The LASIK Handbook: A Case-Based Approach

Unique in its focus on the patient rather than the technology, this handbook is a practical, accessible guide to LASIK surgery. Expert surgeons detail each step of patient evaluation, surgical planning, procedure, and management of complications, discuss the pros and cons of commonly used equipment, and demonstrate the nuances of technique. Emphasis throughout is on correct decision-making, preoperatively, intraoperatively, and postoperatively. The book features 75 actual cases with expert discussion of effective strategies for each case. Indexes help readers quickly locate cases by symptom/finding or by equipment used. Over 70 full-color clinical photographs and other illustrations complement the text. = Doody's Core Title Review: "Although the market is saturated with refractive surgery books, this one is unique in its writing style and simple yet comprehensive presentation, and it offers a quick and reliable resource for beginning and intermediate refractive surgeons on many common and sometimes stressful situations encountered in surgery. The book is well organized, written, illustrated, and referenced, and compares more than favorably with other books in the field." Stephen E Orlin, MD(University of Pennsylvania School of Medicine) =Table Of Contents INTRODUCTION BASIC LASIK (R. Feder and A. Cirino): Patient Evaluation: Psycho-Social Factors / Anatomical Factors / Evaluation / Discussing the Risks of Surgery. Surgical Planning: What Correction Should Be Entered into the Laser's Computer_#063_ / What Is the Appropriate Treatment Zone_#063_ / What Will Be the Maximum Ablation Depth_#063_ / What Is the Appropriate Flap Thickness_#063_ / What Is the Appropriate Flap Diameter_#063_ The Procedure: Preoperative Medication / Marking the Patient / Setting the Oculars / Environmental Conditions in the Laser Suite / Preoperative Checklist / Microkeratome / Excimer Laser / Prep, Drape, and Speculum Insertion / Patient Positioning / Ring Placement / Flap Positioning / Flap Thickness / The Laser Ablation / Flap Repositioning / Immediate Postoperative Evaluation EQUIPMENT (R. Feder, M. Macsai, S. Rosenfeld, M. Vrabec, P. Majmudar, C. Kraff and J. Rubenstein): Corneal Topography: Available Systems / Keratoconus Detection. The Microkeratomes: Two-Piece Microkeratome / One-Piece Microkeratome (Nidek) / Manual versus Automated Microkeratomes. Femtosecond Laser for LASIK Flap Creation: Laser Physics / Patient Selection / Technique / Further Considerations of the Femtosecond Laser. The Lasers: The Bausch and Lomb Technolas Platform / VISX Star S4 Platform / The LADARVision® System / Nidek Excimer Laser Corneal Surgery System THE ROLE OF MITOMYCIN-C IN KERATOREFRACTIVE SURGERY (P. Majmudar): Treatment of Existing Corneal Haze with Mitomycin-C. Prophylactic Treatment with Mitomycin-C RETREATMENT OF PATIENTS AFTER PRIMARY REFRACTIVE SURGERY (M. Rosenberg): Indications. Common Postoperative Vision Problems: Asymmetry of Visual Acuity / Night Vision Symptomology / Oblique Astigmatism / Unrecognized Anisometropia / Asthenopia in Uncorrected Pre-Presbyopic Patients. Evaluation. Surgical Techniques for Retreatment: Standard Excimer Laser Retreatment beneath a Previously Made LASIK Flap / Simple Surface Retreatment after Primary Surface Ablation / Limbal Relaxing Incisions / LASIK Retreatment in Patients Having Undergone Prior Surface Treatment / Surface Retreatment in Patients Having Undergone Prior LASIK / Custom Surface or LASIK Retreatment of Patients with Prior Conventional Treatment LASIK COMPLICATIONS AND MANAGEMENT (C. Rapuano): Intraoperative Complications: Shredded Flap / Buttonhole Flap / Short or Decentered Flap with an Edge in Laser Treatment Zone / Free Cap / Interface Debris / Epithelial Loosening or Defect / Limbal Bleeding / Poorly Adherent Flap. Postoperative Complications: Flap Displacement / Infection / Diffuse Lamellar Keratitis / Pressure-Induced Stromal Keratitis / Microstriae / Macrostriae / Dry Eye Syndrome/Neurotrophic Epitheliopathy / Glare/Halos / Epithelial Ingrowth / Corneal Ectasia / Central Islands ALTERNATIVES TO LASIK REFRACTIVE SURGERY (L. Gans): Surface Ablation: PRK/ LASEK/ EPI-LASIK. Incisional Procedures: Astigmatic Keratotomy and Limbal Relaxing Keratotomy / Radial Keratotomy. Thermal Procedures: Conductive Keratoplasty / Holmium LTK. Augmentation Procedures: Keratophakia / Epikeratoplasty / Orthokeratology / Lens Implantation. Advanced Technology Intraocular Lenses: Toric Intraocular Lenses / Multifocal Intraocular Lenses / Accommodative Intraocular Lenses / Phakic Intraocular Lenses / Bioptics CASE SECTION (R. Feder, A. Cirino, M. Macsai, S. Rosenfeld, M. Vrabec, P. Majmudar, C. Kraff, J. Rubenstein, M. Rosenberg, C. Rapuano and L. Gans): Preoperative Decision-Making. Intraoperative Decision-Making. Postoperative Decision-Making SELF-ASSESSMENT TEST (R. Feder) CONCLUSION APPENDIX: MANUFACTURER CONTACT INFORMATION