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1 / 241 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 > Следующая >>>

David R. Hardten, MD, FACS

Minnesota Eye Consultants, PA

Minneapolis, Minnesota

Regions Medical Center

St. Paul, Minnesota

University of Minnesota

Minneapolis, Minnesota

Richard L. Lindstrom, MD

Minnesota Eye Consultants, PA

Minneapolis, Minnesota

Regions Medical Center

St. Paul, Minnesota

University of Minnesota

Minneapolis, Minnesota

Elizabeth A. Davis, MD, FACS

Minnesota Eye Consultants, PA

Minneapolis, Minnesota

University of Minnesota

Minneapolis, Minnesota

An innovative information, education, and management company

6900 Grove Road • Thorofare, NJ 08086

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.

Care has been taken to ensure that drug selection, dosages, and treatments 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 use, especially those that are new or not frequently used.

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

Printed in Columbia.

Phakic intraocular lenses : principles and practice / [edited by] David

R.Hardten, Richard L. Lindstrom, Elizabeth A. Davis. p. ; cm.

Includes bibliographical references and index. ISBN 1-55642-640-2 (alk. paper)

1. Intraocular lenses. 2. Eye--Refractive errors--Surgery.

[DNLM: 1. Lenses, Intraocular. 2. Refractive Errors--surgery. WW 358 P532 2003] I. Hardten, David R. 1961II. Lindstrom, Richard L. III. Davis, Elizabeth A. 1966-

RE988 .P48 2003 617.7'524--dc22

	2003015969
Published by:	SLACK Incorporated
	6900 Grove Road
	Thorofare, NJ 08086 USA
	Telephone: 856-848-1000
	Fax: 856-853-5991
	www.slackbooks.com

Contact SLACK Incorporated for more information about other books in this field or about the availability of our books from distributors outside the United States.

For permission to reprint material in another publication, contact SLACK Incorporated. Authorization to photocopy items for internal, personal, or academic use is granted by SLACK Incorporated provided that the appropriate fee is paid directly to Copyright Clearance Center. Prior to photocopying items, please contact the Copyright Clearance Center at 222 Rosewood Drive, Danvers, MA 01923 USA; phone: 978-750-8400; website: www.copyright.com; email: info@copyright.com

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

DEDICATION

This book is dedicated to our families, friends, and coworkers who have endured our more than usual amount of time away from their attention to be able to complete this text.

Their patience and encouragement is truly appreciated.

We would also like to dedicate this book to our patients who have entrusted us to care for them and have allowed us to gain this knowledge that advances the field of ophthalmology.

CONTENTS

Dedication. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii About the Editors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x

Chapter 1	Demographics of Refractive Surgery: The Role of Phakic Intraocular Lenses . . . . . . . .	. . 1
	David Rex Hamilton, MD, MS; David R. Hardten, MD, FACS; and Richard L. Lindstrom, MD
Chapter 2	The History of Phakic Intraocular Lenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	. 13
	Patricia Sierra Wilkinson, MD and David R. Hardten, MD, FACS
Chapter 3	Patient Selection for Phakic Intraocular Lenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	21
	Brian J. Snyder, OD and Elizabeth A. Davis, MD, FACS
Chapter 4	Preoperative Diagnostic Testing for Phakic Intraocular Lenses . . . . . . . . . . . . . . . . . . . .	29
	Tina M. McCarty, OD, FAAO and David R. Hardten, MD, FACS
Chapter 5	Optics and Intraocular Lens Power Calculations for Phakic Intraocular Lenses . . . . . . . .	37
	Jack T. Holladay, MD, MSEE, FACS
Chapter 6	Anesthesia for Phakic Intraocular Lenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	47
	Nicole J. Anderson, MD and C. Joseph Anderson, MD
Chapter 7	Astigmatism Management at the Time of Phakic Intraocular Lenses . . . . . . . . . . . . . . . .	57
	Louis D. Nichamin, MD
Chapter 8	Comparison of Phakic Intraocular Lenses With Corneal Refractive Surgery . . . . . . . . . .	67
	Louis E. Probst, MD
Chapter 9	Complications of Phakic Intraocular Lenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	81
	Thomas Kohnen, MD; Alireza Mirshahi, MD; Jens Bühren, MD;
	Thomas Kasper, MD; and Martin Baumeister, MD
Chapter 10	Postoperative Care for Phakic Intraocular Lens Implants . . . . . . . . . . . . . . . . . . . . . . . .	99
	Vance Thompson, MD
Chapter 11	Comparison of Refractive Outcomes and Complications Among
	Current Phakic Intraocular Lenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	107
	Anthony J. Lombardo, MD, PhD
Chapter 12	Implantable Contact Lenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	121
	John A. Vukich, MD and Donald R. Sanders, MD, PhD
Chapter 13	The Artisan Phakic Intraocular Lens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	133
	Maria M. Braun, MD and Edward E. Manche, MD
Chapter 14	CIBA Vision Phakic Refractive Lens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	145
	Gary S. Schwartz, MD and Stephen S. Lane, MD

	Contents	v
Chapter 15	Baïkoff’s Foldable Anterior Chamber Phakic Intraocular Lenses for
	Myopia, Hyperopia, and Presbyopia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	151
	Georges D. Baïkoff, MD
Chapter 16	Angle-Supported Phakic Intraocular Lenses: The Phakic 6H2. . . . . . . . . . . . . . . . . . . .	163
	Sujata S. Purohit, MD; Raymund T. Angeles, MD; Alan C. Westeren,	MD;
	Jay McDonald, MD; Daniel B. Tran, MD; Tom Clinch, MD; and David J. Schanzlin, MD
Chapter 17	Other Types of Phakic Intraocular Lenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	171
	David Rex Hamilton, MD, MS and Elizabeth A. Davis, MD, FACS
Chapter 18	Bioptics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	177
	Roberto Zaldivar, MD; Susana Oscherow, MD; and Virginia Piezzi, MD
Chapter 19	Refractive Lens Exchange . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	189
	Mark Packer, MD; Richard S. Hoffman, MD; and I. Howard Fine, MD
Chapter 20	Use of Phakic Intraocular Lenses in Pseudophakic Eyes . . . . . . . . . . . . . . . . . . . . . . . .	199
	Patricia Sierra Wilkinson, MD and David R. Hardten, MD, FACS
Chapter 21	The Future of Phakic Intraocular Lenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	205
	David Rex Hamilton, MD, MS; David R. Hardten, MD, FACS;
	Elizabeth A. Davis, MD, FACS; and Richard L. Lindstrom, MD
Index . . . . . . . . . . . . .	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	221

ABOUT THE EDITORS

Drs. Hardten, Lindstrom, and Davis have over 5 years of experience with phakic intraocular lenses (IOLs) in their practice at Minnesota Eye Consultants in Minneapolis as part of the clinical trials for phakic IOLs in the United States. All of the authors also have extensive experience in other forms of refractive surgery, including radial keratotomy, laser in-situ keratomileusis (LASIK), photorefractive keratectomy (PRK), laser epithelial keratomileusis (LASEK), Intacs, refractive lens exchange, and conductive keratoplasty to put the phakic IOL experience in perspective. They have also all held leadership positions in organizations that have shaped refractive surgery, including the International Society of Refractive Surgery, Refractive Surgery Interest Group, International Intraocular Implant Club, American Society of Cataract and Refractive Surgery, and the American Academy of Ophthalmology.

CONTRIBUTORS

C. Joseph Anderson, MD

Anderson & Shapiro Eye Care

Madison, Wis

Nicole J. Anderson, MD

Mississippi Vision Correction Center

Jackson, Miss

Raymund T. Angeles, MD

Shiley Eye Center

University of California

San Diego, Calif

Georges D. Baïkoff, MD

Clinic Monticelli

Marseilles, France

Martin Baumeister, MD

Department of Ophthalmology Johann Wolfgang Goethe-University Frankfurt am Main, Germany

Maria M. Braun, MD

Private Practice

Fairfax, Va

Jens Bühren, MD

Department of Ophthalmology Johann Wolfgang Goethe-University Frankfurt am Main, Germany

Tom Clinch, MD

Shiley Eye Center

University of California

San Diego, Calif

I. Howard Fine, MD

Drs. Fine, Hoffman & Packer, LLC

Eugene, Ore

David Rex Hamilton, MD, MS

Director, Laser Refractive Center

Assistant Professor of Ophthalmology

The Jules Stein Eye Institute

David Geffen School of Medicine at UCLA

Los Angeles, Calif

Richard S. Hoffman, MD

Drs. Fine, Hoffman & Packer, LLC

Eugene, Ore

Jack T. Holladay, MD, MSEE, FACS

Clinical Professor of Ophthalmology

Baylor College of Medicine

Houston, Tex

Thomas Kasper, MD

Department of Ophthalmology

Johann Wolfgang Goethe-University

Frankfurt am Main, Germany

Thomas Kohnen, MD

Department of Ophthalmology

Johann Wolfgang Goethe-University

Frankfurt am Main, Germany

Stephen S. Lane, MD

Associated Eye Care

Stillwater, Minn

Clinical Professor

University of Minnesota

Minneapolis, Minn

Anthony J. Lombardo, MD, PhD

Eye Surgeons of Indiana

Indianapolis, Ind

Edward E. Manche, MD

Assistant Professor and Director of Refractive Surgery

and Cornea/External Disease

Department of Ophthalmology

Stanford University School of Medicine

Stanford, Calif

Tina M. McCarty, OD, FAAO

Clinical Director

TLC Laser Eye Centers

Minneapolis, Minn

Jay McDonald, MD

Shiley Eye Center

University of California

San Diego, Calif

Alireza Mirshahi, MD

Department of Ophthalmology

Johann Wolfgang Goethe-University

Frankfurt am Main, Germany

Louis D. Nichamin, MD

Medical Director, Laurel Eye Clinic

Brookville, Pa

viii Contributors

Susana Oscherow, MD	Brian J. Snyder, OD
Research and Biostatistics Department	Minnesota Eye Consultants, PA
Instituto Zaldivar SA	Minneapolis, Minn
Mendoza, Argentina
	Vance Thompson, MD
Mark Packer, MD	Director of Refractive Surgery
Drs. Fine, Hoffman & Packer, LLC	Ophthalmology Ltd
Eugene, Ore	Sioux Falls, SD
	Assistant Professor of Ophthalmology
Virginia Piezzi, MD	University of South Dakota School of Medicine
Instituto Zaldivar SA	Sioux Falls, SD
Mendoza, Argentina
	Daniel B. Tran, MD
Louis E. Probst, MD	Shiley Eye Center
Medical Director, TLCVision	University of California
Ann Arbor, Mich	San Diego, Calif
Sujata S. Purohit, MD	John A. Vukich, MD
Shiley Eye Center	Surgical Director, Davis Duehr Dean Center for
University of California	Refractive Surgery
San Diego, Calif	Davis Duehr Dean Department of Ophthalmology
	Dean Medical Center
Donald R. Sanders, MD, PhD	Madison, Wis
Center for Clinical Research
Elmhurst, Ill	Alan C. Westeren, MD
	Shiley Eye Center
David J. Schanzlin, MD	University of California
Shiley Eye Center	San Diego, Calif
University of California
San Diego, Calif	Patricia Sierra Wilkinson, MD
	Cornea and Refractive Surgery Fellow
Gary S. Schwartz, MD	Minnesota Eye Consultants, PA
Associated Eye Care	Phillips Eye Institute
Saint Paul, Minn	Minneapolis, Minn
Clinical Assistant Professor
University of Minnesota	Roberto Zaldivar, MD
Minneapolis, Minn	Scientific Director
	Instituto Zaldivar SA
	Mendoza, Argentina

PREFACE

Refractive surgery has experienced considerable and rapid growth in the past decade, with over 1 million procedures being performed yearly. Currently, there are a variety of methods available to treat different refractive errors. Phakic IOLs are becoming an important addition to the repertoire of refractive procedures. They expand the range of refractive errors that can be corrected to much higher levels. Additionally, the quality of vision they produce may be superior to laser ablative procedures at these levels of correction because phakic IOLs preserve the prolate shape of the cornea.

There are several lenses that are currently undergoing clinical trials in the United States, and there are models that are commonly used outside the United States that are not yet in clinical trials. Results from the US Food and Drug Administration (FDA) trials show excellent safety and predictability for these lenses. Not only are patients achieving good uncorrected vision, but the majority experience an improvement in their best-corrected acuity compared to preoperative levels. As with any surgical procedure, complications are possible. However, with proper screening, surgical technique, and postoperative care, the incidence of significant problems is low.

This textbook, Phakic Intraocular Lenses: Principles and Practice, presents the current science of this field. The basics of phakic IOLs, the history of phakic IOLs, patient selection, preoperative testing, and IOL power calculation are described in the initial chapters. Subsequent chapters discuss postoperative care, complications, and comparisons to LASIK and comparisons amongst different phakic IOLs. The final chapters present the individual phakic IOLs in trials or in development.

We believe that the time is right for a text of this type, as phakic IOLs are now coming into common practice throughout the world. Improvements in safety and techniques have moved forward dramatically, and phakic IOLs are now a real consideration for your patients. Because of the rapid advances in the field, we have tried to provide perspective and references that will serve the reader well in the long run, but also as a springboard to understanding any recent innovations in this rapidly changing technology.

We hope that this book will provide both novice and experienced refractive surgeons with useful information that they can apply in their practice to help patients improve their quality of life and quality of vision.

David R. Hardten, MD, FACS Richard Lindstrom, MD Elizabeth A. Davis, MD, FACS

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