SURGICAL MANAGEMENT OF ASTIGMATISM
SURGICAL MANAGEMENT OF ASTIGMATISM
Editors Dimitri T Azar MD MBA
Senior Director, Ophthalmic Innovations Clinical Lead, Ophthalmology Programs Alphabet Verily Life Sciences
San Francisco, CA, USA
Distinguished University Professor BA Field Chair of Ophthalmological Research and Former Medical School Executive Dean University of Illinois College of Medicine,
Chicago, IL, USA
Jorge L Alió MD PhD FEBOphth
Professor and Chairman of Ophthalmology VISSUM Instituto Oftalmológico,
Alicante, Spain
Division of Ophthalmology Universidad Miguel Hernández,
Alicante, Spain
M Soledad Cortina MD
Associate Professor of Ophthalmology, Director Comprehensive Ophthalmology Faculty Practice (COFP) and General Eye Clinic University of Illinois College of Medicine Department of Ophthalmology and Visual Scienc University of Illinois at Chicago,
Chicago, IL, USA
Joelle A Hallak MS PhD
Assistant Professor and Executive Director Ophthalmic Clinical Trials and Translational Center Director, Ophthalmic Data Science Laboratory Department of Ophthalmology and Visual Sciences University of Illinois at Chicago,
Chicago, IL, USA
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Surgical Management of Astigmatism
First Edition: 2020
9789389188851
Printed at:
Our families. Without their constant support, this book would not have been possible.
- Afua Annor MD
- Ophthalmologist University of California Davis Eye Center
- Sacramento, CA, USA
- Alanna S Nattis DO FAAO
- Ophthalmologist Department of Cornea and Refractive Surgery
- SightMD, NY, USA
- Alexander Pleet MD
- Glaucoma Fellow
- Department of Ophthalmology
- Feinberg School of Medicine
- Northwestern University
- Chicago, IL, USA
- Alfredo Vega-Estrada MD PhD
- Ophthalmologist
- Department of Cornea and Refractive Surgery
- Vissum/Instituto Oftalmológico de Alicante, Spain
- Almutez M Gharaibeh MD
- Associate Professor of Ophthalmology Faculty of Medicine
- The University of Jordan
- Amman, Jordan
- Andrea Arteaga MD
- Ophthalmology Resident Department of Ophthalmology and Visual Sciences
- University of Illinois
- Chicago, IL, USA
- Andrzej Grzybowski MD PhD MBA
- Professor Department of Ophthalmology
- Chair of Ophthalmology
- University of Warmia and Mazury Olsztyn, Poland
- Head, Institute for Research in Ophthalmology
- Poznan, Poland
- Arthur Cummings FRCS MD
- Medical Director
- Wellington Eye Clinic
- Consultant Ophthalmologist
- Head, Department of Ophthalmology
- Beacon Hospital, Dublin, Ireland
- Asier Villanueva MSc
- Researcher Department of Optical and Visual Sciences
- University of Alicante, Alicante, Spain
- Brent A Kramer MD
- Ophthalmology Resident
- Department of Ophthalmology
- University of North Carolina at Chapel Hill
- Chapel Hill, NC, USA
- Bryan S Lee MD JD
- Ophthalmologist
- Department of Cornea and Refractive Surgery
- Altos Eye Physicians
- Los Altos, CA, USA
- Damien Gatinel MD PhD
- Chief of Service Department of Anterior Segment and Refractive Surgery Rothschild Foundation
- Paris, France
- David F Chang MD
- Clinical Professor
- University of California San Francisco San Francisco, CA, USA
- David R Hardten MD FACS
- Ophthalmologist and Founding Partner
- Minnesota Eye Consultants
- Minnesota, USA
- Debora E Garcia-Zalisnak MD
- Cornea, Refractive Surgery and External Disease Specialist Clear Vision Ophthalmology
- Tucson, Arizona, USA
- Daniel G Fernández-Pacheco PhD
- Faculty Department of Graphical Expression
- Technical University of Cartagena
- Cartagena, Spain
- Dimitri T Azar MD MBA
- Senior Director, Ophthalmic Innovations
- Clinical Lead, Ophthalmology Programs
- Alphabet Verily Life Sciences
- San Francisco, CA, USA Distinguished University Professor
- BA Field Chair of Ophthalmological Research and
- Former Medical School Executive Dean
- University of Illinois College of Medicine Chicago, IL, USA
- Eric D Donnenfeld MD
- Ophthalmologist
- Long Island Cornea, LASIK and Cataract Specialist
- Department of Ophthalmology
- Ophthalmic Consultants of Long Island
- Garden City, NY, USA
- Eric D Rosenberg DO MSE
- Ophthalmologist
- Valhalla, NY, USA
- F Cavas Martínez PhD
- Faculty Department of Graphical Expression
- Technical University of Cartagena
- Cartagena, Spain
- FJ Fernández Cañavate PhD
- Faculty Department of Graphical Expression
- Technical University of Cartagena
- Cartagena, Spain
- George Stamatelatos BSc Optom
- Clinical Director
- ASSORT
- Senior Optometrist
- New Vision Clinics
- Melbourne, Australia
- Gunther Grabner MD
- Professor
- Department of Ophthalmology
- Paracelsus Medical University Salzburg, Austria
- Joao Crispim MD
- Ophthalmologist Department of Ophthalmology and Visual Sciences
- Federal University of São PauloSão Paulo, Brazil
- Joelle A Hallak MS PhD
- Assistant Professor and
- Executive Director
- Ophthalmic Clinical Trials and Translational Center
- Director
- Ophthalmic Data Science Laboratory
- Department of Ophthalmology and Visual Sciences
- University of Illinois at Chicago
- Chicago, IL, USA
- John SM Chang MD
- Director, Guy Hugh Chan Refractive Surgery Centre
- Hong Kong Sanatorium and Hospital Happy Valley, Hong Kong
- John P Berdahl MD
- Ophthalmologist Surgeon
- Vance Thompson Vision
- Sioux Falls, SD, USA
- Jonathan Rubenstein MD
- Professor
- Department of Ophthalmology
- Rush University Medical Center
- Chicago, IL, USA
- Jorge L Alió MD PhD FEBOphth
- Professor and Chairman of Ophthalmology
- VISSUM Instituto Oftalmológico Alicante, Spain
- Division of Ophthalmology
- Universidad Miguel Hernández
- Alicante, Spain
- Jorge L Alió del Barrio MD PhD
- Surgeon, Cornea, Cataract, and Refractive Surgery
- Division of Ophthalmology
- Universidad Miguel Hernández
- Alicante, Spain
- Jose de la Cruz MD
- Assistant Professor Department of Ophthalmology and Visual Sciences
- University of Illinois at Chicago
- Chicago, IL, USA
- Kai Kang MD
- Assistant Professor Department of Ophthalmology and Visual Sciences
- University of Illinois at Chicago
- Chicago, IL, USA
- Laurent Bataille MSc
- Director Research and Development
- VISSUM Instituto Oftalmológico
- Alicante, Spain
- Leon Strauss MD PhD
- Instructor Department of Ophthalmology The Wilmer Eye Institute
- The Johns Hopkins University
- School of Medicine
- Baltimore, MD, USA
- M Soledad Cortina MD
- Associate Professor of Ophthalmology Director
- Comprehensive Ophthalmology Faculty Practice (COFP) and General Eye Clinic
- University of Illinois College of Medicine
- Department of Ophthalmology and Visual Sciences
- University of Illinois at Chicago
- Chicago, IL, USA
- Mauro C Tiveron Jr MD
- ICO Fellow
- Department of Cornea, Cataract and Refractive Surgery Massachusetts Eye and Ear Infirmary
- Harvard Medical School
- Boston, MA, USA
- Noel Alpins AM FRANZCO FRCOphth FACS
- Clinical Professor and Medical Director
- Newvision Clinics
- CEO of ASSORT Department of Ophthalmology
- University of Melbourne
- Melbourne, Australia
- Piotr Kanclerz MD PhD
- Ophthalmologist Department of Ophthalmology
- Medical University of Gdansk
- Gdansk, Poland
- Praneetha Thulasi MD
- Assistant Professor Department of Ophthalmology Emory Eye Center
- Atlanta, GA, USA
- Renan Ferreira Oliveira MD
- Ophthalmologist, Cataract and Refractive Surgeon Sadalla Amin Ghanem Eye Hospital
- Joinville, SC, Brazil
- Ricardo M Nosé MD
- Research Fellow
- Department of Cornea, Cataract and Refractive Surgery Massachusetts Eye and Ear Infirmary
- Harvard Medical School
- Boston, MA, USA
- Roberto Fernández-Buenaga MD PhD
- Consultant Ophthalmologist
- Department of Cornea, Cataract and Refractive Surgery
- Vissum Corporación Madrid, Spain
- Roberto Pineda II MD
- Associate Professor Department of Ophthalmology
- Director Department of Refractive Surgery
- Massachusetts Eye and Ear Infirmary
- Harvard Medical School
- Boston, MA, USA
- Samantha Williamson MD
- Cornea and External Disease Specialist Department of Ophthalmology
- Kaiser Permanente Mid-Atlantic Medical Group
- Baltimore, MD, USA
- Shilpa Gulati MD
- Retina Fellow
- Tufts New England Eye Center
- Ophthalmic Consultants of Boston
- Boston, MA, USA
- Suphi Taneri MD
- Director
- Center for Refractive Surgery
- Owner, Eye Department
- St Franziskus Hospital, Munster
- Lecturer, Ruhr University
- Bochum, Germany
- Susie Drake MD
- Cornea and External Disease Specialist Center for Eye Care
- Watertown Regional Medical Center
- Watertown, WI, USA
- Tomoaki Nakamura MD
- Ophthalmologist
- Department of Refractive Surgery Nagoya Eye Clinic
- Namiyose Atsuta-ward Nagoya, Japan
- Verónica Vargas MD
- Refractive Surgery Fellow
- Department of Investigation, Development and Innovation Vissum Alicante, Alicante, Spain
Astigmatism is one of the most frequent problems encountered in the surgical management of cataract, cornea, and refractive conditions. In essence, the correction of astigmatism is part of the success of any anterior segment surgical procedure.
Regardless of its types, astigmatism can be difficult to manage and may complicate surgical outcomes. In contrast to myopia, there is no single focal point in astigmatism, which poses a challenge to the modern trends in refractive and intraocular lens surgery.
The modern trend is to obtain a unique quality of retinal images, not distorted by astigmatism. This is why in this book we present various solutions to the different types of astigmatism that the practical surgeon will find in today's world of refractive and cataract-lens surgical practices. The different chapters of this book are based on scientific evidence and practice. Well-known authors, with extensive practice, offer what they consider to be pearls of their knowledge to optimize and improve surgical outcomes for the correction of astigmatism with cornea or intraocular procedures.
We would like to thank all the authors and contributors of the book for sharing their knowledge and expertise through comprehensive chapters. They have worked tirelessly on their chapters. Without their consistent efforts and dedication, the book would lack the essence that we want to transmit to the readers, which is how to manage astigmatism from the diagnostic stages, instrumental examinations, surgical plannings, surgical applications, and, last but not least, analysis of outcomes.
Dimitri T Azar
Jorge L Alió
M Soledad Cortina
Joelle A Hallak
Acknowledgments
We would like to acknowledge and thank our students and mentors as well as our patients for trusting us in their care, and for helping us in advancing the management of astigmatism.
Lastly, we would like to thank Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Mr MS Mani (Group President), Ms Chetna Malhotra Vohra (Associate Director—Content Strategy), Ms Pooja Bhandari (Production Head) and Ms Prerna Bajaj (Development Editor) of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for giving a go-ahead at the very beginning and helping us in every way possible to bring out this book.