Refractive Surgery for High Myopia: Options and Special Considerations

ISBN-13: 9783031405594 / Angielski

J. Bradley Randleman

Spis treści

1)      Introduction

a)       Incidence of high myopia increasing worldwide. 

i)        Expected to double over the next 20 years – representing nearly 10% of the population in some demographics (developed countries)

b)      New treatment options

i)        SMILE

ii)       Topography-guided ablations (for bioptics)

iii)     ICLs (toric, central hole)

iv)     New IOL designs facilitate offering refractive lens exchange to younger patients

c)       Improved patient screening processes for patients with high myopia

i)        Scheimpflug imaging

ii)       Epithelial mapping

iii)     Biomechanical evaluations

d)      This book will be dedicated to these most challenging refractive cases and present new screening tools and corrective surgery options. 

 

2)      High Myopia: definitions and differences

i)        What is high myopia? (-6D or more)

(1)    Epidemiology by region

(2)    Causes for increasing myopia

ii)       Why different from lower treatments?

(1)    Potential visual limitations due to retinal pathology

(2)    Worse excimer laser surgery candidates (PRK, LASIK) due to excess tissue removal

(3)    Wider variance in refractive outcomes

(4)    Higher retreatment rate

(5)    Longer recovery time

(6)    Visual quality compromise due to tissue altered

(7)    Higher risk of biomechanical instability over time – postoperative ectasia

 

3)      Patient Evaluation for Surgical Correction of High Myopia

i)        Cycloplegic refractions especially in younger patients

ii)       PTA/RSB issues

iii)     Topographic/tomographic screening

iv)     Epithelial mapping

v)       Biomechanical evaluations

 

4)      Treatment Options for High Myopia

i)        LASIK: pros and cons

ii)       PRK: pros and cons

iii)     SMILE: pros and cons

iv)     ICL: pros and cons

v)       RLE: pros and cons

vi)     Bioptics: combined treatment options for high myopia

 

5)      Future treatment options for High Myopia

a)       Refractive index alteration

b)      Tissue addition surgeries

c)       CXL plus for high refractive errors

 

6)      Case-based Evaluation of High Myopia Patients

a)       Multiple cases encompassing all treatment options

O autorze

J. Bradley Randleman, MD

Professor, Department  of Ophthalmology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, 

Staff, Opthamology, Cole Eye Institute, Cleveland Clinic Foundation

Cleveland, OH, USA

J. Bradley Randleman, MD, is a Professor of Ophthalmology at the Cole Eye Institute of the Cleveland Clinic Foundation in Cleveland Ohio.  He was previously Professor of Ophthalmology at the Keck School of Medicine of USC and Director of the Cornea & Refractive Surgery Service at the USC Roski Eye Institute in Los Angeles, California and the Hughes Professor of Ophthalmology at Emory University and Director of the Cornea Section at the Emory Eye Center. A widely respected cornea specialist, his areas of expertise include: corneal and intraocular refractive surgical procedures including LASIK and premium laser-assisted cataract and IOL surgery, complicated cataract surgery, and the management of corneal ectatic disorders.  His primary research focuses on identification and management of corneal ectatic diseases including keratoconus and postoperative ectasia after LASIK, and the avoidance, diagnosis, and management of refractive surgical complications.  He was awarded multiple grants, including an R01 from the NIH to evaluate corneal biomechanical analysis using Brillouin Microscopy.

Blurb

The incidence and prevalence of high myopia has increased significantly over the past decade and is expected to more than double over the next 20 years.  These patients are more impacted by their vision than patients with lower refractive errors, and also have more limited safe and effective treatment options available to them. Fortunately, recent developments in the field have improved refractive surgery screening to improve safety, and new surgical options are now available specifically to address these more complex refractive errors.

The book will address the unique challenges presented by patients with high myopia and cover the pros and cons of current treatment options. The book will also feature case studies, with detailed images and tables. In addition, the book will discuss promising future options currently in development.

Refractive Surgery for High Myopia is a must-have resource for ophthalmologists, refractive surgeons, residents, and fellows.