Routine Blood Results Explained by Andrew D. Blann

By Andrew D. Blann

Regimen Blood effects defined

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Importantly, these investigations need to be performed well in advance of surgery to allow time for discussion between the SON, surgeon and patient to take place. This will ensure that the predictive refractive outcome is understood, and will also allow time for the correct intra-ocular lens to be ordered. Essentially, there are two components of biometry investigation: axial length measurement (AL) by A-scan ultrasound or laser interferometry; and corneal curvature (K, K2) measurement by keratometry or corneal topography (RCO 2010).

However, with age, sub-epithelial fibres are continually produced and added to the nucleus of the lens, which contains the oldest lens fibres. This means that the lens gradually becomes larger and less elastic throughout life (Riordan-Eva & Whitcher 2008, Dhillon & Lascaratos 2009). In addition, metabolic or biochemical insult may give rise to loss in fibre arrangement and transparency, resulting in a focal or diffuse opacity, which may have a measurable effect on vision. Types of age-related cataract There are three main types of age-related cataract: 1.

If there are cardiac problems, an electrocardiogram (ECG) might also be necessary. The SON requires good technical knowledge and skill in the use of the slit lamp to examine the eye when measuring intra-ocular pressure (IOP) and when performing biometry to select the intra-ocular lens for insertion and for the desired refractive result post-surgery. The pre-operative assessment period provides an opportunity to assess how the patient will manage at home with the instillation of eye drops and to demonstrate to the older person a safe and correct drop instillation technique.

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