Cataract Surgery from Routine to Complex A Practical Guide

Cataract Surgery from Routine to Complex: A Practical Guideprovides eye care professionals guidance onwhat to doandhow to avoidpotential complications in all aspects of cataract surgery, just as if the worldrs"s experts were by your side. Drs. Randy Olson, George Jin, Ike Ahmed, Alan Crandall, Robert Cionni, Jason Jones, along with other contributors concisely provide a wealth of information, including a detailed list of key issues and considerations for virtually all the possible contingencies of the procedure. Some Topics and Sections Include: Examination Pupil size, ocular dominance, biometry, and more IOL Choice Monofocal: aspheric vs. traditional; presbyopia-correcting: mutifocal vs. accommodating; toric, and more Routine Cataract Surgery Microincision cataract surgery, OVD selection, current phacoemulsification techniques, and more Complex Cataract Surgery Hypermature cataract, small pupil, pseudoexfoliation, nanophthalmos, pediatric cataract, and more Intra-Operative Complications Wound burn, posterior capsular rupture, shallow anterior chamber, and more Patient Assessment Visual acuity, refraction, visual quality, and more Postoperative Complications Endophthalmitis, toxic anterior segment syndrome, IOL dislocation, and more Cataract Surgery from Routine to Complexalso includes a companion website that provides more than 2 hours of learning with 38 edited and narrated video presentations, perfectly complementing the procedures discussed inside the text. Cataract Surgery from Routine to Complexis the combination of a practical guide with broad academic underpinnings along with current controversial subjects on cataract surgery, making it ideal for eye care professionals who wish to update their knowledge and translate it into improved surgical techniques and better cataract patient education.

Randall J. Olson, MD completed his undergraduate training and medical schooling at the University of Utah in Salt Lake City (BA 1970, MD 1973), his residency at UCLA in 1977 in ophthalmology, and fellowships in cornea at the University of Florida in Gainesville and at the LSU Eye Center in New Orleans, where he joined the faculty in 1977 as Director of Corneal Services. Dr. Olson started as division chief in June 1979 at the University of Utah and has been Chair of the Department of Ophthalmology and Visual Sciences ever since, including the building of 2 eye centers and expansion from one to almost 50 faculty members. He has authored more than 300 professional publications and is a worldwide lecturer. Dr. Olson specializes in research dealing with intraocular lens complications and anterior segment surgery of the eye. He was selected as one of the 15 top experts in the field of cataract surgery in the United States in a peer survey conducted by Ophthalmology Times, has appeared in the last 4 editions of Best Doctors in America, and has been in the last 2 Cataract and Refractive Surgery Today editions honoring the top 50 professional opinion leaders in the field of cataract and refractive surgery.           

George J. C. Jin, MD, PhD is the director of clinical research at Jones Eye Clinic, Sioux City, Iowa. He is an adjunct professor of ophthalmology at the Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah, Salt Lake City, Utah. Dr. Jin earned his medical degree in China at Beijing University Medical School and completed his residency and PhD training at Peking Union Medical College and the Eye Research Center at the Chinese Academy of Medical Sciences. As an associate professor at the Chinese Academy of Medical Sciences, Dr. Jin was the first in China to perform combined surgery of extracapsular cataract extraction with IOL implantation and trabeculectomy. He was also the first surgeon to introduce glaucoma laser surgery to China.        

After the completion of 2 postdoctorate fellowship programs at the Department of Ophthalmology at West Virginia University and Bascom Palmer Eye Institute of Miami University, he joined the Eye Institute of Utah in 1990. Dr. Jin has published over 70 peer-reviewed papers in major ophthalmic journals. He is a reviewer for numerous ophthalmic journals and has authored chapters in several ophthalmic textbooks. His research interests concentrate on refractive, cataract, and glaucoma surgeries.          

Iqbal Ike K. Ahmed, MD, FRCSC is an assistant professor at the University of Toronto, where he also serves as the research fellowship director in the Department of Ophthalmology and as Director of the Glaucoma and Advanced Anterior Surgical Fellowship. He is also a clinical assistant professor at the University of Utah. Surgical management of glaucoma, the complex cataract, and management of cataract and intraocular lens complications are his areas of subspecialty expertise.         

Dr. Ahmed is actively involved in research and medical education at a national and international level. He has received many research grants and has designed diamond scalpels for glaucoma surgery; microsurgical instrumentation; and devices, implants, and techniques for the management of the dislocated cataract and glaucoma.          

Dr. Ahmed has published numerous peer-reviewed articles and book chapters and has won many awards and honors for papers, posters, and videos. He has given more than 500 scientific presentations and lectures around the world. He has served as course director for numerous surgical courses and directed the Third International Congress on Glaucoma Surgery in Toronto in 2006. Dr. Ahmed sits on the editorial boards of Ophthalmology, the Journal of Cataract and Refractive Surgery, and Techniques in Ophthalmology, among others, and he is a reviewer for numerous journals as well.           

Alan S. Crandall, MD graduated from the University of Utah, receiving his medical degree from the University of Utah School of Medicine. He completed his internship in surgery at the University of Pennsylvania Medical Center in Philadelphia as well as his residency and fellowship in ophthalmology at the Scheie Eye Institute, University of Pennsylvania. He joined the University of Utah Ophthalmology Department in 1981. Dr. Crandall is Professor and Senior Vice Chair of Ophthalmology and Visual Sciences, Director of Glaucoma and Cataract at the Moran Eye Center, University of Utah, in Salt Lake City, Utah.          

Dr. Crandall is a diplomat of the National Board of Medical Examiners as well as a member of the American Board of Ophthalmology. In addition, he is a member of the American Society of Cataract and Refractive Surgery, American Glaucoma Society, the European Society of Cataract and Refractive Surgeons, and the International Intra-Ocular Implant Club.          

Robert J. Cionni, MD is a board-certified ophthalmologist who specializes in cataract, lens implant, LASIK, and refractive surgeries, performing nearly 2000 surgeries each year. He has established himself as a leader in his specialty by pioneering some of the most advanced cataract and implant techniques. He is actively involved in clinical research, bringing the latest technologies to his patients, sometimes well before these technologies are available to other surgeons.          

He has authored numerous articles and textbook chapters about specialized cataract techniques and technologies and the management of complications. Dr. Cionni has designed special implants and surgical techniques to improve the surgical outcomes in patients with traumatic cataract and congenital lens subluxation, as found in many patients with Marfan syndrome. In addition, he teaches surgeons nationally and internationally about the use of these devices. Patients with these types of problems are referred to him from all over the world.       

Jason J. Jones, MD is President and Medical Director of Jones Eye Clinic in Sioux City, Iowa and Sioux Falls, South Dakota. He graduated magna cum laude from Harvard College and received his MD from New York University School of Medicine. He completed his residency training at the John A. Moran Eye Center, University of Utah, in 2003.        

Dr. Jones specializes in advanced techniques of phacoemulsification, anterior segment reconstruction, implantation of the latest design IOLs, as well as other anterior segment surgeries. He has authored numerous peer-reviewed publications and his active interests in clinical research are development of new intraocular lens technology and management of complex anterior segment surgery.   

Contributing Author: Robert O. Hoffman, MD, Professor, Ophthalmology and Visual Sciences Director, Pediatric Ophthalmology, John Moran Eye Center, University of Utah, Salt Lake City, Utah

 

DedicationAcknowledgmentsAbout the AuthorsContributing AuthorPrefaceSection I    PreoperativeChapter 1           Patient Counseling                             Randall J. Olson, MD                                     Patient Education                                     Patient Selection                                     ExpectationsChapter 2           Preoperative Examination                             George J. C. Jin, MD, PhD                                     Pupil Size                                     Ocular Dominance                                     Biometry                                     Keratometry                                     Corneal Topography                                     Optical Coherence Tomography                                     Preoperative Special TestingChapter 3           Cataract Assessment and Grading                             Randall J. Olson, MD and George J. C. Jin, MD, PhD                                     Cataract Assessment                                     Cataract GradingChapter 4           Evaluation and Treatment of Lid Margin and Ocular Surface Diseases                             Randall J. Olson, MD and George J. C. Jin, MD, PhD                                     Dry Eye Syndrome                                     Blepharitis and Meibomian Gland Dysfunction                                     Anterior Basement Membrane DystrophyChapter 5           Intraocular Lens Choice                             Robert J. Cionni, MD and George J. C. Jin, MD, PhD                                     Monofocal: Aspheric Versus Spherical Intraocular Lenses                                     Presbyopia-Correcting Intraocular Lenses: Multifocal and Accommodating                                     Toric Intraocular Lenses                                     Monovision                                     Refractive Intraocular Lens SelectionChapter 6           Intraocular Lens Power Calculation in Primary Cataract Surgery                             George J. C. Jin, MD, PhD and Jason J. Jones, MD                                     Intraocular Lens Power Calculation Formulas                                     Personalized Constants                                     Intraocular Lens Power for In-the-Bag and In-the-Ciliary Sulcus Placement                                     Intraocular Lens Adjustment From the First Eye Outcome                                     Intraocular Lens Power Calculation in Extreme Short and Long EyesChapter 7           Intraocular Lens Power Calculation After Corneal Refractive Surgery                             George J. C. Jin, MD, PhD and Jason J. Jones, MD                                     Problems of Intraocular Lens Power Determination                                     Calculation After Myopic Laser Vision Correction                                     Methods of Calculation After Hyperopic Laser Vision Correction                                     Methods of Calculation After Radial Keratotomy                                     Selection of Intraocular Lens Calculation MethodsChapter 8           Intraocular Lens Power Calculation in Special Occasions                             George J. C. Jin, MD, PhD and Jason J. Jones, MD                                     Piggyback Intraocular Lens Power                                     Intraocular Lens Power for IOL Exchange                                     Intraocular Lens Power in Eyes After Previous Vitrectomy                                     Intraocular Lens Power in Combined Silicone Oil Removal and Cataract Surgery                                     Intraocular Lens Power in Eyes Undergoing Phacovitrectomy                                     Intraocular Lens Power in Eyes After Glaucoma Filtration Surgery                                     Intraocular Lens Power in Pediatric Cataract SurgerySection II   IntraoperativeChapter 9           Intraoperative Routine Issues                                     Anesthesia                                     Alan S. Crandall, MD                                     Microincisional Cataract Surgery                                     George J. C. Jin, MD, PhD and Randall J. Olson, MD                                     Viscosurgical Device Selection                                     Randall J. Olson, MD and George J. C. Jin, MD, PhD                                     Capsulorrhexis                                     Jason J. Jones, MD                                     Hydromaneuvers                                     Jason J. Jones, MD                                     Current Phacoemulsification Techniques                                     Jason J. Jones, MDChapter 10         Managing Pre-Existing Astigmatism                             Randall J. Olson, MD and George J. C. Jin, MD, PhD                                     Incisional Effect                                     Limbal Relaxing Incisions                                     Toric Intraocular LensesChapter 11         Cataract Surgery in Special Cases                                     Hypermature Cataract                                     Iqbal Ike K. Ahmed, MD, FRCSC and Randall J. Olson, MD                                     Small Pupil                                     Robert J. Cionni, MD                                     Zonular Compromise                                     Robert J. Cionni, MD                                     Pseudoexfoliation                                     Jason J. Jones, MD and Alan S. Crandall, MD                                     Posterior Polar Cataract                                     Jason J. Jones, MD and George J. C. Jin, MD, PhD                                     Pediatric Cataract                                     Robert O. Hoffman, MD and Alan S. Crandall, MD                                     Uveitic Cataract                                     Randall J. Olson, MD                                     Combined Cataract and Glaucoma Surgery                                     Alan S. Crandall, MD and Randall J. Olson, MD                                     Cataract in High Myopia                                     Iqbal Ike K. Ahmed, MD, FRCSC; Jason J. Jones, MD; and George J. C. Jin, MD, PhD                                     Nanophthalmos                                     Jason J. Jones, MD and George J. C. Jin, MD, PhD                                     Cataract Surgery After Posterior Vitrectomy                                     Robert J. Cionni, MD                                     Diabetes Mellitus                                     Randall J. Olson, MD                                     Cataract Surgery in the Face of Marginal Corneal Endothelium                                     Randall J. Olson, MDChapter 12         Intraoperative Complications                                     Wound Burn                                     Randall J. Olson, MD                                     Posterior Capsular Rupture                                     Jason J. Jones, MD and George J. C. Jin, MD, PhD                                     Shallow Anterior Chamber                                     George J. C. Jin, MD, PhD; Randall J. Olson, MD; and Jason J. Jones, MDSection III PostoperativeChapter 13         Pharmaceutical Interventions                             George J. C. Jin, MD, PhD and Randall J. Olson, MD                                     Nonsteroidal Anti-Inflammatory Drugs                                     Fourth-Generation Fluoroquinolones                                     New CorticosteroidsChapter 14         Postoperative Patient Assessment                             George J. C. Jin, MD, PhD and Jason J. Jones, MD                                     Visual Acuity                                     Refraction                                     Visual Quality                                     Unhappy PatientsChapter 15         Postoperative Complications                                     Endophthalmitis                                     George J. C. Jin, MD, PhD                                     Toxic Anterior Segment Syndrome                                     Randall J. Olson, MD                                     Cystoid Macular Edema                                     George J. C. Jin, MD, PhD                                     Posterior Capsular Opacification and YAG Capsulotomy                                     Randall J. Olson, MD                                     Intraocular Lens Tilt and Decentration                                     Jason J. Jones, MD and Iqbal Ike K. Ahmed, MD, FRCSC                                     Intraocular Lens Dislocation                                     Alan S. Crandall, MD and George J. C. Jin, MD, PhD                                     Retained Lens Fragments                                     Iqbal Ike K. Ahmed, MD, FRCSC and George J. C. Jin, MD, PhD                                     Anterior Capsular Contraction Syndrome                                     Jason J. Jones, MD                                     Capsular Block Syndrome                                     Jason J. Jones, MD                                     Retinal Detachment                                     Randall J. Olson, MD                                     Intraocular Lens Opacification                                     George J. C. Jin, MD, PhD                                     Uveitis, Glaucoma, Hyphema Syndrome                                     Randall J. Olson, MDChapter 16         Postoperative Enhancement                                     Corneal-Based Procedures                                     George J. C. Jin, MD, PhD and Randall J. Olson, MD                                     Lens-Based Procedures                                     Jason J. Jones, MD; George J. C. Jin, MD, PhD; and Alan S. Crandall, MDChapter 17         Cataract Surgery After Previous Refractive Surgery                                     Cataract Surgery After Laser-Assisted in Situ Keratomileusis                                     George J. C. Jin, MD, PhD and Alan S. Crandall, MD                                     Cataract Surgery After Surface Ablation                                     Randall J. Olson, MD and George J. C. Jin, MD, PhD                                     Cataract Surgery After Radial Keratotomy                                     George J. C. Jin, MD, PhD and Randall J. Olson, MDChapter 18         Future of Cataract Surgery                             Randall J. Olson, MDFinancial DisclosuresIndex