CK is a simple procedure without any doubt.It involves
three steps namely:
1. Pre-op evaluation
2. Conductive Keratoplasty procedure
3. Post-op care
It is very critical that all this steps are performed
scientifically and religiously. A short description follows.
You can also see surgical footage of NearVision CK . MOVIE
CLIP TO BE ADDED.
NearVision CK pre-op evaluation
To prepare a patient for this procedure, you would initially
perform all the requisite diagnostic exams to determine
the severity of his or her refractive error and to determine
if they are monovision tolerant. Then, you would perform
the following steps:
• Determine the cycloplegic spherical
equivalent of the eye(s) to be treated
• Establish a surgical plan (treatment pattern using
the nomogram) based on patient's refraction
• Perform necessary system quality control (i.e.,
check calibration, connections, etc.)
• Betadine prep the operative and tape non-operative
eye to aid fixation
• Instill topical anesthetic
NearVision CK procedure
Performing the procedure simply involves using the handpiece
with the Keratoplast™ Tip to apply energy to the treatment
spots as defined by the Conductive Keratoplasty nomogram.
For every spot, you'll use the footpedal to release energy.
Some procedural tips include:
• Start with a uniformly dry
cornea, but avoid desiccation of the corneal surface
• Confirm symmetry of the treatment spots
• Maintain perpendicularity of the tip to the corneal
surface
• Ensure complete penetration of the Keratoplast
Tip
• Complete treatment in reasonable time (1 minute/ring
of 8 treatment spots)
NearVision CK post-op care
After the procedure, the following steps are appropriate:
• Administer antibiotic and NSAID
immediately, then as per labeling for three days
• Use artificial tears frequently for up to one week
• Insert bandage contact lens, if necessary
• Do not patch operative eye
• Advise patient of what to expect for the first 24
to 48 hours:
o Foreign-body sensation
o Tearing
o Discomfort
o Initial overcorrection
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