OCT in Lamellar Corneal Transplantation


Book Description

Anterior segment optical coherence tomography (AS-OCT) is a valuable tool in corneal transplantation surgery. In deep anterior lamellar keratoplasty (DALK), AS-OCT gives valuable information on preoperative decision process. AS-OCT image of the recipient cornea helps the surgeon to decide whether to proceed with a big bubble DALK or a manual dissection. Preoperative AS-OCT imaging of recipient stroma can also predict Descemet membrane perforation during big bubble induction. Intraoperative AS-OCT assures reaching the proper depth in order, and postoperatively, a surgeon can objectively assess the Descemet membrane and donor association and define complications such as a double anterior chamber. Before deciding for a Descemet membrane endothelial keratoplasty (DMEK), preoperative stromal scars can be identified with an AS-OCT and might affect the decision of the surgical procedure (DMEK or penetrating keratoplasty). After DMEK, graft detachment can be visualized by AS-OCT and treated accordingly.




Deep Anterior Lamellar Keratoplasty: Different Strokes


Book Description

Deep anterior lamellar keratoplasty (DALK) is the mainstay of treatment for corneal pathologies sparing the endothelium. This lamellar surgery has undergone a revolution in the past decades. Various techniques and their modifications have been described to make it safe and reproducible so that it can be performed not only by experts but also the novice corneal transplant surgeons. This book describes the evolution of DALK, indications, preoperative evaluation, the various methods of performing DALK and the postoperative outcomes. The issues related to procurement of donor corneas for such cases are discussed. The "different strokes" in DALK include the conventional Melles and the "Big bubble" technique and also the newer modifications such as "Double bubble" technique, cannula assisted DALK, groove and peel technique as well as diamond blade-guided DALK. The different types of modifications presented by eminent lamellar corneal transplant surgeons from all over the world, in this book are an endeavor to make DALK feasible by all corneal transplant surgeons.




A Practical Guide to Clinical Application of OCT in Ophthalmology


Book Description

I am very proud and excited to introduce to you this book, which provides many interesting indications on how to better understand and handle the world of opticalcoherence tomography (OCT). Reading the chapters, you will be aware that this device is extremely important not just in the clinical practice of retinal diseases, but is also very useful as a surgical tool. Moreover, application of OCT has crossed the borders of the retina and is currently being applied to corneal diseases and glaucoma. I amconfident you will find enough useful information to improve your practice using OCT and to provide a better quality of care for your patients.




DSEK


Book Description

"DSEK: What You Need to Know About Endothelial Keratoplasty provides a comprehensive background of EK, where it is today, and where it is headed in the future. Francis W. Price, MD. who was the first to complete DSEK in the United States, along with Marianne Price, PhD, have designed this text to offer a special emphasis on how to perform surgeries along with preventing and managing complications. In addition, a diverse group of contributing authors provides a wide array of insights and tips for better patient outcomes."--BOOK JACKET.




Integrated Intraoperative Ocular Coherence Tomography for Pediatric Ocular Surgery


Book Description

Integrated or microscope-integrated intraoperative ocular coherence tomography (i2OCT or mi-OCT, respectively) has revolutionized real-time augmentation of the surgical operating field. While corneal and retinal specialists have immediately found uses for this technology, others are beginning to use it to improve outcomes and flatten the learning curve. This book presents the use of i2OCT in pediatric ocular surgery. Case scenarios in pediatric retinal disease, corneal lamellar keratoplasty, and even pediatric cataract surgery are discussed. More novel applications highlighted include its use to identify the levator muscle in oculoplastic surgery, especially re-operations, and to assess the results of glaucoma drainage devices. Identifying extraocular muscles in re-operation for strabismus ensures minimal tissue disruption during surgery. Complex pediatric cataract surgeries can be performed far more simply and effectively using integrated ocular coherence tomography technology. This volume provides invaluable information to both early career and experienced pediatric ocular specialists, as well as any researchers who are likely to encounter i2OCT or mi-OCT technology in the future.




Corneal Graft Failure


Book Description

The Novartis Foundation Series is a popular collection of the proceedings from Novartis Foundation Symposia, in which groups of leading scientists from a range of topics across biology, chemistry and medicine assembled to present papers and discuss results. The Novartis Foundation, originally known as the Ciba Foundation, is well known to scientists and clinicians around the world.




Lamellar Corneal Surgery


Book Description

The definitive corneal surgery reference! From its valuable review of the general anatomy of the cornea to its highly visual, hands-on guidance to the field's latest developments and surgical procedures, Lamellar Corneal Surgery is the most authoritative and comprehensive guide to the topic available. In 10 state-of-the-art sections and 63 chapters, Lamellar Corneal Surgery: Offers detailed coverage of both anterior and posterior types of lamellar corneal surgical techniques and instruments Illuminates techniques and key concepts in every chapter, with more than 1000 full-color clinical and intraoperative photographs and other illustrations throughout Explains the terminology and abbreviations used within the subfield of lamellar corneal surgery Includes a valuable section devoted to pediatric corneal surgery Covers rarer issues such as burn trauma Includes a DVD featuring 11 surgical video clips




Femtosecond Laser Assisted Keratoplasty


Book Description

Keratoplasty is the transplantation of all or part of the cornea to repair scarred or damaged tissue. A femtosecond laser is a laser which emits ultrashort pulses, used for minimally invasive corneal surgery. This book is a concise guide to the technique of femtosecond laser-assisted keratoplasty. Beginning with an introduction to the technology, the following chapters discuss its use for different disorders. This practical text is based on the surgical experience of its internationally recognised authors from Spain, Germany, France and the USA. It includes more than 230 full colour clinical photographs and illustrations to enhance learning. Key points Concise guide to the corneal transplantation procedure of femtosecond laser-assisted keratoplasty Covers key technologies and uses for different disorders Internationally recognised author and editor team Includes more than 230 clinical photographs and illustrations




Corneal Transplantation


Book Description

The cornea is the clear, outer layer at the front of the eyeball. It acts as a window to the eye. The cornea helps to focus light rays onto the retina, this image is then transmitted to the brain. When the cornea is damaged, it can become less transparent or its shape can change. This can prevent light reaching the retina and causes the picture transmitted to the brain to be distorted or unclear. A corneal transplant, also known as keratoplasty or a corneal graft, is an operation to remove all or part of a damaged cornea and replace it with healthy donor tissue. It is used to improve sight, relieve pain and treat severe infection or damage. One of the most common reasons for a cornea transplant is a condition called keratoconus, which causes the cornea to change shape. (NHS.UK) This book is a guide to corneal transplantation (keratoplasty) for ophthalmic surgeons. Divided into seven sections, the text begins with an overview of evolution, preoperative considerations, and eye banking. The following sections cover a multitude of keratoplasty techniques, including endothelial keratoplasty, and their potential complications. The book concludes with discussion on alternatives to corneal transplantation. The third edition of this comprehensive manual has been fully revised, with new topics added, to provide surgeons with the latest advances in the field. A selection of operative videos can be accessed via a QR code provided in the book. The previous edition (9788184488593) published in 2010.




Pre-Descemet’s Endothelial Keratoplasty (PDEK)


Book Description

Corneal transplantation is a widely practised surgical procedure. Lamellar techniques are favoured replacing penetrating keratoplasty (PK). Endothelial keratoplasty (EK) has been adapted as an alternative in the treatment of corneal endothelial disorders whereby Descemet’s membrane and the endothelium are replaced. Pre-Descemet’s endothelial keratoplasty (PDEK) is the latest surgical technique for corneal transplantation. This book is a step by step guide to PDEK for practising ophthalmologists. Divided into five sections, the text begins with the basics explaining corneal anatomy, pre-operative assessment, general techniques in keratoplasty, and the principles of PDEK. The following chapters discuss surgical techniques, special situations, and complications and results. The text covers numerous clinical scenarios and concludes with a section on miscellaneous topics such as OCT guided PDEK, eye bank preparation, and cosmetic iris implant complications. The text is further enhanced by surgical photographs and includes an interactive DVD ROM demonstrating PDEK techniques. Key points Step by step guide to Pre-Descemet’s endothelial keratoplasty (PDEK) Explains surgical techniques for numerous clinical scenarios Includes miscellaneous topics such as OCT guided PDEK and cosmetic iris implant complications Accompanying DVD ROM demonstrates PDEK techniques