In this book an international panel of authors offer a clear, step-by-step approach to Small Incision Lenticule Extraction (SMILE), a new refractive procedure approved for the treatment of myopia and astigmatism that is a truly minimally invasive key-hole type surgery. The book opens by discussing important fundamentals of the technology, followed by a close look at the healing response. The current surgical techniques are then described in detail with the aim of providing easy-to-understand guidance for all who wish to perform SMILE surgery or to identify solutions to pitfalls that may arise during the learning curve. Further sections cover the clinical science relating to SMILE (explaining underlying principles), discuss ongoing investigations to further expand the spectrum of SMILE surgery and offer suggestions on how to market the procedure and communicate it to the prospective patient. This guide is “a must” for everyone who wishes to enter the exciting world of SMILE.
Corneal refractive surgeons are likely already familiar with the theory behind small incision lenticule extraction (SMILE) and the excellent postoperative outcomes it can achieve, but they were left without a thorough and comprehensive guide to performing the procedure, until now. The Surgeon's Guide to SMILE: Small Incision Lenticule Extraction is designed to provide surgeons who are interested in starting or are already performing SMILE with a detailed description of the preoperative assessment, surgical technique, and postoperative management of SMILE treatments. This book by Professor Dan Z. Reinstein, Mr. Timothy J. Archer, and Dr. Glenn I. Carp is designed as a surgical video-fellowship, focusing on the granular details of every aspect of patient preparation and management with special attention to how to perform a perfect routine SMILE procedure. The protocols and methods are sourced in both the published scientific evidence and the extensive experience and expertise of the authors. It also includes tips and tricks of how to manage the full range of possible scenarios and complications that can occur during and after a SMILE surgery. Each process described in the book is accompanied by at least one, and in many cases numerous, narrated video examples. Bonus This dynamic learning tool is supplemented by the SMILE video library containing over 16 hours of surgical videos and tutorials. The succinct and demonstrative style of The Surgeon's Guide to SMILE: Small Incision Lenticule Extraction will help novice and experienced SMILE surgeons alike learn important techniques and improve their outcomes. From the Foreword: "The reader is in for a treat, receiving authoritative technical information from seasoned leaders in the field of refractive surgery, who have attained tremendous experience in excimer laser ablation and who have also been on the forefront of scientific evaluation of the new femtosecond only surgical approach that is SMILE." -J. Bradley Randleman, MD, University of Southern California, Los Angeles, CA
Small incision lenticule extraction (SMILE) is a relatively new refractive procedure designed to treat a multitude of refractive errors such as myopia, hyperopia, presbyopia, and astigmatism. The procedure involves using a femtosecond laser to create a corneal lenticule which is extracted whole through a small incision without the use of a traditional excrimer laser. It is a painless procedure and is reported to achieve excellent post-operative outcomes (American Academy of Ophthalmology). This book is a complete guide to the new technique of SMILE surgery providing refractive surgeons with an overview of surgical procedure, refractive and physiological outcomes, complications and their management, and future applications. Beginning with an introduction to the history and development of femtosecond lasers, the next chapters discuss patient selection and the principles of the technique. The following sections cover outcomes, complications, and offer a comparison between SMILE and Femtosecond LASIK. The book features an interactive DVD ROM offering step by step guidance on surgical technique, and is highly illustrated with self-explanatory diagrams, clinical photographs and ASOCT images. Key points Complete guide to SMILE techniques for refractive surgeons Step by step guide to surgical procedure, outcomes, complications and future applications Includes interactive DVD ROM demonstrating surgical techniques Highly illustrated with diagrams, photographs and ASOCT images
This illustrated guide is written by international opinion leaders with extensive experience in the practice of refractive surgery. It is the first book devoted to refractive complications (with practical hints and case reports on outcomes) to provide ophthalmic surgeons with the most adequate solutions for the most frequent problems. All complications are described and lavishly illustrated. The book provides ophthalmic surgeons with the most adequate solutions for the most frequent problems they face in their daily practice.
This book presents the most modern and innovative techniques in ocular surgery currently utilized by experts in the field. All aspects of ocular surgery from the front to the back of the eye are covered in this resource, with all surgeries demonstrated as ‘recipes’ with first the ingredients and then the surgical techniques with step-by-step instructions. The surgeries are illustrated with photographs, drawings and videos for practical application, and the step-by-step presentation allows for quick and easy access to the most appropriate techniques in ocular surgery.
Corneal refractive surgeons are likely already familiar with the theory behind small incision lenticule extraction (SMILE) and the excellent postoperative outcomes it can achieve, but they were left without a thorough and comprehensive guide to performing the procedure, until now. The Surgeon’s Guide to SMILE: Small Incision Lenticule Extraction is designed to provide surgeons who are interested in starting or are already performing SMILE with a detailed description of the preoperative assessment, surgical technique, and postoperative management of SMILE treatments. This book by Professor Dan Z. Reinstein, Mr. Timothy J. Archer, and Dr. Glenn I. Carp is designed as a surgical video-fellowship, focusing on the granular details of every aspect of patient preparation and management with special attention to how to perform a perfect routine SMILE procedure. The protocols and methods are sourced in both the published scientific evidence and the extensive experience and expertise of the authors. It also includes tips and tricks of how to manage the full range of possible scenarios and complications that can occur during and after a SMILE surgery. Each process described in the book is accompanied by at least one, and in many cases numerous, narrated video examples. Bonus! This dynamic learning tool is supplemented by the SMILE video library containing over 16 hours of surgical videos and tutorials hosted on a companion website. The succinct and demonstrative style of The Surgeon’s Guide to SMILE: Small Incision Lenticule Extraction will help novice and experienced SMILE surgeons alike learn important techniques and improve their outcomes. From the Foreword: “The reader is in for a treat, receiving authoritative technical information from seasoned leaders in the field of refractive surgery, who have attained tremendous experience in excimer laser ablation and who have also been on the forefront of scientific evaluation of the new femtosecond only surgical approach that is SMILE.” -J. Bradley Randleman, MD, University of Southern California, Los Angeles, CA
Custom LASIK: Surgical Techniques and Complications is the most comprehensive resource on LASIK currently available. This new edition of LASIK: Surgical Techniques and Complications has been revised and updated to include the latest in wavefront technology, new microkeratome instruments, and the most recent surgical procedures, in addition to various complex cases and complications. The collaboration of Drs. Buratto and Brint, along with a team of international surgeons, have produced a complete text specifically to improve the quality of vision. Amateur surgeons benefit from the format in which basic surgical procedures are explained. Advanced laser procedure with ablations and intralase without the blade are more advanced techniques specifically detailed to assist the expert surgeon. The scope of this new edition is designed to provide the multitude of LASIK techniques that have emerged and the technological advancements that have made them possible. With over 1,000 color illustrations demonstrating the various procedures and concepts, readers are able to develop a more thorough understanding of LASIK. These images supplement the wealth of surgical strategies presented throughout this resource.
Refractive surgery is eye surgery to improve the refractive state of the eye and reduce or eliminate the need for glasses or contact lenses. The most common type of refractive surgery uses lasers to reshape the curvature of the cornea. This book is a practical guide to the latest advances in refractive surgery procedures. Beginning with an introduction to the evolution of refractive surgery, the next section discusses pre-operative workup, patient evaluation, and decision making. The following sections cover different refractive procedures including corneal ablative, refractive lenticule extraction, lens-based surgeries, enhancements and retreatments, and presbyopia (a condition associated with aging). The final section covers a selection of miscellaneous topics such as bioptics, collagen cross-linking, intracorneal ring segments, incisional surgery, and challenging scenarios. Each section is highly illustrated and provides in depth detail on machines and laser platforms, surgical techniques, outcomes, and potential complications and their management. Key points Practical guide to latest advances in refractive surgery Covers numerous different procedures In depth detail on techniques, outcomes, equipment and complications Highly illustrated with clinical photographs and figures
Keeping up to date with advances in comprehensive ophthalmology and in the ophthalmic sub-specialties is extremely difficult because of the accelerating rapidity with which new information and technology become available and the diminishing time and opportunity for practitioners and trainees to read and learn. The first edition of Albert and Jakobiec’s Principles and Practice (1994) was conceived with the idea of utilizing an electronic, updated version in which the chapters were revised by the chapter authors on an annual or semi-annual basis, but the technology was not sufficiently advanced to achieve this goal. Subsequent editions (2000 and 2008) were organized by Saunders and the last published by Elsevier (of which Springer has obtained the complete rights to move forward with the 4th edition, see attachment). For nearly three decades, this text has provided its readers with authoritative and comprehensive coverage of clinical ophthalmology, written and edited by a group of authors who represented a “Who’s Who” in ophthalmology. By using Springer’s Meteor platform, with its ability to allow authors and editors access to updating their chapters online annually/semi-annually, and with the recruitment of select chapter authors, this work’s usefulness as the standard text in ophthalmology will be maintained and expanded upon by Springer. The 4th edition of this comprehensive and authoritative text is written by hundreds of the most distinguished authorities from around the world and edited by four leaders in the field, providing today's best answers to every question that arises in ophthalmology practice. Richly illustrated with thousands of high quality, full color, clinically-relevant images, Albert and Jakobiec's Principles and Practice of Ophthalmology, 4th Edition covers every scientific and clinical principle in ophthalmology, ensuring that the reader will always be able to find the guidance needed to diagnose and manage patients' ocular problems and meet today's standards of care. Written for practicing ophthalmologists and trainees, this book delivers in-depth guidance on new diagnostic approaches, operative techniques, and treatment options, as well as coherent explanations of new scientific concept and its clinical importance. The 4th edition will prove to be the source every practicing clinician needs to efficiently and confidently overcome any clinical challenge they may face. Updates include new chapters on anterior and posterior segment diseases, as well as chapters more focused on treatment, plus thousands of new, high-quality, color images and illustrations, updated references, and information on the most cutting-edge technology used by clinicians in their practices today. Additionally, readers will enjoy the same, user-friendly, full-color design they remember from the previous edition, complete with many at-a-glance summary tables, algorithms, boxes, and diagrams that allow the reader to locate the assistance needed more rapidly than ever.
The surgical correction of astigmatism is the last frontier to optimizing visual outcomes for patients. Practical Astigmatism: Planning and Analysis is a comprehensive guide to correcting astigmatism from pre-operative planning to post-operative analysis. This provides readers with unique insight to what actually happened surgically: did the astigmatism over or under correct? Was it on-axis or off-axis? With this book, ophthalmologists will be able to analyze previous procedures with the appropriate nomograms and more often achieve targeted outcomes. Dr. Noel Alpins has developed the Alpins Method of astigmatism to provide accurate planning and analysis of astigmatism procedures. His method focuses on analyzing refractive and corneal astigmatism parameters and using the results in future surgery to improve visual outcomes. The importance of the ocular residual astigmatism (ORA) is detailed when planning astigmatism surgery. Practical Astigmatism features vector planning for refractive laser surgery as well as planning and analysis applied to cataract and limbal relaxing incisions, , in addition to demonstrating graphical analysis of astigmatism using high quality vector and fan diagrams, as used in scientific journals. In addition, hemidivisional analysis of the irregular cornea, corneal coupling in incisional and excimer laser surgery for mixed astigmatism and toric IOL planning with total corneal power using corneal topographic astigmatism (CorT total) are addressed as well. Some Questions Answered Inside: What is the difference between regular and irregular astigmatism? How do I diagnose each, and how does this affect my surgical technique? Can I incorporate corneal astigmatism when performing excimer laser surgery? Why are my LRIs undercorrecting the astigmatism? Is it safe to perform excimer laser on keratoconous patients? Which corneal astigmatism measure do I choose and what do I do following a refractive surprise? Practical Astigmatism: Planning and Analysis will help ophthalmologists, optometrists, and technicians alike address each patient’s unique circumstances and act as your in-depth guide to correcting astigmatism. Testimonials... “For more than three decades I have been listening to, arguing with, and admiring the work of Dr. Noel Alpins in the field of astigmatism. Despite his remote location on the small island of Australia, his knowledge of astigmatism is at the peak of Mt. Everest. There are few others who have devoted their careers to understanding and managing astigmatism for which the world of ophthalmology is truly grateful.” - Robert H. Osher, MD “Noel is an original thinker who took on and conquered the complexities of astigmatism analysis, publishing the seminal papers on the way. His work has formed the cornerstone from which our current understanding and management of astigmatism has been built. He is someone from whom we have all learnt a great deal and this book is a testament to this.” - Dan Z Reinstein, MD MA(Cantab) FRCSC DABO FRCOphth FEBO
