Refractive Surgery Nightmares

Even the most experienced refractive surgeon can encounter stressful situations in the operating room. Be prepared to manage unavoidable and challenging complications with Refractive Surgery Nightmares: Conquering Refractive Surgery Catastrophes by your side.

Dr. Amar Agarwal, along with contributions from 67 of today's leading refractive surgery experts, explains all there is to know about refractive surgery techniques in Refractive Surgery Nightmares to help you stay in control when facing unique surgical challenges.

Refractive Surgery Nightmares provides surgeons with a solid understanding of preoperative examinations, surface ablation procedures, LASIK, and lens based surgeries and the tricky situations that can arise and turn into every surgeon's worst nightmare.

Refractive Surgery Complications Include:

• DLK and corneal infections
• Topographic and wavefront aberrometry disasters
• Femtosecond laser complications
• Post LASIK Ectasia
• Decentered ablations
• Iatrogenic keratectasia

More than 250 illustrations and clinical photographs supplement the important information presented, providing visual as well as textual references. Also included is an accompanying video CD-ROM with 45 minutes of instructional video techniques that supplements the text.

Video CD-ROM Includes:

• Post LASIK Iatrogenic Keratectasia
• Flap Complications
• Bimanual phacoemulsification
• Phakic IOL
• Hyperopic shifts after Radial keratotomy
• Cataract after radial keratotomy

This distinctive text and video CD-ROM will make its mark with everyone involved in refractive surgery, from the resident to the experienced surgeon. Feel competent and comfortable in the operating room no matter what challenge comes your way with Refractive Surgery Nightmares: Conquering Refractive Surgery Catastrophes.

Contents

Dedication
Acknowledgments
About the Editor
Contributing Authors
Preface
Foreword

Section I: Preoperative Examinations Preventing Nightmares
Chapter 1: Understanding the Orbscan to Prevent Nightmares
Athiya Agarwal, MD, DO
Chapter 2: Anterior Keratoconus
Sunita Agarwal, MD, DO
Chapter 3: Posterior Corneal Changes in Refractive Surgery
Smita Narasimhan, MBBS, FRSH, FERC and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 4: New Techniques for Exploring the Eye's Anterior Segment: Carl Zeiss Meditec Visante OCT
Georges Baïkoff, MD
Chapter 5: Pupil Size and Refractive Surgery
Francesco Carones, MD

Section II: Surface Ablations: PRK, LASEK, Epi-LASIK, PTK
Chapter 6: Corneal Haze
Noel Alpins, FRACO, FRCOphth, FACS and George Stamatelatos, BscOptom
Chapter 7: Photorefractive Keratectomy Complications
Samuel Boyd, MD and Raymond Stein, MD, FRCSC
Chapter 8: LASEK Complications
Massimo Camellin
Chapter 9: Epi-LASIK
Vikentia J. Katsanevaki, MD, PhD; Maria I. Kalyvianaki, MD; Dimitra S. Kavroulaki, MD; and Ioannis G. Pallikaris, MD, PhD
Chapter 10: The Use of Mitomycin-C in Laser Refractive Surgery
Francesco Carones, MD
Chapter 11: Nightmares With Phototherapeutic Keratecomy
Jes Mortensen, MD

Section III: LASIK and Wavefront-Guided LASIK
Chapter 12: Flap Complications
Melania Cigales, MD; Jairo Hoyos-Chacón, MD; and Jairo E. Hoyos, MD, PhD
Chapter 13: Decentered Ablation
Helen Boerman, OD; Tracy Swartz, OD, MS, FAAO; and Ming Wang, MD, PhD
Chapter 14: Post-LASIK Iatrogenic Ectasia
Amar Agarwal, MS, FRCS, FRCOphth; Soosan Jacob, MS, FRCS, FERC, Dip NB; and Vladimir Pfeifer, MD
Chapter 15: Sands Of Sahara or Diffuse Lamellar Keratitis: The Refractive Emergency
Alexander Hatsis, MD, FACS
Chapter 16: Post-LASIK Infections
Soosan Jacob, MS, FRCS, FERC, Dip NB; Amar Agarwal, MS, FRCS, FRCOphth; and Nibaran Angopadhyay, MS
Chapter 17: Epithelial Ingrowth
Amar Agarwal, MS, FRCS, FRCOphth and Soosan Jacob, MS, FRCS, FERC; Dip NB
Chapter 18: Dealing With Irregular Astigmatism: State of the Art
Jorge L. Alió, MD, PhD and José I. Belda, MD, PhD
Chapter 19: Glare And Halos After Refractive Surgery
Guillermo Simón-Castellví, MD; Sarabel Simón-Castellví, MD; José María Simón-Castellví, MD; Cristina Simón-Castellví, MD; and José María Simón-Tor, MD
Chapter 20: Complications Creating LASIK Flaps With the Intralase Femtosecond Laser
William W. Culbertson, MD
Chapter 21: LASIK Over- and Undercorrections
Luis Escaf Jaraba, MD; Alejandro Tello, MD; and Victor Rojas Hernandez, MD
Chapter 22: Topographic and Wavefront Aberrometry Disasters
Tracy Swartz, OD, MS, FAAO and Ming Wang, MD, PhD
Chapter 23: Customized LASIK After Previous Refractive Surgery
Roberto Pinelli, MD; Patrizia Portesi, OT; and Cristian Bacchi, OD

Section IV: Lens-Based Refractive Surgery
Chapter 24: Accurate Biometry and Intraocular Lens Power Calculations
Noel Alpins, FRACS, FRCOphth, FACS and Gemma Walsh, B Optom
Chapter 25: MIRLEX
Amar Agarwal, MS, FRCS, FRCOphth; Mahipal S. Sachdev, MD; and Clement K. Chan, MD, FACS
Chapter 26: Refractive Shift After Pediatric Cataract Surgery
Rupal H. Trivedi, MD, MSCR and M. Edward Wilson, Jr, MD
Chapter 27: Vitreoretinal Complications Associated With Refractive Surgery
Clement K. Chan, MD, FACS; Steven G. Lin, MD; and Astha S.D. Nuthi, DO
Chapter 28: Nightmares With Presbyopic Correcting Implants
Robert Jay Weinstock, MD
Chapter 29: Toxic Anterior Segment Syndrome
Simon P. Holland, MB, FRCSC; Douglas W. Morck, DVM, PhD; Gina Chavez, BSc; Yumi G. Ohashi, BSc; and Tracy L. Lee, BSc
Chapter 30: Phakic Intraocular Lens Complications
Benjamin F. Boyd, MD, FACS; Samuel Boyd, MD; Soosan Jacob, MS, FRCS, FERC, Dip NB; and Amar Agarwal, MS, FRCS, FRCOphth

Section V: Miscellaneous
Chapter 31: Conductive Keratoplasty and Potential Complications
Roberto Pinelli, MD
Chapter 32: Corneal Surgery for the Correction of Irregular Astigmatism After Corneal Refractive Surgery
Jose L. Güell, MD; Javier A. Gaytan Melicoff, MD; and Felicidad Manero Vidal, MD
Chapter 33: Intracorneal Rings: KeraRings And Intacs
Jaime R. Martiz, MD; Carlos Manrique De Lara, MD, FACS; and Ramon Naranjo Tackman, MD
Chapter 34: Refractive Surgery and Intraocular Pressure
Soosan Jacob, MS, FRCS, FERC, Dip NB, and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 35: Dry Eye and Refractive Surgery
Ahmad M. Fahmy, OD and David R. Hardten, MD
Chapter 36: Postrefractive Surgical Fitting Of Contact Lenses
Kenneth Daniels, OD, FAAO

Index

About the Editor

Amar Agarwal, MS, FRCS, FRCOphth is the pioneer of the phakonit procedure, which is phako with needle incision technology. This technique became popularized as bimanual phaco, microincision cataract surgery (MICS) or microphaco. He is the first to remove cataracts through a 0.7-mm tip with the technique called microphakonit. He has also discovered no anesthesia cataract surgery and FAVIT, a new technique to remove dropped nuclei. The use of an air pump, which was the simple idea of using an aquarium fish pump to increase the fluid into the eye in bimanual phaco and co-axial phaco, has helped prevent surge. This built the basis of various techniques of forced infusion for small incision cataract surgery. Dr. Aga was also the first to use trypan blue for staining epiretinal membranes and publishing the details in his four volume Textbook of Ophthalmology. He has also discovered a new refractive error called Aberropia. He is the first to do a combined surgery of microphakonit (700-micron cataract surgery) with a 25-gauge vitrectomy in the same patient thus having the smallest incisions possible for cataract and vitrectomy. He is also the first surgeon to implant a new mirror telescopic IOL (LMI) for patients suffering from age-related macular degeneration.

Dr. Agarwal has received many awards for his work in ophthalmology most significant being the Barraquer Award and the Kelman Award. He has also written more than 33 books that have been published in various languages including English, Spanish, and Polish. In his center, he also trains doctors from all over the world on phaco, bimanual phaco, LASIK, and the retina. Dr. Agarwal was recently appointed as Professor of Ophthalmology at Ramachandra Medical College in Chennai, India.