A publication for TLC affiliate doctors and their staff members. • December 2008
For more information or to schedule a LASIK Consult Day at your office please In this article you will find: click here to find your regional contact.
Is Your Patient Ready for Laser Vision Correction? (Part 2) TLC LASIK Gift Card Extended Through 12/31/2008! Grow Your LASIK Business This Holiday Season!
Is Your Patient Ready for Laser Vision Correction? (Part 2) By John K. Lehr, OD - Clinical Director, TLC Westchester Contraindications are different from precautions in regards to when a patient can have laser vision correction. A contraindication is any condition, medication, or situation where the outcome of a surgical procedure would be compromised, resulting in unknown
or detrimental results. A precaution is more of a warning; some active general health conditions, medications, etc. may not be appropriate in conjunction with surgery but are left up to the discretion of the surgeon. Contraindications - Pregnant or nursing mothers are not good candidates for laser vision correction. When counseling a prospective patient it is appropriate to question her specifically regarding current status and immediate plans for pregnancy. Hormonal changes that occur during pregnancy and continue during nursing may cause unpredictable changes in the cornea and a effect the normal healing pattern following LASIK. Most physicians agree that it is safe to plan LASIK following pregnancy or nursing if the patient has had three regular menstrual cycles and a stable prescription. There are certain medications that can effect corneal healing after surgery. Antiinflammatory medications of any kind (prednisone, NSAIDs, etc), Isotretinoin (Accutane®) for acne treatment, Sumatriptan (Imitrex®) used for migraine headaches and Amiodarone hydrochloride (Cordarone®) for normalizing heart rhythm are all examples of contraindicated medications. Any medication with ocular side effects, even antihistamines, can prevent a good surgical outcome. Precautions - A history of retinal holes/tears or any kind of previous retinal surgery does not exclude a patient from laser vision correction. Due to the manipulation of the globe and suction of the microkeratome or IntraLase, any weaknesses to the retina need to be evaluated prior to elective surgery. To further reduce risk, PRK may be the procedure of choice as it can be performed with less pressure on the globe. General health conditions such as collagen vascular (e.g., rheumatoid arthritis), autoimmune (e.g., lupus), or immunodeficiency diseases (e.g., AIDS) can affect the body’s ability to heal. If these conditions are controlled, often the medications that are used to treat them precludes a patient from having surgery.
A history of Herpes simplex or Herpes zoster infection that has affected a patient’s eyes is an area under heavy debate. Pre-medicating patients with antivirals is a way to mitigate the risk associated with herpetic eye disease and scarring, but is not a foolproof cure. Patients need to be aware that the stress of surgery on the eye can reactivate corneal disease. Some surgeons will not treat anyone with past simplex dendrites, but it is usually dealt with on a case-by-case basis. This is not a definitive list of all contraindications and precautions but it does cover most of the more common situations that will present to the eyecare provider. LASIK is a safe and effective treatment for most people. Careful patient history and thorough examination of the eyes are key to proper patient selection.
TLC LASIK Gift Card Extended Through 12/31/2008! TLC’s Gift to you for the holidays. TLC Laser Eye Centers is extending the expiration date of the TLC LASIK Gift Card from November 30 to December 31, 2008, giving you the opportunity to offer more of your patients a significant savings on LASIK at TLC. All you need to do is continue handing out the gift cards to your potential LASIK patients and let them know the expiration date has been extended. Build Your LASIK Business with TLC Gift Cards:
Provide gift cards to all LASIK candidates that come into your office.
Mail this special offer to your patients that are LASIK candidates.
Give this special savings to your friends and family.
Patient must complete their procedure before 12/31/2008.
Discount cannot be used if a procedure is already scheduled at a
Patient must provide gift card to TLC at time of surgery.
Cannot be combined with any other discounts or special offers,
previous surgery, insurance or vision care plan savings.
Contact your TLC PRC or Center for more details.
Grow your LASIK business this holiday season! Planning promotions for a particular buying season gives your patients another reason buy your service rather than your competitors, plus the motivation to do it now rather than later.
The holiday season provides an excellent opportunity for promoting LASIK through your practice with holiday flyers, counter cards and buck slips from TLC. Take advantage of the holiday season to encourage your patients to give themselves the gift of LASIK or as a gift to a loved one. Contact your local TLC PRC or Center for more information and to place your order for LASIK holiday promotional material.
Boletín Género, Raza, Etnia e Pobreza Nº 7 - Marzo de 2010 Discriminación: la condena no basta A la mayoría, cuando pensamos en racismo y xenofobia se nos vienen a la memoria actos violentos, insultos o manifestaciones abiertamente hostiles hacia otras personas de orígenes raciales distintos. Constituyen la manifestación más extrema de un fenómeno que nos sobrecoge y provoca una m�
Comparison of Bleeding Complications With Omega-3 Fatty Acids ؉ Aspirin ؉ Clopidogrel—Versus—Aspirin ؉ Clopidogrel in Patients With Cardiovascular Disease Pauline D. Watson, DO, Parijat S. Joy, MD, Chileshe Nkonde, MD, MRCP, Scott E. Hessen, MD, Fish oil is used to lower triglycerides and for the secondary prevention of cardiovascular events in patients with coronary artery