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Ординатура / Офтальмология / Английские материалы / Master Techniques in Cataract and Refractive Surgery_Hampton Roy, Arzabe_2004

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EDITED BY

F. Hampton Roy, MD, FACS

CLINICAL ASSOCIATE PROFESSOR OF OPHTHALMOLOGY

UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

MEDICAL DIRECTOR

HAMPTON ROY EYE CENTER

LITTLE ROCK, ARK

AND

Carlos Walter Arzabe, MD

DIRECTOR

HOSPITAL DEL OJO

SANTA CRUZ, BOLIVIA

An innovative information, education, and management company

6900 Grove Road • Thorofare, NJ 08086

Copyright © 2004 by SLACK Incorporated

All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher, except for brief quotations embodied in critical articles and reviews.

The procedures and practices described in this book should be implemented in a manner consistent with the professional standards set for the circumstances that apply in each specific situation. Every effort has been made to confirm the accuracy of the information presented and to correctly relate generally accepted practices. The author, editor, and publisher cannot accept responsibility for errors or exclusions or for the outcome of the application of the material presented herein. There is no expressed or implied warranty of this book or information imparted by it.

Care has been taken to ensure that drug selection and dosages are in accordance with currently accepted/recommended practice. Due to continuing research, changes in government policy and regulations, and various effects of drug reactions and interactions, it is recommended that the reader review all materials and literature provided for each drug, especially those that are new or not frequently used.

Any review or mention of specific companies or products is not intended as an endorsement by the author or publisher.

The work SLACK Incorporated publishes is peer reviewed. Prior to publication, recognized leaders in the field, educators, and clinicians provide important feedback on the concepts and content that we publish. We welcome feedback on this work.

Library of Congress Cataloging-in-Publication Data

Master techniques in cataract and refractive surgery / edited by F. Hampton Roy and Carlos Walter Arzabe. p. ; cm.

Includes bibliographical references and index. ISBN 1-55642-696-8 (hard cover)

1. Cataract--Surgery.

[DNLM: 1. Cataract Extraction--methods. 2. Refractive Errors--surgery. 3. Corneal Diseases--surgery. WW 260 M423 2004] I. Roy, Frederick Hampton. II. Arzabe, Carlos W.

RE451.M348 2004 6177'42059--dc22

2003027796

Printed in the United States of America.

Published by:

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Last digit is print number: 10 9 8 7 6 5 4 3 2 1

DEDICATION

Drs. Roy and Arzabe dedicate this book to the forward-thinking authors who have written its excellent chapters.

CONTENTS

Dedication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii About the Editors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Contributing Authors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii

F. Hampton Roy, MD, FACS and Carlos Walter Arzabe, MD

SECTION 1

CATARACT SURGERY . . . . . . . . . . . . . . . . . . . . . . .

. 1

Chapter 1

Surgical Management of Aniridia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . 3

 

Scott E. Burk, MD, PhD and Robert H. Osher, MD

 

Chapter 2

Bioptics in Cataract Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. 11

 

R. Gale Martin, MD

 

Chapter 3

Congenital Cataract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

23

 

Howard V. Gimbel, MD, MPH, FRCSC, FACS; Brian M. DeBroff, MD, FACS; and Jennifer A. Dunbar, MD

Chapter 4

Cataract With Zonular Dialyses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

35

 

Scott E. Burk, MD, PhD and Robert J. Cionni, MD

 

Chapter 5

Cataract With Dislocated and Subluxated Lenses . . . . . . . . . . . . . . . . . . . . . .

43

 

Steve Charles, MD

 

Chapter 6

Cataract With Corneal Astigmatism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

47

 

Harry B. Grabow, MD

 

Chapter 7

Cataract With Uveitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

63

 

Gustavo Barbosa Abreu, MD

 

Chapter 8

Dislocation and Decentration of Intraocular Lenses . . . . . . . . . . . . . . . . . . .

73

 

Lisa Brothers Arbisser, MD

 

Chapter 9

Intraocular Lens Exchange . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

85

 

Francisco Contreras, MD and Cecilia Contreras, MD

 

Chapter 10

Laser Cataract Extraction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

89

 

Jack M. Dodick, MD and Iman Ali Pahlavi, MD

 

Chapter 11

Lensectomy With Accommodating Lens . . . . . . . . . . . . . . . . . . . . . . . . . . . .

93

 

Roberto Zaldivar, MD; Susana Oscherow, MD; and Virginia Piezzi, MD

 

Chapter 12

Lensectomy With Multifocal Lens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

101

 

I. Howard Fine, MD; Richard S. Hoffman, MD; and Mark Packer, MD

 

Chapter 13

Phacolytic Phacomorphic Glaucomas . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

109

 

S. Fabian Lerner, MD

 

Chapter 14

Cataract Surgery in Pseudoexfoliation Syndrome . . . . . . . . . . . . . . . . . . . . .

113

 

William J. Rand, MD; Gabriel E. Velázquez, MD; and Barry A. Schechter, MD

 

Chapter 15

Piggyback Intraocular Lens Implantation . . . . . . . . . . . . . . . . . . . . . . . . . . .

133

 

James P. Gills, MD and Myra Cherchio, COMT

 

Chapter 16

Surgical Implantation of Telescopic Intraocular Lenses . . . . . . . . . . . . . . . . .

139

Christina Canakis, MD and Gholam A. Peyman, MD

vi Contents

SECTION 2

REFRACTIVE SURGERY . . . . . . . . . . . . . . . . . . . . .

149

Chapter 1

Astigmatism: LASIK, LASEK, and PRK . . . . . . . . . . . . . . . . . . . . . . . . .

. . 151

 

Noel A. Alpins, FRACO, FRCOphth, FACS and Carolyn M. Terry, BOptom

 

Chapter 2

Reducing Astigmatism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. 161

 

R. Bruce Wallace III, MD, FACS

 

Chapter 3

Toric Intraocular Lenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. 165

 

Stephen Bylsma, MD

 

Chapter 4

Hyperopia and Myopia Treatment After Radial Keratotomy . . . . . . . . . . . .

. 171

 

Joao Alberto Holanda de Freitas, MD and Paulo de Tarso da Silva Alvim, MD

 

Chapter 5

Phakic Lenses and LASIK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. 177

 

Luis F. Restrepo, MD

 

Chapter 6

Hyperopia and Conductive Thermokeratoplasty. . . . . . . . . . . . . . . . . . . . .

. 181

 

José A.P. Gomes, MD and Daniela Endriss, MD

 

Chapter 7

Hyperopia: LASIK, LASEK, and PRK . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. 187

 

Robin F. Beran, MD, FACS

 

Chapter 8

Hyperopia: Treatment With Accommodative Esotropia and/or Nystagmus . . 207

 

Hugo Daniel Nano Jr, MD

 

Chapter 9

Phakic Lens Implantation in Myopia and Hyperopia . . . . . . . . . . . . . . . . .

. 211

 

Daljit Singh, MS, DSc

 

Chapter 10

Phakic Refractive Lenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. 227

 

Alexander Hatsis, MD, FACS and George Rozakis, MD, FACS

 

Chapter 11

Intacs: Breaking the Prolate and Refractive Reversal Barrier. . . . . . . . . . . . .

. 237

 

JE “Jay” McDonald II, MD; Allyson Mertins, OD; and David Deitz, Research Assistant

 

Chapter 12

Myopia: PRK, LASIK, and LASEK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. 245

 

Patricia Sierra Wilkinson, MD; David R. Hardten, MD; Richard L. Lindstrom, MD;

 

 

and Elizabeth A. Davis, MD

 

Chapter 13

Presbyopia: Cataract Surgery With

 

 

Implantation of the 1 CU Accomodative Lens . . . . . . . . . . . . . . . . . . . . . .

. 261

 

Michael Küchle, MD; Nguyen X. Nguyen, MD; Achim Langenbucher, PhD; and Berthold Seitz, MD

 

Chapter 14 Presbyopic Lens Exchange. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 267

Kevin L. Waltz, OD, MD and R. Bruce Wallace III, MD, FACS

Chapter 15 Surgical Reversal of Presbyopia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273

Gene W. Zdenek, MD

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289

ACKNOWLEDGMENTS

We would like to acknowledge the assistance of Renee Tindall and Angie Brown in the production of this book. Without their dedication and persistence, this book could not have been published.

F. Hampton Roy, MD, FACS

LITTLE ROCK, ARK

The Bolivian Ophthalmological Society and I would like to express our gratitude to Dr. Roy for his teaching and collaboration with this country over the past 3 decades.

Carlos Walter Arzabe, MD

SANTA CRUZ, BOLIVIA

ABOUT THE EDITORS

F. Hampton Roy, MD, FACS, has a private practice in Little Rock, Ark. He is the author of 120 articles and 33 books, and is Medical Director of the World Eye Foundation. Dr. Roy has worked in Peru, Bolivia, China, and India to improve current information systems. He is Clinical Associate Professor of Ophthalmology at University of Arkansas for Medical Sciences.

Carlos Walter Arzabe, MD, practices medicine in Santa Cruz, Bolivia. Dr. Arzabe is a former Research Fellow of Harvard University Eye Research Institute from Boston and Schepens Retina Associates. He has written in several world ophthalmic journals and books, and in the past few years has published with the Pan American Association of Ophthalmology a diabetic retinopathy manual. Most recently, with the support of the World Eye Foundation and Dr. Roy’s guidance, teaching, and editing, he published a glaucoma manual (written in Spanish), which has been distributed for free in 16 countries. In 1996 he was the winner of the world contest, the Ten Outstanding Young Persons of the World Award, in the category of Medical Innovations, by the Junior Chamber International, Inc.

Both doctors practice general ophthalmology with an emphasis on cataract and refractive surgery.

Because one editor is from Little Rock, Ark and one editor is from Santa Cruz, Bolivia, this book has an international flavor that will certainly please the readers.

CONTRIBUTING AUTHORS

GUSTAVO BARBOSA ABREU, MD

Penido Burnier Eye Institute

Campinas, Brazil

NOEL A. ALPINS, FRACO, FRCOPHTH, FACS

New Vision Clinics

Cheltenham, Australia

LISA BROTHERS ARBISSER, MD

Eye Surgeons Associates, PC

Spring Park Surgery Center

Davenport, Iowa

ROBIN F. BERAN, MD, FACS

Mt. Carmel East Hospital

Columbus, Ohio

SCOTT E. BURK, MD, PHD

Cincinnati Eye Institute

Cincinnati, Ohio

STEPHEN BYLSMA, MD

Associate Clinical Instructor

Department of Ophthalmology—UCLA

Santa Clara, Calif

CHRISTINA CANAKIS, MD

Department of Vitreoretinal Diseases and Surgery

Ophthalmochirougiki Eye Center

Athens, Greece

Formerly Clinical Vitreoretinal Fellow

Tulane University School of Medicine

New Orleans, La

STEVE CHARLES, MD

Clinical Professor

University of Tennessee Health Science Center

Memphis, Tenn

MYRA CHERCHIO, COMT

Director, Clinical Research

St. Luke's Cataract & Laser Institute

Tarpon Springs, Fla

ROBERT J. CIONNI, MD

Cincinnati Eye Institute

Cincinnati, Ohio

CECILIA CONTRERAS, MD

Clinica Ricardo Palua

Lima, Peru

FRANCISCO CONTRERAS, MD

Clinica Ricardo Palua

Lima, Peru

ELIZABETH A. DAVIS, MD

Minnesota Eye Consultants

Minneapolis, Minn

BRIAN M. DEBROFF, MD, FACS

Assistant Professor of Ophthalmology and Visual Science

Program Director and Vice Chairman

Department of Ophthalmology and Visual Science

Yale University School of Medicine

New Haven, Conn

DAVID DEITZ, RESEARCH ASSISTANT

McDonald Eye Associates

Fayetteville, Ark

JOAO ALBERTO HOLANDA DE FREITAS, MD

Director

Clinica de olhos Holanda de Freitas

Professor and Chairman

Pontificia Universidade Catolica de Sao Paulo (PUC-SP) Campinas, Brazil

PAULO DE TARSO DA SILVA ALVIM, MD

Pontificia Universidade Catolica de Sao Paulo (PUC-SP) Campinas, Brazil

JACK M. DODICK, MD

Manhattan Eye, Ear, & Throat Hospital

New York City, NY

JENNIFER A. DUNBAR, MD

Assistant Professor of Ophthalmology

Department of Ophthalmology

Loma Linda University

Loma Linda, Calif

DANIELA ENDRISS, MD

Observer Fellow

Cornea and External Eye Disease Service

Federal University of Sao Paulo

Sao Paulo, Brazil

I. HOWARD FINE, MD

Professor of Ophthalmology

Casey Eye Institute

Oregon Health and Science University

Eugene, Ore

JAMES P. GILLS, MD

St. Luke's Cataract & Laser Institute

Tarpon Springs, Fla

HOWARD V. GIMBEL, MD, MPH, FRCSC, FACS

Gimbel Eye Centre

Calgary, Alberta, Canada

Professor and Chairman, Dept. of Ophthalmology

Loma Linda University

Loma Linda, Calif

Clinical Professor, Dept. Of Ophthalmology

University of California

San Francisco, Calif

JOSÉ A.P. GOMES, MD

Associate Professor

Cornea and External Eye Disease Service

Federal University of Sao Paulo

Sao Paulo, Brazil

HARRY B. GRABOW, MD

Clinical Assistant Professor

University of South Florida

Founder and Medical Director

Sarasota Cataract & Laser Institute,

Center for Advanced Eye Surgery

Sarasota, Fla