SCIENTIFIC PROGRAM

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WHAT YOU WILL LEARN at REFRATIVA R.I.O.

The scientific program of REFRATIVA R.I.O. reflects respect and empathy for our students.

See below our detailed scientific program

+ 75h of theory, + 100 classes and +40 HANDs ON wet/dry labs, in addition to special sessions,

live discussion tables, interviews and the "universo basico" with basic content (presentations and cases)

The whole teaching format developed by REFRATIVA R.I.O. that you only find here.

Wednesday, March 26

7:20 Heating REFRATIVA R.I.O. | Understand the dynamics of the course

Course presentation and format

New concept of REFRACTIVE SURGERY

The Power of a Plan: The Strategy to Follow

07:30 Anatomy of the First Consultation
From preliminary questionnaires to more complex exams
From patient expectations to the best indicated technique
The path to follow and the decisions to be made
Carla Medeiros

Propedeutics Part I:
Know what to look for and what to do with the answers.

07:40 What We Need to Know About Ocular Motility
Roberta Zagui

07:50 What We Need to Know About Glaucoma and Intraocular Pressure
Wilma Lellis

08:00 What We Need to Know About the Retina
Carolina Hilgert

08:10 Systemic conditions or diseases that impact the candidate for refractive surgery

What diseases are contraindications or require caution?

Carla Medeiros

08:30 Systemic medications with relevance in the pre-op of refractive surgery

What medications require our attention? We have to ask and investigate

Germana Mariz

08:40 Pregnancy, Breastfeeding, and Refractive Surgery
Lycia Pedral

08:50 Pre- and Post-Operative Guidelines
What the patient should avoid and what they need to know
How long should I be without contact lenses before exams?
What is the evidence, and when do you suspect we need to wait longer?

Patients' questions and how to address them

When can I return to exercise? Can I go diving? Can I take a flight?
Informed consent in refractive surgery: What it means and how to do it properly
Claudia Morgado

When it makes sense to be on the surface part I

09:10 Optimization of the ocular surface in the candidate for refractive surgery

Eyelid irregularities, inflammation or irregularity of the ocular surface

The Preoperative Surface Change Algorithm and the SPEED Questionnaire

Daniel Wasileski

09:30 Diagnosis and treatment of dry eye syndrome

What New Epidemiological Studies Show Us
What is the type of dry eye?
The case for precise diagnostic terminology in ophthalmology

Risk Factors for Dry Eye
Symptoms, signs, criteria, and dyes
Inflammatory treatment for dry eye

Preventive Measures | Artificial Tears | Topical Anti-inflammatory | Oral Medication
Nasal spray for dry eye in individuals with autoimmune diseases?
Detailed review of new treatments for meibomitis
Pulsed Light, Thermotherapy, Oral Azithromycin, Automated Massage and Cleaning
Ocular rosacea microbiome: when and how to use doxycycline

Dry Eye and Refractive Surgery
Flowchart for performing pre- and post-operative care

Monica Alves

10:00 Does the endothelium matter?

Specular microscopy and its role in the preoperative period

Lycia Pedral

10:10 Herpes and refractive surgery

How and when to take prophylaxis

Claudia Morgado

10:20 Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

Understand the Market You Are Part Of

11:00 Performance Management for Increased Productivity in Ophthalmology
Diego Penna

11:10 Structured and Ethical Thinking to Increase Surgical Volume
Christina Hilgert

11:30 The Social Network
How to use it ethically, functionally, and effectively
Claudia Del Claro

11:50 How do I inform patients about risks and benefits?
Marcony Santhiago

12:00 Shared Decision Making in Ophthalmology
The shared decision to operate and the maturation of the doctor-patient relationship
Marcony Santhiago

You Are in the Right Place at the Right Time
12:10 Prevalence of Candidates for Refractive Surgery
The boom is not just for myopia
Marcony Santhiago

12:20 Patient Satisfaction Rates in Refractive Surgery
Evidence they need to know
Marcony Santhiago

Special Moment CBO
12:40 What the CBO Does for You
The importance of the CBO in daily life and in the context of the surgeries and exams we request
President of the CBO: Wilma Lellis

13:00 Lunch time

Propedeutics Part II: Understanding Risk Factors for Ectasia
How to structure thinking and make decisions based on scientific evidence

14:10 My decision-making flowchart

Refractive surgery: Understand ALL risk factors for ectasia

Start understanding where it comes from and what risk factors mean

How to analyze risk studies

How to interpret screening methods

Building a flowchart to make a decision

Marcony Santhiago

15:00 Percent Tissue Altered (PTA):

Concept and how to apply it in everyday life

Artificial intelligence applied to PTA

How to understand age, residual bed, degree of ametropia and ablation depth in the risk of ectasia

Marcony Santhiago

16:00 Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

4:30 PM - 10:30 PM Practical WET/DRY LABs

There will be more than 40 wet/dry labs in 3 time slots per night, divided into 16 rooms during the course days – see the wet labs on the "wet labs" page.

Thursday, March 27

Propedeutics Part III:
The Image of the Cornea and the Development of Critical Thinking

07:30 OCT, UBM, and Ultrasound in Surgical Optics
From anterior chamber depth to macular edema:
How to apply these technologies in anterior segment surgeries
Diógenes Caldeira

07:40 Practical Interpretation of Higher-Order Aberrations in the Pre-Operative Phase
What do aberrations measure, and what is relevant in the pre-operative phase for anterior segment surgeons
Does pupil size matter?
Savio Milbratz

07:50 Structural Imaging Analysis: The "Biomechanics" of the Cornea
What is known about biomechanics and what are the practical applications of this technology
Barbara Dutra / J. Bradley Randleman

08:10 Artificial Intelligence in Refractive Surgery
Marcony Santhiago

08:30 Corneal imaging

The basic concepts you need to know

J. Bradley Randleman

Tomography Module
08:50 Update and Differences Between Technologies for Corneal Tomography
Understand what the Scheimpflug (Pentacam), Dual Scheimpflug (Galilei), and OCT technologies show
What the displays mean and how to interpret them
Nicole Larivoir

**Here we remind you that during the course there are specific classes (dry labs lasting 2 hours) for each device, delving deeply into each of the available features and displays.

See below for the schedule and plan accordingly:

PENTACAM
WED 03/26 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM
THU 03/27 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM
In addition to extra video material available for up to 30 days after the course.

GALILEI
FRI 03/28 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM
In addition to extra video material available for up to 30 days after the course.

OCT – Optovue / Solix
FRI 03/28 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM

CORVIS
SAT 03/29 4:30 PM – 6:30 PM

ANTERION
SAT 03/29 6:30 PM – 8:30 PM

In addition to the above hands-on dry labs, we provide video classes as extra material for students of REFRATIVA R.I.O.

Understanding the Orbscan
Understanding the iTrace
Understanding OPD verification
Understanding the SIRIUS
Understanding the MS-39
Understanding the Anterion
Understanding Aladim

Resuming the Schedule for Thursday, 03/27

Topography Module
What the corneal topography exam reveals

09:20 Understanding the pattern of topographic images

Risk gradations for ectasia based on topography

Marcony Santhiago

10:20 Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

11:00 Corneal thickness analysis: When is it too thin and why?

Marcony Santhiago

12:00 Epithelial map in the preoperative period of refractive surgery

What epithelial mapping tells us about patient selection and procedure recommendations

Integrating structural tomographic data and epithelial map in identifying at-risk patients

Marcony Santhiago

13:00 Lunch time – with lunch box

Enlighten Me

14:10 Evolution of the Way Laser is Applied to the Cornea
"From broad beam to flying spots and such"
Jackson Barreto Jr

14:25 Optical Zone and Centralization

(Coaxial to the light reflection or center of the pupil?)
Renato Garcia

Beauty is in the Details
14:40 Planning to Optimize Results in Astigmatism Treatment
What happens to the cornea? What are the limits?
What is the relationship between topographic and refractive astigmatism?
Does this influence planning?
Ways to align astigmatism with different devices
Is it still necessary to mark the axes before the patient lies down?
Glauco Mello

15:00 Particularities of Excimer Laser for Myopia
Details of refraction and planning for myopic patients
What happens to the cornea? What are the limits?
Savio Milbratz

15:20 Particularities of Excimer Laser for Hyperopia
Details of refraction and planning for hyperopic patients
What happens to the cornea? What are the limits?

Carla Medeiros

15:40 Differences in Personalization

Ray tracing guided surgery vs. Wavefront vs. Topography guided surgery vs. Aspheric Q treatment
Understand the concepts and rationale of these techniques, their indications, and results.
André Torricelli

16:00 Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

UNIVERSO BASICO of REFRATIVA R.I.O. from 5:00 pm to 9:00 pm

Premiere of this new session all focused on basic content on everything

Basic topography, tomography and pachymetry classes

Basic case review from start to finish

Basic review of techniques with practical tips

Bring your case. Open session for questions – Open Mic

Marcony Santhiago, Carla Medeiros, Claudia Morgado and Juliana Feijó

4:30 PM - 10:30 PM Practical WET/DRY LABs

There will be more than 40 wet/dry labs in 3 time slots per night, divided into 16 rooms during the course days – see the wet labs on the "wet labs" page.

Friday, March 28

When It Makes Sense to Be on the Surface part II

07:30 Neuropathic Pain and the Surface
Carolina Angeloni

New drugs available

07:40 Autologous Serum in Eye Drops: Rationale and Indications
Lycia Pedral

07:50 Topical Insulin and Alternative Therapies for Neurotrophic Keratopathy
Lycia Pedral

08:00 Losartan: The Rationale in Topical Treatment of Corneal Opacity
Practical cases and tips
Lycia Pedral

08:15 Why Do Some Corneas Not Respond to Topical Losartan Treatment?
Steven Wilson

08:30 Infectious Keratitis After Laser Vision Correction
Incidence and Risk Factors
Cláudia Morgado

Technically, That's It part I

08:40 Available Excimer Laser Platforms
Ablation rates, differences, and advancements among the platforms
Fernando Marquez

08:55 PRK: Indications, Particularities, and Scientific Evidence
What we know about post-PRK pain
Myths and truths about haze: What is the evidence?

Marcony Santhiago

09:50 Delay in Epithelial Healing After Photorefractive Keratectomy
The epithelium does not close after PRK: Prevention and treatment
Marcony Santhiago

10:00 Transepithelial PRK
What are the available alternatives and when to perform it?
Rodrigo de Oliveira

**Here we remind you that in addition to the theoretical classes, we offer practical wet labs lasting 2 hours for PRK with different epithelial removal techniques. See below for the schedule and plan accordingly:

Resuming the Schedule for Friday, 03/28

10:10 Steven Wilson Ceremony

10:20 Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

Technically, That's It part II

11:00 Technologies for LASIK with Femtosecond Laser and Mechanical Microkeratome
Barbara Dutra

11:20 LASIK: Indications, techniques, particularities and scientific evidence.

Marcony Santhiago

**Here we remind you that in addition to the theoretical classes, we offer practical wet labs lasting 2 hours for LASIK with femtosecond lasers (FS200 | Z8 | Visumax) and LASIK with mechanical microkeratome (Moria device). See below for the schedule and plan accordingly:

LASIK with Femtosecond Visumax (Zeiss)
Wednesday 03/26 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM
Thursday 03/27 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

LASIK with Microkeratome

Wednesday 03/26 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Thursday 03/27 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Friday 03/28 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Saturday 03/29 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Resuming the Schedule for Friday, 03/28

It’s complicated

12:00 Flap striaes after LASIK: How to avoid and handle (early and late)

Marcony Santhiago

12:20 Flap-related complications

Intraoperative complications related to lamella formation

Videos with situations that you don't want to live in, but need to know how to recognize and manage

Ramon Ghanem

12:40 Interface-related complications

Learn to recognize and drive DLK, CTK, PISK or epithelial ingrowth

Renata Bueno

13:00 LUNCH Time with lunch box

Special ZEISS Round Table on Excimer Laser and Presbyopia
Coordination: Marcony Santhiago, Marcia Toledo, Leila Ohta, and Carolina Pachione

14:10 Anterior Chamber Phakic Lens
Indications, Results, and Complications
Adriana Forseto

14:20 Posterior Chamber Phakic Lens
Indications, Results, and Complications
ICL and Influence of AI in Lens Sizing
Roger Zaldivar

14:50 Lenticle extraction

The progress and current status of corneal lenticule extraction

SMILE, CLEAR, SMARTSIGHT, SILK: What the new KLEx nomenclature means

Marcia Toledo

**Here we remind you that in addition to the theoretical classes, we offer practical wet labs lasting 2 hours for anterior phakic lens (Artisan | Artiflex), posterior phakic lens (ICL | Eyecryl | Intralens), and SMILE. See below for the schedule and plan accordingly:

Posterior Chamber Phakic Lens (ICL)
Wednesday 03/26 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Thursday 03/27 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Posterior Chamber Phakic Lens (Eyecryl)
Friday 03/28 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Saturday 03/29 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Posterior Chamber Phakic Lens (Intralens)
Wednesday 03/26 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Resuming the Schedule for Friday, 03/28

Beyond the Obvious
14:45 Epithelial Map in Post-Operative Monitoring
How the epithelial map should be used and helps explain post-operative findings like transient residual error
Marcony Santhiago

15:25 Perspective: Treatment Options for High Myopia
Building the flowchart for decision-making
Marcony Santhiago

15:40 Retreatments: When and How – Restoring Results and Satisfaction
Analysis of regression rates in refractive surgery (and their risk factors/rationale)
Can we use the epithelial map to guide our retreatment planning?
Review of limits
Marcony Santhiago

16:00 Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

16:30 PM - 22:30 PM Practical WET/DRY LABs

There will be more than 40 wet/dry labs in 3 time slots per night, divided into 16 rooms during the course days – see the wet labs on the "wet labs" page.

Special session at REFRATIVA R.I.O. II

4:30 PM to 10:00 PM: You Are Your Business | Management in Ophthalmology
Special session at REFRATIVA R.I.O. dedicated to office-related issues
Such as taxes, purchasing equipment, insurance partnerships, ways to increase patient acquisition, and improving management. In this special session, we will hear from experts who will share their experiences and provide valuable tips.

Coordination: Carolina Angeloni and Carla Medeiros

Saturday March 29

Therapeutic Refractive Surgery Part I: Visual Rehabilitation with Excimer Laser

07:30 INNOVATION CAIRS - Allogeneic Intrastromal Ring Segment of the Cornea
Malena Parmeggiani

07:40 Indications and Planning for PTK
How to Understand Opacities That Can Be Corrected with This Technique
Ramon Ghanem

08:00 Topography-Guided Surgery on Irregular Corneas
Small optical zone, decentration, irregular astigmatism, scarring, or complaints of imperfect vision post-incisional surgery
Marcony Santhiago

Visual Rehabilitation of Patients with Keratoconus
08:30 INNOVATION Strategies for Regeneration of the Corneal Stroma
Juliana Feijó

08:40 What Do I Need to Know About Planning an Intrastromal Ring?
Master Class with Paulo Ferrara

Presbyopia and Excimer Laser
09:00 Strategies to Alleviate the Effects of Presbyopia with Excimer Laser
Patient Selection and Setting Realistic Expectations
The Effectiveness of Excimer Laser in Presbyopia
Concept and Different Strategies Available
Marcony Santhiago

10:00 Excimer Laser in Patients with Previous Cataract Surgery and Residual Refraction
LASIK vs. PRK Post-Cataract?

How Much Does the Model of the Implanted IOL Interfere with the Laser Technique for Residual Correction?
Glauco Mello

10:20 Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

Keratoconus and CrossLinking
We Need to Talk About This

11:00 INNOVATION The Genetic Environment of the Patient with Keratoconus
Gene Therapy in Keratoconus Patients: What is Real?
Rosália Antunes-Foschini

11:10 Hormonal Evaluation of the Patient with Keratoconus
Larissa Stival

11:20 Crosslinking – Everything I Need to Know
Keratoconus: Natural History of the Disease
Criteria for Progression and Management Flowchart for Ectatic Disease
Beyond UV Light: The Role of Riboflavin and Its Carrier
Marcony Santhiago

Correct Indications and Outcomes: When to Treat?

Crosslinking in the pediatric age
How to Know if it Failed and When?
Different Techniques and Customization
Marcony Santhiago

13:00 Lunch time – with lunch box

14:10 Round table: Discussion of clinical situations and illustrative cases

Coordination: Marcony Santhiago and Claudia Morgado

Discussants: Steven Wilson, Adriana Forseto, Eduardo Martinez, Roger Zaldivar, Renato Garcia, Carla Medeiros, Glauco Mello, Ramon Ghanem e André Torricelli

Patient Dilated and with Significant Refractive Difference: How Much of the Hyperopia Should Be Treated?
Static or Dynamic Refraction Correct? | Astigmatism: Principal Axis or Refractive Axis?

Patient Has an Exam and Wants to Operate. But They Are Still Very Young or Have a Very Thin Cornea.
What Do Experts Advise You to Do?

Patient Is Not Satisfied; What Could Be Wrong?
The Epithelium Does Not Close; What to Do?

Cataract or Cornea: Where to Go? | How to Treat Dry Eye?

Myopic Presbyopic Patient: What Is the Best Option? And What If You Are Hyperopic?

Altered Topography and Normal Tomography: Can I Operate?
Is This Cornea Too Thin, or Can It Be Operated On?

Questions Like These and Many Others in 2 Hours of Discussion with Lightness and Information

15:55 Awards for Best Photos and Posts

16:00 Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

16:30 PM - 22:30 PM Practical WET/DRY LABs

There will be more than 40 wet/dry labs in 3 time slots per night, divided into 16 rooms during the course days – see the wet labs on the "wet labs" page.

Sunday March 30

Beyond the excimer laser
Therapeutic Refractive Surgery Part II

07:30 Artificial Iris: Indications and Results
Gabriel Figueiredo

07:40 Phakic Lens in Patients with Keratoconus
Can It Be an Option for Visual Correction in These Patients?
Roger Zaldivar

07:50 Pinhole Implant for Irregular Corneas
Bruno Trindade

08:00 Correction of Ametropias After Corneal Transplant
Pedro Bertino

08:10 Surgical Refractive Correction After Radial Keratotomy
Adriana Forseto

08:20 Excimer Laser in Patients with Amblyopia
Effect of Anisometropia on Predictability and Precision of Refractive Surgery
Barbara Dutra

Presbyopia Beyond the Excimer Laser

08:40 PERSPECTIVES: Pharmacological Treatment for Presbyopia
Marcela Barros

08:50 Fred Bicalho Class to Be Determined

09:00 Phakic Lens in Presbyopia
When to Indicate?
Natalia Amorin

09:10 Biometry and IOL Calculation After Refractive Surgery
The Most Important Basic Aspects and Formulas
Practical Tips for Biometry and IOL Calculation: Sharing My Experience
Biometry of the Patient with Keratoconus or PMD
Felipe Taguchi

09:30 IOL for Presbyopia: Differences and Indications of Current Options
Understand the Options of Bifocal, Trifocal, or Extended Focus
Fernando Cresta

09:50 IOL for Presbyopia After Refractive Laser Surgery: Details That Matter
Armando Crema

10:00 Prevention and Treatment of Positive and Negative Dysphotopsias
Armando Crema

10:10 Cataract Surgery in Patients with Phakic Lens
How to Plan and Technically Conduct
Roger Zaldivar

10:20 Cataract Surgery in Patients with Keratoconus
Frederico Bicalho

10:30 am Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

Surgical Visual Rehabilitation
We Need to Talk About This

11:00 Bowman Transplant
Pedro Bertino

11:15 Is There Still Room for Relaxing Incisions?
Is It Worth Combining with Phakic Lens?
Adriana Forseto

11:30 Refractive Solution with Supplemental IOL: Methods and Indications
Discussion on Refractive Surgery of the Clear Lens
Adriana Forseto

11:40 Intracorneal ring for High Myopia
Sandro Coscarelli

12:00 Intracorneal ring in Advanced Cases of Keratoconus
What to Do in Eyes with High Keratometry?
Jordana Sandes

12:20 Pupiloplasty for Visual Rehabilitation
Cristiano Becker

12:40 How Contact Lenses Can Contribute to the Corneal Surgeon
When Subspecialties Complement Each Other
Terla Castro

13:00 Closing - So sad It’s Over!

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*Between July and September, there will be review classes exclusively for alumni covering the main topics of the course.

**ALSO Extra video classes are available as supplementary material for students of REFRATIVA R.I.O.
This material complements the theoretical scientific program, but given the heterogeneous demand from students, we understand that it is more appropriate to make it available on-demand (online).

We also remind you that in addition to these video classes, we provide video material on the topics of our wet/dry labs.

Still on refractive surgery:
How to Use Phorcides for Topography-Guided Surgery
Mark Lobanoq explains this software developed to assist in the planning of guided surgical treatments with Contoura.

LASEK (not LASIK) and EpiLasik
Adriana Tytiun

Beyond the Excimer Laser Part II:
Residual Astigmatism: The Missing Link
Douglas Koch

FLACS: Femtosecond Laser-Assisted Cataract Surgery
Technique in Details, Refractive Results, Safety, and Cost-Benefit
Charles Lin

Nanotechnology and Drug Delivery Systems for Topical Ocular Therapy
David Smaja

Light Adjustable Lens
Larissa Gouvea

Diving Deeper into the Cornea:
Critical Analysis: Rho Kinase (ROCK) Inhibitors and Surgical Procedures
Aline Moriyama

Practical Tips in Refraction for Patients with Keratoconus
Rosália Antunes-Foschini

Therapeutic Ceratopigmentation

Corneal Prosthesis:
Visual Rehabilitation, Technique, Indications, and Available Models
Geetha Ayer

Endothelial Cell Regeneration Therapy
Ellen Koo

MIGS: Minimally Invasive Glaucoma Surgery
Vitor Cvintal

How to Use Imaging Tests in Planning Transplants
Danyelle Medeiros

DALK
Ramon Ghanem

DMEK – Endothelial Keratoplasty
Nicolás Pereira

DWEK – Descemet's Membrane Stripping without Endothelial Keratoplasty
Lucio Maranhão

PDEK: Pre-Descemet Endothelial Keratoplasty
Amar Agarwal

In a detailed structured way, the course addresses, in a storytelling format, from basic to advanced, everything the surgeon needs to know.

Therefore, the REFRATIVA R.I.O. is not just about surgical techniques;

AND when it talks about techniques, it goes far beyond excimer laser, PRK, and LASIK.

The structure of our scientific program, which is updated every year,

follows the sequence below:

What we need to know in the refractive surgery candidate's first consultation
We will also talk about how the clinic's structure should be to increase the flow of uptake and conversion ethically and even how to make a text of informed consent based on the suggestions of regulatory bodies.

Then we will learn together how to evaluate the surface, examine all the layers of the cornea with a slit lamp with a refractive surgery possibility perspective, and calmly detail everything about dry eye, its diagnosis, and treatment.

Let's understand together what we need to see in each exam, what we look for, and what to do depending on each finding.

Then we will evaluate all imaging exams with classes and discussions with experienced speakers who will present and discuss all available topography and tomography devices.
To go deeper into this, in addition to the theoretical classes for each device, we have special sessions and dry labs where the student understands exactly how to use each display.

After understanding what the findings in the imaging exams mean, we also talk about the indications and the construction of our flowchart to define the direction to go and, if applicable, the best surgical technique.

We then entered the classes on techniques and talked about all of them, either in the main room, the special sessions, or the dry labs. We cover everything you need to know.

All this is combined with a construction that goes from the most basic to the most innovative. Every year we add new classes, and even themes from previous years are carefully updated with publications so recent that sometimes they are from the month in which the course takes place; such is our obsession with up-to-date teaching.

Everything said above applies to

surface exam and dry eye
all about imaging exams (including the latest generation)
All about excimer laser planning of all models
Everything about techniques like PRK, LASIK, lenticule extraction (ex SMILE or CLEAR), phakic IOL, keratoconus, crosslinking, and intrastromal ring segment implantation and more.

In addition, we set aside prime time for presbyopia treatment with planning and selection of excimer for presbyopia strategy, presbyopia IOL selection and planning (all models for cataract patients and clear lens extraction), toric IOL selection and planning, and other news.

There is a lot more

The special sessions cover everything about other corneal surgeries such as DMEK, DALK, new treatments, and medications.
And a thematic session with everything you need to know about business, administration, and taxes with experienced speakers in this area.

This is just a summary of everything that happens in this great experience that is REFRATIVA R.I.O. with more than 100 classes and more than 40 wet labs, in addition to special sessions, live discussion tables, and interviews.

OUR APPROACH

We Empower You to Reach Your Full Potential

At REFRATIVA R.I.O., we believe that education is the key to unlocking your full potential. That's why our approach is centered around providing you with the tools and knowledge you need to succeed.

Our team of expert educational consultants works with you to create a personalized learning experience that meets your unique needs and goals. We offer a wide range of educational services, including training, coaching, and mentoring, all designed to help you reach your full potential.

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WE ARE INTERNATIONAL

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ENGLISH | SPANISH | PORTUGUESE

At REFRATIVA R.I.O., we believe that education is the key to unlocking your full potential. That's why our approach is centered around providing you with the tools and knowledge you need to succeed.

Our Journey So Far

2016

REFRATIVA R.I.O. IS FOUNDED

REFRATIVA R.I.O. was founded with a mission to provide refractive surgery education like never seen before. Our team of experts has been working tirelessly to create a unique learning experience that is both clear and logical, providing all relevant data in a didactic way.

NEWS & EVENTS

Stay Up-to-Date with REFRATIVA R.I.O.

26 - 30 MAR | 2025

SCIENTIFIC PROGRAM

OUR APPROACH

WE ARE INTERNATIONAL

Our Journey So Far

NEWS & EVENTS

Stay Up-to-Date with REFRATIVA R.I.O.

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