Lens Surgery After Previous Refractive Surgery

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.

IOL Power by Kenneth J. Hoffer, MD will be the definitive resource worldwide for ophthalmologists who strive to increase the accuracy for all IOL calculations,especially for multifocal IOLs and overcoming the challenges that arise when treating patients that have had laser refractive surgery, such as RK, PRK, LASIK, and LASEK. Inside the pages of IOL Power, Dr. Hoffer is joined by some of the most respected international physicians and physicists in the field of IOL power such as Aramberri, Haigis, Norrby, Olsen and Shammas. Together their expertise, spanning over 35 years, makes even the most difficult subjects easy to understand. This volume will become the definitive reference source on the subject of IOL power calculation. Some topics include: Ultrasound velocities for axial length measurement Optical AL (IOLMaster and Lenstar) in difficult eyes Manual and automatic keratometry and instrumentation Topography & Scheimpflug camera corneal power Value of theoretic formulas Formula personalization Multifocal and toric IOLs Aspheric IOLs Effect of IOL tilt on astigmatism Chapters Cover: All aspects of obtaining the most accurate biometry Available modern calculation formulas Latest instruments Problems that can arise, how to prevent and repair them IOL Power by Kenneth J. Hoffer, MD is structured in a logical manner so as to cover every facet of IOL power from the basics to the most complicated subjects to achieve the most accurate and precise calculations and should be in the hands of all ophthalmic surgeons, technicians, residents and students.

• Compiles the best cutting-edge practices for achieving success with refractive lens exchange • Features the latest micro incision lens extraction techniques • Well-known group of authors, with Fine and Packer being especially famous in the US • Serves as textbook and reference guide for Ophthalmologists • Clearly structured and richly illustrated

-Cataract surgery is the most frequently performed surgical intervention worldwide, and the number of refractive surgery procedures, such as LASIK, is growing rapidly -All editors are internationally known experts in the field -Well structured text and design, quick and easy to read -Bridges the gap between primary literature and daily practice, indispensable for continuous education and advanced training -Every 2nd year each volume is updated to include timely information about new developments

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.

The Art of Refractive Surgery aims at providing a simplified and step-wise approach to ophthalmologists for planning and performing various refractive surgeries including corneal, lenticular, or combined approaches. Refractive surgery is extremely challenging as suboptimal outcomes are unacceptable. This field has seen huge developments in the recent years with advancements in investigative modalities, better laser delivery systems, wider range of options of refractive surgeries, and improved eye-tracking devices. However, the selection of ideal surgery for every patient remains a challenge and a thorough understanding of basic concepts can aid in decision-making. The Art of Refractive Surgery deals with these basic concepts, and provides certain surgical and planning tips, which have been derived through years of experience. Key Features: Interactive style of the narrative ideal for refractive surgeons, ophthalmologists, fellows, and residents who wish to update their refractive surgery knowledge Practical examples with individual case-based approach for planning, decision-making and surgical management in a variety of scenarios Extensive review of literature and includes the latest meta-analysis and clinical studies Numerous illustrations and simple language to elucidate complex refractive situations Surgical videos explaining each refractive surgery step-wise for deeper understanding

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.

Astigmatism means the eye is shaped like a rugby ball so light is focused at more than one place in the eye. It is associated with short or long sightedness and can cause blurry vision, headaches and eye strain. Astigmatism is usually corrected with glasses or contact lenses. This book is a complete guide to the surgical management of astigmatism. Based on scientific evidence and practice, the text covers numerous diagnostic and treatment techniques for both regular and irregular astigmatism, including laser surgery and incisional and intraocular lenses. Each procedure is explained in detail describing new diagnostic technologies, patient selection, methods and limitations across applications. Authored by an internationally recognised team of experts, the comprehensive text is further enhanced by more than 350 clinical photographs, diagrams and figures. Key points Complete guide to surgical management of astigmatism Covers techniques for both regular and irregular astigmatism including laser surgery Internationally recognised team of expert authors Highly illustrated with clinical photographs, diagrams and figures

This illustrated guide is written by international opinion leaders with extensive experience in the practice of refractive surgery. It is the first book devoted to refractive complications (with practical hints and case reports on outcomes) to provide ophthalmic surgeons with the most adequate solutions for the most frequent problems. All complications are described and lavishly illustrated. The book provides ophthalmic surgeons with the most adequate solutions for the most frequent problems they face in their daily practice.