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Glossary of Lasik Laser Eye Surgery Related Terms
By Glenn Hagele
B
B Scan
Ultrasonic procedure used to check
for abnormalities or locate foreign bodies within the eye.
Barraquer Cyro-Lathe
An instrument used in
performing refractive surgery to correct extreme
myopia (nearsighted, shortsighted vision) or
hyperopia (farsighted, longsighted vision).
Basement Membrane
A membrane of tissue
beneath the epithelium that helps
adhere the epithelium to the
Bowman's layer or stromal
tissue.
Bausch & Lomb
Ophthalmic equipment
company.
BCVASee
Best Corrected Visual Acuity.
Best Corrected Visual Acuity
This is a
measure of best acuity while wearing corrective lenses like glasses
or contact lenses.
Bifocals
Corrective lenses that have two
powers of correction. Typically the majority of the lens is
corrected for distance vision while a small are is corrected for
near vision. Bifocals and trifocals
are normally prescribed for individuals with
presbyopia.
Binocular
Both eyes.
Binocular Vision
The blending of the separate
images seen by each of two eyes into a single image. Normal
binocular vision yields a stereoscopic image and parallax-induced
depth perception.
Black Box Laser
Common term used for a laser
built by its owner or by a firm not approved by the FDA.
Detailed Information Regarding Counterfeit Lasik Lasers
Bladeless Lasik
Lasik with the corneal flap being created by a femtosecond laser
rather than with a mechanical
microkeratome. See
Bladeless Lasik details
Blepharitis
A chronic or long term
inflammation of the eyelids and eyelashes, affecting people of all
ages. Among the most common causes are poor eyelid hygiene; excess
oil produced by the glands in the eyelids; a bacterial infection; or
an allergic reaction.
Detailed
Information Regarding Lasik and Blepharitis
Blind Spot
(1) A small area of the retina
where the optic nerve enters the eye; occurs normally in all eyes.
(2) Any gap in the visual field corresponding to an area of the
retina where no visual cells are present. Associated with eye
disease.
Board Certified
See
American Board of Ophthalmology.
Bowman's Layer
A layer of cells in the cornea.
between the epithelium and
stroma. The Bowman's layer appears
to be without specific purpose.
Broad-beam
This is a method of applying
excimer laser energy. A beam of energy is applied across the entire
ablation zone at one time. See also variable beam and
flying spot.
Buttonhole Flap
A complication of
Lasik caused when the
microkeratome breaks through the top of the cornea while
creating a flap of corneal tissue. See
Lasik Buttonhole Flap
C
C3R
See Corneal Crosslinking with Riboflavin.
CrossLinking
See Corneal
Collagen Crosslinking with Riboflavin
C-CAP
See
Custom Contoured Ablation Pattern
Calhoun Vision
Manufacturer of light
adjustable intraocular lens.
Detailed Information Regarding
Calhoun Light Adjustable Lens
Canthus
Demarcation between the sclera
and nasal corner of the eye.
Cataract
Also known as nuclear
sclerosis. Cataracts are an opacity or clouding of the natural
crystalline lens that may prevent a clear image from forming on the
retina. Cataracts occur naturally and can be induced by trauma. The
cataractous lens may require surgical removal if visual loss becomes
significant, with lost optical power replaced with an intraocular
lens.
Central Ablation Zone
See
Optical Ablation Zone.
Central Island
A complication of
excimer laser assisted
refractive surgery where the laser fails to remove a portion of
cornea. If one views the concave area of the ablation like a
lake, one can imagine an island sticking up in the center. Visual
symptoms are typically monocular diplopia
or distortion.
Detailed
Information Regarding Lasik Central Islands
Central Retinal Artery
The blood vessel that
carries blood into eye; supplies nutrition to the retina.
Central Retinal Vein
The blood vessel that
carries blood from the retina.
Central Vision
See
visual acuity.
Chiron
Ophthalmic equipment company.
Click here to go to website.
Choroid
The layer filled with blood
vessels that nourishes the retina; part
of the uvea.
Ciliary Muscles
The muscles that relax
the zonules to enable the
crystalline lens to change shape for focusing.
Ciliary Processes
The extensions or
projections of the ciliary body that secrete aqueous humor.
CK
See
Conductive Keratoplasty
CLAPIKS
See
Contact Lens Assisted Pharmacologically Induced Kerato Steepening
CLE
See
Refractive Lens Exchange.
Clear Lens Exchange
See
Refractive Lens Exchange
Clear Lens Replacement
See
Refractive Lens Exchange
Clinical Trial
An investigative process
under the jurisdiction of the
FDA whereby device or medicine manufacturers sponsor experiments
on people for the purpose of proving or disproving that the device
or medicine performs as expected.
CLR
See
Refractive Lens Exchange.
COAS
See
Complete Ophthalmic Analysis System
Coherent Medical Group
Ophthalmic equipment
company.
Collarette
Color ring around the pupil.
Color Vision
The ability to perceive differences
in color, including hue, saturation and brightness.
Comanagement
When two or more medical providers
provide care to a patient. In
refractive surgery it is common for an
optometrist to provide preoperative testing and postoperative
care with an ophthalmologist
providing only the surgery.
Complete Ophthalmic Analysis System
An
integration of WaveFront Sciences' wavefront technology with
Asclepion excimer laser system. The manufacturers say COAS will
enable improved visual acuity in persons with vision defects
Complex Wavefront Retreatment
A secondary surgery using wavefront-guided
ablation in an attempt to reduce
higher order aberrations induced by previous surgery. Complex
Wavefront Retreatment is an
off-label use of the excimer
laser.
Concave Lens
A lens with a hollow shape like
the inside surface of a ball. Concave lenses are minus power lenses
and are used to correct myopia
(nearsighted, shortsighted vision).
Conductive Keratoplasty
A refractive
surgery procedure for hyperopia and astigmatism that uses a probe to
apply high frequency radio waves into the corneal tissue, causing
shrinkage. This controlled shrinkage will reshape the cornea to
accommodate refractive error.
Detailed NearVision
Conductive Keratoplasty (CK) Information
Cone Cells
One type of specialized light
sensitive cells (photoreceptors) in the retina that provides sharp
central vision and color vision. Also, see
rods.
Conformer
Plastic or silicone shell usually
inserted after eye removal to help form the socket and support the
eyelids.
ConjunctivaThe thin transparent mucous
membrane that lines the inner surface of the eyelid and covers the
white surface of the eye.
Conjunctivitis
Inflammation of the
conjunctiva. May be caused by bacteria, virus, allergens, or
chemical or ultraviolet light exposure.
Contact Lens
Lens made of glass or plastic
designed to maintain contact on the surface of the cornea. Usually
used to correct refractive error.
Contact Lens Assisted Pharmacologically Induced Kerato Steepening
A process of accommodating hyperopic
overcorrection following Lasik,
PRK and RK, by molding the cornea with a tight fitting contact lens
and nonsteroidal anti-inflammatory drugs.
Detailed
CLAPIKS After Lasik Information
Contact Lens Disinfectant
An agent that
kills surface bacteria and microorganisms on contact lenses.
Contact Lens, Daily Wear
Contact lenses
designed to be worn only during waking hours. Frequent & planned
replacement contact lenses general term used to refer to contact
lens regimens in which lenses are replaced on a planned schedule,
either every two weeks, monthly or quarterly.
Contact Lens, Disposable
Contact lenses
defined by the U.S. Food and Drug Administration as a contact lens
that is used one time and discarded. These can be worn either for a
single day or up to seven days, depending on wear schedule
prescribed by the eye care professional. Any lens that is intended
to be removed from the eye, cleaned, rinsed, disinfected, and
reinserted does not qualify for inclusion in this category.
Contact Lens, Extended Wear
Contact lenses
designed to be worn around-the-clock for intervals of one to seven
days.
Contact Lens, Therapeutic
Contact lenses
designed to aid in protecting and helping a sick eye to heal. These
unique lenses are frequently combined with precise medication
delivery schedules to heal the eye.
Contact Lens, Toric
Contact lenses designed
to correct astigmatic refractive errors. Toric lenses are weighted
to maintain a specific axis across the cornea.
Contrast Sensitivity
The ability to
perceive differences between an object and its background.
Convergence/Divergence
The turning of the
eyes inward/outward so that they are both "aimed" toward the object
being viewed.
Convex Lens
A lens with a bulging surface
like the outer surface of a ball. Convex lenses are plus power
lenses and are used to correct hyperopia or farsightedness. Also
used for reading glasses as required for presbyopia.
Cornea
The outer, transparent, dome-like
structure that covers the iris, pupil, and anterior chamber. The
cornea provides approximately two-thirds of the optical power of the
eye. Light passes into the eye through the cornea allowing vision.
Light also passes out of the eye allowing the iris and pupil of the
eye to be seen. The cornea can be considered to have five layers:
1. Corneal epithelium
2.
Bowman's layer
3.
Corneal stroma
4.
Descemet's layer
5.
Corneal endothelium.
Corneal Abrasion
A scratch or similar
trauma to the outer surface of the cornea.
Detailed Lasik Corneal Abrasion Information
Corneal Collagen Crosslinking with Riboflavin
Used as a therapeutic treatment for keratoconus and corneas that
have become unstable or weak due to ectasia, Corneal Collagen
Crosslinking with Riboflavin (CxL) is a technique where the eye is
flooded with a riboflavin solution and exposed to ultra high
frequency light. CxL causes the collagen fibrils to thicken,
stiffen, and reattach to each other, making the cornea stronger and
more stable.
Detailed CrossLinking Information
Corneal Endothelial Cell Dystrophy
Also
known as Fuch's Dystrophy, a progressive hereditary disease when
moisture in the cornea is unable to
evaporate properly, sometimes causing distortion of the cornea,
irregular refractive error,
and epithelial blisters.
Detailed Corneal Endothelial Cell Dystrophy Information
Corneal Haze
When the cornea becomes
cloudy with opaque white cells, creating vision that is similar to
looking through fog.
Corneal Refractive Therapy
A temporary
non-surgical process of wearing rigid gas permeable contact lenses
in an attempt to reshape the cornea and reduce the need for
corrective lenses. Essentially
orthokeratology.
Corneal RemodelingThe healing of a wound of
the cornea.
Corneal Topographical Map
A map of the
corneal topography that shows the surface profile of the cornea.
Corneal Topography
A process of mapping
the surface details of the cornea with a unique camera/computer
combination.
Council for Refractive Surgery Quality Assurance
A nonprofit consumer/patient organization that certifies refractive surgeons based upon refractive surgery outcomes and educates the
public about refractive surgery issues.
Credentials
In the healthcare industry
credentials means the education, licensure, and professional history
of a healthcare provider.
CRSQA
See Council for
Refractive Surgery Quality Assurance. Pronounced "SURS-kah".
CRT
See
Corneal Refractive Therapy
CrystaLens
An
intraocular lens that is designed to change focus from distant
to near objects. It is the first of its kind to achieve FDA
approval.
Details
Crystalline Lens
The natural lens of the
eye, located behind the iris, which helps bring rays of light to
focus on the retina. The original state of the lens is transparent,
but the lens becomes cloudy with age (cataract). The lens has the
ability to vary its power to accommodatively focus light from
objects closer than optical infinity.
Custom Contoured Ablation Pattern
The
customization of laser vision correction treatments for decentered
ablations and similar corneal aberrations. The
Food and Drug Administration has approved the use of Custom
Contoured Ablation Pattern (C-CAP) method under a
Humanitarian Device Exemption. C-CAP uses a liquid material
that is applied to the outside of the eye. In some cases, a contact
lens is applied over the liquid to give a smooth surface. The liquid
becomes more firm, and the contact (if used) is removed. A broad-beam
laser applies energy to the entire treatment area with each pulse.
The liquid ablates at the same rate as corneal tissue. As the laser
removes tissue and the liquid, the high areas of the cornea are
exposed and ablated down to the lowest areas. C-CAP has been shown
to resolve many topographical imperfections caused by disease,
trauma, or surgery.
Custom Cornea
The trade name for the use
of a wavefront guided custom ablation with the LADARVision excimer
Alcon.
Custom Wavefront Lasik Detailed Information.
CustomVue
The trade name for the use of
wavefront guided custom ablation with the
VISX S4 excimer laser.
Custom Wavefront Lasik Detailed Information.
CWRSee
Complex Wavefront Retreatment
Cyclopegic Refraction
An examination of
the eye to determine refractive
error while the natural
crystalline lens of the eye is paralyzed and unable to
accommodate.
Cyclorotation
See
Cyclotorsion.
Cyclotorsion
When eyes rotate clockwise
or counterclockwise. This often occurs when a person changes from
vertical (standing or sitting up) to horizontal (lying down)
position.
CxL
See Corneal Crosslinking with Riboflavin.
Looking For Best Lasik Surgeon?
If you are ready to choose a doctor to be evaluated for conventional
or custom wavefront Lasik, Bladeless Lasik, PRK, or any refractive surgery procedure, we recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization.
Locate a USAEyes Evaluated & Certified Lasik Doctor.
Personalized Answers
If this article did not fully answer your questions, use our
free Ask Lasik Expert patient forum.
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