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Cataract Surgery from Routine to Complex : A Practical Guide,9781556429477
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Cataract Surgery from Routine to Complex : A Practical Guide

by ; ; ; ; ;
Edition:
1st
ISBN13:

9781556429477

ISBN10:
1556429479
Format:
Hardcover
Pub. Date:
6/15/2011
Publisher(s):
Slack Incorporated
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This is the 1st edition with a publication date of 6/15/2011.
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Summary

Cataract Surgery from Routine to Complex: A Practical Guideprovides eye care professionals guidance onwhat to doandhow to avoidpotential complications in all aspects of cataract surgery, just as if the worldrs"s experts were by your side. Drs. Randy Olson, George Jin, Ike Ahmed, Alan Crandall, Robert Cionni, Jason Jones, along with other contributors concisely provide a wealth of information, including a detailed list of key issues and considerations for virtually all the possible contingencies of the procedure. Some Topics and Sections Include: Examination Pupil size, ocular dominance, biometry, and more IOL Choice Monofocal: aspheric vs. traditional; presbyopia-correcting: mutifocal vs. accommodating; toric, and more Routine Cataract Surgery Microincision cataract surgery, OVD selection, current phacoemulsification techniques, and more Complex Cataract Surgery Hypermature cataract, small pupil, pseudoexfoliation, nanophthalmos, pediatric cataract, and more Intra-Operative Complications Wound burn, posterior capsular rupture, shallow anterior chamber, and more Patient Assessment Visual acuity, refraction, visual quality, and more Postoperative Complications Endophthalmitis, toxic anterior segment syndrome, IOL dislocation, and more Cataract Surgery from Routine to Complexalso includes a companion website that provides more than 2 hours of learning with 38 edited and narrated video presentations, perfectly complementing the procedures discussed inside the text. Cataract Surgery from Routine to Complexis the combination of a practical guide with broad academic underpinnings along with current controversial subjects on cataract surgery, making it ideal for eye care professionals who wish to update their knowledge and translate it into improved surgical techniques and better cataract patient education.

Author Biography

Randall J. Olson, MD completed his undergraduate training and medical schooling at the University of Utah in Salt Lake City (BA 1970, MD 1973), his residency at UCLA in 1977 in ophthalmology, and fellowships in cornea at the University of Florida in Gainesville and at the LSU Eye Center in New Orleans, where he joined the faculty in 1977 as Director of Corneal Services. Dr. Olson started as division chief in June 1979 at the University of Utah and has been Chair of the Department of Ophthalmology and Visual Sciences ever since, including the building of 2 eye centers and expansion from one to almost 50 faculty members. He has authored more than 300 professional publications and is a worldwide lecturer. Dr. Olson specializes in research dealing with intraocular lens complications and anterior segment surgery of the eye. He was selected as one of the 15 top experts in the field of cataract surgery in the United States in a peer survey conducted by Ophthalmology Times, has appeared in the last 4 editions of Best Doctors in America, and has been in the last 2 Cataract and Refractive Surgery Today editions honoring the top 50 professional opinion leaders in the field of cataract and refractive surgery.           

George J. C. Jin, MD, PhD 
is the director of clinical research at Jones Eye Clinic, Sioux City, Iowa. He is an adjunct professor of ophthalmology at the Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah, Salt Lake City, Utah. Dr. Jin earned his medical degree in China at Beijing University Medical School and completed his residency and PhD training at Peking Union Medical College and the Eye Research Center at the Chinese Academy of Medical Sciences. As an associate professor at the Chinese Academy of Medical Sciences, Dr. Jin was the first in China to perform combined surgery of extracapsular cataract extraction with IOL implantation and trabeculectomy. He was also the first surgeon to introduce glaucoma laser surgery to China.        

After the completion of 2 postdoctorate fellowship programs at the Department of Ophthalmology at West Virginia University and Bascom Palmer Eye Institute of Miami University, he joined the Eye Institute of Utah in 1990. Dr. Jin has published over 70 peer-reviewed papers in major ophthalmic journals. He is a reviewer for numerous ophthalmic journals and has authored chapters in several ophthalmic textbooks. His research interests concentrate on refractive, cataract, and glaucoma surgeries.          

Iqbal Ike K. Ahmed, MD, FRCSC 
is an assistant professor at the University of Toronto, where he also serves as the research fellowship director in the Department of Ophthalmology and as Director of the Glaucoma and Advanced Anterior Surgical Fellowship. He is also a clinical assistant professor at the University of Utah. Surgical management of glaucoma, the complex cataract, and management of cataract and intraocular lens complications are his areas of subspecialty expertise.         

Dr. Ahmed is actively involved in research and medical education at a national and international level. He has received many research grants and has designed diamond scalpels for glaucoma surgery; microsurgical instrumentation; and devices, implants, and techniques for the management of the dislocated cataract and glaucoma.          

Dr. Ahmed has published numerous peer-reviewed articles and book chapters and has won many awards and honors for papers, posters, and videos. He has given more than 500 scientific presentations and lectures around the world. He has served as course director for numerous surgical courses and directed the Third International Congress on Glaucoma Surgery in Toronto in 2006. Dr. Ahmed sits on the editorial boards of Ophthalmology, the Journal of Cataract and Refractive Surgery, and Techniques in Ophthalmology, among others, and he is a reviewer for numerous journals as well.           

Alan S. Crandall, MD 
graduated from the University of Utah, receiving his medical degree from the University of Utah School of Medicine. He completed his internship in surgery at the University of Pennsylvania Medical Center in Philadelphia as well as his residency and fellowship in ophthalmology at the Scheie Eye Institute, University of Pennsylvania. He joined the University of Utah Ophthalmology Department in 1981. Dr. Crandall is Professor and Senior Vice Chair of Ophthalmology and Visual Sciences, Director of Glaucoma and Cataract at the Moran Eye Center, University of Utah, in Salt Lake City, Utah.          

Dr. Crandall is a diplomat of the National Board of Medical Examiners as well as a member of the American Board of Ophthalmology. In addition, he is a member of the American Society of Cataract and Refractive Surgery, American Glaucoma Society, the European Society of Cataract and Refractive Surgeons, and the International Intra-Ocular Implant Club.          

Robert J. Cionni, MD 
is a board-certified ophthalmologist who specializes in cataract, lens implant, LASIK, and refractive surgeries, performing nearly 2000 surgeries each year. He has established himself as a leader in his specialty by pioneering some of the most advanced cataract and implant techniques. He is actively involved in clinical research, bringing the latest technologies to his patients, sometimes well before these technologies are available to other surgeons.          

He has authored numerous articles and textbook chapters about specialized cataract techniques and technologies and the management of complications. Dr. Cionni has designed special implants and surgical techniques to improve the surgical outcomes in patients with traumatic cataract and congenital lens subluxation, as found in many patients with Marfan syndrome. In addition, he teaches surgeons nationally and internationally about the use of these devices. Patients with these types of problems are referred to him from all over the world.       

Jason J. Jones, MD 
is President and Medical Director of Jones Eye Clinic in Sioux City, Iowa and Sioux Falls, South Dakota. He graduated magna cum laude from Harvard College and received his MD from New York University School of Medicine. He completed his residency training at the John A. Moran Eye Center, University of Utah, in 2003.        

Dr. Jones specializes in advanced techniques of phacoemulsification, anterior segment reconstruction, implantation of the latest design IOLs, as well as other anterior segment surgeries. He has authored numerous peer-reviewed publications and his active interests in clinical research are development of new intraocular lens technology and management of complex anterior segment surgery.   

Contributing Author:
 Robert O. Hoffman, MD, Professor, Ophthalmology and Visual Sciences Director, Pediatric Ophthalmology, John Moran Eye Center, University of Utah, Salt Lake City, Utah

Table of Contents

 

Dedication
Acknowledgments
About the Authors
Contributing Author
Preface
Section I    Preoperative
Chapter 1           Patient Counseling
                             Randall J. Olson, MD
                                     Patient Education
                                     Patient Selection
                                     Expectations
Chapter 2           Preoperative Examination
                             George J. C. Jin, MD, PhD
                                     Pupil Size
                                     Ocular Dominance
                                     Biometry
                                     Keratometry
                                     Corneal Topography
                                     Optical Coherence Tomography
                                     Preoperative Special Testing
Chapter 3           Cataract Assessment and Grading
                             Randall J. Olson, MD and George J. C. Jin, MD, PhD
                                     Cataract Assessment
                                     Cataract Grading
Chapter 4           Evaluation and Treatment of Lid Margin and Ocular Surface Diseases
                             Randall J. Olson, MD and George J. C. Jin, MD, PhD
                                     Dry Eye Syndrome
                                     Blepharitis and Meibomian Gland Dysfunction
                                     Anterior Basement Membrane Dystrophy
Chapter 5           Intraocular Lens Choice
                             Robert J. Cionni, MD and George J. C. Jin, MD, PhD
                                     Monofocal: Aspheric Versus Spherical Intraocular Lenses
                                     Presbyopia-Correcting Intraocular Lenses: Multifocal and Accommodating
                                     Toric Intraocular Lenses
                                     Monovision
                                     Refractive Intraocular Lens Selection
Chapter 6           Intraocular Lens Power Calculation in Primary Cataract Surgery
                             George J. C. Jin, MD, PhD and Jason J. Jones, MD
                                     Intraocular Lens Power Calculation Formulas
                                     Personalized Constants
                                     Intraocular Lens Power for In-the-Bag and In-the-Ciliary Sulcus Placement
                                     Intraocular Lens Adjustment From the First Eye Outcome
                                     Intraocular Lens Power Calculation in Extreme Short and Long Eyes
Chapter 7           Intraocular Lens Power Calculation After Corneal Refractive Surgery
                             George J. C. Jin, MD, PhD and Jason J. Jones, MD
                                     Problems of Intraocular Lens Power Determination
                                     Calculation After Myopic Laser Vision Correction
                                     Methods of Calculation After Hyperopic Laser Vision Correction
                                     Methods of Calculation After Radial Keratotomy
                                     Selection of Intraocular Lens Calculation Methods
Chapter 8           Intraocular Lens Power Calculation in Special Occasions
                             George J. C. Jin, MD, PhD and Jason J. Jones, MD
                                     Piggyback Intraocular Lens Power
                                     Intraocular Lens Power for IOL Exchange
                                     Intraocular Lens Power in Eyes After Previous Vitrectomy
                                     Intraocular Lens Power in Combined Silicone Oil Removal and Cataract Surgery
                                     Intraocular Lens Power in Eyes Undergoing Phacovitrectomy
                                     Intraocular Lens Power in Eyes After Glaucoma Filtration Surgery
                                     Intraocular Lens Power in Pediatric Cataract Surgery
Section II   Intraoperative
Chapter 9           Intraoperative Routine Issues
                                     Anesthesia
                                     Alan S. Crandall, MD
                                     Microincisional Cataract Surgery
                                     George J. C. Jin, MD, PhD and Randall J. Olson, MD
                                     Viscosurgical Device Selection
                                     Randall J. Olson, MD and George J. C. Jin, MD, PhD
                                     Capsulorrhexis
                                     Jason J. Jones, MD
                                     Hydromaneuvers
                                     Jason J. Jones, MD
                                     Current Phacoemulsification Techniques
                                     Jason J. Jones, MD
Chapter 10         Managing Pre-Existing Astigmatism
                             Randall J. Olson, MD and George J. C. Jin, MD, PhD
                                     Incisional Effect
                                     Limbal Relaxing Incisions
                                     Toric Intraocular Lenses
Chapter 11         Cataract Surgery in Special Cases
                                     Hypermature Cataract
                                     Iqbal Ike K. Ahmed, MD, FRCSC and Randall J. Olson, MD
                                     Small Pupil
                                     Robert J. Cionni, MD
                                     Zonular Compromise
                                     Robert J. Cionni, MD
                                     Pseudoexfoliation
                                     Jason J. Jones, MD and Alan S. Crandall, MD
                                     Posterior Polar Cataract
                                     Jason J. Jones, MD and George J. C. Jin, MD, PhD
                                     Pediatric Cataract
                                     Robert O. Hoffman, MD and Alan S. Crandall, MD
                                     Uveitic Cataract
                                     Randall J. Olson, MD
                                     Combined Cataract and Glaucoma Surgery
                                     Alan S. Crandall, MD and Randall J. Olson, MD
                                     Cataract in High Myopia
                                     Iqbal Ike K. Ahmed, MD, FRCSC; Jason J. Jones, MD; and George J. C. Jin, MD, PhD
                                     Nanophthalmos
                                     Jason J. Jones, MD and George J. C. Jin, MD, PhD
                                     Cataract Surgery After Posterior Vitrectomy
                                     Robert J. Cionni, MD
                                     Diabetes Mellitus
                                     Randall J. Olson, MD
                                     Cataract Surgery in the Face of Marginal Corneal Endothelium
                                     Randall J. Olson, MD
Chapter 12         Intraoperative Complications
                                     Wound Burn
                                     Randall J. Olson, MD
                                     Posterior Capsular Rupture
                                     Jason J. Jones, MD and George J. C. Jin, MD, PhD
                                     Shallow Anterior Chamber
                                     George J. C. Jin, MD, PhD; Randall J. Olson, MD; and Jason J. Jones, MD
Section III Postoperative
Chapter 13         Pharmaceutical Interventions
                             George J. C. Jin, MD, PhD and Randall J. Olson, MD
                                     Nonsteroidal Anti-Inflammatory Drugs
                                     Fourth-Generation Fluoroquinolones
                                     New Corticosteroids
Chapter 14         Postoperative Patient Assessment
                             George J. C. Jin, MD, PhD and Jason J. Jones, MD
                                     Visual Acuity
                                     Refraction
                                     Visual Quality
                                     Unhappy Patients
Chapter 15         Postoperative Complications
                                     Endophthalmitis
                                     George J. C. Jin, MD, PhD
                                     Toxic Anterior Segment Syndrome
                                     Randall J. Olson, MD
                                     Cystoid Macular Edema
                                     George J. C. Jin, MD, PhD
                                     Posterior Capsular Opacification and YAG Capsulotomy
                                     Randall J. Olson, MD
                                     Intraocular Lens Tilt and Decentration
                                     Jason J. Jones, MD and Iqbal Ike K. Ahmed, MD, FRCSC
                                     Intraocular Lens Dislocation
                                     Alan S. Crandall, MD and George J. C. Jin, MD, PhD
                                     Retained Lens Fragments
                                     Iqbal Ike K. Ahmed, MD, FRCSC and George J. C. Jin, MD, PhD
                                     Anterior Capsular Contraction Syndrome
                                     Jason J. Jones, MD
                                     Capsular Block Syndrome
                                     Jason J. Jones, MD
                                     Retinal Detachment
                                     Randall J. Olson, MD
                                     Intraocular Lens Opacification
                                     George J. C. Jin, MD, PhD
                                     Uveitis, Glaucoma, Hyphema Syndrome
                                     Randall J. Olson, MD
Chapter 16         Postoperative Enhancement
                                     Corneal-Based Procedures
                                     George J. C. Jin, MD, PhD and Randall J. Olson, MD
                                     Lens-Based Procedures
                                     Jason J. Jones, MD; George J. C. Jin, MD, PhD; and Alan S. Crandall, MD
Chapter 17         Cataract Surgery After Previous Refractive Surgery
                                     Cataract Surgery After Laser-Assisted in Situ Keratomileusis
                                     George J. C. Jin, MD, PhD and Alan S. Crandall, MD
                                     Cataract Surgery After Surface Ablation
                                     Randall J. Olson, MD and George J. C. Jin, MD, PhD
                                     Cataract Surgery After Radial Keratotomy
                                     George J. C. Jin, MD, PhD and Randall J. Olson, MD
Chapter 18         Future of Cataract Surgery
                             Randall J. Olson, MD
Financial Disclosures
Index


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