Optimizing Suboptimal Results Following Cataract Surgery


Book Description

A concise review and comprehensive guide to improving cataract surgery outcomes Significant advances have been made in refractive surgery in the last decade. Eye surgeons today can leverage many cutting-edge intraocular lens (IOL) technologies such as multifocal, extended depth of field, toric, accommodating, and aspheric. Concurrent innovations including optics, phacoemulsification, superior keratometry and biometry, and posterior cornea evaluation have resulted in improved cataract surgery outcomes. Recent advances in the diagnosis and treatment of cataracts have dramatically improved patient satisfaction following cataract surgery, yet common and rare complications still occur such as dry eye, endophthalmitis, and retinal detachment. Furthermore, only 80% of cataract surgery procedures bring patients to within 0.5 diopters of their needed refraction. Optimizing Suboptimal Results Following Cataract Surgery: Refractive and Non-Refractive Management presents the latest techniques for achieving optimal results and overcoming complications in cataract surgery. Internationally renowned ophthalmic surgery pioneers Priya Narang and William Trattler have created an unparalleled guide to overcoming complex cases and residual refractive errors. The book starts with six chapters on suboptimal causes and considerations, followed by dedicated sections covering refractive and non-refractive enhancements. The fourth section features chapters on keratoconus, cystoid macular edema, endophthalmitis, toxic anterior segment syndrome, and vitritis, as well as intraoperative aberrometry, futuristic approaches and advancements, and telescopic IOLs. Key Highlights Refractive enhancement procedures including corneal-based procedures such as astigmatic keratotomy, LASIK, PRK, and SMILE; IOL exchange; piggyback IOL; toric IOL; and premium IOLs and associated problems Nonrefractive enhancement procedures including dysphotopsias and surgical management, bullous keratopathy and endothelial keratoplasty, complex IOL issues such as malpositioned IOL and capsular bag, and posterior capsular rupture and IOL lens implantation Practical tips and steps to prevent and manage undesired outcomes 30 surgical videos posted online highlight a diverse array of complex cases and technical advances to help prevent suboptimal results Ophthalmologists, ophthalmology residents, fellows, and subspecialists will greatly benefit from the significant pearls and knowledge presented in this indispensable cataract surgery resource. This book includes complimentary access to a digital copy on https://medone.thieme.com.




Optimizing Suboptimal Results Following Cataract Surgery


Book Description

A concise review and comprehensive guide to improving cataract surgery outcomes Significant advances have been made in refractive surgery in the last decade. Eye surgeons today can leverage many cutting-edge intraocular lens (IOL) technologies such as multifocal, extended depth of field, toric, accommodating, and aspheric. Concurrent innovations including optics, phacoemulsification, superior keratometry and biometry, and posterior cornea evaluation have resulted in improved cataract surgery outcomes. Recent advances in the diagnosis and treatment of cataracts have dramatically improved patient satisfaction following cataract surgery, yet common and rare complications still occur such as dry eye, endophthalmitis, and retinal detachment. Furthermore, only 80% of cataract surgery procedures bring patients to within 0.5 diopters of their needed refraction. Optimizing Suboptimal Results Following Cataract Surgery: Refractive and Non-Refractive Management presents the latest techniques for achieving optimal results and overcoming complications in cataract surgery. Internationally renowned ophthalmic surgery pioneers Priya Narang and William Trattler have created an unparalleled guide to overcoming complex cases and residual refractive errors. The book starts with six chapters on suboptimal causes and considerations, followed by dedicated sections covering refractive and non-refractive enhancements. The fourth section features chapters on keratoconus, cystoid macular edema, endophthalmitis, toxic anterior segment syndrome, and vitritis, as well as intraoperative aberrometry, futuristic approaches and advancements, and telescopic IOLs. Key Highlights Refractive enhancement procedures including corneal-based procedures such as astigmatic keratotomy, LASIK, PRK, and SMILE; IOL exchange; piggyback IOL; toric IOL; and premium IOLs and associated problems Nonrefractive enhancement procedures including dysphotopsias and surgical management, bullous keratopathy and endothelial keratoplasty, complex IOL issues such as malpositioned IOL and capsular bag, and posterior capsular rupture and IOL lens implantation Practical tips and steps to prevent and manage undesired outcomes 30 surgical videos posted online highlight a diverse array of complex cases and technical advances to help prevent suboptimal results Ophthalmologists, ophthalmology residents, fellows, and subspecialists will greatly benefit from the significant pearls and knowledge presented in this indispensable cataract surgery resource.




Video Atlas of Anterior Segment Repair and Reconstruction


Book Description

The quintessential video atlas on anterior segment surgery from world-renowned pioneer and international experts! Disorders of the anterior segment are a leading cause of ocular morbidity. As a result of structural abnormalities associated with trauma, degeneration, developmental disorders, or iatrogenic causes, reconstruction is required. Significant breakthroughs have been made in anterior segment reconstructive approaches, including the use of stem cells, selective tissue transplant, glued lenses, and advanced suturing techniques. Video Atlas of Anterior Segment Repair and Reconstruction: Managing Challenges in Cornea, Glaucoma, and Lens Surgery by renowned ophthalmic surgery pioneers Amar Agarwal, Priya Narang, and international contributors is the most comprehensive resource available to date on anterior segment surgery, reflecting cutting-edge innovations. Five sections and 27 chapters organized by ocular anatomy provide in-depth coverage on reconstructive techniques of the cornea, iris, aqueous drainage, and lens. The book and videos describe and highlight diverse state-of-the-art anterior segment surgery procedures, including limbal cell transplantation, keratoplasty, pupilloplasty, and intraocular lens implantation in deficient capsules. Clinical pearls throughout the concise text provide invaluable insights on surgical nuances and managing potential complications. Key Features Current and future cornea approaches including corneal endothelial reconstruction, pre-Descemet's endothelial keratoplasty, and keratoprosthesis Innovative iris techniques such as single-pass 4-throw pupilloplasty, iridodialysis repair, intraocular lens surgery, and complications and management of cosmetic iris implants Disease-related eye surgery including minimally invasive glaucoma surgery and intraocular lens fixation with double-needle technique 38 high-quality videos by the masters mirror live teaching sessions, providing greater understanding of a diverse spectrum of surgical approaches This is a must-have reference for ophthalmology residents and practicing ophthalmologists, researchers, and cataract and glaucoma specialists. The high-quality surgical videos and insightful text also provide a robust classroom teaching tool.




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.




Femtosecond Laser Surgery in Ophthalmology


Book Description

The femtosecond laser has emerged as a groundbreaking game-changer in ophthalmic surgery. It was first introduced for corneal refractive surgery in flap creation during LASIK, and subsequently for cataract surgery in 2008. The femtosecond laser cuts deeply on a single plane without collateral damage. Its high precision and safety result in excellent outcomes in the hands of experienced eye surgeons, benefiting virtually everyone. Femtosecond Laser Surgery in Ophthalmology fills an unmet need for a comprehensive, up-to-date resource on growing applications of this state-of-the-art technology. H Burkhard Dick is a world-renowned pioneer who has performed more than 6,000 laser cataract operations. Readers will benefit from his keen insights along with the collective expertise of co-authors Tim Schultz, Ronald D. Gerste, and a cadre of top-notch contributors. Twenty-nine chapters encompass basic physics, refractive and therapeutic cornea treatment, various aspects of laser cataract surgery, and patient selection. Key Features Clinical pearls, outcomes, and complications management in femtosecond laser-assisted in situkeratomileusis surgery Discussion of crucial steps including capsulotomy, lens fragmentation, and corneal incisions The use of the femtosecond laser for presbyopia, pediatric cataract surgery, and ocular comorbidities Extensive videos posted in the Thieme MediaCenter further elucidate techniques More than 300 high quality illustrations and photos add a rich visual dimension This practical book provides in-depth knowledge on the applications of femtosecond laser surgery, enabling cataract and refractive surgeons to incorporate these techniques into daily practice. Ophthalmologists and ophthalmology fellows and residents will discover an invaluable resource for specialized training.




Review of Ophthalmology


Book Description

This text provides a review of the essential clinical and scientific information in ophthalmology. Questions at the end of each chapter with answers at the end of the book allow readers to test their understanding.




Pediatric Cataract


Book Description

The book covers all clinical aspects of pediatric cataract surgery. Chapters cover basic sciences, etiology, pre-operative evaluation, choice of intraocular lenses, steps of surgery, complications, considerations in traumatic cataract and post-operative rehabilitation. It includes photographs, diagrams, flow charts and tables for easy memorization and understanding. Multiple choice questions at the end of each chapter help to evaluate the understanding and reinforce important concepts. The book aims to encourage ophthalmic surgeons to successfully treat children with cataract as all of them perform adult cataract surgeries but usually avoid managing pediatric cases. This hesitation is primarily due to exhaustive pre-operative evaluation and long term follow up. As a result the back log of this disease in the developing world is significant and many such children are unable to receive timely intervention during their crucial period of visual development. The chapters primarily focus on the clinically relevant issues to keep the reader interested. The book includes contributions from some of the most talented and experienced pediatric cataract surgeons. The book is relevant for ophthalmologists not commonly practicing pediatric cataract surgery and post graduate students.




Modern Cataract Surgery


Book Description

New cataract removal techniques, anesthesia and viscoelastic substances, and the implantation of modern intraocular lenses are essential topics in the fast developing field of ophthalmic surgery. This publication provides a comprehensive update discussing these items thoroughly. Special emphasis is given to the management of mature cataract and phacoemulsification in the vitreous cavity. Intraocular lens calculation is highlighted by optical coherence biometry, in particular, the measurements to increase the predictability of intraocular lens implantation. Implantation techniques, incision architecture and wound construction as well as Scheimpflug-photography of foldable intraocular lenses and the prevention of PCO (posterior capsular opacification) are covered. The last two articles emphasize the implantation of special intraocular lenses including piggyback intraocular lens and multifocal intraocular lens implantation. Anterior eye segment surgeons looking for an update on modern cataract surgery will find a wealth of timely information on new techniques and results in small incision cataract surgery in this publication.




Evaluation and Management of Blepharoptosis


Book Description

This comprehensive and detailed text deals with the diagnosis and surgery of blepharoptosis, and will benefit any practicing physician, fellow or resident who deals with blepharoptosis.




Making Eye Health a Population Health Imperative


Book Description

The ability to see deeply affects how human beings perceive and interpret the world around them. For most people, eyesight is part of everyday communication, social activities, educational and professional pursuits, the care of others, and the maintenance of personal health, independence, and mobility. Functioning eyes and vision system can reduce an adult's risk of chronic health conditions, death, falls and injuries, social isolation, depression, and other psychological problems. In children, properly maintained eye and vision health contributes to a child's social development, academic achievement, and better health across the lifespan. The public generally recognizes its reliance on sight and fears its loss, but emphasis on eye and vision health, in general, has not been integrated into daily life to the same extent as other health promotion activities, such as teeth brushing; hand washing; physical and mental exercise; and various injury prevention behaviors. A larger population health approach is needed to engage a wide range of stakeholders in coordinated efforts that can sustain the scope of behavior change. The shaping of socioeconomic environments can eventually lead to new social norms that promote eye and vision health. Making Eye Health a Population Health Imperative: Vision for Tomorrow proposes a new population-centered framework to guide action and coordination among various, and sometimes competing, stakeholders in pursuit of improved eye and vision health and health equity in the United States. Building on the momentum of previous public health efforts, this report also introduces a model for action that highlights different levels of prevention activities across a range of stakeholders and provides specific examples of how population health strategies can be translated into cohesive areas for action at federal, state, and local levels.