Curbside Consultation in Refractive and Lens-Based Surgery: 49 Clinical Questions

ISBN-13: 9781617110832 / Angielski / Miękka / 2014 / 240 str.

Sonia H. Yoo; Bonnie An Henderson

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Are you looking for concise, practical answers to questions that are often left unanswered by traditional references on refractive surgery? Are you seeking brief, evidence-based advice for the daily examination of patients? Curbside Consultation in Refractive and Lens-Based Surgery: 49 Clinical Questions provides quick and direct answers to the thorny questions most commonly posed during a "curbside consultation" between experienced clinicians.

Drs. Bonnie An Henderson and Sonia H. Yoo have designed this unique reference in which refractive specialists offer expert advice, preferences, and opinions on tough clinical questions commonly encountered by ophthalmologists, residents, and other health care professionals. The unique Q&A format provides quick access to current information related to refractive and lens-based surgery with the simplicity of a conversation between two colleagues. Images, diagrams, and references are included to enhance the text and to illustrate clinical diagnoses and treatment plans.

Based on clinical scenarios that a refractive surgeon might encounter in real life, Curbside Consultation in Refractive and Lens-Based Surgery provides information basic enough for residents while also incorporating expert pearls that even high-volume ophthalmologists will appreciate. General ophthalmologists and residents alike will enjoy the user-friendly and casual format.

Some of the questions that are answered:

• How do I manage epithelial ingrowth after LASIK? What if it recurs?
• Should I perform PRK in patients with forme fruste keratoconus?
• How do I manage patients with dry eyes after LASIK surgery?
• How do I determine my surgically induced astigmatism?
• Is a monocular implantation of a multifocal IOL tolerated?
• How do you manage an unhappy multifocal patient who is experiencing halos and glare?

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Contents
Dedication 
Acknowledgments 
About the Editors
Contributing Authors 
Preface

Section I Preoperative Consultation 
Question 1 My Patient Has a Systemic Disease. Should I Perform Refractive Surgery? 
Yassine J. Daoud, MD and Walter J. Stark, MD
Question 2 Should I Perform Refractive Surgery in Patients With a History of Strabismus? 
Gabriela L. Pagano, MD and Ofelia Brugnoli de Pagano, MD
Question 3 My Patient Is a 25-Year-Old Latent Hyperope. His Manifest Refraction Is 2.0 D, but After Cycloplegia It Is 4.0 D. Which Refraction Should I Treat? 
Alain Saad, MD and Damien Gatinel, MD
Question 4 What Are the Corneal Pachymetry Thresholds for Performing LASIK, PRK, or No Laser Vision Correction at All? 
J. Bradley Randleman, MD
Question 5 After Radial Keratotomy, Should I Perform PRK or LASIK Surgery? 
Ramon Coral Ghanem, MD, PhD and Vinícius Coral Ghanem, MD, PhD
Question 6 Are There Special Considerations in the Evaluation and Treatment of Patients With High Astigmatism Seeking Laser Vision Correction? 
Afshan Nanji, MD, MPH and Sonia H. Yoo, MD
Question 7 Should I Perform PRK in Patients With Forme Fruste Keratoconus? 
Damien Gatinel, MD
Question 8 When Should I Perform Topography-Guided or Aberration-Guided Refractive Surgery? 
A.J. Kanellopoulos, MD

Section II Surgical Procedure 
Question 9 How Should I Center My Ablation in Patients With a Large Angle Kappa? 
Samuel Arba Mosquera, PhD, MSc
Question 10 How Do I Manage Suction Loss During LASIK? 
Pravin Krishna Vadavalli, MD and Vardhaman P. Kankariya, MD
Question 11 What Should I Do if My Patient Has a Decentered Flap? 
George D. Kymionis, MD, PhD and George A. Kontadakis, MD, MSc
Question 12 How Do I Manage a Buttonhole or Free Cap During LASIK? 
Lingmin He, MD, MS and Edward E. Manche, MD
Question 13 Should I Use Mitomycin C With All of My PRK Cases? 
Vasilios F. Diakonis, MD, PhD and Vardhaman P. Kankariya, MD
Question 14 What Should I Do About a Large Epithelial Defect That Occurs During LASIK? 
Vardhaman P. Kankariya, MD and Vasilios F. Diakonis, MD, PhD

Section III Postoperative Complications 
Question 15 How Do I Manage Diffuse Lamellar Keratitis After LASIK? How Does This Differ From Pressure-Induced Interlamellar Stromal Keratitis? 
Matthew J. Weiss, MD and Sonia H. Yoo, MD
Question 16 What Should I Do in Case of LASIK Flap Dislocation? 
Majid Moshirfar, MD and Jason N. Edmonds, MD
Question 17 When Should I Perform a Second Procedure in Patients With Flap Striae? 
Jordon G. Lubahn, MD and William W. Culbertson, MD
Question 18 How Do I Manage Patients With Dry Eyes After LASIK Surgery? 
Eric D. Donnenfeld, MD and Matthew J. Schear, DO
Question 19 How Do I Manage Patients With Severe Glare Symptoms After LASIK? 
Roberto Zaldivar, MD and Roger Zaldivar, MD
Question 20 How Do I Manage Epithelial Ingrowth After LASIK? What if It Recurs? 
Jorge L. Alió, MD, PhD and Alessandro Abbouda, MD
Question 21 How Do I Manage Severe Haze After Photorefractive Keratectomy? 
Florence Cabot, MD and Sonia H. Yoo, MD
Question 22 How Do I Detect and Manage Ectasia After LASIK? 
Rosane de Oliveira Corrêa, MD; Renato Ambrósio Jr, MD, PhD; and William Trattler, MD
Question 23 After an Incomplete Flap and Aborted LASIK, How and When Do I Manage the Residual Refractive Error? PRK With or Without MMC, LASIK, or Contact Lens? 
Michael C. Knorz, MD
Question 24 A Patient Had LASIK 10 Years Ago and Wants Retreatment for Residual Refractive Error. How Should I Proceed? 
Sumitra S. Khandelwal, MD and Elizabeth A. Davis, MD, FACS

 
Section IV Refractive Cataract Surgery 
Question 25 If a Patient Has Had Previous Corneal Refractive Surgery, What Type of IOL Would You Choose? Does It Matter if It Was Myopic or Hyperopic Corneal Refractive Surgery? 
Edward C. Lai, MD and Jessica B. Ciralsky, MD
Question 26 What Is Your Routine Testing for Patients Who Are Receiving a Refractive IOL? 
Preeya K. Gupta, MD and Jay J. Meyer, MD, MPH

Section V Astigmatism Correction 
Question 27 What Is Your Algorithm for Choosing When to Perform a Corneal Incisional Astigmatic Correction vs Toric IOL vs Laser Refractive Surgery? 
Francesco Carones, MD
Chapter 28 Can I Use a Toric IOL in a Patient With Keratoconus? How About in a Patient With EBMD, Fuchs’, or Other Corneal Dystrophies? 
Mahshad Darvish-Zargar, MD CM, MBA, FRCSC and Edward J. Holland, MD
Chapter 29 If the K Measurements Differ Between Different Methods, Which One Should I Use? 
Nienke Visser, MD and Rudy M.M.A. Nuijts, MD, PhD
Chapter 30 Is Posterior Corneal Astigmatism Important When Planning Cataract Surgery? 
Zaina Al-Mohtaseb, MD; Bruna V. Ventura, MD, MS; Li Wang, MD, PhD; and Douglas D. Koch, MD
Chapter 31 How Do I Determine My Surgically Induced Astigmatism? 
Alex Mammen, MD and Deepinder K. Dhaliwal, MD, LAc
Chapter 32 What Is the Best Way to Mark the Eye for a Toric IOL? 
Kevin M. Miller, MD
Chapter 33 If a Patient Has Residual Astigmatism After I Implant a Toric IOL on Postoperative Day 1, What Should I Do? 
John P. Berdahl, MD
Chapter 34 My Astigmatic Keratotomy Results Are Unpredictable. How Can I Improve Them? 
R. Bruce Wallace III, MD, FACS

Section VI Presbyopia Correction 
Chapter 35 Do You Implant Multifocal IOLs in a Patient With Mild Macular Disease Such as Mild Non-Proliferative Diabetic Retinopathy or a Few Drusen? 
Uday Devgan, MD, FACS, FRCS(Glasg)
Chapter 36 Do You Implant a Multifocal IOL in Patients With PXF or Other Zonular Abnormalities? 
Kim-Binh Mai, MD and Bonnie An Henderson, MD
Chapter 37 Describe Your Approach in Counseling a Patient Regarding the “Premium” IOL Choices. Do You Delegate the Responsibility? 
Richard L. Lindstrom, MD; Sumitra S. Khandelwal, MD; David R. Hardten, MD; and Sherman Reeves, MD
Chapter 38 What Are the Indications for Monovision vs Other Presbyopia-Correcting IOL Options? How Much Anisometropia Is Advisable With Monovision With Monofocal IOLs?
Wei Boon Khor, MBBS, FRCSEd and Natalie Afshari, MD, FACS
Chapter 39 How Do You Choose Between a Multifocal and an Accommodating IOL? 
Jay S. Pepose, MD, PhD
Chapter 40 Is a Monocular Implantation of a Multifocal IOL Tolerated? 
Kimiya Shimizu, MD, PhD and Yoshihiko Iida, MD, PhD
Chapter 41 Is Checking for Eye Dominance Important? If so, Why, and What Is Your Method? 
Jae Yong Kim, MD, PhD
Chapter 42 Do You Consider Pupil Size When Choosing a Presbyopia-Correcting IOL? Why or Why Not? 
Roger F. Steinert, MD
Chapter 43 How Do You Center a Multifocal IOL, and Is It Important? 
Richard Tipperman, MD
Chapter 44 How Do You Manage an Unhappy Multifocal Patient Who Is Experiencing Halos and Glare? 
Laura Vickers, MD and Terry Kim, MD
Chapter 45 When Should the Posterior Capsule Be Opened With a YAG? Do You Do It Sooner Rather Than Later, or Wait Until the Last Moment? 
Mark Packer, MD, FACS, CPI
Chapter 46 How Would You Treat a 1.50 D Residual Refractive Error in a Patient With a Multifocal IOL? How About −1.00 D? How About 1.25 D Astigmatism? 
Hiroko Bissen-Miyajima, MD, PhD
Chapter 47 After Implantation of an Accommodating IOL, How Would You Treat −1.5-D Residual Refractive Error, 1.5-D With-the-Rule Astigmatic Error, and 1.5-D Against-the-Rule Astigmatic Error? 
Parag Parekh, MD, MPA and Louis D. “Skip” Nichamin, MD
Chapter 48 What Causes a Z-Syndrome? How Do You Diagnose and Manage It? 
Peter A. Rapoza, MD, FACS
Chapter 49 If the Implantation of an Accommodating IOL in the First Eye Did Not Yield Sufficient Uncorrected Near Vision, What Do You Recommend for the Second Eye? 
Richard S. Hoffman, MD
Financial Disclosures 
Index