Mastering Refractive IOLs


Book Description

The IOL technical specifications, the clinical data, and the necessary clinical and surgical skills comprise the scientific foundation for achieving a "premium" refractive outcome. To consistently achieve patient satisfaction, however, requires mastering the art of patient and IOL selection, communicating and counseling effectively, and providing a "premium" patient experience. This is a nontraditional book in which multiple experts are separately asked to discuss controversial subjects in a reader-friendly format. There is balanced coverage of all of the available refractive IOLs, as well as those that may become available in the near future. A major emphasis is placed on avoiding and managing complications or potentially dissatisfied patients. There are more than 200 chapters that are organized into 14 major sections, over 300 images, 100 tables, and 12 sidebars that cover every aspect of refractive IOL clinical practice. This is a comprehensive educational resource addressing the most demanding and rapidly evolving area in cataract and refractive surgery today and the first book to cover both the clinical and nonclinical aspects of offering refractive IOL services.




Phacoemulsification and Intraocular Lens Implantation


Book Description

Renowned master surgeons share best practices for effectively performing cataract surgery and avoiding complications Phacoemulsification, the gold standard for cataract extraction, is highly successful. However, the procedure is not without risks and complications. Poor visual outcome, retinal detachment, infection, diplopia, and cornea and iris problems may pose considerable challenges. Additional potential problems arise from implanting the intraocular lens (IOL). Edited by a renowned master surgeon and educator in the field, and authored by a remarkable cast of cataract experts, this is the definitive text on managing cataract surgery, with practical guidance on recognizing and managing complications, should they arise. Experts demonstrate the right way to perform phacoemulsification and diverse surgical and intraocular lens implantation procedures in order to reduce risk and improve patient outcome. This second edition is greatly expanded in size and scope to accommodate the latest state-of-the-art methodologies and refinements in surgical strategies. Since the first edition was published, new techniques for refractive cataract surgery, vitrectomy, IOL exchange, and management of IOL implantation without capsular bag support have been improved. Additionally, new technologies have been introduced such as optical coherence tomography, FLACS (femtosecond laser surgery), and implantation of toric and multifocal refractive IOLs, as well as methods to improve IOL power calculation and decision making. Highlights A stellar group of national and internationally renowned eye surgeons provide invaluable clinical pearls gleaned from years of refining procedures Surgical videos further elucidate the most optimal surgical strategies More than 600 superb illustrations Management of challenges including small pupils, IFIS, zonular weakness, inadequate capsular support, vitrectomy, corneal burns, high astigmatism, dysphotopsias, and endophthalmitis This invaluable reference will help ophthalmologists refine their expertise, resulting in fewer risks and more efficacious outcomes. It is a must-have resource for ophthalmology residents and proficient surgeons alike.




Multifocal Intraocular Lenses


Book Description

This comprehensive 2nd edition will build on the highly successful first edition, providing an updated global perspective of the fundamentals of multifocal intraocular lenses. The varying outcomes, limitations, and the neuroadaptation process necessary for an adequate clinical success are thoroughly discussed, along with an overview of the different types of multifocal lenses, including the recently developed extended depth of focus lenses. Multifocal Intraocular Lenses: The Art and the Practice, 2nd edition opens with an introduction that will delve into current technological offerings for the correction of pseudophakic presbyopia, as well as the opportunity for refractive lens exchange in advanced presbyopic ages and the opportunity to use these lenses. The first section will include the historical background and clinical indications, while section two addresses the varying types and models of lenses currently available, including important clinical and technological highlights. Section three and four will follow, and provide an extended look at the Zeiss and Alcon Family Multifocal IOL’s. Section five will delve into extended depth of field lenses, and will contain an introduction about the concept, different models and the evidence available about their outcomes. Section six concludes the book, closely examining accommodative intraocular lenses, and a full update will be provided on these lenses, the failures of the past and the hopes for the future. Multifocal Intraocular Lenses: The Art and the Practice, 2nd edition is a thorough, resource for the practical ophthalmologist and ophthalmic surgeon interested in learning more about intraocular lenses, identifying the best technologies and lenses for the benefit of their patients.




Essentials of Cataract Surgery


Book Description

The straightforward, concise, and easy-to-read reference manual which is equivalent to having the best instructor offering guidance on what to do next and how to avoid potential complications is now available in an updated Second Edition. Essentials of Cataract Surgery, Second Edition comprehensively details every step of phacoemulsification cataract extraction surgery, from preoperative evaluation to intraoperative instruction to postoperative care. The basic elements of cataract surgery are presented in a clear and easy-to-read format. Dr. Bonnie An Henderson brings together advice and teaching techniques from the Harvard Intensive Cataract Surgical Training Conference at the Massachusetts Eye and Ear Infirmary. The book provides both beginning and practicing surgeons with personal tips and expert advice from leading cataract mentors of top US ophthalmology residency programs. Inside Essentials of Cataract Surgery, Second Edition are detailed chapters covering fluidics, IOL calculations and design, capsular complications and management, and the latest phaco technology, including femtosecond cataract surgery. Each chapter contains a summary box, highlighting the key points of each topic discussed. Additionally, the included images, diagrams, photographs, and tables enhance understanding of specific topics. With detailed information and expert pearls in a user-friendly format, Essentials of Cataract Surgery, Second Edition is perfect for residents, fellows, medical students, and practicing ophthalmologists looking to improve their surgical techniques.




Refractive Cataract Surgery


Book Description

Updated and expanded, this Second Edition of Refractive Cataract Surgery: Best Practices and Advanced Technology is a practical guide for cataract surgeons and general ophthalmologists who wish to take their practices to a new level by offering refractive solutions to their cataract patients. All chapters have been updated to provide the latest information on premium surgery, including how-to chapters on extended depth-of-focus implants, intraoperative aberrometry, and femtosecond laser surgery. Both well-established and cutting-edge implants and techniques are presented in chapters that are organized by topic and detailed step-by-step. Dr. John A. Hovanesian and his contributors include enhancement strategies such as piggyback lenses, laser enhancement, and incisional surgery which are presented as separate and complete solutions. In addition to surgical strategies, Refractive Cataract Surgery, Second Edition explains the psychology of creating a premium practice. Non-technical matters such as patient screening, ethics, communicating the value of lenses, and managing the unhappy patient are thoroughly presented with easy-to-adopt ideas. New in the Second Edition: Intraoperative aberrometry Femtosecond laser cataract surgery Diagnostic and management tools for ocular surface disease Extended depth-of-focus implants Updated information on Tecnis toric, Trulign, and other accommodating IOLs Advice on various pricing models Refractive Cataract Surgery: Best Practices and Advanced Technology, Second Edition explores every angle of premium surgery and practice and offers improvements for all levels of surgeons, from the resident to the experienced physician, resulting in a top experience and a lifetime of premium vision for the patient.




Premium Cataract Surgery


Book Description

In Premium Cataract Surgery: A Step-by-Step Guide, Dr. John A. Hovanesian presents the complicated subject of premium cataract surgery in an approachable manner for all cataract surgeons looking to elevate their skill level and improve patient experience. Premium Cataract Surgery: A Step-by-Step Guide packages all aspects of premium surgery into a practical guide for eye surgeons who wish to take their practices to a new level by offering cataract patients refractive solutions, such as astigmatism and presbyopia correction. Both well-established and new techniques and implants are presented in chapters that are organized by topic and detailed step-by-step. Chapters cover every subject related to premium surgery, including how-to chapters on microincision technique, toric implants, limbal relaxing incisions, advanced monovision, multifocals, and accommodating lenses. Enhancement strategies such as piggyback lenses, laser enhancement, and incisional surgery are presented as separate and complete solutions. In addition to surgical solution strategies, Dr. Hovanesian focuses this book on the psychology of creating a premium practice. Non technical matters such as patient screening, ethics, communicating the value of lenses, and managing the unhappy patient are thoroughly presented with easy-to-adopt ideas for the resident or seasoned veteran. Administrative Matters Addressed: * Equipment and staffing needs * Pricing * Medicare compliance * Marketing * Communicating with pre operative and post operative patients Premium Cataract Surgery: A Step-by-Step Guide explores every angle of premium surgery and practice and offers improvements for all levels of surgeons, from the resident to the experienced clinician, resulting in a top experience and a lifetime of premium vision for the patient.







Textbook of Refractive Laser Assisted Cataract Surgery (ReLACS)


Book Description

Textbook of Laser Refractive Cataract Surgery is a comprehensive reference for the general ophthalmologist and cataract surgeon regarding the explosive new technology in femtosecond laser cataract surgery. Femtosecond laser allows extreme precision in surgery, and is used in refractive surgery and for ‘cuts’ in the cornea, leading to a more uniform treatment for the patient. Textbook of Laser Refractive Cataract Surgery is for cataract surgeons and all eye care providers managing or diagnosing cataracts who wish to be informed about this technology and its applications. Edited and written by recognized leaders in the field, this book covers background, technical, clinical, and commercial aspects of this exciting technology. Some of the topics covered include the evolution of cataract surgery, femtosecond laser fundamentals, challenges of femtosecond laser technology for cataract surgery, and the economics of laser cataract surgery. Edited and written by recognized leaders in the field, this book covers background, technical, clinical, and commercial aspects of this exciting technology. Some of the topics covered include the evolution of cataract surgery, femtosecond laser fundamentals, challenges of femtosecond laser technology for cataract surgery, and the economics of laser cataract surgery.




Cataract Surgery and Intraocular Lenses


Book Description

Cataract Surgery and Intraocular Lenses offer a detailed overview of intraocular lenses, as the choice of the IOL to be implanted is a critical detail in the patient selection and surgical preparation, and therefore leading to the most optimal patient results. Dr. Lucio Buratto, Dr. Stephen Brint, and Dr. Domenico Boccuzzi present the latest information on the most advanced diagnostic techniques and surgical decisions for IOL selection and implantation. Cataract Surgery and Intraocular Lenses covers a wide variety of topics, including monofocal IOLs, multifocal IOLs, accommodative IOLs, injectors and implantation of foldable IOLs, tear or damage of the IOL, and viscoelastic substances. Supplemented by more than 200 color illustrations, diagrams, a glossary, and references, all surgeons from beginner to expert will want this unique resource by their side.




Lens Surgery after Previous Refractive Surgery


Book Description

This book addresses an increasing need that is confronting ophthalmologists all over the world today, and that is the growing number of previous refractive surgery patients. A unique contribution by internationally recognized leaders to address all aspects of lens-based surgery on previous refractive patients, including issues surrounding when to intervene, biometry, considerations for the surgical procedure itself, lens choices, management of complications, and views into the future. The text represents an excellent opportunity for ophthalmologists to experience increased satisfaction from their practices, improve the financial health of their practices, and feel the gratitude of patients for the enhanced quality of their lives. Presents the problem in a comprehensive way so that the ophthalmic surgeon in private practice would find answers to the common questions like: When is the right time to replace the lens in an eye that had refractive lens surgery before hand? How do we do it? What are the pitfalls? How to avoid complications? How do we perform correct IOL power calculation in eyes developing cataract after earlier refractive corneal surgery? And finally outcomes of different approaches and future developments have been discussed. Also includes a chapter by Kezirian and Waring on the opposite topic; laser surgery after intraocular implants and answer the questions by bringing together the expertise of Internationally well-known specialists in the field. Contains the knowledge of the physicists—of the pioneers who developed the first formulas—and of the surgeons in daily practice who are handling over the practical tools in the section of IOL Power Calculation. In the section of Decision Making, top surgeons gave their advice and personal approach. In the section of The Surgery, experienced surgeons gave some pearls when starting surgery in eyes that had refractive surgery earlier. This book useful for ophthalmologists, ophthalmic surgeons, refractive surgeons.