Curbside Consultation in Refractive and Lens-Based Surgery : 49 Clinical Questions.
Henderson, Bonnie.
Curbside Consultation in Refractive and Lens-Based Surgery : 49 Clinical Questions. - 1st ed. - 1 online resource (237 pages) - Curbside Consultation in Ophthalmology Series . - Curbside Consultation in Ophthalmology Series .
Cover -- Half Title -- Title Page -- Copyright Page -- Table of 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? -- Question 2 Should I Perform Refractive Surgery in Patients With a History of Strabismus? -- 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? -- Question 4 What Are the Corneal Pachymetry Thresholds for Performing LASIK, PRK, or No Laser Vision Correction at All? -- Question 5 After Radial Keratotomy, Should I Perform PRK or LASIK Surgery? -- Question 6 Are There Special Considerations in the Evaluation and Treatment of Patients With High Astigmatism Seeking Laser Vision Correction? -- Question 7 Should I Perform PRK in Patients With Forme Fruste Keratoconus? -- Question 8 When Should I Perform Topography-Guided or Aberration-Guided Refractive Surgery? -- Section II: Surgical Procedure -- Question 9 How Should I Center My Ablation in Patients With a Large Angle Kappa? -- Question 10 How Do I Manage Suction Loss During LASIK? -- Question 11 What Should I Do if My Patient Has a Decentered Flap? -- Question 12 How Do I Manage a Buttonhole or Free Cap During LASIK? -- Question 13 Should I Use Mitomycin C With All of My PRK Cases? -- Question 14 What Should I Do About a Large Epithelial Defect That Occurs During LASIK? -- 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? -- Question 16 What Should I Do in Case of LASIK Flap Dislocation? -- Question 17 When Should I Perform a Second Procedure in Patients With Flap Striae?. Question 18 How Do I Manage Patients With Dry Eyes After LASIK Surgery? -- Question 19 How Do I Manage Patients With Severe Glare Symptoms After LASIK? -- Question 20 How Do I Manage Epithelial Ingrowth After LASIK? What if It Recurs? -- Question 21 How Do I Manage Severe Haze After Photorefractive Keratectomy? -- Question 22 How Do I Detect and Manage Ectasia After LASIK? -- 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? -- Question 24 A Patient Had LASIK 10 Years Ago and Wants Retreatment for Residual Refractive Error. How Should I Proceed? -- 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? -- Question 26 What Is Your Routine Testing for Patients Who Are Receiving a Refractive IOL? -- 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? -- 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? -- Chapter 29 If the K Measurements Differ Between Different Methods, Which One Should I Use? -- Chapter 30 Is Posterior Corneal Astigmatism Important When Planning Cataract Surgery? -- Chapter 31 How Do I Determine My Surgically Induced Astigmatism? -- Chapter 32 What Is the Best Way to Mark the Eye for a Toric IOL? -- Chapter 33 If a Patient Has Residual Astigmatism After I Implant a Toric IOL on Postoperative Day 1, What Should I Do? -- Chapter 34 My Astigmatic Keratotomy Results Are Unpredictable. How Can I Improve Them? -- 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? -- Chapter 36 Do You Implant a Multifocal IOL in Patients With PXF or Other Zonular Abnormalities? -- Chapter 37 Describe Your Approach in Counseling a Patient Regarding the "Premium" IOL Choices. Do You Delegate the Responsibility? -- Chapter 38 What Are the Indications for Monovision vs Other Presbyopia-Correcting IOL Options? How Much Anisometropia Is Advisable With Monovision With Monofocal IOLs? -- Chapter 39 How Do You Choose Between a Multifocal and an Accommodating IOL? -- Chapter 40 Is a Monocular Implantation of a Multifocal IOL Tolerated? -- Chapter 41 Is Checking for Eye Dominance Important? If so, Why, and What Is Your Method? -- Chapter 42 Do You Consider Pupil Size When Choosing a Presbyopia-Correcting IOL? Why or Why Not? -- Chapter 43 How Do You Center a Multifocal IOL, and Is It Important? -- Chapter 44 How Do You Manage an Unhappy Multifocal Patient Who Is Experiencing Halos and Glare? -- 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? -- 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? -- 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? -- Chapter 48 What Causes a Z-Syndrome? How Do You Diagnose and Manage It? -- 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? -- Financial Disclosures -- Index.
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.
9781040139745
Eye-Accommodation and refraction.
Electronic books.
RE925 .C87 2015
617.7/55
Curbside Consultation in Refractive and Lens-Based Surgery : 49 Clinical Questions. - 1st ed. - 1 online resource (237 pages) - Curbside Consultation in Ophthalmology Series . - Curbside Consultation in Ophthalmology Series .
Cover -- Half Title -- Title Page -- Copyright Page -- Table of 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? -- Question 2 Should I Perform Refractive Surgery in Patients With a History of Strabismus? -- 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? -- Question 4 What Are the Corneal Pachymetry Thresholds for Performing LASIK, PRK, or No Laser Vision Correction at All? -- Question 5 After Radial Keratotomy, Should I Perform PRK or LASIK Surgery? -- Question 6 Are There Special Considerations in the Evaluation and Treatment of Patients With High Astigmatism Seeking Laser Vision Correction? -- Question 7 Should I Perform PRK in Patients With Forme Fruste Keratoconus? -- Question 8 When Should I Perform Topography-Guided or Aberration-Guided Refractive Surgery? -- Section II: Surgical Procedure -- Question 9 How Should I Center My Ablation in Patients With a Large Angle Kappa? -- Question 10 How Do I Manage Suction Loss During LASIK? -- Question 11 What Should I Do if My Patient Has a Decentered Flap? -- Question 12 How Do I Manage a Buttonhole or Free Cap During LASIK? -- Question 13 Should I Use Mitomycin C With All of My PRK Cases? -- Question 14 What Should I Do About a Large Epithelial Defect That Occurs During LASIK? -- 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? -- Question 16 What Should I Do in Case of LASIK Flap Dislocation? -- Question 17 When Should I Perform a Second Procedure in Patients With Flap Striae?. Question 18 How Do I Manage Patients With Dry Eyes After LASIK Surgery? -- Question 19 How Do I Manage Patients With Severe Glare Symptoms After LASIK? -- Question 20 How Do I Manage Epithelial Ingrowth After LASIK? What if It Recurs? -- Question 21 How Do I Manage Severe Haze After Photorefractive Keratectomy? -- Question 22 How Do I Detect and Manage Ectasia After LASIK? -- 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? -- Question 24 A Patient Had LASIK 10 Years Ago and Wants Retreatment for Residual Refractive Error. How Should I Proceed? -- 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? -- Question 26 What Is Your Routine Testing for Patients Who Are Receiving a Refractive IOL? -- 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? -- 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? -- Chapter 29 If the K Measurements Differ Between Different Methods, Which One Should I Use? -- Chapter 30 Is Posterior Corneal Astigmatism Important When Planning Cataract Surgery? -- Chapter 31 How Do I Determine My Surgically Induced Astigmatism? -- Chapter 32 What Is the Best Way to Mark the Eye for a Toric IOL? -- Chapter 33 If a Patient Has Residual Astigmatism After I Implant a Toric IOL on Postoperative Day 1, What Should I Do? -- Chapter 34 My Astigmatic Keratotomy Results Are Unpredictable. How Can I Improve Them? -- 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? -- Chapter 36 Do You Implant a Multifocal IOL in Patients With PXF or Other Zonular Abnormalities? -- Chapter 37 Describe Your Approach in Counseling a Patient Regarding the "Premium" IOL Choices. Do You Delegate the Responsibility? -- Chapter 38 What Are the Indications for Monovision vs Other Presbyopia-Correcting IOL Options? How Much Anisometropia Is Advisable With Monovision With Monofocal IOLs? -- Chapter 39 How Do You Choose Between a Multifocal and an Accommodating IOL? -- Chapter 40 Is a Monocular Implantation of a Multifocal IOL Tolerated? -- Chapter 41 Is Checking for Eye Dominance Important? If so, Why, and What Is Your Method? -- Chapter 42 Do You Consider Pupil Size When Choosing a Presbyopia-Correcting IOL? Why or Why Not? -- Chapter 43 How Do You Center a Multifocal IOL, and Is It Important? -- Chapter 44 How Do You Manage an Unhappy Multifocal Patient Who Is Experiencing Halos and Glare? -- 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? -- 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? -- 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? -- Chapter 48 What Causes a Z-Syndrome? How Do You Diagnose and Manage It? -- 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? -- Financial Disclosures -- Index.
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.
9781040139745
Eye-Accommodation and refraction.
Electronic books.
RE925 .C87 2015
617.7/55