Thieme, 2019. — 192 p. — ISBN: 9781626238954
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.Ophthalmologists, ophthalmology residents, fellows, and subspecialists will greatly benefit from the significant pearls and knowledge presented in this indispensable cataract surgery resource.
Overview of the Causes of Suboptimal Outcomes Following Cataract Surgery: Role of Preoperative Screening and Adequate Counseling
Tear Film and Corneal Disorders
Postrefractive Intraocular Lens Power Calculation: Choosing the Right Nomogram
Residual Refractive Error
Posterior Corneal Astigmatism: Basics and Clinical Implications
Considerations in Cataract Surgery Following Postrefractive Error Correction
Refractive Enhancement ProceduresCorneal-Based Procedures: Astigmatic Keratotomy, LASIK, PRK, and SMILE
Intraocular Lens Exchange
Piggyback Intraocular Lens
Toric Intraocular Lens
Premium Intraocular Lenses and Associated Problems
Nonrefractive Enhancement ProceduresDysphotopsias and Surgical Management
Bullous Keratopathy and Endothelial Keratoplasty
Malpositioned Intraocular Lens and Capsular Bag: Intraocular Lens Complex Issues
Posterior Capsular Rupture and Intraocular Lens Implantation
MiscellaneousMiloop: Micro-Interventional, Phaco-Free, Lens Fragmentation
Keratoconus and Cataract Surgery
Bilensectomy (Phakic IOL Explantation with Coincidental Cataract Surgery and IOL Implantation)
Cystoid Macular Edema and Management
Endophthalmitis, Toxic Anterior Segment Syndrome, and Vitritis
Intraoperative Aberrometry
Futuristic Approach and Advancements
Telescopic Intraocular Lenses