Refractive Surgery, 3e

 Comprehensive and clinically focused, Refractive Surgery, 3rd Edition, brings you the knowledge and expertise of leading ophthalmology experts and refractive surgeons from around the world. Together they provide practical coverage of the latest advances in this fast-changing field, including improved optics and biomechanics, improved diagnostics, new surgical techniques, and more. Hundreds of high-quality photographs guide you from patient selection to mastery of surgical techniques.

 

Offers step-by-step guidance on a wide range of common refractive procedures.

Covers new topics such as management of LASIK complications; SMILE and management of SMILE complications; collagen cross-linking, including instrumentation and applications in keratoconus and ectasia; intracorneal lenses; and multifocal and accommodating IOLs.

Contains a new chapter on Preoperative Evaluation of Keratoconus and Ectasia.

Uses high-quality surgical video clips to demonstrate a variety of surgical techniques.

Addresses initial as well as ongoing management of patients.

Includes tables of indications, preferences, hot tips, and management of complications throughout, making guidance quick and easy to access.

Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

 

·  Section I Introduction

·  1 Terminology, Classification, and History of Refractive Surgery

·  Introduction: Why Do Patients Choose Refractive Surgery?

·  Emmetropia, Ametropias, and Presbyopia

·  Classification of Refractive Procedures

·  Keratorefractive Surgery

·  Keratorefractive Procedures: Myopia and Myopic Astigmatism

·  Lenticular and Scleral Refractive Surgical Procedures

·  Summary

·  References

·  2 Corneal Wound Healing Following Keratorefractive Surgery

·  Introduction

·  Radial Keratotomy

·  Cellular Mechanism of Refractive Regression After Radial Keratotomy and Role of Corneal Myofibroblast

·  Excimer Laser Refractive Surgery

·  Wound-Healing Response Following Excimer Laser Photorefractive Keratectomy

·  Myofibroblasts, Regression, and Haze After Photorefractive Keratectomy

·  Wound Healing After LASIK

·  References

·  Section II Optics, Topography, Wavefront and Imaging

·  3 Physiologic Optics for Refractive Surgery

·  Introduction

·  Geometric Optics

·  Prisms and Lenses

·  Images and Vergence

·  Magnification

·  Refractive Errors of the Human Eye

·  Correction of Refractive Errors and Visual Distortions

·  Lens Effectivity

·  Preoperative Optical Considerations for Refractive Surgery

·  Intraoperative Optical Considerations of Refractive Surgery

·  Optical Considerations After Refractive Surgery

·  References

·  4 Corneal Topography

·  Introduction

·  Curvature

·  Interpretation of Posterior Surface Elevation Topography

·  Functional Corneal Representations Derived From Shape

·  Refractive Power Maps

·  Functional Optical Zone

·  Anterior Corneal Wavefront Aberrations

·  Topographic and Tomographic Technologies

·  Conclusions

·  References

·  5 Wavefront Analysis

·  Introduction

·  History of Wavefront: The Debate Concerning the Phenomenon of Light

·  Wavefront Theory

·  Wavefront Measurement

·  Wavefront Analysis and Map Interpretation

·  Measures of Optical Performance of the Eye

·  Conclusion

·  References

·  6 Optical Coherence Tomography in Refractive Surgery

·  Introduction

·  Instruments

·  Scanning Protocols and Measurements

·  Applications in Refractive Surgery

·  Preoperative Evaluation

·  Postoperative Evaluation

·  OCT Angiography

·  Further Reading

·  Section III LASIK Techniques and Complications

·  7 Excimer Lasers

·  Introduction

·  Lasers: General Physical Principles

·  Properties of the Excimer Laser

·  Eye Tracker

·  FDA-Approved Excimer Lasers (2006 to Present)

·  Topography and Wavefront-Based Treatments in Excimer Lasers

·  Conclusions

·  References

·  8 Laser and Mechanical Microkeratomes

·  Introduction

·  Mechanical Microkeratomes

·  Laser Microkeratomes: The Femtosecond Lasers

·  Physical Principles of the Femtosecond Laser

·  Corneal Interactions With the Femtosecond Laser

·  Corneal Flap Preparation With the Femtosecond Laser

·  Advantages and Disadvantages of the Femtosecond Laser

·  Comparison Between Mechanical Microkeratome and Femtosecond Laser

·  Conclusions

·  References

·  9 Crosslinking Instrumentation

·  Introduction

·  Crosslinking Equipment: Common Architecture and Internal Parts

·  Regulatory and Normative Requirements

·  A Survey of Crosslinking Platforms on the Market

·  Nonphotoactivated Crosslinking Agents

·  References

·  Section IV Refractive Surgery Preoperative Evaluation

·  10 Ocular Diseases of Importance to the Refractive Surgeon

·  Introduction

·  Blepharitis and Meibomitis

·  Bacterial Conjunctivitis and Keratitis

·  Tear Abnormalities and Exposure Keratitis

·  Immunologic Diseases of the Conjunctiva and Cornea

·  Developmental Abnormalities of the Cornea

·  Epithelial Corneal Dystrophies

·  Band Keratopathy

·  Glaucoma

·  Chorioretinal Disorders

·  Optic Nerve Disorders

·  Systemic Associations

·  References

·  11 Patient Evaluation for Refractive Surgery

·  Introduction

·  Philosophical Issues

·  Guidelines for Patient Selection

·  Guidelines for Preoperative Examination

·  Assessment of Contraindications and Appropriateness for Surgery

·  Assessment of Patient Needs and Expectations

·  Review of Risks and Benefits

·  Time Interval Between Eyes

·  Preoperative Examination

·  References

·  12 Preoperative Evaluation of Keratoconus and Ectasia

·  Introduction

·  Guidelines for Preoperative Examination

·  Corneal Cross-Linking

·  Intracorneal Ring Segments

·  ICRS Indications

·  Penetrating Keratoplasty and Deep Anterior Lamellar Keratoplasty

·  References

·  Section V LASIK and SMILE

·  13 LASIK, Q-Based, and Wavefront-Guided LASIK for Myopia, Hyperopia, and Astigmatism

·  Introduction

·  Pure Myopia (Video 13.1)

·  Pure Hyperopia (Video 13.1)

·  Simple, Compound, and Mixed Astigmatic Errors (Video 13.1)

·  Topography-Guided Ablations

·  Q-Based and Wavefront-Guided Ablations

·  References

·  14 LASIK and TopoLink for Irregular Astigmatism

·  Introduction

·  The Technique of TopoLink

·  Examples of Topolink (Videos 1 to 3)

·  Results of TopoLink in Repair Procedures

·  References

·  15 LASIK Complications and Their Management

·  Introduction

·  Intraoperative Complications

·  Intraoperative Complications Specific to Femtosecond Laser LASIK

·  General Photoablation-Related Complications

·  Early Postoperative Complications

·  Late Postoperative Complications

·  References

·  16 Small-Incision Lenticule Extraction (SMILE)

·  Introduction

·  Principles Behind SMILE

·  Surgical Techniques for SMILE (Video 16.1)

·  Incision Technique

·  Corneal Wound Healing After SMILE

·  Corneal Biomechanics

·  Literature Review

·  Further Areas of SMILE Applicability

·  References

·  17 Small-Incision Lenticule Extraction (SMILE) Complications and Their Management

·  Introduction

·  Theoretical Advantages and Limitations of SMILE

·  Advantages

·  Limitations

·  How to Avoid Complications

·  Management of Intraoperative Complications

·  Management of Postoperative Complications

·  Undercorrection and Overcorrection and Retreatment Options

·  References

·  Section VI Advanced Surface Ablation (PRK, LASEK, and Epi-LASIK) and Phototherapeutic Keratectomy

·  18 Photorefractive Keratectomy

·  Introduction

·  Excimer Laser Physics and Beam Tissue Interaction

·  Postoperative Care

·  PRK Complications to Consider

·  References

·  19 LASEK and Epi-LASIK

·  Introduction

·  Alcohol-Assisted Epithelial Removal

·  Effect of Alcohol on Epithelial Cell Survival In Vitro

·  Transmission Electron Microscopy of Corneal Epithelium Specimen

·  Surgical Techniques

·  Alternatives to Alcohol-Assisted Epithelial Removal

·  Epi-LASIK

·  Gel-Assisted Epithelial Removal (McDonald Technique)

·  Trans-epithelial Photorefractive Keratectomy

·  Epi-Bowman Keratectomy

·  Clinical Outcomes of LASEK

·  LASEK vs Photorefractive Keratectomy and Epi-LASIK

·  LASEK vs LASIK

·  Summary of Clinical Reports

·  Summary and Future Applications/Corneal Cross-Linking

·  References

·  20 Phototherapeutic Keratectomy (PTK) and Intralamellar PTK

·  Introduction

·  Excimer Laser Advantages and Safety

·  Phototherapeutic Keratectomy and Intralamellar PTK Indications

·  Surgical Planning and Technique

·  Postoperative Management

·  Corneal Wound Healing

·  Complications From PTK and Intralamellar PTK

·  Outcomes of PTK: Major Studies and Specific Diseases

·  Visual Acuity Outcomes in Lamellar Keratoplasty

·  Excimer Laser and Lamellar Keratoplasties

·  References

·  Section VII Collagen Crosslinking and Orthokeratology

·  21 Principles of Corneal Cross-Linking

·  Introduction

·  Basic Principles

·  Cross-Linking for Keratoconus

·  Cross-Linking Beyond Keratoconus

·  References

·  22 Epithelium Off and Transepithelial Cross-Linking

·  Introduction

·  Basic Principles of Corneal Cross-Linking

·  Basic Research Results

·  Standard Cross-Linking Procedure: Epi-Off Cross-Linking (Video 22.1)

·  Rapid Accelerated Technique

·  Transepithelial Cross-Linking

·  Cross-Linking Results

·  Alternative Uses of Corneal Cross-Linking

·  References

·  23 Orthokeratology

·  Introduction

·  Changes in Refraction and Visual Acuity

·  References

·  Section VIII Other Refractive Procedures

·  24 Radial and Astigmatic Keratotomy

·  Introduction

·  Success and Failure of Radial Keratotomy

·  Astigmatic Keratotomy

·  Limbal Relaxing Incisions

·  Mechanism of Action

·  Patient Selection

·  Astigmatic Power

·  Steeper Corneal Meridian

·  Front-Cutting Blade

·  Surgical Technique

·  AK-LASIK

·  Complications

·  References

·  25 Conductive Keratoplasty and Laser Thermokeratoplasty

·  Introduction

·  Historical Background

·  Response of Corneal Collagen to High Temperature

·  Laser Thermokeratoplasty

·  Holmium:YAG Lasers

·  Conductive Keratoplasty

·  Visual Outcomes

·  References

·  26 The Intrastromal Corneal Ring Segments

·  Introduction

·  Results of Clinical Trials With the Intrastromal Corneal Ring

·  Removal and Exchanges (Video 26.5)

·  Prognosis Factors

·  Surgical Technique (Videos 26.1 to 26.3)

·  Therapeutic Applications (Video 26.4)

·  References

·  Section IX Refractive Intraocular Lenses and Phakic Intraocular Lenses

·  27 Intraocular Lens Calculations After Keratorefractive Surgery

·  Introduction

·  Source of Error in K-Reading Following Corneal Refractive Surgery

·  Present Methods for K-Reading After Corneal Refractive Surgery

·  Discussion

·  References

·  28 Phakic Intraocular Lens Power Calculations

·  Introduction

·  Van der Heijde's Equation and Holladay's Equation

·  Azar/Wong Simplified Phakic IOL Formula

·  Effective Lens Position

·  Anterior Chamber Depth

·  Keratometry and Refractive Index

·  White-to-White Distance

·  Mathematical Analysis of the Predictability of Different Types of PIOL

·  Bioptics and Piggyback IOL

·  Summary

·  References

·  29 Refractive Lens Exchange

·  Introduction

·  Pearls in Surgical Technique

·  IOL Power Calculation

·  Main Indications and Outcome

·  Conclusions

·  References

·  30 Iris-Fixated Phakic Intraocular Lenses

·  Introduction

·  Lens Designs

·  Indications and Contraindications

·  Surgical Procedure

·  Postoperative Management

·  Outcome and Complications

·  Conclusions

·  References

·  31 Posterior Chamber Phakic Intraocular Lens

·  Introduction

·  Lens Design

·  Preoperative Evaluation

·  Surgical Technique (Video 31.1)

·  Functional Results

·  Anatomic Outcome

·  References

·  32 Complications of Phakic Intraocular Lenses

·  Introduction

·  Anterior Chamber IOLs

·  Current Anterior Chamber IOLs: Iris-Fixated Models

·  Posterior Chamber IOLs

·  Conclusions

·  References

·  33 Phakic Intraocular Lens Explantation (PIOL)

·  Introduction

·  Cataract Formation

·  Endothelial Cell Loss

·  Decentration/Dislocation of PIOL

·  Pupillary Ovalization

·  Pupillary Block Glaucoma

·  Pigment Dispersion

·  Retinal Detachment

·  Endophthalmitis

·  Preoperative Assessment

·  IOL Calculation in Bilensectomy

·  Surgical Technique (Videos 33.1 to 33.3)

·  Bilensectomy Results

·  References

·  Section X Presbyopia Surgery

·  34 Physiology of Accommodation and Presbyopia

·  Introduction

·  Accommodation

·  Presbyopia

·  Limitations to the Understanding of Accommodation and Presbyopia

·  Conclusion

·  References

·  35 Monovision

·  Introduction

·  Achieving Monovision

·  Ideal Monovision Result

·  Visual Performance in Monovision

·  Factors Influencing Monovision Success

·  Monovision Trial

·  Crossed Monovision

·  References

·  36 Scleral Surgery for Presbyopia

·  Introduction

·  Scleral Expansion Segments—Manual Approach

·  Scleral Expansion Segments—Automated Approach: VisAbility Micro-Insert

·  Complications of Manual Surgery

·  Clinical Outcomes of Manual Surgery

·  Clinical Outcomes of Automated Approach

·  Other Scleral Expansion Procedures

·  Laser Scleral Expansion

·  LaserACE Approach

·  Scleral Expansion and Glaucoma

·  References

·  37 Multifocal Corneal Surgery for Presbyopia

·  Introduction

·  Theoretical Considerations

·  Practical Consequences

·  Clinical Recommendations for Successful Multifocal Cornea

·  Limitations of Current Treatments and Future Orientations

·  References

·  38 Corneal Implants and Inlays

·  Introduction

·  Principles of Corneal Inlays

·  FDA-Approved Corneal Inlays in Use

·  References

·  39 Multifocal Intraocular Lenses

·  Introduction

·  Optics of Multifocality (Videos 39.1 and 39.2)

·  In vitro Optical Quality

·  Visual Acuity

·  Depth of Field

·  Contrast Sensitivity

·  Photic Phenomena (Glare and Halos)

·  Spectacle Use

·  Posterior Capsular Opacification

·  Patient Satisfaction and Quality of Life

·  Final Considerations

·  References

·  40 Refractive Surgical Procedures to Restore Accommodation

·  Introduction

·  Accommodation: The Helmholtz Theory

·  Presbyopia: The Loss of Accommodation With Age

·  Presbyopia Correction: an Overview

·  Lens Refilling

·  The Accommodation Club

·  References

·  41 Smart Intraocular Lenses, Accommodating and Pseudoaccommodating Intraocular Lenses for Presbyopia

·  Introduction

·  Smart Intraocular Lenses

·  Single-Optic, Flexible Haptic Support

·  Dual-Optic System, Telescoping Intraocular Lens

·  Magnetic Lens System

·  Other Concepts

·  Conclusion

·  References

·  Section XI Postkeratoplasty Astigmatism

·  42 Postkeratoplasty Astigmatism

·  Introduction

·  Pathogenesis of Postkeratoplasty Astigmatism

·  Suturing Technique

 

·  Management of Significant Postkeratoplasty Astigmatism

An aparitie	08/04/2019
Autor	Dimitri T. Aza
Dimensiuni	21.6 x 2.5 x 27.9 cm
Editura	Elsevier
Format	Hardback
ISBN	9780323547697
Limba	Engleza
Nr pag	608