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Ординатура / Офтальмология / Английские материалы / Mastering theTechniques of Lens Based Refractive Surgery (Phakic IOLs)_Garg, Alio, Dementiev_2005

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246 Mastering the Techniques of Lens Based Refractive Surgery (Phakic IOLs)

Iris-fixated anterior chamber phakic lenses 6

K

Keratometry 30

Keratometry after keratorefractive surgery 32

Keratomileusis 19

L

LASIK vs phakic IOLs 26

LASIK vs phakic IOLs in hyperopia 109 Lens refilling procedure using a plug 207

complication 208 results 207

surgical procedure 207 anterior capsular plug 207

ciliary ring for exerting tension on zonules 207

surgical technique 207

Lens refilling procedure using an inflatable endocapsular balloon 202

results 204

amplitude of accommodation 204

success rate of the procedure 204 surgical procedure 202

lens refilling procedure 202 preparation of endocapsular

balloons 202 Light adjustable lens 171

animal studies 172 final comments 178

higher order aberrations 176 modulating refractive power 171 refractive lens exchange 173 resolution 172

Light delivery device 173 Limits of LASIK 21

M

Measurement of anterior chamber’s internal diameter 39

Micro-incision IOLs 244 Multifocal IOLs 193

different types of multifocal IOLs 193

accommodative IOLs 194 diffractive IOLs 193 older models 194

refractive multifocal IOL implant 194

multifocal IOLs and microincision cataract surgery 195

Mushroom lens 7, 58 Myopia 32, 61, 131 Myopic PRL 60

N

Nd:YAG laser capsulotomy 190 New accommodating IOL for

presbyopia 217

additional undiscovered mechanisms 218

lens well-tolerated 218 New IOL technologies 149

accommodating intraocular lens 155 blue light-filtering IOL 160 collamer IOL 153

implantable miniaturized telescope 159

LASER adjustable IOL 156 multifocal intraocular lenses 154

diffractive MIOLs 155 refractive MIOLs 154 negative spherical IOL 158

new IOLs for microincision cataract surgery 157

Acri flex IOL 158 Acri smart IOL 158 Hydriol slim IOL 158

ThinOptx rollable IOL 157 phakic IOLs 149

anterior chamber IOLs 150 customised phakic IOLs 153 posterior chamber phakic IOLs

152

presbyopic lens exchange 155 prismatic IOL 159

smart lens 153

toric intraocular lenses 156 Newlife bifocal phakic implant 211 Newlife multifocal phakic implant 210

anatomical results 214 cataract 215 endothelium 215 explanations 215 halos 215

loss of contrast sensitivity 214 loss of visual acuity 214 ocular hypertonia 215

pupil ovalization 215 reduction of retinal illumination

214

anterior chamber dimension 211 anterior chamber depth 212 internal diameter 211

results 213

distant visual acuity 213 efficacy and safety ratio 214 near visual acuity 214 refraction 213

surgical techniques 212

anatomical exclusion criteria 213 choice of implant 213

power of the implant 213

O

Optical coherence tomography technology 39

P

Phacoemulsification technology 178 Phakic intraocular surgery in hyperopia

107

challenges in hyperopes 108 choice of lenses 113

angle-supported anterior chamber phakic IOLs 114

iris fixated phakic IOLs 115 posterior chamber phakic IOLs

115

contraindications to PIOL 110 proper selection and assessment of

patients 111

preoperative assessment 112 Phakic IOLs 44

angle supported anterior chamber phakic IOLs

contraindications 45 history 44 indications 45 requirements 45

Verisyse phakic IOL 47 advantages of Verisyse phakic

IOL 53

difficulties and complications 50 instruments required for implanting Verisyse phakic IOL

49

postoperative assessment 50 preop assessment for Verisyse

phakic IOL 47

surgical procedure for Verisyse phakic IOL 50

Verisyse phakic IOL power calculation 47

Phakic IOL surgery 83

Phakic refractive lens implantation 57 clinical rules 63

conclusion 72

future applications 72 history of PRLS 57 instrumentation 63 operative complications 68

endothelial damage 69 hemorrhage 68 implant damage 68 iris damage 68

Index 247

lens damage 69

zonular fiber damage 69 patient selection 61 pediatric usage 72 preoperative preparation 63

PRL implantation for the correction of high ametropia 73

results 70 surgical steps 64

incision 64 incision closure 67 iridectomy 66 lens insertion 66 paracentesis 65 patch 68

pupil constriction 67 retro-iris placement and

centration 66 viscoelastic insertion 65 viscoelastic removal 66

unusual situations and postoperative complications 69

Phakic silicone lens 128 Posterior chamber lenses 54

Posterior chamber phakic lens 58,59 Presbyopia 187, 199

PRL hyperopia IOL 55 PRL medennium 60 PRL myopia IOL 55 PRLTM 102

complications 104 history 103

operative technique 103 postoperative management 104 preoperative evaluation 103 PRL TM results 105

Pupil-fixated lens 57

R

Radial keratotomy 20 Refractive floating implant 128

complications 130 indications 129 results 130

trial 129

Refractive lens exchange 180,187 results 183

technique 181

Refractive lens surgery techniques 1 Refractive surgery 1

corneal based refractive surgery 1 lens-based refractive surgery 1

ReSTOR IOL 187

S

Schachar’s theory of accommodation 227 SCHEIMPFLUG technique 38

Scleral expansion band 227

Scleral implant for correcting presbyopia 219

precise implantation 220 reading implant 220 restor vision implant 219 reversible 221

scleral erosion 220 Secondary glaucoma 53

Specific complications in hyperopic artisan lens implantation 118

intraoperative complications 119 endothelial damage 120 hemorrhage 119

implant damage 119 iris damage 120 lens damage 120

zonular fibre damage 120 postoperative complications 120

cataract 121

early rise of IOP 120 endothelial cell density changes

121

halos and glare 121 implant decentration 120

implant induced astigmatism 121 iris damage 120

postoperative inflammation 121 retinal detachment 121

Spherical aberration 166 STAAR ICL 54

Surgical reversal of presbyopia 230 complications 235

early clinical results 234 patient selection 230

contraindications 231 indications for the ideal surgical

candidate 230

relative contraindications 230 postoperative care 233

exercises 233 medications 233

postoperative examination 233 suture removal 233

surgical technique 231 anesthesia 231 cautery 231

conjunctival closure 232 conjunctival opening 231 corneal shield 231 mannitol 232 medications 232

patient preparation 231 quadrant marking 231

scleral belt loop formation 232 scleral marking 231 sclerotomy 232

SEB segment insertion 232 typical patient symptoms 233

T

Tecnis IOL 168

Tecnis Z9000 168

Termed ICLTM 97 complications 99 ICL 98

ICL selection and implantation 98 patient selection 98

Toric phakic IOLs 124 complications 127 results 127

surgical technique 126

toric artisan in special cases 127 types 125

toric Artisan 125 toric ICL 125

Types of phakic IOLS 139

angle supported anterior chamber phakic IOLs 140

iris supported anterior chamber phakic IOLs 141

posterior chamber phakic IOLs 141 Types of phakic lenses 9

anterior chamber phakic lenses 9 Artisan lens 13

ICARE lens 12 JMJ lens 11

Kelman duet lens 13 LN-2000 lens 11

safety flex phakic 6 lens 10 vivarte/GBR lens 10 ZSAL-4 lens 11

posterior chamber lenses 14 implantable contact lens 15 phakic refractive lens 15 precrystalline lens 17

V

Van der Heijde’s table 49 Veriflex (artiflex) 54 Verisyse toric phakic IOL 54 Vivarte 77

VivarteTM IOL 78, 83

Z

Zeiss IOL master 239