Refractive surgery is eye surgery to improve the refractive state of the eye and reduce or eliminate the need for glasses or contact lenses. The most common type of refractive surgery uses lasers to reshape the curvature of the cornea. This book is a comprehensive guide to refractive surgery. Presented in five steps, it begins with discussion on corneal imaging and its clinical application. The second step examines key refractive procedures and step three offers advice on rules and guidelines for refractive surgery. Step four is a guide to actually starting the procedure and avoidable complications. The final section describes a clinical case study. Enhanced by nearly 500 high quality images, diagrams and tables, each chapter includes key points and clinical tips to assist understanding. Key points Comprehensive guide to refractive surgery Presented in step by step format Key points and clinical tips in each chapter Includes nearly 500 images, diagrams and tables

The third edition of this bestselling book has been fully revised to present ophthalmologists with the latest advances in the interpretation of corneal topography using the Pentacam.

This book addresses customized laser vision correction, an integral management option for the treatment of irregular corneas. This type of treatment reshapes the corneal surface in order to improve both the quality and the quantity of vision by reducing high order aberrations. Beginning with an introduction to the basics of this science, each type of customized laser vision correction is discussed in a clear and didactic format for rapid attainment of information. Throughout this practical clinical guide, examples are supported with the most recent scientific material and a step-by-step systematic methodology is included to fit all levels of ophthalmologists.

Permanent surgical treatment for presbyopia remains the hereto unconquered “last frontier” in anterior segment surgery. Over the years, continuing innovations like Phaco, Radial Keratotomy, LASIK, and premium intraocular lenses have pushed toward this ultimate goal, but now anterior segment surgery is closer than ever with the advent of modern laser-assisted presbyopic lens implantation. Let Refractive Lens Exchange: A Surgical Treatment for Presbyopia, the first book of its kind, be your guide to this fifth wave of innovation in the surgical treatment of presbyopia. Dr. Ming X. Wang, MD, PhD, joined by Associate Editor Dr. Tracy S. Swartz, OD, MS, FAAO and more than 30 expert contributors, compiled this remarkable book. Never before has there been a book dedicated to all aspects of refractive lens exchange as a permanent treatment for presbyopia, both medically and surgically. Highlights of Refractive Lens Exchange include: Overview of all surgical treatments for presbyopia Dysfunctional lens syndrome and pathophysiology Patient education and preoperative assessment Marketing refractive lens exchange as a surgical treatment for presbyopia New technologies in assessing dysfunctional lens syndrome New technologies in mapping cornea and lens for refractive lens exchange Retinal issues related to refractive lens exchange Presbyopic lens types, indications, and contraindications for refractive lens exchange Lens- and cornea-based astigmatism correction Intraocular calculations for post refractive surgery eyes for refractive lens exchange Intraoperative wavefront technology 3D high-definition microsurgical visualization and positioning technology Femtosecond laser application in refractive lens exchange Postoperative care and complication management YAG capsulotomy after refractive lens exchange: indications and alternatives Postoperative care and complication management Keratorefractive enhancement Designed for newcomers as well as seasoned eyecare professionals, Refractive Lens Exchange: A Surgical Treatment for Presbyopia is the first book to guide ophthalmic surgeons, optometrists, and technicians through this exciting new field that is emerging as a safe and effective primary surgical treatment for presbyopia.

Preface From Friday morning, February 21, 1997, through Sunday, February 23, at noon, members and guests of the New Orleans Academy of Ophthalmology heard presentations and discussions of the latest techniques and trends in the study of corneal diseases and surgery, including refractive surgery. This was the subject of the. Forty- Sixth Annual Symposium of the Academy. The speakers comprised a group of eight clinician-surgeons with a wealth of experience and a well-respected talent for innovation in their areas of expertise. From trends in bacterial keratitis to ocular surface disease and healing to the latest opinions on anterior segment reconstruction and refractive surgery, the topics covered were diverse and timely. Especially interesting were the discussions generated by the panelists' presentations and by the question and answer sessions. The demands placed on the speakers at the Annual Meeting of the New Orleans Academy of Ophthalmology are large and multiple, and probably greater than for most other educational conferences. Each speaker commits to preparing several lectures and usually a panel discussion for presentation, and all speakers are asked to participate in the panel discussions and question and answer periods. The topics are chosen by the program committee, and we sometimes ask speakers to present a subject that is not in their area of research or primary interest. This usually means researching and preparing a completely new lecture. And last, but not least, all speakers commit to preparing chapters and completing panel discussions for this book. And these duties are added to already busy practice and speaking schedules; in fact, the speakers are selected because they have new ideas and useful things to say that everyone wishes to hear. Not all invited speakers are up to the task, but this year we were fortunate that all of our first choices accepted the challenge. Because of the rapidity of change in both refractive surgery and anterior segment treatment, we have attempted to provide the transactions as rapidly as possible. This urgency has again added more demands on the time and energy of the speakers. And this group of authors has responded admirably to our requests. Because of their efforts the reader can use this publication as an update and as a gauge to his/her present practice guidelines. I wish to thank all eight speaker/authors for their efforts on behalf of the New Orleans Academy of Ophthalmology and the readers of this publication. The information presented here was put on paper by the authors, but we readers are the ones who benefit. In addition, they have added to a forty-year tradition of publications by the New Orleans Academy of Ophthalmology. I hope that readers consider this book as timely and as useful as previous issues of the Transactions. I also wish to thank Monica L. Monica, MD, President of the NOAO, and the Executive Committee for supporting the program and this publication. As always, a considerable amount of time and effort came from Emily Busby, executive secretary of the NOAO, and my thanks go to her, as well. Lastly, Marguerite McDonald, MD, deserves much credit in the organization of the meeting and the program. Her knowledge and experience were truly indispensable. Daniel A. Long, MD

Refractive Surgery: An Interactive Case-Based Approach presents all of the necessary refractive surgery material to make an informed decision regarding diagnosis and management plans. Rather than utilizing the standard organization of most books, where major points are first introduced and then explained through a series of writings and references, this book relies on the clinical decision-making process involved with treating refractive surgery patients. Refractive Surgery: An Interactive Case-Based Approach by Dr. J. Bradley Randleman builds upon foundational initial chapters through the case presentations and focused case discussions, encompassing the major topics in refractive surgery today. For each case, the critical question is simply, “what data in this chart is the most critical to consider when evaluating this patient for surgery?” Refractive Surgery: An Interactive Case-Based Approach is unique in its format. Specifically, the book facilitates active learning by forcing the reader to think through a series of questions surrounding each patient scenario. This active learning not only facilitates better recall of the information presented but also mimics the actual physician-to-patient clinical experience, making this book more relevant than other routine refractive surgery books. Bonus! This dynamic learning tool is also supplemented by interactive online video material to further the learning experience. Enhance the clinical decision-making process by watching the videos and then answering a series of questions that lead to the conclusion of each scenario. By challenging the reader to perform the thinking and decision making up-front, and then providing some guidance on the most salient concepts for each case scenario presented along with resources to gain a deeper understanding of the most complex concepts, Refractive Surgery: An Interactive Case-Based Approach engages more in the learning process and thereby allowing to absorb and retain significantly more information to apply to patient care and the education of others. Ophthalmologists, residents, fellows, resident and fellowship educators, who want to update their refractive surgery knowledge base will appreciate the unique format and style of Refractive Surgery: An Interactive Case-Based Approach.