Mastering Refractive IOLs -- The Art And Science / Edition 1

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Overview

The availability of new presbyopia-correcting and toric IOLs along with the CMS ruling allowing Medicare patients to pay a premium to upgrade to them, has dramatically and permanently altered clinical practice for every cataract and refractive surgeon.

Facing the challenge of educating patients about these options, as well as managing and meeting their expectations, today’s clinicians more than ever need to share knowledge, experience, and advice with their ophthalmic colleagues.

Dr. David F. Chang and his associate editors, Drs. Steven J. Dell, Warren E. Hill, Richard L. Lindstrom, and Kevin L. Waltz, have assembled a “Who’s Who” team of more than 200 refractive IOL experts to create Mastering Refractive IOLs: The Art and Science, a must-have book and reference for all cataract and refractive surgeons—whether you are already implanting a high volume of refractive IOLs or just starting to offer them.

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.

Mastering Refractive IOLs: The Art and Science has more than 200 chapters that are organized into 14 major sections, over 750 images, over100 tables, and 11 sidebars that cover every aspect of refractive IOL clinical practice.

Major sections include:
• Why Offer Premium IOLs
• Transitioning to Presbyopia-Correcting IOLs
• Transitioning to Presbyopia-Correcting IOLs: Quick Start Guides
• Presbyopia-Correcting IOLs Today
• Presbyopia-Correcting IOLs in the fFture
• Refractive IOLs—Quality of Vision
• Patient Selection & Education
• Presbyopia-Correcting IOL Selection
• Preoperative Ocular Assessment
• Managing Astigmatism
• Premium Cataract Surgery
• Refractive Lens Exchange
• Enhancements
• Complications—Avoidance and Management

Mastering Refractive IOLs: The Art and Science is the most 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.

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Editorial Reviews

Doody's Review Service
Reviewer: Stephen E Orlin, MD (University of Pennsylvania School of Medicine)
Description: This comprehensive book, written by an extremely competent group of authors, covers every aspect of the art and the science of the evolution of cataract and clear lens extraction surgery into a highly predictable and accurate refractive surgical procedure. The short and succinct chapters are very informative and packed with practical information for new and experienced cataract and refractive surgeons.
Purpose: The purpose is to give differing and practical points of view in the rapidly evolving specialty of refractive intraocular lens (IOL) surgery. The book could not come at a better time in this explosive field, in which we will see a whole new paradigm shift in outcomes and patient expectations following not only cataract surgery, but also as a viable and expanding branch of refractive surgery. These worthy objectives are clearly met by the editors and chapter authors.
Audience: It is intended for all general ophthalmologists and refractive surgeons, whether they are experienced or just beginning their careers. It is edited and written by authors who are world authorities in their respective fields.
Features: This book covers every aspect of the latest in the premier IOLs, traditional lens implants and surgical procedures used to correct presbyopia and astigmatism. It also describes in a detailed and critical fashion the art of patient selection and the science behind the various alternatives physicians and patients have in making their selection. It also addresses techniques for improvement in traditional cataract surgery and helping the surgeon strive for emmetropia, in this environment where patients are demanding perfection in their postoperative results. The book is well divided into 14 sections, each of which has short but to the point chapters that are richly illustrated with excellent photographs and diagrams.
Assessment: This is the most comprehensive book of its kind in the field of refractive intraocular lens surgery and is a must for all practitioners whether they are just embarking on their careers or they are experienced cataract surgeons needing to keep up with the wishes of an increasing and demanding patient population.
From The Critics
Reviewer: Stephen E Orlin, MD (University of Pennsylvania School of Medicine)
Description: This comprehensive book, written by an extremely competent group of authors, covers every aspect of the art and the science of the evolution of cataract and clear lens extraction surgery into a highly predictable and accurate refractive surgical procedure. The short and succinct chapters are very informative and packed with practical information for new and experienced cataract and refractive surgeons.
Purpose: The purpose is to give differing and practical points of view in the rapidly evolving specialty of refractive intraocular lens (IOL) surgery. The book could not come at a better time in this explosive field, in which we will see a whole new paradigm shift in outcomes and patient expectations following not only cataract surgery, but also as a viable and expanding branch of refractive surgery. These worthy objectives are clearly met by the editors and chapter authors.
Audience: It is intended for all general ophthalmologists and refractive surgeons, whether they are experienced or just beginning their careers. It is edited and written by authors who are world authorities in their respective fields.
Features: This book covers every aspect of the latest in the premier IOLs, traditional lens implants and surgical procedures used to correct presbyopia and astigmatism. It also describes in a detailed and critical fashion the art of patient selection and the science behind the various alternatives physicians and patients have in making their selection. It also addresses techniques for improvement in traditional cataract surgery and helping the surgeon strive for emmetropia, in this environment where patients are demanding perfection in their postoperative results. The book is well divided into 14 sections, each of which has short but to the point chapters that are richly illustrated with excellent photographs and diagrams.
Assessment: This is the most comprehensive book of its kind in the field of refractive intraocular lens surgery and is a must for all practitioners whether they are just embarking on their careers or they are experienced cataract surgeons needing to keep up with the wishes of an increasing and demanding patient population.
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Product Details

  • ISBN-13: 9781556428593
  • Publisher: SLACK, Incorporated
  • Publication date: 4/1/2008
  • Edition description: First
  • Edition number: 1
  • Pages: 960
  • Sales rank: 921,428
  • Product dimensions: 8.80 (w) x 11.30 (h) x 1.50 (d)

Meet the Author


David F. Chang, MD is a Summa Cum Laude graduate of Harvard College and earned his MD at Harvard Medical School. He completed his ophthalmology residency at the University of California, San Francisco (UCSF) where he is now a clinical professor. Dr. Chang is Chairman of the American Academy of Ophthalmology (AAO) Annual Meeting Program Committee, having previously chaired the Cataract Program Subcommittee. He organized and was the program cochair for the first 7 AAO “Spotlight on Cataracts” Symposia. He is also on the program committees for the ASCRS Annual Meeting and the OSN Hawaiian Eye Meeting. He has been selected to deliver the following named lectures: Transamerica Lecture (UCSF), Williams Lecture (UCSF), Wolfe Lecture (University of Iowa), DeVoe Lecture (Columbia-Harkness), Gettes Lecture (Wills Eye Hospital), Helen Keller Lecture (University of Alabama), Kayes Lecture (University of Washington, St. Louis), Thorpe Lecture (Pittsburgh Ophthalmology Society), Schutz Lecture (New York University Medical Center), Wallace-Evan Lecture (Casey Eye, Oregon), Proctor Lecture (UCSF/Proctor Foundation), and the keynote address at the Chinese American Ophthalmological Society’s 20th anniversary meeting. He is a 3-time AAO Secretariat Award recipient (2003, 2006, 2007). He was the inaugural recipient of the UCSF Department of Ophthalmology’s Distinguished Alumni Award (2005) and in 2006 became only the third ophthalmologist to ever receive the Charlotte Baer Award honoring the outstanding clinical faculty member at the UCSF Medical School. He was the third recipient of the Strampelli Medal from the Italian Ophthalmological Society (2007). Dr. Chang is chairman of the AAO Practicing Ophthalmologists’ Curriculum Panel for Cataract and Anterior Segment, which developed the American Board of Ophthalmology knowledge base for the MOC examination. He is also on the AAO Cataract Preferred Practice Pattern Panel and the AAO Revitalization Study Group. Dr. Chang is chair of the ASCRS Cataract Clinical Committee and is a member of the ASCRS Eye Surgery Education Council Presbyopia Task Force. He is on the Board of Directors for the Pan American Association of Ophthalmology. He is on the scientific advisory board for the UCSF Collaborative Vision Research Group, American Medical Optics, Allergan ATLAS, Calhoun Vision, Medennium, Peak Surgical, and Visiogen, and is the medical monitor for the Visiogen Synchrony accommodating IOL FDA monitored trial. He is cochief medical editor for Cataract and Refractive Surgery Today and developed the CRSToday Virtual Textbook of Cataract Surgery. He is the cataract editor for 2 online educational sites: the AAO’s “Specialty Clinical Updates” and the Ocular Surgery News’ “Ophthalmic Hyperguides.” He is an associate editor for the 3rd edition of Cataract Surgery (Elsevier 2008, Roger F. Steinert, editor). He was the chief editor for Curbside Consultation in Cataract Surgery (SLACK Incorporated, 2007), the series editor for the 7 SLACK Incorporated Curbside Consultation in Ophthalmology textbooks, and the principal author of Phaco Chop (SLACK Incorporated, 2004), which was the first ophthalmic textbook with a paired DVD featuring instructional surgical video. Finally, his coauthored 2005 report on IFIS and tamsulosin is one of the 5 most cited papers from the Journal of Cataract and Refractive Surgery (Source: Editorial, JCRS 1/08).
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Table of Contents


Contents

Dedication
Acknowledgments
About the Chief Editor
About the Associate Editors
Contributing Authors
Foreword by Spencer P. Thornton, MD, FACS
Preface

Section I Why Offer Premium IOLs?

Chapter 1 The Birth of the Premium IOL Channel
Jim Denning, BS

Chapter 2 Refractive IOLs—Economic Demographics
David Harmon

Chapter 3 Refractive IOLs—Economic Demographics
Geoff Charlton

Chapter 4 Refractive Surgery and IOLs—Future Trends
I. Howard Fine, MD

Chapter 5 Refractive Surgery and IOLs—Future Trends
Richard L. Lindstrom, MD

Chapter 6 Refractive surgery and IOLs—Future Trends
Lee T. Nordan, MD

Chapter 7 What Is a Premium IOL Worth?
J. Andy Corley

Chapter 8 What Is a Premium IOL Worth?
Kay Coulson, MBA

Chapter 9 Understanding Who the Premium IOL Patients Are
Shareef Mahdavi, BA

Chapter 10 Premium IOLs—Re-Engineering Your Practice
Darrell E. White, MD

Chapter 11 The Refractive IOL Patient’s Journey
Stephen S. Lane, MD

Chapter 12 Premium IOLs—External Marketing
Michael W. Malley, BA

Chapter 13 Premium IOLs—External Marketing
Shareef Mahdavi, BA

Chapter 14 Premium IOLs—Internal Marketing
Kay Coulson, MBA
Internal Marketing Jim Denning, BS

Chapter 15 Lessons learned From Marketing Cosmetic Surgery
Marie Czenko Kuechel, MA

Chapter 16 Premium IOLs and the Role of Your Staff
R. Bruce Wallace, III, MD, FACS

Chapter 17 Premium IOLs and the Role of Your Staff
Kevin L. Waltz, OD, MD

Chapter 18 ASCRS Presbyopia Education Task Force—Challenge Ahead
John Ciccone

Section II Transitioning to Presbyopia-Correcting IOLs

Chapter 19 Lessons Learned From Keratorefractive Surgery
Louis Probst, MD and John Lehr, OD

Chapter 20 Transitioning From Cataract to Refractive IOL Surgery
Kevin Denny, MD

Chapter 21 Transitioning From Cataract to Refractive IOL Surgery
Sandra Yeh, MD

Chapter 22 Transitioning From Cataract to Refractive IOL Surgery
Timothy B. Cavanaugh, MD

Chapter 23 Transitioning From Keratorefractive to Refractive IOL Surgery
Jay Bansal, MD

Chapter 24 Transitioning From Keratorefractive to Refractive IOL Surgery
Marguerite B. McDonald, MD, FACS

Chapter 25 Transitioning From Keratorefractive to Refractive IOL Surgery
Jose L. Güell, MD; Merce Morral, MD; Oscar Gris, MD; and Felicidad Manero, MD

Chapter 26 Refractive IOLs in a Residency Program—Can It Work?
Thomas A. Oetting, MD; Jeffrey J. Caspar, MD; Bonnie An Henderson, MD; and Terry Kim, MD

Chapter 27 Refractive IOLs in a Managed Care Setting
William Jerry Chang, MD

Chapter 28 Refractive IOLs in a Comanaged Optometric Network
Paul Ernest, MD

Section III Transitioning to Presbyopia-Correcting IOLs: Quick Start Guides

Chapter 29 How Do I Get Started With the ReZoom?
George Beiko, BM, BCh, FRCS(C)

Chapter 30 How Do I Get Started With the ReSTOR?
Richard Tipperman, MD

Chapter 31 How Do I Get Started With the Tecnis Multifocal?
Julian D. Stevens, MRCP, FRCS, FRCOphth

Chapter 32 How Do I Get Started With the Crystalens?
D. Michael Colvard, MD, FACS

Section IV Presbyopia-Correcting IOLs Today 111

Chapter 33 AMO ReZoom Multifocal—Clinical Pearls
R. Bruce Wallace III, MD, FACS

Chapter 34 AMO ReZoom Multifocal—Clinical Pearls
Farrell Tyson, MD, FACS

Chapter 35 AMO ReZoom Multifocal—Clinical Pearls
Rosa Braga-Mele, MD, MEd, FRCSC

Chapter 36 Alcon ReSTOR Multifocal—Clinical Pearls
Robert J. Cionni, MD

Chapter 37 Alcon ReSTOR Multifocal—Clinical Pearls
David Allen, BSc, FRCS, FRCOphth

Chapter 38 Alcon ReSTOR Multifocal—Clinical Pearls
Samuel Masket, MD

Chapter 39 Aspheric ReSTOR—What Is Different?
Paul Ernest, MD

Chapter 40 Aspheric ReSTOR—What Is Different?
Robert P. Lehmann, MD, FACS

Chapter 41 ReSTOR Designs—Past, Present, Future
Satish Modi, MD, FRCS(C), CPI

Chapter 42 Diffractive Multifocal IOL—How Does It Work?
James A. Davison, MD, FACS

Chapter 43 AMO Tecnis Multifocal—Clinical Pearls
Pietro Giardini, MD and Nicola Hauranieh, MD

Chapter 44 AMO Tecnis Multifocal—Clinical Pearls
Frank Jozef Goes, MD

Chapter 45 AMO Tecnis Multifocal—Clinical Pearls
Y. Ralph Chu, MD

Chapter 46 Comparison of Diffractive Multifocal IOLs
Ulrich Mester, MD and Hakan Kaymak, MD

Chapter 47 Eyeonics Crystalens—Clinical Pearls
Jack A. Singer, MD

Chapter 48 Eyeonics Crystalens—Clinical Pearls
James P. Gills, MD and Pit Gills, MD

Chapter 49 Eyeonics Crystalens—Clinical Pearls
Robert Jay Weinstock, MD

Chapter 50 Crystalens 4.5 Versus 5.0—What Is Different?
James A. Davies, MD, FACS

Chapter 51 Crystalens HD—Early Results
John A. Hovanesian, MD; Y. Ralph Chu, MD; James A. Davies, MD, FACS; John F. Doane, MD; and
Roger V. Ohanesian, MD

Chapter 52 Crystalens—What Is the Mechanism?
Kevin L. Waltz, OD, MD

Chapter 53 Crystalens—What Is the Mechanism?
Stephen B. Wiles, MD
Section V Presbyopia-Correcting IOLs in the Future

Chapter 54 Overview of Accommodating IOLs
George Beiko, BM, BCh, FRCS(C)

Chapter 55 Overview of Accommodating IOLs
John A. Vukich, MD

Chapter 56 Visiogen Synchrony—Clinical Pearls
Ivan L. Ossma, MD, MPH and Andrea Galvis, MD
Pearls for Implanting the Visiogen Synchrony IOL
David F. Chang, MD

Chapter 57 Visiogen Synchrony—Clinical Pearls
George Beiko, BM, BCh, FRCS(C)

Chapter 58 Lenstec Tetraflex—Clinical Pearls
Paul Dougherty, MD

Chapter 59 Lenstec Tetraflex—Clinical Pearls
Conall F. Hurley, MB, BCh, BAO, FRCSI

Chapter 60 Shape-Changing IOLs: PowerVision
Louis D. “Skip” Nichamin, MD and John A. Scholl, MS

Chapter 61 Shape-Changing IOLs: NuLens
Jorge L. Alió, MD, PhD; Joshua Ben-Nun, MD; and Paul Kaufman, MD

Chapter 62 Calhoun Light Adjustable Lens—Presbyopia Correction
Arturo Chayet, MD; Federico Badala, MD; Christian Sandstedt, PhD; Shiao Chang, PhD; Paul Rhee, OD;
and Daniel M. Schwartz, MD

Chapter 63 Calhoun Light Adjustable Lens—Presbyopia Correction
Jose L. Güell, MD; Merce Morral, MD; Felicidad Manero, MD; Maite Sisquella, OPT; and
Daniel M. Schwartz, MD

Chapter 64 Acritec IOL
José F. Alfonso, MD, PhD

Chapter 65 Vision Membrane IOL
Lee T. Nordan, MD and David Castillejos, MD

Chapter 66 New Bioptics: Refractive IOLs Combined With Intracorneal Lenses
Kevin L. Waltz, OD, MD

Section VI Refractive IOLs—Quality of Vision

Chapter 67 Measuring Our IOL Outcomes
Pietro Giardini, MD and Nicola Hauranieh, MD

Chapter 68 Presbyopia-Correcting IOLs—Interpreting Clinical Data
Kerry D. Solomon, MD; Luis E. Fernández de Castro, MD; Helga P. Sandoval, MD, MSCR; and
David T. Vroman, MD

Chapter 69 Multifocal IOLs: Measuring Aberrations
W. Andrew Maxwell, MD, PhD and Jim Schwiegerling, PhD

Chapter 70 Multifocal IOLs: Comparing Aberrations
Lana J. Nagy, BS; Geunyoung Yoon, PhD; and Scott MacRae, MD

Chapter 71 Pseudoaccommodation and Spherical Aberration
Marc A. Michelson, MD

Chapter 72 Understanding Multifocal Haloes
Carlos Vergés, MD, PhD

Chapter 73 Understanding Multifocal Haloes
Kevin L. Waltz, OD, MD
Pearls for Managing Halos
Dwayne Logan, MD

Chapter 74 Aspheric IOLs—Matching Corneal and IOL Wavefront
George Beiko, BM, BCh, FRCS(C)

Chapter 75 Aspheric IOLs—Matching Corneal and IOL Wavefront
Mark Packer, MD, FACS; I. Howard Fine, MD; and Richard S. Hoffman, MD

Chapter 76 Aspheric IOLs—Matching Corneal and IOL Wavefront
Roberto Bellucci, MD

Chapter 77 Monovision With Aspheric IOLs
J. E. “Jay” McDonald II, MD and David J. Deitz, MPhil

Chapter 78 Neuroadaptation to Monovision
J. E. “Jay” McDonald II, MD and David J. Deitz, MPhil

Chapter 79 Neuroadaptation and Multifocal IOLs
Robert M. Kershner, MD, MS, FACS

Chapter 80 Neuroadaptation and Multifocal IOLs
Pablo Artal, MD

Chapter 81 Visual Function Training for Multifocal Patients
Hakan Kaymak MD and Ulrich Mester MD

Chapter 82 Adapting to My Own Multifocal Halos
Guy E. Knolle, MD, FACS

Chapter 83 How I see With the ReZoom
Tom M. Coffman, MD

Chapter 84 How I See With the ReSTOR
Daniel Vos, MD

Chapter 85 How I See With the ReSTOR
Jess C. Lester, MD, FACS

Chapter 86 How I See With the Crystalens
Harvey Zalaznick, MD

Chapter 87 How I See With the Crystalens
Brian D. Lueth, MD

Chapter 88 How I See With the Tecnis MF and Rezoom
R. Lee Harman, MD, FACS
How I See With Mixed Multifocals
Anonymous

Section VII Patient Selection and Education

Chapter 89 The Mindset of the Refractive IOL Patient
Kerry K. Assil, MD and William K. Christian, MD

Chapter 90 The Mindset of the Refractive IOL Patient
Alan Aker

Chapter 91 The Mindset of the Refractive IOL Surgeon
Alan Aker

Chapter 92 Screening and Counseling Refractive IOL Patients
Steven J. Dell, MD

Chapter 93 Screening and Counseling Refractive IOL Patients
David F. Chang, MD

Chapter 94 Screening and Counseling Refractive IOL Patients
Mark Packer, MD, FACS

Chapter 95 Screening and Counseling Refractive IOL Patients
Robert J. Cionni, MD

Chapter 96 Managing Patient Expectations
David F. Chang, MD

Chapter 97 Managing Patient Expectations
Jay S. Pepose, MD, PhD

Chapter 98 Managing Patient Expectations
Richard S. Hoffman, MD

Chapter 99 Managing Patient Expectations
Richard Tipperman, MD

Chapter 100 Managing Patient Expectations
Frank A. Bucci, Jr, MD

Chapter 101 Managing Patient Expectations
Kenneth J. Rosenthal, MD, FACS

Chapter 102 The Role of the Refractive IOL Counselor
James D. Dawes, MHA, CMPE, COE

Chapter 103 Who Is a Premium IOL Candidate?
Alan Shiller

Chapter 104 Refractive Candidates—Who Is good? Who Is Not?
Stephen G. Slade, MD, FACS

Chapter 105 Refractive Candidates—Who Is good? Who Is Not?
Weldon W. Haw, MD and Edward E. Manche, MD

Chapter 106 Refining My Indications for Multifocal IOLs
James A. Davison, MD, FACS

Chapter 107 Refractive IOLs and Patient Office Flow
William D. Gaskins, MD, FACS

Chapter 108 Multifocal IOLs and Glaucoma—How Much Is Too Much?
Iqbal Ike K. Ahmed, MD, and Joshua Teichman, MD

Chapter 109 Multifocal IOLs and Glaucoma—How Much Is Too Much?
Parag D. Parekh, MD, MPA and Thomas W. Samuelson, MD

Chapter 110 Multifocal IOLs and Maculopathy—How Much Is Too Much?
Martin A. Mainster, PhD, MD, FRCOphth and Patricia L. Turner, MD

Chapter 111 What if Multifocal IOL Patients Develop ARMD?
Johnny L. Gayton, MD
What if Multifocal IOL Patients Develop ARMD?
Richard J. Mackool, MD

Chapter 112 Premium IOLs in Post-LASIK Eyes
Uday Devgan, MD, FACS

Chapter 113 Premium IOLs in Post-LASIK Eyes
Jeffrey D. Horn, MD

Chapter 114 Premium IOLs in Post-LASIK Eyes
Renée Solomon, MD and Eric Donnenfeld, MD

Chapter 115 Patient Education—Using the IOL Counselor
Robert D. Watson

Chapter 116 Patient Education—Using Eyemaginations
Michael Sopher

Chapter 117 Ethics of Refractive IOL Counseling
Charles M. Zacks, MD

Chapter 118 Ethics of Refractive IOL Counseling
David F. Chang, MD

Chapter 119 Ethics of Refractive IOL Counseling
Lisa Brothers Arbisser, MD

Chapter 120 Risk Management and Informed Consent
Richard L. Abbott, MD

Chapter 121 Risk Management and Informed Consent
James J. Salz, MD

Section VIII Presbyopia-Correcting IOL Selection

Chapter 122 Why Offer Multiple Premium IOLs?
David F. Chang, MD

Chapter 123 Why Offer Multiple Premium IOLs?
Joel K. Shugar, MD, MSEE

Chapter 124 Why Offer Multiple Premium IOLs?
Audrey Talley-Rostov, MD

Chapter 125 Why Offer Multiple Premium IOLs?
Sheri L. Rowen, MD, FACS

Chapter 126 Monovision With Monofocal IOLs
William F. Maloney, MD
Chapter 127 Monovision With Monofocal IOLs
Graham D. Barrett, MBBCh, FRANZCO, FRACS

Chapter 128 Multifocal IOL in One Eye?
Frank A. Bucci, Jr, MD
IOL Selection: Can I Implant a Multifocal IOL in Just One Eye? Richard J. Mackool, MD

Chapter 129 Mixing IOLs—What Are the Options?
Elizabeth A. Davis, MD, FACS and Richard L. Lindstrom, MD

Chapter 130 Bilateral Multifocals—Mixing Versus Matching
Con Moshegov, MD, FRANZCO, FRACS

Chapter 131 Which IOL Combination? Clinical Results
Jay S. Pepose, MD, PhD

Chapter 132 Mixing IOLs—How Do I Get Started?
John F. Doane, MD, and Randolph T. Jackson, MD

Chapter 133 Mixing Multifocal IOLs—Clinical Results
Frank A. Bucci, Jr, MD

Chapter 134 Mixing Tecnis and ReZoom Multifocal IOLs
Michael C. Knorz, MD

Chapter 135 Mixing Multifocal IOLs—Staged Implantation
Kerry K. Assil, MD and William K. Christian, MD

Chapter 136 Pearls for Mixing Multifocal IOLs
Angel López Castro, MD

Chapter 137 Pearls for Mixing Multifocal IOLs
Matteo Piovella, MD

Chapter 138 Mixing Accommodating and Multifocal IOLs
J. Trevor Woodhams, MD

Chapter 139 Mixing or Matching IOLs—Why I Do Not Mix
Richard Tipperman, MD

Chapter 140 Mixing Versus Matching—Who Is More Satisfied?
Paul Mann, MD

Chapter 141 Matching Versus Mixing IOLs—Clinical Comparison
Richard J. Mackool, MD and Richard J. Mackool Jr, MD

Chapter 142 Refractive IOL Selection –European Perspective
H. Burkhard Dick, MD

Chapter 143 Refractive IOL Selection –South American Perspective
Leonardo Akaishi, MD

Chapter 144 Refractive IOL –Asian Perspective
Jerry Tan Tiang Hin, MBBS, FRCS, FRCOphth

Chapter 145 Case Studies—What Would You Do? How Would You Counsel These Patients Seeking
Maximum Spectacle Independence
David F. Chang, MD; Steven J. Dell, MD; Warren E. Hill, MD, FACS; Richard L. Lindstrom, MD;
and Kevin Waltz, MD
Section IX Preoperative Ocular Assessment

Chapter 146 Hitting Emmetropia
Warren E. Hill, MD, FACS

Chapter 147 Biometry Pearls
Steven J. Dell, MD

Chapter 148 Measuring Axial Length
Warren E. Hill, MD, FACS and Thomas C. Prager, PhD, MPH

Chapter 149 Intraocular Lens Power Calculations for Multifocal Lenses
Jack T. Holladay, MD, MSEE, FACS

Chapter 150 Refining Your A-constant 543
Guy M. Kezirian, MD, FACS

Chapter 151 IOL Calculation After Prior Refractive Surgery
Kenneth J. Hoffer, MD, FACS

Chapter 152 Pupil Assessment for Refractive IOLs
Mujtaba A. Qazi, MD and Jay S. Pepose, MD, PhD

Chapter 153 Corneal Topography—Is It Necessary?
Matthew C. Caldwell, MD and Natalie A. Afshari, MD

Chapter 154 Corneal Topography and Refractive IOLs—What to Look For
Ming Wang, MD, PhD, and Tracy Schroeder Swartz, OD, MS, FAAO

Chapter 155 Corneal Topography and Refractive IOLs—What to Look For
David R. Hardten, MD

Chapter 156 Corneal Topography and Refractive IOLs—Case Studies
William Trattler, MD and Carlos Buznego, MD

Chapter 157 Optimizing the Ocular Surface Preoperatively
Sherman W. Reeves, MD, MPH and Richard L. Lindstrom, MD

Chapter 158 Retina Assessment for Refractive IOL Patients—What Do I Do?
David F. Chang, MD; Jay S. Pepose, MD, PhD, and Olga Konykhov, MD; Warren E. Hill, MD, FACS;
and Kerry D. Solomon, MD; Luis E. Fernández de Castro, MD; and Helga P. Sandoval, MD, MSCR

Section X Managing Astigmatism

Chapter 159 Measuring Astigmatism
Noel Alpins, FRACO, FRCOphth, FACS, and George Stamatelatos, BSc Optom

Chapter 160 LRIs—How Do I Get Started?
Jonathan B. Rubenstein, MD, and Vanee Virash, MD

Chapter 161 LRIs and Refractive IOLs—My Way
Louis D. “Skip” Nichamin, MD

Chapter 162 LRIs and Refractive IOLs—my way
James P. Gills, MD, and Pit Gills, MD

Chapter 163 Peripheral Corneal Relaxing Incisions and Refractive IOLs—My Way
Kevin M. Miller, MD

Chapter 164 LRIs and Refractive IOLs—My Way
Eric Donnenfeld, MD, and Renée Solomon, MD

Chapter 165 CRIs and the Terry-Schanzlin Astigmatome
Allan M. Robbins, MD, FACS

Chapter 166 LRIs: An Alternative to Free-Hand Incisions
Randall J Olson, MD

Chapter 167 LRI Pearls
R. Bruce Wallace, III, MD; Jonathan B. Rubenstein, MD; and Steven J. Dell, MD

Chapter 168 Laser Enhancement for Astigmatism—Bioptics
Johnny L. Gayton, MD

Chapter 169 Toric IOLs—How Do I Get Started?
Jeffrey D. Horn, MD

Chapter 170 STAAR Toric IOLs
Stephen Bylsma, MD

Chapter 171 Toric IOLs—Staar Versus Acrysof
David F. Chang, MD

Chapter 172 Acrysof Toric IOL Technique
Edward Holland, MD

Chapter 173 When Do I Use LRIs Versus Toric IOLs?
David F. Chang, MD

Chapter 174 When Do I Use LRIs Versus Toric IOLs?
Richard A. Lewis, MD; Louis D. “Skip” Nichamin, MD; Edward Holland, MD; and Kerry D. Solomon, MD, and
Luis E. Fernández de Castro, MD

Chapter 175 Can I Combine Toric IOLs and LRIs?
Kevin M. Miller, MD

Section XI Premium Cataract Surgery

Chapter 176 Pearls for Improving Your Cataract Surgical Skills
David F. Chang, MD

Chapter 177 Pearls for Improving Your Cataract Surgical Skills
Uday Devgan, MD, FACS

Chapter 178 Pearls for Improving Your Cataract Surgical Skills
Brian Little, FRCS, FRCOphth, FHEA

Chapter 179 Pearls for Improving Your Cataract Surgical Skills
Rosa Braga-Mele, MD, MEd, FRCSC

Chapter 180 Pearls for Improving Your Cataract Surgical Skills
William J. Fishkind, MD, FACS

Chapter 181 Pearls for Improving Your Cataract Surgical Skills
Lisa Brothers Arbisser, MD

Chapter 182 Sizing the Capsulorrhexis
David F. Chang, MD; Steven Dewey, MD; Richard Tipperman, MD; and Barry S. Seibel, MD

Chapter 183 Improving the Corneal Incision Seal
Michael Y. Wong, MD

Chapter 184 Diffractive Multifocal IOL Centration
Paolo Vinciguerra, MD, and Fabrizio I. Camesasca, MD

Chapter 185 Why Use topical NSAIDs?
John R. Wittpenn, MD

Chapter 186 Maintaining Patient Satisfaction Postoperatively
Richard Tipperman, MD
Premium IOL Surgery Pearls for Postoperative Management
Kevin L. Waltz, OD, MD

Chapter 187 Maintaining Patient Satisfaction Postoperatively
Uday Devgan, MD, FACS

Chapter 188 Creating a Premium Refractive Patient Environment
James D. Dawes, MHA, CMPE, COE

Chapter 189 The Premium Patient Experience
Darrell E. White, MD

Section XII Refractive Lens Exchange

Chapter 190 The PRELEX Story
R. Bruce Wallace, III, MD, FACS

Chapter 191 Patient and Surgeon Mindset—What Is Different?
Avery Alexander, MD

Chapter 192 Presbyopic Refractive Patients—LVC or IOL?
Y. Ralph Chu, MD and Dan Davis, OD

Chapter 193 Presbyopic Refractive Patients—LVC or IOL?
Sheraz M. Daya, MD, FACP, FACS, FRCS(Ed), FRCOphth

Chapter 194 RLE With Multifocal IOLs—Bioptics Approach
José F. Alfonso, MD, PhD

Chapter 195 RLE—Lens Removal: What Is Different?
I. Howard Fine, MD; Richard S. Hoffman, MD; and Mark Packer, MD, FACS

Chapter 196 RLE—Lens Removal: What Is Different?
Steven Dewey, MD

Chapter 197 RLE—Lens Removal: What Is Different?
Barry S. Seibel, MD

Chapter 198 Optimizing the Cornea and the IOL With RLE
Michael B. Brenner, MD, FICS

Chapter 199 Retinal Detachment Risk in Myopes
Barry S. Seibel, MD

Chapter 200 Retinal Detachment Risk in Myopes
Jorge L. Alió, MD, PhD and Mohamed H. Shabayek, MD, PhD

Chapter 201 Retinal Detachment Risk in Myopes
Kerry D. Solomon, MD, and Luis E. Fernández de Castro, MD
Retinal Detachment Risk in Myopes
James P. Gills, MD and Pit Gills, MD

Chapter 202 Retinal Detachment Risk With Refractive Surgery
Yachna Ahuja, MD and Suber S. Huang, MD, MBA

Section XIII Enhancements

Chapter 203 Approaching Astigmatism in Presbyopia IOL Patients
Jason E. Stahl, MD

Chapter 204 Approaching Astigmatism in Presbyopia IOL Patients
Rick Milne, MD

Chapter 205 Tolerance of Residual Refractive Error After ReSTOR
Luis Fernández-Vega, MD, PhD; José F. Alfonso, MD, PhD; Robert Montés-Micó, PhD; and Hussein Amhaz, MD, PhD

Chapter 206 Should I Learn PRK/LASIK or Refer These Out?
Helen Wu, MD

Chapter 207 Should I Learn PRK/LASIK or Refer These Out?
Leonard Yuen, MD, MRCOphth, MPH, and Brian S. Boxer Wachler, MD

Chapter 208 Teaming Up With a LVC Surgeon
Michael T. Furlong, MD

Chapter 209 Differentiating Enhancements From Complications
Kevin L. Waltz, OD, MD

Chapter 210 Indications and Timing for Laser Enhancement
Michael Lawless, MD

Chapter 211 Laser Enhancement—What Cataract Surgeons Should Know
Elizabeth A. Davis, MD, FACS, and David R. Hardten, MD, FACS

Chapter 212 Laser enhancement– what cataract surgeons should know
Jose. L. Güell; MD, Javier A. Gaytan Melicoff; Natalia Pelaez; MD, Merce Morral; MD, and Felicidad Manero, MD

Chapter 213 Post-Multifocal IOL Wavefront: Are the Readings Reliable?
Charles Campbell

Chapter 214 Mini-RK: Indications and Technique
Richard L. Lindstrom, MD

Chapter 215 Mini-RK: Indications and Technique
Frank A. Bucci, Jr., MD

Chapter 216 Refractive Enhancement With Piggybacking IOLs
Richard S. Hoffman, MD, I. Howard Fine, MD, and Mark Packer, MD, FACS

Chapter 217 Refractive Enhancement With Piggybacking IOLs
Warren E. Hill, MD, FACS

Section XIV Complications—Avoidance and Management

Chapter 218 Troubleshooting Symptoms After Refractive IOL Implantation
Roger Steinert, MD

Chapter 219 Troubleshooting Symptoms After Refractive IOL Implantation
David R. Hardten, MD

Chapter 220 Managing the Unhappy Presbyopia Correcting IOL Patient
D. Rex Hamilton, MD, MS, FACS

Chapter 221 Managing Complaints Following ReZoom IOL Implantation
Tom M. Coffman, MD

Chapter 222 Communicating With the Unhappy Refractive IOL Patient
John W. Potter, OD, FAAO

Chapter 223 Lessons Learned From a Consultation Practice
Alan S. Crandall, MD

Chapter 224 Lessons Learned From a Consultation Practice
Sonia H. Yoo, MD; George D. Kymionis, MD, PhD; Yunhee Lee, MD; Terrence P. O’Brien, MD;
and William W. Culbertson MD

Chapter 225 Managing Crystalens Complications
Jeffrey Whitman, MD

Chapter 226 Yag Capsulotomy and Crystalens—Clinical Pearls
Jack A. Singer, MD

Chapter 227 Capsular Contraction After Crystalens
Harvey Carter, MD
Capsular Contraction After Multifocal IOLs
Richard Tipperman, MD

Chapter 228 Decentration of Multifocal IOLs—What Now?
Renée Solomon, MD and Eric Donnenfeld, MD; William Martin, MD; and Tom M. Coffman, MD

Chapter 229 Refractive IOL Exchange—Indications and Techniques
Michael E. Snyder, MD and Robert H. Osher, MD

Chapter 230 Refractive IOL Exchange—Indications and Techniques
Harry B. Grabow, MD
IOL Explantation
David F. Chang, MD

Chapter 231 Explanting the Crystalens—Technique
Jeffrey Whitman, MD

Chapter 232 Personal Experience With Endophthalmitis in RLE
Robert Morris, MRCP, FRCS, FRCOphth

Chapter 233 Capsular Tears, Weak Zonules—Can I Still Implant a Refractive IOL?
Uday Devgan, MD, FACS
Can I Put a Multifocal IOL in the Sulcus?
Richard J. Mackool MD
Can I Put a Multifocal IOL in the Sulcus?
Richard Mackool MD and Roger F. Steinert, MD

Chapter 234 Dry Eye After Refractive Surgery
Ahmad M. Fahmy, OD, FAAO and David R. Hardten, MD

Chapter 235 Do Multifocal Optics Compromise Retinal Treatments?
J. Michael Jumper, MD; Ron P. Gallemore, MD, PhD; and Robert A. Mittra, MD

Chapter 236 Do Multifocal Optics Compromise Retinal Treatments?
Abdhish R. Bhavsar, MD

Appendix A Dell Questionnaire
Appendix B Dell Questionnaire—Coulson Modification
Appendix C Dell Questionnaire—Chang Modification
Appendix D Preconsultation Handout
David F. Chang, MD
Appendix E Multifocal IOL FAQ Handout
David F. Chang, MD
Appendix F Crystalens FAQ Handout
David F. Chang, MD
Appendix G Patient Information Sheet for Advanced Elective Options With Cataract Surgery
Barry S. Seibel, MD
Appendix H OMIC Informed Consent for Refractive Lensectomy
Appendix I LRI Instrumentation

Financial Disclosures

Index

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