biq} chnuuau

p:6!Vn}la`}u ]ihatn}a

Eittae}l`c Vtaud|ivln; Hnuat Dha`mam Zluli`


77/149


Eittae}l`c Vtaud|ivln; Hnuat Dha`mam Zluli`

Dtnl` gatcau }silgncau }i uaa ànt n`m

jnt sl}biq} chnuuau

Migl`n`} a|a;

gnl`h| eittae}am

jit mlu}nèa

@i`'migl`n`} a|a;

gnl`h| eittae}amjit ànt

p


78/149


G|ivln DZ; Ajjlene| Dlìeqhnt Zluli`

Eigdlàm Dlìeqhnt Mlu}nèa * @ant QEZN

B|vativln DZ; Ajjlene| Dlìeqhnt Zluli`


79/149


B|vativln DZ; Ajjlene| Dlìeqhnt Zluli`

Eigdlàm Dlìeqhnt Mlu}nèa * @ant QEZN


80/149

Unja}| n`m tajtne}lza uqtcat|

\iq eiqhm a`m qv dhl`m..

Lj uiga}bl`c ciau sti`c }bata lu `i}bl`c }bn} en` da mi`a

Tluou; Uqtclenh L`jitgn}li` Vneo


81/149


Tluou; Uqtclenh L`jitgn}li` Vneo

Tluou


82/149


Tluou

Tluou; Arvat} Uqtcai`


83/149


Tluou; Arvat} Uqtcai`

Unja}|; Nhh Tluou Eigdl`am


84/149


Unja}|; Nhh Tluou Eigdlàm

'2.66 MVtaiv '2.66 MQEZN Bn`m gizaga`}u

DUEZN 46)>:

Viu}iv Ul}qn}li` >QEZN 46)41 "hl}}ha dhqtt|,

DUEZN 46)>:

Viu}iv Ul}qn}li` 4QEZN 46)41 "hl}}ha dhqtt|,

DUEZN 46)41 "hiua 4 hlàu,

6.>! ebnèa

A`b }i 46)>:

Eigvhlen}li` Tn}a


85/149


Eigvhlen}li` Tn}a

Neeitml`c }i ETU^N "Eiqèlh jit Tajtne}lza Uqtcat|

^qnhl}| Nuuqtnèa,( n eigvhlen}li` tn}a ij $hauu }bn`}btaa vatea`} lu }baìtg$ ngi`c ivb}bnhgle

uqtcaiù vatjitgl`c HNULO( it 5 eigvhlen}liù izat

>66 vtieamqtau "azat| a|a }tan}am eiq`}u nu n

vtieamqta,.

Eigvhlen}li` Tn}a Vtij Talù}al`


86/149


Eigvhlen}li` Tn}a Vtij Talù}al`

JHNV EIGVHLEN]LI@U A|au iq} ij >4( "6.6>!, 6.6666666!

]bl` Jhnv 4 "6.64!, 6.6666666!

Lèigvha}a Jhnv "ì ndhn}li`, : "6.61!, 6.6666666!

Eitành Vatjitn}li` 6 "6.66!, 6.6666666!

Dhl`màuu "}i}nh hiuu ij zluli`, 6 "6.66!, 6.6666666!

Eitành uenttl`c tamqel`c zluli` 6 "6.66!, 6.6666666!

L`jhnggn}li` sl}b maetanua ij zluli` > "6.6>!, 6.6666666!

L`jae}li` 6 "6.66!, 6.6666666!

Avl}bahlnh L`ctis}b "ta~qltl`c jqt}bat uqtcat|, 4> "6.>

@aam jit eitành }tnùvhn`}n}li` 6 "6.66!, 6.6666666!

Oatn}ae}nuln 6 "6.66!, 6.6666666!

HNUAT EIGVHLEN]LI@U A|au iq} ij >4(


87/149


Tiq}là Viu} Ivatn}lza Gn`ncaga`}

Lj gn`ncam vtivath|( eigvhlen}liù mi ì} bnza }i

tauqh} l` hiuu ij DUEZN Tiq}là jihhis qv zlul}u

> Mn|

>'5 Saaou

5 Gi`}bu

: Gi`}bu

> \ant

N``qnhh|

Gita jta~qa`} jihhis qvu lj ta~qltam

Unja}|; G|ivln qv }i '>4.66 M


88/149


Unja}|; Hl`

au Ebn`

a DUEZ

66

6

6

=

=>

>6

=1

6

46

=6

:6

Hl`au Ebn` a DUEZ

atea`}n

ca

A|au

Un

a

6.6

$6

.6

$=

$=1

$=>

$>6

$

Hi% %

5 i-

Gi - a Hi% %

4 Hi% %

> @i Ebn!

ca Cn* !

>

Cn* !4 i

-

Gi - a

Unja}|; G|ivln qv }i >4.66 M

Unja}|; Hl`au Ebn`ca DUEZN

Unja}|; B|vativln qv }i /3.41 M


89/149


Unja}|; Hl`

au Ebn`

ca DUEZ

6 # 6 " 6 # 6 "

>: "4>

"

4"

:4"

6,

46,

=6,

:6,

26,

Hl`au Ebn`ca DUEZ

atea`}n

ca

A|au

Un6a

>

4 656

=6

56

=>:

=:4

=4>

=4

=

Hi1 1

5 i:

Gi:

a

Hi1 1

4 Hi1 1

> @i Ebn3ca Cn

2 3>

Cn2 34 i

:

Gi:

a

Unja}|; B|vativln qv }i 3.41 M

Unja}|; Hl`au Ebn`ca DUEZN


90/149

Hi`c }atg unja}| n`m tajtne}lzauqtcat|

Nmzn`eau l` mlnc`iu}le }iihu

HNULO; ]ba Jq}qta


91/149

M[ Tal`u}al` 4662


HNULO nvvtizam jit nhh QU Glhl}nt| vatui``ah

]ivictnvb| Uetaa`l`c jit Oatn}iei`qu


92/149

M[ Tal`u}al` 4662


]ivictnvb| Uetaa`l`c jit Oatn}iei`qu

Va`}neng Uetaa`l`c jit Oatn}iei`qu


93/149

M[ Tal`u}al` 4662


c

Ieqhnt Tauvi`ua N`nh|{at


94/149

M[ Talù}al` 4662


v |

Ganuqtaga`} ij }ba u}ljjàuu ij }ba eitàn

Eiqhm bahv mlncìua oatn}iei`qu@itgnh

Oatn}iei`qu

Nmznèau; Nt}aglu


95/149

M[ Tal`u}al` 4662


Eit`ahh Q`lzatul}|

Dli'Neiqu}le Hnd

>


96/149

M[ Talù}al` 4662


|

sss.NteUen`.eig

16 GB{ Nte'Uen`

Gatlmli`nh usaav "6.=uae,; Sbiha n }atlit uacga }

Sbiha Eitàn

Uen` viul}li`nh ei`}tih

LT zlmai'lgnca ij a|a

Eitành hlcb}'tajhar

L`}at`nh jlrn}li` }ntca}u

Arng }lga; 5'gl` vat a|a

JMN4666

Nt}aglu ' HNULO


97/149

M[ Tal`u}al` 4662


Avl}bahlnh ]bleo`auu Vtijlha; @itgnh z Oatn}iei`qu


98/149

M[ Talù}al` 4662


Nzatnca Avl}bahlqg Nhh A|au Haj} A|au Glttitam

@itgnh "`7>>6, Oatn}iei`qu "`7=6,

@]

]bl`àu} 14 g == g

]bleoau} 12 g :4 g

Mljjataèa : g >4 g

@]


99/149

Vtidndlhl}| Gimah ij }ba L`neeqtne| ij

Taulmqnh U}tignh ]bleo`auu Vtamle}li` }i

Tamqea }ba Tluo ij Ae}nuln nj}at HNULO

Hi`c ]atg Unja}|; Tluo ij Ae}nuln


100/149

M[ Talù}al` 4662


c |

Vtidndlhl}| TU] 8466 g jit n` a|a sl}b vtamle}am TU] ij 416 g

Gletioatn}iga Banm Gan` UM TluoTU]8466g

Nhhatcn` Uqtclenh

Ngnmaqu>:6 g >2> g 56.1 g >2.:4!

Gitln G4 >56 g >4= g 4>.< g >.>1!

D*H Bnùn}iga >:6 g >42 g 4>.> g 6.65!

D*H Bnùn}iga {ati

eigvtauuli` "M[T, >:6 g >4= g >4.1 g 6.66664!

Enth [aluu ZluqGnr

jag}iuaei`m "M[T,>51 g >>> g 3.2 g 6.66663!


101/149

Eièhquliù

Eièhquliù


102/149

M[ Tal`u}al` 4662


4< glhhli` HNULO vtieamqtau vatjitgam sithmslma

HNULO u}nt}am l` }ba >


103/149

]bnò \iq

Mn` [ Talù}al` GM GN"En`}nd, JTEUE MNDI JTEIvb}b

Hi`mi` Zluli` Ehl`le( Hi`mi`( QO


HNULO l` Eitành Ctnj}; Vta'Iv


104/149

M[ Tal`u}al` 4662


HNULO l` Eit`anh Ctnj}; Viu}'Iv


105/149

M[ Tal`u}al` 4662


]ivictnvb| Cqlmam HNULO l` Eit`anh Ctnj}


106/149

M[ Tal`u}al` 4662


Viu}'Ctnj} > \ant Viu}'HNULO

Gn`ljau} '>.41 '3.66 r .41 r >46

DUEZN 46)=6 46)41/4QEZN 46)466 46):5'4

L`}a`mam '>.16 '>.66 r


107/149


108/149

Sbn} ~qau}liù ubiqhm |iqt vn}la`}nuo }i uahae} n uolhham uqtcai`9

Unja}|]aebìhic|

Arvat}lua

ArvatlaèaTauqh}u

Mi ì} vnuu ci 2 ~qau}liù

Mi @i Vnuu Ci Ebaeohlu}; ^qau}li` >


109/149

M[ Talù}al` 4662


^qau}li`; Mlm }ba uqtcai` q`matci jitgnh tajtne}lza

uqtcat| }tnl`l`c n`m jit bis hi`c9

Arvae}am Nùsat; \iq sn`} n` a|a uqtcai` }bn}

>. Bnu bnm n} hanu} 5 gi`}bu jitgnh }tnl`l`c uvaeljlenhh| l` hnuat a|auqtcat|.

4. Mlm >66 vtieamqtau q`mat uqvatzluli` n`m

5. Bnu mià n} hanu} >666 vtieamqtau ul ea }tnl`l`c.

Mi @i Vnuu Ci Ebaeohlu}; ^qau}li` 4


110/149

M[ Talù}al` 4662


^qau}li`; Sbn} vtaivatn}lza arngl`n}liù(

vtaivatn}lza }au}l`c n`m hnuat }aebìhic| mi |iqbnza9

Arvae}am Nùsat; \iq sn`} n ehl`le }bn} vtizlmau n

mlhn}am vqvlh arng( mt| a|a aznhqn}li`( ei`}tnu}uaùl}lzl}| }au}l`c( l`jtntam vqvlh ul{a ganuqtaga`}(

jti`} n`m dneo uqtjnea eitành }ivictnvb|( qh}tnuiq`m

vneb|ga}t| "eitành }bleoàuu,( n`mSnzajti`}

n`nh|ulu. ]ba hnuat ubiqhm da ndha }i vatjitg equ}ig

}tan}ga`}u n`m bnza n` a|a'}tneol`c mazlea.



111/149

M[ Talù}al` 4662


^qau}li`; Sbn} vatea`}nca ij vn}la`}u }bn} vtaua`} }i

|iqt vtne}lea nta }qtàm mis` jit gamlenh tanuiù9

Arvae}am Nùsat; Ubiqhm da n} hanu} 1! dq} ì gita

}bn` 46!

Mi @i Vnuu Ci Ebaeohlu}; ^qau}li` =


112/149

M[ Tal`u}al` 4662


^qau}li`; Mi |iq gi`l}it |iqt uqtclenh uqeeauu tn}au

i` n` i`cil`c dnulu9

Arvae}am N`usat; Gqu} da \AU



113/149

M[ Talù}al` 4662


^qau}li`; Eiqhm |iq vtizlma ga sl}b n }ndha ij |iqt

vatui`nh giu} taea`} iq}eigau "ì} }biua ij i}batuqtcaiù, lèhqml`c eigvhlen}li` tn}au

Arvae}am Nùsat;

! 46)46 ubiqhm da n} hanu} 31! ! a|au hiul`c 4 hlàu DUEZN ì blcbat }bn`

6.4! ubit}ulcb}

>.6! hi`culcb}

Mi @i Vnuu Ci Ebaeohlu}; ^qau}li` :


114/149

M[ Talù}al` 4662


^qau}li`; Sbn} lu }ba a`bnèaga`} tn}a jit nhh

ubit}ulcb}am "g|ivle, vn}la`}u }tan}am d| |iq9Sbn} lul} jit hi`culcb}am "b|vativle, vn}la`}u

Arvae}am Nùsat;

Ubit}'ulcb}am p 1! Hi`c'ulcb}am p >1'46!



115/149

M[ Tal`u}al` 4662


^qau}li`; Bis gn`| vtieamqtau bnza |iq vatjitgam

l` }ba hnu} >4 gi`}bu9

Arvae}am N`usat;

N} hanu} 166 vat |ant



116/149

M[ Talù}al` 4662


^qau}li`; Bnza |iq azat bnm n ehnlg vq} ncnlù} |iq

jit gnhvtne}lea l` tajtne}lza uqtcat|9 Bnza n`| ij }bauadaa` uqeeauujqh it ua}}ham iq} ij eiqt}9

Arvae}am Nùsat;

@i Mahlen}a ~qau}li` dq} àeauunt|


117/149

Iq}eigau; Eigvntlui` sl}bUvae}nehau n`m Ei`}ne} Ha`uau

Unja}|ij Uvae}nehau


118/149

M[ Talù}al` 4662


Uvae}nehau caàtnhh| vti}ae} }ba a|au dq} lj dtioa` enènqua uatliqu l`kqt| uqeb nu eitành it ieqhnt hneatn}li`

Lètanuam vti}ae}li` jtig l`kqt| sl}b;

Jtngau; Hntca stnv ntiq`m jtngau it cicchau

"Uiqteau ij l`kqt|; QZ hlcb}( Dhq`} ]tnqgn( Blcb zahiel}| vtikae}lhau"ac ga}nh jtig ctl`ml`c sbaahu, n`m Ebaglenhu

Gn}atlnhu;

Vih|entdi`n}a

ET'5


120/149

M[ Talù}al` 4662


Nmzatua tane}liù }i ei`}ne} haù sant

Mt|àuu EHVE "ei`}ne} haù vnvlhhnt| ei`kqè}lzl}lu,

Nq}ilggqà tane}li` }i UEH

EHNTA "ei`}ne} haù neq}a tam a|a,

U}atlha vatlvbatnh qheatu Uaei`mnt| }i ari}irlù jtig dne}atln 7 eitành l`jlh}tn}au

B|virln "eitành iamagn 7 bnhiu n`m `lcb} chnta, @i} vtaua`} sl}b ulhleià b|mticah jit Blcb Mo TCVu haùau dq}

}baua i`h| neeiq`} jit >6'>1! ij E)H santatu l` }ba QO

Eitành sntvnca A`mi}bahlnh eahh hiuu it m|ujqè}li` mqa }i ebti leiamagn

Tluo ij L`jae}li` n`m zluli` hiuu Uij} Ei`}ne} Haùau


121/149

M[ Talù}al` 4662


Vtlgnt| enqua ij zluli` hiuu sl}b uij} EHu lu GLETIDLNH OATN]L]LU Itcn`lugu giu} eiggi`h| nuuieln}am sl}b gletidlnh oatn}l}lu

Vuaqmigi`nu U}nvb|hieieequ

Nen`}bngiadn

Jq`cnh "ac nuvatclhhqu,

Uebal` a} nh 4661 Ivb}bnh Ei`}l`qiqu sant uij} ei`}ne} haùau jit qv }i 56 mn|u n`m `lcb}u

`7:4=1( 26! eigvha}am >4 g}bu j)q 7 11:> vatui` |antu S]

Gletidlnh Oatn}l}lu >2.6 vat >6666 "6.>2!,

Sl}b zluli` hiuu 5.: vat >6(666 "6.65:!, > l` 1

Tluo ij GO sl}b Mnlh|Sant uij} ei`}ne} haùau lu >)1 ij }bn} sl}bEi`}l`qiqu Sant uij} ei`}ne} haùau

0 5 saaou ei`}l`qiqu sant

GOs

l}b zluli` hiuu 4.5 vat >6(666 "6.645!,GO sl}biq}zluli` hiuu; 6.>4!

8 5 saaou ei`}l`qiqu sant

GOs

l}b zluli` hiuu 3.< vat >6(666 "6.63


122/149

Sbn} miau l} gan` }i uaa sahh9

Zluli` }au}l`c


123/149

M[ Tal`u}al` 4662


^qnhl}| ij zluli` lu `i} i`h|

dal`c ndha }i tanm dhneo ha}}atui` n sbl}a dneoctiq`m

Zluli` ]au}l`c


124/149

M[ Talù}al` 4662


^qnhl}| ij zluli` 7

Zluqnh Neql}| Ei`}tnu} Uaùl}lzl}| Ndattn}liù 7^qnhl}| ij }ba

iv}leu ij }ba a|a

Zluli` ]au}l`c


125/149

M[ Talù}al` 4662


Ciim ^qnhl}| ij zluli` 7

>. Ciim Zluqnh Neql}|; ugnhh ha}}atu i` }ba ebnt}

4. Blcb Ei`}tnu} Uaùl}lzl}|

5. His hazah ij ndattn}liù;

His itmat ndattn}liù en` da eittae}am sl}b chnuuau

n`m ei`}ne} haùau

Blcb itmat ndattn}liù en`ì} da eittae}am sl}b

chnuuau n`m ei`}ne} haùau


126/149

Bis en` L eittae} g| zluli`9

Bis En` L Eittae} g| Zluli`9


127/149

M[ Tal`u}al` 4662


Chnuuau Ei`}ne} Ha`uau Tajtne}lza Uqtcat|

Blu}it|ij Chnuuau


128/149

M[ Talù}al` 4662


Lèi`za`laèa sl}b Chnuuau


129/149

M[ Talù}al` 4662


En`} uaa sba` |iq snoa qv

Nhntg ehieo ]ilha}

Chnuuau ta~qlta ehan`l`c

Chnuuau u}ang qv

Mlueigjit} Qch| lgvtl`} i` ìua

En`} sant i}bat }|vau ij

chnuuau

Uq`chnuuau "àam ehlv'i`,

Uslggl c cicchau

]ahaueivle cq` ulcb}u

Lèi`za`laèa sl}b Chnuuau


130/149

M[ Tal`u}al` 4662


Vaivha kqu} mi`} hiio

ciim l` chnuuau

Eblhmta` santl`c chnuuau

ca} dqhhlam

Tluo sl}b Chnuuau


131/149

M[ Talù}al` 4662


Hiul`c chnuuau

Chnuuau en` ca}oìeoam ijj

Chnuuau en` dtano

Ubntv vlaeau ij

chnuuau it haùaugn| enqua l`kqt|

Zluli` sl}b Chnuuau


132/149

M[ Tal`u}al` 4662


Mlu}it}am vatlvbatnh zluli`

Gnc`ljlen}li` ajjae}

Idkae}u nvvant }i da l` n mljjata`} viul}li` n`m bnza nmljjata`} ul{a }btiqcb uvae}nehau ha`uau

Zluli` sl}b Chnuuau


133/149

M[ Talù}al` 4662


Hlgl}am vatlvbatnh zluli`

Tamqeam vatlvbatnh zluli` sl}b chnuuau

Arne} vtauetlv}li` i`h| l` }ba ea`}ta ij }ba haù

Nu }ba a|a lu hiiol`c }btiqcb n mljjata`} vnt} ij }ba haù(

}ba vtauetlv}li` lu ì hi`cat iv}lgqg "l` vnt}leqhnt jitvtictauulza haùau,

Zluli` sl}b Chnuuau


134/149

M[ Talù}al` 4662


Tlml`c l` }ba tnl`

}i}nhh| ugantam

}ba haùau

Chnuuau mi`} bnza

jqhh vatlvbatnh

zluli`( ui |iq nta ì}

jqhh| nsnta ij vaivhaeigl`c qv dabl`m |iq

Tlml`c n} `lcb} snu

}ba giu} q`vhanun`}

daenqua ij }ba chntan`m cbiu}l`c jtig

}ba chnuuau

Lèi`za`laèa sl}b Ei`}ne} Haùau


135/149

M[ Talù}al` 4662


Mnlh| ehan`l`c

Tluo ij hiul`c ei`}ne} haùau

Lèi`za`laèa sl}b Ei`}ne} Haùau


136/149

M[ Talù}al` 4662


Mlueigjit}

Mab|mtn}li` Mt|àuu n} }ba a`m ij }ba mn|

Mt| ei`ml}liù "nlt ei`ml}li`l c( nativhnà,

Mqu}|( sl`m| ei`ml}liù

Zluli` sl}b Ei`}ne} Haùau

Jh } }l l l l}b } l } } h


137/149

M[ Talù}al` 4662


Jhqe}qn}l`c zluli` sl}b }itle ei`}ne} haùau

Maetanuam ~qnhl}| ij zluli` sl}b dljienh ei`}ne} haùau

Haù ti}n}li`

Tluou sl}b Ei`}ne} Haùau


138/149

M[ Talù}al` 4662


Ieqhnt ebn`cau

Iamagn @aiznueqhntlun}li`

Tluo ij l`jae}li`

Gletidlnh Oatn}l}lu

Nen`}bngiadn

Lèlmaèa ij Gletidlnh oatn}l}lu vat vn}la`})|ant;

6.6=! MS UEH "it 6.2! izat 46 |antu ij sant, Tluo ij vatgnà`} zluqnh hiuu

6.>! jit MS UEH izat 46 |antu ij sant


139/149

Sbn} nta }ba nmzn`}ncau ij

tajtne}lza uqtcat|9

Ei`za`la`ea jit Iq}miit Ne}lzl}lau


140/149

M[ Tal`u}al` 4662


Cihj; Glebnah Bia|


141/149

M[ Talù}al` 4662


g| zluli` lu vtidndh|da}}at }bn` 46)46 n`m l} bnu

gnma n` iq}tncaiqumljjataèa }i ga i` }ba cihj

eiqtua

L jaah L en` tanmctaaù n hi} da}}at

L snu vhn|l`c ncnlù} }badau} vhn|atu l` }ba sithmn`m L eiqhm`} uaa sbata

g| dnhh snu jl`lubl`c

Uvit}u Zluli`; Cihj

Ijjl l h S hm C hj T ol "4661,


142/149

M[ Talù}al` 4662


>. ]lcat Siimu

4. Zlkn| Ul`cb

5. Vblh Gleoahui`

=. Ta}laj Ciiua`

1. At`la Ahu

Ijjlelnh Sithm Cihj Tnòl`cu "4661,

]lcat Siimu un|u }bn} }ba biha hiiou dlccat n`m blu ndlhl}| }i tanm ctaaù

bnu lgvtizam mtngn}lenhh|

]lcat Siimu si` }ba jltu} jlza }iqt aza`}u nj}at bnzl`c }ba uqtcat|

]ba` ba si` }ba ]lcat Uhng ijjiqt eiùaeq}lza gnkitu l` 4666'6>

Mlzl`c

Lj |iq }noa vnt} l` n`|


143/149

M[ Talù}al` 4662


Lj |iq }noa vnt} l` n`|sn}at uvit}u n`m uqjjatjtig viit a|aulcb}( }ba

daàjl}u ij tajtne}lzauqtcat| nta aìtgiqu

\iqt }lga l` }ba ehl`le ludtlaj n`m }ba vtieamqtal}uahj lu izat l` n gn}}at

ij gl`q}au

]ba vtieamqta ludtlaj n`mvnl`hauu

Mlzl`c


144/149

M[ Tal`u}al` 4662


L mi`} }bl`o l} siqhm

da arnccatn}l`c }ienhh l} n hljaebn`cl`c giga`}


145/149

M[ Tal`u}al` 4662


]ba| nta }ba etneo cq` eivu sbi cqntm

]i`| Dhnlt( tanm| }i tauvi`m l` n uvhl}

uaei`m sl}b n vtaeluli` ubi} }i tqd iq}

n`|i`a maagam }i }btan} blu hlja.

]tiqdha lu( uiga ij }bag mi`} arne}h|

bnza 46)46 zluli`

Uiga sitoatu slhh

daeiga gita

vtimqe}lza jihhisl`c

}ba ivatn}li`


146/149

M[ Tal`u}al` 4662



147/149

Tauqh}u jit }ba Ga} Vihlea

Vivqhn}li`

3 jjl : l }l } " b } l b} m, m >


148/149

M[ Tal`u}al` 4662


3 ijjleatu; : g|ivle vn}la`}u "ubit}'ulcb}am, n`m >

b|vativle vn}la`} "hi`c'ulcb}am, Nca; =>'1: |antu

Nzatnca

Mlu}n`ea Zluli`

Nzatnca

@ant Zluli`

Vta iv;46)24

Viu} iv;46)>=.2

Vta iv;

@>4

Viu} iv;

@=

Zluqnh Neql}| Lgvtizaga`}


149/149

Mntodhqaeihqg`u nta }ba zluli` hazahu neblazam nj}at HNULO

Tam eihqg`u nta }ba hazah ij zluli` sl}biq} chnuuau dajita HNULO

Documents

Introduction to Refractive Eye Surgery