Complete Surgical Guide for Correcting Astigmatism: An Opthalmic Manifesto / Edition 2

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Overview

As the fields of cataract surgery and refractive surgery merge, the expectations of patients for perfect postoperative uncorrected vision are increasing. A Complete Surgical Guide for Correcting Astigmatism, Second Edition offers cataract and refractive surgeons a single comprehensive resource on diagnosing and managing corneal astigmatism.
 
Dr. Bonnie An Henderson and Dr. James P. Gills are joined by 45contributors to address all surgical methods of correcting astigmatism, including corneal incisional surgery, laser refractive surgery, and new intraocular lenses. In addition, this Second Edition covers the management of irregular corneal astigmatism and corneal thinning.
 
Sections include:
 

  • Preoperative Considerations
  • Corneal Surgical Correction
  • Managing Astigmatism in Cataract Surgery
  • Correcting Astigmatism with Toric Lenses
  • Managing Irregular Astigmatism

 
Not only is surgical management addressed in this updated edition, but diagnosis of astigmatism is presented with specific attention to new technology and innovative techniques. Also included are more than 200 color images and 35 tables throughout the pages of A Complete Surgical Guide for Correcting Astigmatism, Second Edition.
 
New topics include:
 
  • Diagnosing astigmatism
  • Approach and timing of surgical correction
  • Astigmatism by laser keratectomy (PRK, LASIK, LASEK)
  • IOL calculations with previous refractive surgery
  • Marking alignment instrumentation
  • Discussions of innovative techniques and collagen cross linking
  • New intraocular lenses that are not yet available in the U.S.

A Complete Surgical Guide for Correcting Astigmatism, Second Edition brings together the world’s experts in cataract and refractive surgery, making it a must-have resource for every surgeon aspiring to successfully manage and treat patients with astigmatism.
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Product Details

  • ISBN-13: 9781556429354
  • Publisher: SLACK, Incorporated
  • Publication date: 8/1/2010
  • Edition number: 2
  • Pages: 272
  • Product dimensions: 8.70 (w) x 11.20 (h) x 0.80 (d)

Meet the Author


James P. Gills, MD is founder and director of St. Luke’s Cataract & Laser Institute in Tarpon Springs, FL and Clinical Professor of Ophthalmology at the University of South Florida, Tampa, FL. He is the country’s first ophthalmologist to dedicate his practice solely to the treatment of cataracts via the use of intraocular lens implants. His contributions to medicine span across both academia and clinical ophthalmology.   

Dr. Gills graduated with honors from Virginia Tech University in Blacksburg, VA and received his medical degree from Duke University Medical Center, Durham, NC, in 1959. He served his ophthalmology residency at Wilmer Ophthalmological Institute of Johns Hopkins University in Baltimore, MD from 1962 to 1965 and was Assistant Professor of Ophthalmology at Duke University Medical Center from 1965 to 1968. He established his academic career early when, as a resident at Johns Hopkins, he published the first scientific paper classifying mucopolysaccharidoses. As his clinical practice grew, he became known by his peers for challenging the status quo, and many ingenious advancements in ophthalmic surgery stem from his drive to improve cataract surgery. Dr. Gills was elected “Best Ophthalmologist in America” by 2 independent groups.    

More than 30 years ago, he developed an intraocular solution composed of antibiotics and anti-inflammatory medications designed to reduce the risk of infection and inflammation after ophthalmic surgery. This procedure, along with his technique of filtering the irrigating solutions, has probably saved countless eyes and has contributed to St. Luke’s Cataract & Laser Institute’s endophthalmitis rate of 1 in 50,000 cases. Perhaps his most outstanding contribution in ophthalmology was his presentation of the first scientific paper demonstrating the safety and benefit of intraocular anesthesia in 1997. Thanks to this breakthrough, patients undergoing cataract surgery via topical anesthesia can enjoy the procedure free of pain, needles, and patches.    

Never satisfied unless his patients are independent of glasses, Dr. Gills openly admits to his obsession with correcting astigmatism. His use of limbal and corneal relaxing incisions and placement of more than 17,000 toric intraocular lenses has turned cataract surgery into a refractive procedure.  

Dr. Gills is known not only for his skills as a doctor, but also for his skill in business as President of a variety of companies, including Past President of the World Triathlon Corporation (Ironman). He is an avid athlete and has competed in 46 marathons, 30 triathlons, 5 Ironman races, 6 Double Irons (the last at 60 years of age), four 200-mile races, and fourteen 100-mile runs.   

Bonnie An Henderson, MD 
completed her residency at the Massachusetts Eye and Ear Infirmary of Harvard Medical School in Boston, MA. Her undergraduate and medical degrees are from Dartmouth College in Hanover, NH, where she graduated with high honors. She is currently a partner at the Ophthalmic Consultants of Boston and an Assistant Clinical Professor at Harvard Medical School. Prior to joining Ophthalmic Consultants of Boston, she was the Director of Comprehensive Ophthalmology at the Massachusetts Eye and Ear Infirmary. She serves on the Executive Board of the Massachusetts Society of Eye Physicians and Surgeons and on committees for the American Academy of Ophthalmology and American Society of Cataract and Refractive Surgery. Dr. Henderson is also Founder and President of the Women Ophthalmologists of New England organization.   

Dr. Henderson is a widely recognized expert in cataract surgery and specializes in complicated anterior segment surgery. Dr. Henderson’s research has involved cataract surgery outcomes and innovative methods of teaching. With the support of a Department of Defense TATRIC grant, she and her co-investigators have developed a novel computer program to teach cataract surgery to trainees. She is also the developer of several medical instruments including a US Food and Drug Administration approved modified capsule tension ring, astigmatism correcting markers, and a capsule polisher.   

She has published numerous articles in peer-reviewed journals and has delivered over 100 invited lectures nationally and internationally. Her textbook on cataract surgery is one of the most commonly used books in residency programs around the country. Dr Henderson has received “Best of” awards from the American Society of Cataract and Refractive Surgery for her research poster and films and has been awarded an Achievement Award by the American Academy of Ophthalmology as well as the “Teacher of the Year” award from Harvard Medical School. She lives with her husband and 3 children and enjoys competing in triathlons and duathlons.

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Table of Contents

Dedication

Acknowledgments

About the Editors

Contributing Authors

Preface

Section I Overview 1

Chapter 1 Surgical Correction of Astigmatism Mark Packer Packer, Mark 3

Section II Preoperative Considerations 9

Chapter 2 Diagnosing Astigmatism Brian D. Alder Alder, Brian D. 11

Chapter 3 Approach to the Surgical Correction of Astigmatism at the Time of Cataract Surgery Kevin M. Miller Miller, Kevin M. 21

Section III Corneal Surgical Correction 27

Chapter 4 Correction of Astigmatism' by Laser Keratectomy Dimitri T. Azar Azar, Dimitri T. 29

Chapter 5 Treating Astigmatism With Conductive Keratoplasty Ryan T. Smith Smith, Ryan T. 37

Chapter 6 Astigmatic Keratotomy: Arcuate and Transverse Incisions for Managing Astigmatism Richard L. Lindstrom Lindstrom, Richard L. 45

Chapter 7 Reducing Pre-Existing Astigmatism With Limbal Relaxing Incisions Mike S. McFarland McFarland, Mike S. 55

Chapter 8 Minimizing Postoperative Cylinder With Peripheral Clear-Corneal Relaxing Incisions Randall J. Olson Olson, Randall J. 73

Chapter 9 Use of Stromal Pockets in the Treatment of Astigmatism Michael Y. Wong Wong, Michael Y. 83

Section IV Managing Astigmatism in Cataract Surgery 91

Chapter 10 Considerations in Clear-Corneal Cataract Surgery Robert M. Kershner Kershner, Robert M. 93

Chapter 11 Management of Astigmatis in Conjunction With Modern Phaco Surgery Louis D. "Skip" Nichamin Nichamin, Louis D. "Skip" 111

Chapter 12 Bioptics for the Pseudophakic Patient Louis D. "Skip" Nichamin Nichamin, Louis D. "Skip" 119

Chapter 13 Managing Coupling in Secondary Astigmatic Kerototomy J. James Rowsey Rowsey, J. James 121

Chapter 14 Intraocular Lens Power Calculation After Prior Laser Refractive Surgery Kenneth J. Hoffer Hoffer, Kenneth J. 129

Section V Correcting Astigmatism With Toric Lenses 139

Chapter 15 Toric Intraocular Lenses: History and Applications Nick Mamalis Mamalis, Nick 141

Chapter 16 The STAAR Toric Intraocular Lens: Indications and Pearls David F. Chang Chang, David F. 149

Chapter 17 The Use of AcrySof and ReSTOR Toric Intraocular Lenses in the Management of Astigmatism Terry Kim Kim, Terry 157

Chapter 18 Repositioning Toric Intraocular Lenses David F. Chang Chang, David F. 163

Chapter 19 Other Toric Intraocular Lenses Jorge L. Alio Alio, Jorge L. 169

Chapter 20 Correction of Astigmatism With Toric Intraocular Lenses: Correct Marking and Alignment Jonathan B. Rubenstein Rubenstein, Jonathan B. 183

Chapter 21 Correcting High Degrees of Astigmatism Bonnie An Henderson Henderson, Bonnie An 187

Section VI Managing Irregular Astigmatism 193

Chapter 22 Correction of Irregular Astigmatism Ronald R. Krueger Krueger, Ronald R. 195

Chapter 23 Diagnosis and Management of Traditional Penetrating Corneal Transplant Astigmatism James C. Hays Hays, James C. 203

Chapter 24 Reducing Post-Graft Astigmatism Miles H. Friedlander Friedlander, Miles H. 217

Chapter 25 Treatment of Keratoconus R. Doyle Stulting Stulting, R. Doyle 221

Chapter 26 Treatment of Keratoconus: Astigmatic Keratotomy and Intraocular Lenses Pit Gills Gills, Pit 225

Chapter 27 Astigmatism Management of Peripheral Corneal Thinning Sonia H. Yoo Yoo, Sonia H. 233

Financial Disclosures 239

Index 241

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