Fourth Edition
William H Dean BSc MBChB MRCOphth MRCSEd
Specialist Trainee Ophthalmologist Bristol Eye Hospital,
Bristol, UK
CBM Ophthalmologist Nkhoma Eye Hospital, Malawi
John Sandford-Smith MBE FRCS FRCOphth
Emeritus Consultant Ophthalmologist Leicester Royal Infirmary, Leicester, UK
Ophthalmologist Christian Hospital, Quetta, Pakistan
Senior Lecturer in Ophthalmology Ahmadu Bello University Hospital, Kaduna, Nigeria
Published by JP Medical Ltd
83 Victoria Street, London, SW1H 0HW, UK
Tel: +44 (0)20 3170 8910 | Fax: +44 (0)20 3008 6180 |
Email: info@jpmedpub.com | Web: www.jpmedpub.com |
First Edition published 1994
Second Edition published 2001
Third Edition published 2004
The rights of William Dean and John Sandford-Smith to be identified as authors of this work have been asserted by them in accordance with the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission in writing of the publishers. Permissions may be sought directly from JP Medical Ltd at the address printed above.
All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book.
Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the authors assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book.
This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required, the services of a competent medical professional should be sought.
Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity.
9781909836235
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress
Publisher: | Richard Furn |
Editorial Assistant: | Sophie Woolven |
Design: | Designers Collective Ltd |
Indexed, typeset, printed and bound in India.
5Preface
Unfortunately there are many people who still have no access to the basic eye surgery which could make such a difference to their lives. At present about 60% of patients requiring eye surgery in Asia receive it, whereas in some parts of Africa this figure is as low as 20%.
The purpose of Eye Surgery in Hot Climates is to describe simple, cost-effective procedures appropriate for countries with a low income. Eye surgery technology continues to advance in developed countries; however, much of this technology does not benefit patients in developing countries due to the expense. This book gives advice on those techniques which are within reach of health care professionals working in resource poor environments.
One of the main changes that has taken place since publication of the last edition is the reduction in cost of good quality intraocular lenses, the use of which has become standard practice worldwide. Moreover, global initiatives in support of blindness prevention have been scaled up enormously in recent years. Surgical training lies at the core of both of these developments. This book has been written with the goal of promoting these skills.
We hope that Eye Surgery in Hot Climates, 4th Edition, will prove invaluable to those in training and continue to provide practical advice for health care providers in developing countries.
William H Dean, John Sandford-Smith
October 2014
6Dedication
We dedicate this book to Dr. Nick Metcalfe. He built up the Eye Hospital in Nkhoma, Malawi, to be the most productive department in Southern Africa, and a flagship for training and surgical excellence. If he had not sadly been stricken with a disabling disease four years ago, he would have been a co-author of this book.
WD
JS-S
Acknowledgements
There are many people we would like to thank for their help with the publication of Eye Surgery in Hot Climates: the co-author of the first edition, David Hughes, and the illustrator, Debbie Carmichael, for their hard work and encouragement. We would also like to thank the staff at the International Centre for Eye Health in London, especially Gordon Johnson, Allen Foster, Murray McGavin, Sue Stevens, Ann Naughton, Andy Richards, Keith Waddell and Isabelle Russell. Thanks must go to Parul Desai, the illustrator of additional figures in the second edition as well as Doonie Swales for her patient secretarial assistance.
This edition has had expert input from Dr Danielle Ledoux and Dr Nick Lees. Dr Keith Waddell, Professor Andrew McNaught, Mr David Yorston, Dr Chris Williams, Dr Bansri Lakhani, Mr Tom Eke and Dr Albrecht Hennig.
The Ulverscroft Foundation in Leicester has been extremely generous from the very beginning and the continued publication of this book would not have been possible without their support.
WD
JS-S