Jaypee Brothers
In Current Chapter
In All Chapters
X
Clear
X
GO
Normal
Sepia
Dark
Default Style
Font Style 1
Font Style 2
Font Style 3
Less
Normal
More
Refractive Surgery with Phakic IOLs: Fundamentals and Clinical Practice
Jorge L Alio, Juan Jose Pérez-Santonja
PART 1: BASIC PRINCIPLES OF REFRACTIVE SURGERY WITH PHAKIC IOLS: SECTION 1: BASIC PRINCIPLES OF REFRACTIVE SURGERY WITH PHAKIC IOLS
1:
Phakic Intraocular Lenses and their Role in Modern Refractive Surgery
Introduction
Angle-supported Anterior Chamber Iols
Iris-fixated Phakic Iols
Posterior Chamber Phakic Iols
Present and Future of Phakic Iols
Take Home Notes
2:
The Limits of LASIK: Comparative Analysis between Corneal and Phakic IOL Refractive Surgery
Corneal Surgery for Myopia and Hyperopia: An Overview
The Limits of LASIK
Complications of LASIK
LASIK versus Phakic Iols
Take Home Notes
3:
Refractive Surgery and Phakic IOLs
Surgical Correction of High Myopia and Hyperopia with Phakic IOLs
Anatomical Location and Classification of Phakic IOLs
Angle-supported Phakic IOLs
Baikoff Angle-supported Phakic IOLs (ZB, ZB5M, NuVita, ZSAL and Phakic 6)
Foldable Angle-supported Phakic IOLs
IRIS-fixated Phakic IOLs
Posterior Chamber Phakic IOLs
Implantable Contact Lens
Phakic Refractive Lens
Take Home Notes
4:
Proper Patient Assessment, Selection and Preparation
Assessment of Indications and Contraindications
Dioptric Limits
Age
Other Guidelines for Ocular and Systemic Contraindications
General Ophthalmic Examination
Measurement of the Corneal Curvature
Endothelial Cell Count and Morphological Examination
Pupil Size Measurement
Vitreo-retinal Examination
Ultrasound Studies of the Eye
Corneal Pachymetry
Biometry
Ultrasound Biomicroscopy
Sizing of Phakic IOLs
Measuring the Horizontal Corneal Diameter (white-to-white distance)
Measuring Angle and Sulcus Diameters
Posterior Chamber Phakic Lens Sizing Based on Direct Measurement of Sulcus
Patient Education
Interview with the Patient
Pre-operative Instructions
Medical therapy
Post-operative Instructions
Post-operative medical therapy
Post-operative Details
Follow-up care
Take Home Notes
PART 2: IMPLANTATION OF PHAKIC INTRAOCULAR LENSES: SECTION 2: IMPLANTATION OF PHAKIC INTRAOCULAR LENSES FOR MYOPIA AND HYPEROPIA CORRECTION
5:
Power Calculation for Phakic IOLs
Introduction
Calculation of Iol Power
Essential Optics Needed to Derive the Formula
Optical Rationale for Simplification
Practical Aspects of Calculations
Outcome of Studies
Discussion
Take Home Notes
6:
Iris-fixated Phakic IOLs
Background and Development
Indications
Artisan®
Models of Iris-fixated Phakic IOLs
Surgical Procedure
Results
Artiflex®
Surgical Procedure
Results
Toric Artiflex®
Take Home Notes
7:
The Kelman Duet Angle-supported Phakic IOL
Introduction
Background and Development
Design Considerations
Insertion Technique
Last Personal Update Managing The Kelman Duet Phakic Iol
Statistical Analysis
Results
Visual Acuities
Efficacy
Predictability
Safety
Intraocular Pressure
Endothelial Cell Loss
Complications
Night Halos and Glare
Lens Off-centring
Post-operative Inflammation
Pupil Ovalisation
Retinal Complications
Morphological Study
Take Home Notes
8:
The AcrySof® Cachet™ Angle-supported Phakic IOL
Background and Development
Insertion Technique
Patient Selection
Surgical Technique
Clinical Results
Safety and Efficacy
Positional Stability
Evaluation of Endothelial Cell Density
Complications
Bioptics
Personal Perspective on Phakic IOLs
Take Home Notes
Acknowledgement
9:
ICL Posterior Chamber Phakic IOL
Historical Background
The Visian ICL
Patient Selection Criteria
Preparation of the Patient
Surgical Technique
Loading the ICL
Inserting the ICL
Post-operative Regimen
Results
Quality of Vision Disturbances
Intra-operative Complications and Difficulties
Post-operative Complications
Early Complications
Late Complications
The Lovisolo Custom ICL Sizer™
Conclusions
Take Home Notes
10:
PRL-Carl Zeiss Posterior Chamber Phakic Refractive Lens
Background and Development
Patient Selection
PRL Power Calculation
Surgical Technique
Clinical Results
Complications
Intra-operative Complications
Implant Damage
Haemorrhage
Iris Damage
Lens Damage
Endothelial Damage
Zonule Damage
Unusual Situations and Post-operative Complications (Table 10.12)
IOP Increase on First or Second Day Post-operative
Sub-capsular Opacity
Early Iridocyclitis
Implant Decentration
Glare and/or Haloes
Luxation into the Vitreous Cavity—a Rare but Serious Complication
Management of Potential Decentration/Subluxation Side Effects
Definitions
Other Applications for the Prl
Paediatric Usage
Future Applications for the PRL
Take Home Notes
SECTION 3: IMPLANTATION OF PHAKIC INTRAOCULAR LENSES FOR ASTIGMATISM CORRECTION
11:
Phakic Intraocular Lenses for the Correction of Astigmatism
11 A: Iris-fixated Phakic Intraocular Lenses for the Correction of Astigmatism
Use of Toric Phakic Iols
Iris-fixated Piols
Patient Selection for Initial Cases
Results
Pre-operative Considerations
Surgical Technique Pearls
Take Home Notes
11 B: Toric Posterior Chamber Implantable Collamer Lens TICL®
Evolution
Current Icl Models and Powers
Myopic ICL
Hyperopic ICL
Toric ICL
Characteristics of the ICL V4B
Indications of Icl and Ticl
Selection Criteria and Pre-operative Assessment
Refraction
Stability of Refraction
Anterior Chamber Depth
Pupil Size
Corneal Topography
Gonioscopy
Icl Sizing
Icl Power Calculation
Surgical Techniques
Icl Loading
Icl Implantation
Post-operative Care
Clinical Results
Refractive Outcome
Visual Outcome
Stability of Toric Icl Alignment after Implantation
Icl in Stable Keratoconus
Icl after Corneal Ring Segments or Collagen Cross Linking in Progressive Keratoconus
Toric Icl after Corneal Grafts
Complications
Improper Sizing and Poor Vaulting
Cataract
Pupillary block
Night Glare
Residual Refractive Error
Endothelial Damage
Decrease in Accommodation
Pigment Dispersion
Retinal Complications
Take Home Message
Annexure
SECTION 4: COMBINED AND ADDITIVE PROCEDURES WITH PHAKIC IOLS
12:
Bioptics and Adjustable Refractive Surgery for Extreme Ametropia: Current Concepts
Introduction
Author's Experience
Surgical Technique
Patient Selection and Pre-operative Work-up
ICL Design and Specifications
IOL Power Calculations
Bioptics Surgical Technique
Classification
The ICL Technique in Bioptics
ICL Follow-up
Laser Procedures Associated with ICL Implantation
IntraLase™ and Bioptics (iLASIK or CIRI Combined with ICL)
Conventional LASIK Technique
Bioptics Follow-up
Avoiding Complications
Corneal Laser-related Complications
Phakic IOL-related Complications
Bioptics-related Impact on Visual Acuity: Efficacy, Predictability and Stability
Conclusion
Take Home Notes
SECTION 5: NEW TRENDS IN REFRACTIVE SURGERY WITH PHAKIC IOLS
13:
Future of Phakic IOLs
APPENDIX: SURVEY OF PEER-REVIEWED LITERATURE ON PHAKIC INTRAOCULAR LENSES
APPENDIX:
APPENDIX: Survey of Peer-reviewed Literature on Phakic Intraocular Lenses
Literature Review
Introduction to the Phakic Intraocular Lens
Phase 1
Phase 2
Phase 3
Tabular Description
Abbreviations
INDEX
TOC
Index
×
Chapter Notes
Save
Clear