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Refractive Management
 
 
Below are the DOCK Topics for Refractive Management/Intervention organized by sections. These Topics provide a high-level view of the information that may be assessed in the ABO’s DOCK examination
 
 
 
Diagnostic Tests (10 topics)
 1. Corneal pachymetry
 2. Corneal topography
 3. Cross-cylinder technique for subjective refraction
 4. Cycloplegic and noncycloplegic (manifest) refraction
 5. Lens conventions - plus, minus and cross cylinder notation and conversion
 6. Near vision testing
 7. Quality of vision testing
 8. Refractive stability
 9. Snellen fraction visual acuity measurement
 10. Wavefront testing
 
Refractive Errors (13 topics)
 11. Aniseikonia
 12. Anisometropia
 13. Hyperopia
 14. Irregular Astigmatism
 15. Keratoconus and forme fruste keratoconus
 16. Monocular diplopia
 17. Myopia
 18. Pellucid marginal corneal degeneration
 19. Presbyopia
 20. Regular astigmatism
 21. Spectacles
 22. Therapeutic Use of Prisms
 23. Visual disability/visual impairment
 
Contact Lenses (4 topics)
 24. Bandage contact lenses
 25. Monovision (for correction of presbyopia in contact lens wearers)
 26. Ocular surface problems related to contact lenses
 27. Prescribing contact lenses for refractive errors
 
Refractive Surgery (9 topics)
 28. Astigmatic keratotomy for astigmatism
 29. Epikeratophakia
 30. Excimer laser for photorefractive keratectomy (PRK) for myopia and photoastigmatic refractive keratectomy (PARK) for myopic astigmatism
 31. Excimer laser in situ keratomileusis (LASIK) for myopia and myopia with astigmatism
 32. Intraocular Refractive Surgery
 33. Intrastromal Corneal Ring Segments (INTACS)
 34. Peripheral corneal relaxing incisions (PCRIs) for astigmatisms
 35. Radial Keratotomy
 36. Refractive surgery for hyperopia
 
Pre-op Evaluation and Testing (6 topics)
 37. Informed consent issues with refractive surgery
 38. Issues of unilateral vs. bilateral refractive surgery
 39. Preoperative evaluation for refractive surgery
 40. Pupil measurements prior to refractive surgery
 41. Tonometry prior to refractive surgery
 42. Understanding issues of ablation diameter vs. depth
 
Intraoperative Complications (4 topics)
 43. Buttonhole laser in situ keratomileusis (LASIK) flap
 44. Epithelial sloughing during laser in situ keratomileusis (LASIK) procedure
 45. Incomplete or irregular laser in situ keratomileusis (LASIK) flap
 46. Sources of error in delivering laser correction
 
Postoperative Complications (23 topics)
 47. Decentered ablation after refractive surgery
 48. Decentered flap after laser in situ keratomileusis (LASIK)
 49. Delayed re-epithelialization after photorefractive keratectomy (PRK)/ laser-assisted subepithelial keratomileusis (LASEK)
 50. Dry eye after laser in situ keratomileusis (LASIK)
 51. Ectasia after laser in situ keratomileusis (LASIK)
 52. Enhancements
 53. Epithelial ingrowth after laser in situ keratomileusis (LASIK)
 54. Free cap after laser in situ keratomileusis (LASIK)
 55. Haze or scarring after photorefractive keratectomy (PRK)
 56. Immediate postoperative diffuse lamellar keratitis
 57. Intolerance to monovision after refractive surgery
 58. Intraocular lens (IOL) calculation following refractive surgery
 59. Issues of intraocular pressure (IOP) measurements after laser in situ keratomileusis (LASIK)/ photorefractive keratectomy (PRK)/ laser-assisted subepithelial keratomileusis (LASEK) (thin corneas)/ laser in situ keratomileusis (LASIK) interface fluid
 60. Laser in situ keratomileusis (LASIK) flap striae
 61. Late diffuse lamellar keratitis (DLK) related to flap trauma (epithelial defects)
 62. Microbial keratitis after refractive surgery
 63. Mitomycin C for haze prophylaxis (risks vs. benefits)
 64. Ocular dominance testing prior to refractive surgery
 65. Quality of vision problems after LASIK
 66. Recurrent corneal erosion after refractive surgery
 67. Corticosteroid-induced glaucoma (steroid glaucoma) after refractive surgery
 68. Traumatic laser in situ keratomileusis (LASIK) flap dislocation
 69. Viral keratitis (HSV) after refractive surgery

 

 
     
© 2006 American Academy of Ophthalmology