Mastering the Techniques of Customized Lasik (Technology and Innovations) Ashok Garg, Bojan Pajic, JT Lin, Jerome Jean Bovet
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1Mastering the Techniques of Customized LASIK (Technology and Innovations)
2Mastering the Techniques of Customized LASIK (Technology and Innovations)
Editors Ashok Garg MS PhD FIAO(Bel) FRSM FAIMS ADM FICA International and National Gold Medalist Chairman and Medical Director Garg Eye Institute and Research Centre 235-Model Town, Dabra Chowk Hisar- 125005 (India) JT Lin PhD Technical Director Photon Data Inc.7055, University Blvd Winter Park, Florida USA Jerome Jean Bovet MD Consultant Ophthalmic Surgeon FMH Clinique de L'oeil 15, Avenyue Du Bois-de-law-Chapelle CH-1213, Onex, Switzerland Bojan Pajic MD Chief Corneal and Refractive Surgery Deptt. Department of Ophthalmology Vision Care, Klinik Pallas Louis Giroud Str. 20 4600 Olten, Switzerland Emanuel Rosen MD Medical Director Rosen Eye Associates Harbour City, Salford Quays M50 3BH, UK Noel Alpins MD FRACS Medical Director New Vision Clinics 7, Chesterville Road Chelternham, Victoria 3192 Australia Roberto Pinelli MD Director, Istituto Laser Microchirurgia Oculare Crystal Palace, Via Cefalonia, 70 25124, Brescia, Italy Cyres K Mehta MS FSVH FAGE Director and Consultant Mehta International Eye Institute Seaside, 147, Shahid Bhagar Singh Rd. Colaba, Mumbai- 400005 India Foreword Marguerite B McDonald
3Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
B-3 EMCA House, 23/23B Ansari Road, Daryaganj
New Delhi 110 002, India
Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021, +91-11-23245672, Rel: 32558559
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Visit our website: www.jaypeebrothers.com
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Mastering the Techniques of Customized LASIK (Technology and Innovations)
© 2007, Editors
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher.
This book has been published in good faith that the material provided by the contributors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and editors will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters to be settled under Delhi jurisdiction only.
First Edition: 2007
9788184480757
Typeset at JPBMP typesetting unit
Printed at Ajanta
4Dedicated to
  • My Respected Param Pujya Guru Sant Gurmeet Ram Rahim Singh Ji for his blessings & motivation.
  • My Respected Parents, teachers, my wife Dr. Aruna Garg, son Abhishek and daughter Anshul for their constant support and patience during all these days of hard work.
  • My dear friend Dr. Amar Agarwal, a renowned International Ophthalmologist for his constant support, guidance and expertise.
Ashok Garg
  • The memory of my step daughter Nicola Ross who enjoyed benefits from refractive surgery were cut short by a tragic fatal illness.
Emanuel Rosen
  • My wife, Jeanette and my sons Alex and Tao, who have been giving me constant support and love.
J.T. Lin
  • To darling Sylvia and our daughters, for all your support and encouragement.
Noel Alpins
  • Yveric, Luc and Fanny Laure.
  • Silvio Korol, who was not only a teacher but also an intellectual guide and a friend.
Jerome Bovet
  • I dedicate this book to India's Talented ophthalmologists, in the fervent hope that they may become increasingly devoted to refractive surgery.
Roberto Pinelli
  • To my son Valentin Aleksandar.
Bojan Pajic
  • My parents for everything.
  • To Vini my Best friend.
Cyres K Mehta
5Contributors 8Foreword
It is a great honor and pleasure to write the foreword for Mastering the Techniques of Customized LASIK (Technology and Innovations), edited by Dr. Ashok Garg and seven of his esteemed colleagues: Drs Emanuel Rosen, Dr JT Lin, Dr Noel Alpins, Dr Jerome Jean Bovet, Dr Roberto Pinelli, Dr Bojan Pajic, and Dr Cyres K Mehta. This book was an ambitious project, with 58 chapters divided into four sections covering the basic biophysics and preliminary considerations in customized LASIK, various customized LASIK techniques and platforms, customized LASIK complications and management, and recent advances in customized LASIK techniques.
Speaking of experts: in this book, some of the very best international minds have come together to produce what I believe is, to date, the most extensive review of customized laser vision correction in existence.
Congratulations are in order for Dr Garg, his co-editors, and the many authors who took the time to share their knowledge so eloquently with us. Their work is both educational and inspirational, serving as a guiding light for those who wish to improve the way that medicine is practiced. I would like to end with a quote from Eleanor Roosevelt, which epitomizes their spirit: “The future belongs to those who believe in the beauty of their dreams.”
Dr. Marguerite McDonald, md, facs
Clinical Professor of Ophthalmology
Tulane University Health Sciences Center
Ophthalmic Consultants of Long Island
Lynbrook, New York, USA
Tel.: (504) 896-1240
E-mail: margueritemcdmd@aol.com
9Preface
Laser Refractive Surgery is in its second decade and improvements realized in this time is remarkable. Wavefront guided customized Lasik is a recent advancement in Corneal Refractive Surgery that is designed to correct refractive error and higher order aberrations as measured on each patient preoperatively individually. Reducing these aberrations leads to significantly improve visual performance and patient satisfaction. In customized Lasik refractive outcomes have become increasingly accurate due to nomogram, Laser algorithm adjustments and the use of larger treatment zones, the focus has shifted to maintain or possibly increasing the quality of vision. Latest generation of wavefront based platforms shall allow the refractive surgeons to visualize this goal. Excellent visual acuity results that are achieved with customized lasik have led to high patient satisfaction rates & surgeon comforts. As compare to conventiional Lasik surgery which causes a rise in higher order corneal aberrations, the Customized Lasik ablation intends to maintain the prolate shape of the cornea & reduce corneal surface irregularities which leads to Excellent UCVA, better night vision quality & lenses induced wavefront aberrations postoperatively.
Present International book has been written with the aim of providing complete uptodate information on customized lasik in a single comprehensive book which is otherwise not available at an international level. This international book contains 63 excellent chapters written by International Customized Lasik experts covering all aspects from Biophysics to varrious customized Lasik Techniques and platforms, complications management and Recent Advances in a Lucid manner. Various new technique like customized Presbyopic Lasik, Aspheric Lasik, Pentacam technology, New Algorithm to control corneal asphericity, Femtosecond Laser, Bladeless Lasik Surgery, Disposable Custom Configured Microkeratome, Visiodynamics & Customized bifocal lasik are star features of this book. A video DVD ROM is an added attraction of the book showing Latest Customized Lasik Techniques by International Masers of this field.
Our special thanks to Sh. Jitender Vij (CEO) M/s Jaypee Brothers Medical Publisher, Mr. Tarun Duneja (General Manager Publishing) & all staff members who took keen interest in the publication of this book in a short span of time.
We are confident that present book shall be able to meet all expectations of customized lasik surgeons worldwide to provide complete information on this subject in a comprehensive manner.
Editors