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Optimizing Suboptimal Results Following Cataract Surgery

Refractive and Non-Refractive Management


Format: Hardback
ISBN: 9781626238954
Publication Date: November 2018

A concise review and comprehensive guide to improving cataract surgery outcomes

Significant advances have been made in refractive surgery in the last decade. Eye surgeons today can leverage many cutting-edge intraocular lens (IOL) technologies such as multifocal, extended depth of field, toric, accommodating, and aspheric. Concurrent innovations including optics, phacoemulsification, superior keratometry and biometry, and posterior cornea evaluation have resulted in improved cataract surgery outcomes. Recent advances in the diagnosis and treatment of cataracts have dramatically improved patient satisfaction following cataract surgery, yet common and rare complications still occur such as dry eye, endophthalmitis, and retinal detachment. Furthermore, only 80% of cataract surgery procedures bring patients to within 0.5 diopters of their needed refraction.

Optimizing Suboptimal Results Following Cataract Surgery: Refractive and Non-Refractive Management presents the latest techniques for achieving optimal results and overcoming complications in cataract surgery. Internationally renowned ophthalmic surgery pioneers Priya Narang and William Trattler have created an unparalleled guide to overcoming complex cases and residual refractive errors. The book starts with six chapters on suboptimal causes and considerations, followed by dedicated sections covering refractive and non-refractive enhancements. The fourth section features chapters on keratoconus, cystoid macular edema, endophthalmitis, toxic anterior segment syndrome, and vitritis, as well as intraoperative aberrometry, futuristic approaches and advancements, and telescopic IOLs.

Key Highlights

  • Refractive enhancement procedures including corneal-based procedures such as astigmatic keratotomy, LASIK, PRK, and SMILE; IOL exchange; piggyback IOL; toric IOL; and premium IOLs and associated problems
  • Nonrefractive enhancement procedures including dysphotopsias and surgical management, bullous keratopathy and endothelial keratoplasty, complex IOL issues such as malpositioned IOL and capsular bag, and posterior capsular rupture and IOL lens implantation
  • Practical tips and steps to prevent and manage undesired outcomes
  • 30 surgical videos posted online highlight a diverse array of complex cases and technical advances to help prevent suboptimal results

Ophthalmologists, ophthalmology residents, fellows, and subspecialists will greatly benefit from the significant pearls and knowledge presented in this indispensable cataract surgery resource.

This book includes complimentary access to a digital copy on

Part I Introduction

1 Overview of the Causes of Suboptimal Outcomes Following Cataract Surgery: Role of Preoperative Screening and Adequate Counseling

2 Tear Film and Corneal Disorders

3 Postrefractive Intraocular Lens Power Calculation: Choosing the Right Nomogram

4 Residual Refractive Error

5 Posterior Corneal Astigmatism: Basics and Clinical Implications

6 Considerations in Cataract Surgery Following Postrefractive Error Correction

Part II Refractive Enhancement Procedures

7 Corneal-Based Procedures: Astigmatic Keratotomy, LASIK, PRK, and SMILE

8 Intraocular Lens Exchange

9 Piggyback Intraocular Lens

10 Toric Intraocular Lens

11 Premium Intraocular Lenses and Associated Problems

Part III Nonrefractive Enhancement Procedures

12 Dysphotopsias and Surgical Management

13 Bullous Keratopathy and Endothelial Keratoplasty

14 Malpositioned Intraocular Lens and Capsular Bag: Intraocular Lens Complex Issues

15 Posterior Capsular Rupture and Intraocular Lens Implantation

Part IV Miscellaneous

16 Miloop: Micro-Interventional, Phaco-Free, Lens Fragmentation

17 Keratoconus and Cataract Surgery

18 Bilensectomy (Phakic IOL Explantation with Coincidental Cataract Surgery and IOL Implantation)

19 Cystoid Macular Edema and Management

20 Endophthalmitis, Toxic Anterior Segment Syndrome, and Vitritis

21 Intraoperative Aberrometry

22 Futuristic Approach and Advancements

23 Telescopic Intraocular Lenses

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