DIFFICULT AND COMPLICATED CASES IN REFRACTIVE SURGERY

- Provides detailed practical information on a wide range of challenging cases drawn from the clinical practices of world leaders in the field
- Invaluable both for practicing refractive surgeons and for those in training
- Complements the authors’ successful previous book, Management of Complications in Refractive Surgery

This richly illustrated book is intended as a gold standard for the refractive surgeon. It complements the authors’ successful previous book, Management of Complications in Refractive Surgery, by providing detailed practical information on the management of specific cases. Worldwide leaders in the field document a wide range of challenging cases drawn from their own clinical practice. These cases relate to the planning of refractive laser treatment; intraoperative complications when using LASIK (Microkeratome and Femtosecond) and various surface treatments, including PRK, PTK, and EpiLASIK; early and late postoperative complications with these treatments; and a range of other complications that may arise during or after refractive surgery. This book will be an indispensable aid for the refractive surgeon and will assist in decision making when the surgeon is confronted by a difficult case.
Content Level » Professional/practitioner
Keywords » Cataract - Cornea - Intraocular lens - Malpractice - Refractive surgery
Related subjects » Ophthalmology

AUTHORS & EDITORS
Jorge L. Alió, MD, PhD, is Professor and Chairman of Ophthalmology and Medical Director of the Alicante Institute of Ophthalmology at the University of Miguel Hernández, Alicante, Spain. He is also founder of the VISSUM Corporation, comprising 40 clinics in Spain and founder of the Jorge Alió Foundation for the Prevention of Blindness. Dr. Alió has conducted extensive research work in various areas of ophthalmology and has been the Director of 57 doctoral theses. He has authored almost 400 original articles in indexed peer review journals as well as more than 200 book chapters. He is the author, editor, or co-editor of 71 books and has given over 1000 presentations at international scientific congresses. He has received 58 awards for clinical and research work, 21 of them at an international level. In 2011, Dr. Alió received the prestigious Gran Collar Rey Alfonso III in Madrid. He was co-founder of the International Ocular Inflammation Society, and its Chairman until 1998 and then Secretary to the present day. He has served on the editorial boards of many journals, including the Journal of Refractive Surgery, Journal of Cataract and Refractive Surgery, European Journal of Ophthalmology, and British Journal of Ophthalmology.

Dimitri T. Azar, MD, MBA, is Interim Dean of the College of Medicine, Professor and Head of the Department of Ophthalmology, and B.A. Field Endowed Chair of Ophthalmologic Research at the University of Illinois at Chicago. Prior to his appointment at the University of Illinois, he served as Professor of Ophthalmology at Harvard Medical School from 2003 to 2006, as well as Senior Scientist at the Schepens Eye Research Institute. Dr. Azar has received many awards and honors during his distinguished career, including the American Academy of Ophthalmology Honor Award in 1998, the American Academy of Ophthalmology Senior Achievement Award in 2004, and the Lans Distinguished Award from the International Society of Refractive Surgery in 2009. In 1996, assisted by Dr. J.C. Abad, Dr. Azar performed the first LASEK procedure worldwide. Dr. Azar has received research funding for a wide range of projects and is the holder of a large number of patents. He has served on several journal editorial boards, including currently that of Investigative Ophthalmology and Visual Science. Dr. Azar is the editor or associate editor of 14 books (with a further three in preparation), ca. 150 original research articles in peer-reviewed publications, and numerous other book chapters and reviews.

Table of contents (102 chapters)
1.Hyperopic Result After Corneal Wavefront-Guided PRK on an RK Eye
2.Refractive Laser Treatment Post Phakic IOLs by LASIK
3.Refractive Laser Treatment Post ICL in High Myopia by PRK
4.IOL Calculation in a Previous Refractive Hyperopic Patient
5.Refractive Surprise After Cataract Surgery Solved by Surface Ablation of a Patient That Underwent Corneal Refractive Surgery 12 Years Ago
6.Post-refractive Surgery IOL Power Calculation, Intraoperative Aberrometry
7.Refractive Lens Exchange for High Hyperopic Astigmatism Followed by LASIK
8.Trans-epithelial Phototherapeutic Keratectomy for Irregularly Irregular Astigmatism
9.Sequential Custom Therapeutic Keratectomy for Irregular Astigmatism
10.Combined Post-keratoplasty LASIK/AK to Treat High Astigmatism
11.Avoiding Corneal Graft: From Corneal Surgery to Phakic IOL
12.Excimer Laser Treatment of Irregular Astigmatism Following Phaco Wound Burn
13.Femtosecond Laser-Assisted Superficial Lamellar Keratectomy for the Treatment of Superficial Corneal Leukomas
14.Managing LASIK Hyperopic Shift with a Multifocal Lens
15.LASIK and Severe Anisometropia in a Child
16.Refractive Laser Treatment Plan, Night Vision Disturbance
17.Use of Excimer Laser Surgery for Monovision in Cases of Unsatisfactory Outcome Following Cataract Surgery
18.Error in the Excimer Refractive Program: From a Simple Mistake to a Major Clinical Problem
19.Buttonhole Flaps
20.Incomplete LASIK Flap
21.Dislocated Flaps
22.Perforated Femtosecond Laser-Created Flap
23.Thin Flap Complications
24.Vertical Gas Breakthrough During Femtosecond Laser Flap Creation for Laser In Situ Keratomileusis in an Eye with Previous Microkeratome Flap
25.Intraoperative Complications: Free Cap in Femtosecond LASIK
26.Limitations of Reorientation of a LASIK Free Cap
27.Flap Lost
28.Decentered Flap in Hyperopic IntraLASIK: Sometimes to Delay Is to Succeed
29.Suction Break During Raster Pattern and Before Side Cut
30.Suction Break After Complete Raster Pattern and Incomplete Side Cut
31.Suction Loss After Complete Raster Pattern and No Side Cut, No Flap Lift, and Rainbow Glare
32.Interface Infection Following LASIK
33.Infections After Refractive Surgery
34.Staphylococcal Hypersensitivity Keratitis Following Femtosecond LASIK
35.DLK Early
36.GAPP Syndrome
37.Pressure-Induced Interlamellar Stromal Keratitis
38.Early Flap Striae
39.Management of Recalcitrant Flap Macrostriae
40.Marginal Sterile Corneal Infiltrates
41.Hypersensitivity to Vancomycin
42.Management of Traumatic LASIK Flap Edge Invagination
43.Dry Eye Syndrome: Ocular Surface Syndrome After Lasik and Treated with Eye Platelet-Rich Plasma (E-PRP)
44.Dry Eye Syndrome: Management of Post-LASIK Dry Eye Disease
45.Dry Eye Syndrome: Recurrent Epithelial Erosion After LASIK
46.Dry Eye Syndrome: Severe Ocular Surface Inflammatory Syndrome Post LASIK Caused by Blepharitis
47.Epithelial Ingrowth: Epithelial Ingrowth into Visual Axis After Primary LASIK Surgery Treated by Flap Elevation and Scraping
48.Epithelial Ingrowth: Use of Topography in the Management
49.Epithelial Ingrowth After LASIK
50.Corneal Ectasia: Management of Corneal Ectasia After LASIK with Dovetail Femtosecond Penetrating Keratoplasty
51.Corneal Ectasia: Ectasia Post LASIK Managed by Femtosecond-Assisted Deep Anterior Lamellar Keratoplasty (DALK)
52.Corneal Ectasia: Management of Corneal Ectasia After LASIK with Deep Anterior Lamellar Keratoplasty (DALK) and Transepithelial Photorefractive Keratectomy (PRK) with Mitomycin C
53.Corneal Ectasia: Transepithelial Phototherapeutic Keratectomy and Corneal Collagen Cross-Linking for a Patient Affected by Ectasia Post-LASIK with High Coma Aberration
54.Other Complications: Late Flap Striae
55.Other Complications: Scarring
56.Other Complications: Abnormal Healing in Femtosecond LASIK
57.Other Complications: Haze-Related Myopic Shift After PRK on a LASIK-Operated Eye Treated by Transepithelial PTK
58.Other Complications: Late-Onset Diffuse Lamellar Keratitis After LASIK in a Patient with Epithelial Defect After Microtrauma
59.Other Complications: Late-Onset Myopic Regression 12 Years Following Properly Centered Myopic LASIK
60.Other Complications: Late-Onset Unilateral Irregular Mixed Astigmatism Following Thick-Flap LASIK
61.Other Complications: Flap Lift After 15 Years
62.Other Complications: Ptosis After LASIK
63.Other Complications: Management of Recalcitrant Late-Onset DLK After Hyperopic LASIK
64.Other Complications: Management of Apparent Corneal Infiltrates After Cataract Surgery in a Patient with Previous LASIK Treatment
65.PRK and Epidemic Keratoconjunctivitis
66.Monolateral
67.Abnormal Healing
68.Dry Eye and PRK
69.Treatment of Post-PRK or Post-RK Haze by Two-Stage Transepithelial PRK with Mitomycin C
70.A Case of Severe Haze After PRK in a Patient Treated by a 6th-Generation Excimer Laser
71.Ectasia Post PRK at Delayed Onset
72.Late-Onset Consecutive Hyperopia Following Decentered Myopic PRK
73.Twelve Years of Follow-Up of PRK in a Patient with -22 Diopter Myopia
74.Complications of Corneal Inlays (Inlay Displacement)
75.AcuFocus® Inlay Implant Reversibility
76.Corneal Melting and Neovascularization Associated with Ring Segment Extrusion 6 Months After the Surgery
77.Management of Poor Vision Following INTACS Implantation for Keratoconus
78.Refractive Surprise After PRK in Patient with INTACS. Reversibility of Intrastromal Corneal Ring Segments. Refractive and Topographic Changes
79.Artisan Lens Dislocation
80.Iris and Crystalline Lens Damage During Phakic IOL Surgery
81.Angle-Supported Phakic IOL
82.Phakic IOL Optic Luxation in a Two-Pieces (Kelman Duet) Lens Separation
83.Angle-Supported Phakic IOL Migration Following Trauma
84.Misaligned STAAR Toric Implantable Collamer Lens (ICL)
85.ICL and Sequential Bilateral Pupillary Block
86.Complications of Phakic Intraocular Lenses: Refractive Lens Exchange and Piggyback
87.Haze
88.Microbial Keratitis After Corneal Collagen Cross-Linking
89.Limitations of PRK After ICRS and Corneal Collagen Cross-Linking for Keratoconus
90.PACK-CXL Treatment of Acanthamoeba Keratitis Following PRK
91.CXL and Delayed Wound Healing
92.CXL in Pediatric Age
93.Solving Refractive Complications after RK Correction of Hyperopic Shift
94.Variability of Astigmatic Keratotomy
95.Cataract Surgery Complications of Radial Keratotomy
96.Lasik Surgery After Arcuate Lamellar Keratotomy
97.CNV After LASIK
98.LASIK Flap Displacement During Vitrectomy
99.NIAON After LASIK
100.Macular Hole After LASIK
101.Retinal Detachment After LASIK
102.Erratum