Cataract Surgery and Intraocular Lenses

Lucio Buratto, MD is a leading international expert in cataract and myopia surgery, and a pioneer in the ocular techniques of intraocular lens (IOL) implantation, in the phacoemulsification procedure for the cataract, in the laser techniques for myopia, astigmatism and hyperopia. In 1978, Dr. Buratto began using the Kelman phacoemulsification technique, and in 1979 he started using posterior chamber intraocular lenses. Since 1980, he has organized and presided over 48 updating congresses on the surgery of cataract and glaucoma and on laser therapy, organized 54 practical courses for the teaching of eye surgery, and taken part as spokesman and teacher in more than 400 courses and congresses.

In 1989, Dr. Buratto became the world’s first surgeon to use excimer laser intrastromal keratomileusis, and concurrently began to treat low myopia using PRK techniques. In 1995, he was appointed as Monitor of the United States Food and Drug Administration. In 1996, Dr. Buratto became the world’s first surgeon to use a new technique called Down-Up LASIK, which improved the LASIK procedure for the correction of myopia; he holds a United States patent for this technique.

For teaching purposes, Dr. Buratto has performed surgical operations during live surgery sessions for more than
200 international and Italian congresses, performed surgery during satellite broadcasts to 54 countries on 4 different continents, and designed and produced 143 instruments for ocular surgery. In 2004, he was a speaker at the Binkhorst Medal Lecture during the XXII Annual Meeting of the European Society of Cataract and Refractive Surgeons (ESCRS) in Paris, and was the first European surgeon to use the new intralase laser for refractive surgery. In 2011, Dr. Buratto was the first West European surgeon to use the femtosecond laser for cataract surgery.

Dr. Buratto has published over 125 scientific publications and 59 monographs (of which 24 are on cataract surgery, 5 are on glaucoma surgery, and 11 are on myopia). His recent works include, Phakic IOLs: State of the Art, LASIK: The Evolution of Refractive Surgery, and PRK: The Past, Present, and Future of Surface Ablation.

Stephen F. Brint, MD, FACS was the first physician in the United States to perform the LASIK procedure in June 1991, after working with Dr. Lucio Buratto in Milan to perfect the technique. He was the medical monitor of the first US FDA LASIK study and has been a lead investigator for both the Alcon Custom Cornea LASIK procedure as well as the Medical Monitor for all of the US FDA Wavelight Allegretto Wavefront Optimized and Custom Studies. He graduated from Tulane University School of Medicine, New Orleans, Louisiana and completed his residency there as well in 1977, continuing to serve as Associate Clinical Professor of Ophthalmology. In addition to his vast LASIK experience of more than 30,000 LASIK procedures, many with the Intralase All Laser LASIK technique, he is a renowned cataract/lens surgeon, having participated in the FDA clinical trials of the new IOLs, including ReSTOR and ReZOOM, and toric IOLs.

He is board certified by the American Board of Ophthalmology and a Fellow of the American College of Surgeons. He has been recognized as “The Best Doctor in New Orleans” by New Orleans Magazine for the past 10 years and has been selected by his peers for the 2000–2012 editions of The Best Doctors in America. Dr. Brint is a leading cataract surgeon and instructor and the author of the 3 definitive textbooks on LASIK and cataract surgery, including the most recent, Custom LASIK.

Dr. Brint performs surgery and lectures around the world, including Europe, Russia, China, Japan, Australia, Singapore, Africa, and South America.

Dr. Brint has a passion for education and research, and most recently he has been involved with the refinement of the intraoperative aberrometer for selecting IOL power and femtosecond laser-assisted cataract surgery.

Domenico Boccuzzi, MD, PhD is a clinician who specialized in ophthalmology in 2006. He was awarded a Research Doctorate in Molecular Imaging, with his thesis on the IROG method for recording nystagmus in patients affected by congenital nystagmus and subjected to surgery. He lives in Naples and works in the city’s Clinica Mediterranea. He is specialized in surgery of the anterior segment and has a particular interest in the development of new technologies for ophthalmology and the implantation of innovative IOLs. Since 2008, he has been a humanitarian volunteer at the Comboni Centre in Sogakope in Ghana.

Dedication 
Acknowledgments 
About the Authors 
Contributing Authors 
Foreword by Vittorio Picardo, MD 

Section I 
Chapter 1 The History of Intraocular Lenses 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 2 The Materials 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 3 Rigid Intraocular Lenses of the Past 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 4 Soft Intraocular Lenses of the Past 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 5 Currently Used Lenses 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 6 Monofocal Intraocular Lenses 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 7 Toric Intraocular Lenses 3
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 8 Multifocal Intraocular Lenses 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 9 Accommodative Intraocular Lenses 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 10 Mix and Match 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 11 Refractive Cataract Surgery 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 12 Intraocular Lens Exchange 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 13 Correction of Astigmatism 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 14 Vision Quality 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 15 Viscoelastic Substances 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 16 Instruments Used for Intraocular Lens Insertion 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 17 Injectors and Implantation of Foldable Intraocular Lenses 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 18 Implantation of an Intraocular Lens With Capsular Rupture
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 19 Tear or Damage of the Intraocular Lens 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 20 Irrigation/Aspiration Post Implantation 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 21 Closure of the Incision 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD
Chapter 22 Drugs and Fluids for Intraocular Use 
Lucio Buratto, MD; Stephen F. Brint, MD, FACS; and Domenico Boccuzzi, MD, PhD

Section II 
Chapter 23 Latest Generation Multifocal Intraocular Lenses and Emerging Accommodative Intraocular Lenses 
Jorge L. Ali?, MD, PhD, FEBO; Felipe Soria, MD; and Ghassan Zein, MD, PhD, FRCS (Ophth) UK
Chapter 24 Avoiding and Managing Patient Dissatisfaction After Intraocular Lens Implantation
After Cataract Surgery 
Johann A. Kruger, MMed Ophth, FCS (SA) Ophth, FRCS Ed Ophth

Financial Disclosures
Index