Refractive cataract surgery : best practices and advanced technology

289 Pages·2017·15.415 MB·English

by  John A. Hovanesian (editor)

E
DITED BY
J A. H , MD, FACS
OHN OVANESIAN
HARVARD EYE ASSOCIATES
LAGUNA BEACH, CALIFORNIA
CLINICAL FACULTY
JULES STEIN EYE INSTITUTE
UNIVERSITY OF CALIFORNIA
LOS ANGELES, CALIFORNIA
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Copyright © 2017 by SLACK Incorporated
Note: Materials from Chapter 2 and Chapter 6 have previously appeared in Mastering Refractive IOLs: The Art and Science, 2008
and Presbyopic Lens Surgery: A Clinical Guide to Current Technology, 2007, respectively, from SLACK Incorporated.
Cover design concept: Joseph Hovanesian
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The procedures and practices described in this publication should be implemented in a manner consistent with the professional
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Names: Hovanesian, John A., 1967- editor.
Title: Refractive cataract surgery : best practices and advanced technology /
edited by John A. Hovanesian.
Other titles: Premium cataract surgery.
Description: Second edition. | Thorofare, NJ : Slack Incorporated, [2017] |
Preceded by Premium cataract surgery : a step-by-step guide / edited by
John A. Hovanesian. c2012. | Includes bibliographical references and index.
Identifiers: LCCN 2016057973 (print) | LCCN 2016059372 (ebook) | ISBN
9781630911973 (alk. paper) | ISBN 9781630911980 (epub) | ISBN
9781630911997 (web)
Subjects: | MESH: Cataract Extraction--methods | Lens Implantation,
Intraocular | Practice Management, Medical | Physician-Patient Relations
Classification: LCC RE451 (print) | LCC RE451 (ebook) | NLM WW 260 | DDC
617.7/42059--dc23
LC record available at https://lccn.loc.gov/2016057973

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D
EDICATION
This book is dedicated to our patients, who entrust us surgeons with their most
precious resource, their vision.

C
ONTENTS
Dedication ....................................................................................................................v
Acknowledgments .........................................................................................................ix
About the Editor ..........................................................................................................xi
Contributing Authors ................................................................................................xiii
Preface .......................................................................................................................xix
Foreword to the Second Edition by Robert K. Maloney, MD, MA ...........................xxiii
Foreword to the First Edition by David F. Chang, MD .............................................xxv
Introduction ............................................................................................................xxvii
Section I Setting the Stage for Premium Cataract Surgery .......................1
Chapter 1 How to Get Started in Premium Cataract Surgery ........................3
John A. Hovanesian, MD, FACS
Chapter 2 Refractive Intraocular Lenses: Everyday Ethical Issues ..................9
David F. Chang, MD and Bryan S. Lee, MD, JD
Chapter 3 Prognostic Predictors for Premium Intraocular Lenses ................15
George O. Waring IV, MD; R. Luke Rebenitsch, MD, PCEO; and
Jason E. Stahl, MD
Chapter 4 Preparing the Ocular Surface for Cataract and Refractive
Surgery ........................................................................................27
Jodi Luchs, MD, FACS
Chapter 5 Preoperative Testing for Refractive Cataract Surgery ...................41
Kevin Jwo, MD; William F. Wiley, MD; Ji Won Kwon, MD, PhD;
and Jimmy Lee, MD
Chapter 6 Practice Management Considerations of Refractive Cataract
Surgery .......................................................................................61
Kevin J. Corcoran, COE, CPC, CPMA, FNAO
Chapter 7 Advertising and Public Relations for Premium Cataract
Surgery .......................................................................................75
Paul Stubenbordt, BS
Chapter 8 Educating Patients About Refractive Cataract Surgery ................87
John A. Hovanesian, MD, FACS
Section II Surgical Technique and Implants ..........................................93
Chapter 9 Femtosecond Laser-Assisted Cataract Surgery ............................95
Kendall E. Donaldson, MD, MS
viii Contents
Chapter 10 Intraoperative Wavefront Aberrometry ....................................115
Joel M. Solano, MD and John P. Berdahl, MD
Chapter 11 Microincisional Cataract Surgery .............................................123
Mujtaba A. Qazi, MD; Abu-Bakar Zafar, MD; and
Jay S. Pepose, MD, PhD
Chapter 12 Micro-Invasive Glaucoma Surgery ...........................................141
Savak “Sev” Teymoorian, MD, MBA
Chapter 13 Th e Toric Intraocular Lens: Successful Strategies ......................157
Adi Abulafi a, MD and Warren E. Hill, MD
Chapter 14 Limbal Relaxing Incisions .......................................................167
R. Bruce Wallace III, MD and John A. Hovanesian, MD, FACS
Chapter 15 Integrating Monovision Into Presbyopic Intraocular Lens
Surgery .....................................................................................177
J. E. “Jay” McDonald II, MD and Garth Rotramel, BA, SPHR
Chapter 16 Multifocal Implants .................................................................189
Farrell (Toby) Tyson, MD, FACS
Chapter 17 Accommodating Implants: Th e Crystalens ..............................199
Robert J. Weinstock, MD
Section III Postoperative Considerations and Enhancements ...............213
Chapter 18 Refractive Intraocular Lenses: Managing Unhappy Patients ......215
Eric Donnenfeld, MD; Alanna Nattis, DO; Eric Rosenberg, DO; and
Allon Barsam, MD, MA, MRCOphth
Chapter 19 Enhancement With Piggyback or Intraocular Lens
Exchanges.................................................................................225
Adi Abulafi a, MD and Warren E. Hill, MD
Chapter 20 Excimer Laser Enhancements After Intraocular Lens
Surgery .....................................................................................233
Jay Bansal, MD and Arun C. Gulani, MD, MS
Chapter 21 Enhancements With Micro-Radial Keratotomy/Astigmatic
Keratotomy .............................................................................245
Frank A. Bucci Jr, MD
Financial Disclosures .................................................................................................257
A
CKNOWLEDGMENTS
In this, the second edition of this book, we have altered the title from the first edi-
tion, which was called Premium Cataract Surgery: A Step By Step Guide. This second edi-
tion is called Refractive Cataract Surgery: Best Practices and Advanced Technology to reflect
that advanced cataract surgery is now a mainstream offering rather than a premium alter-
native, as it once was. However, in both editions, credit for the content belongs mostly
to the chapter authors, who made it possible. Each carefully constructed a stepwise path
to success for relative beginners in refractive cataract surgery. Each author is a recognized
leader in the field and a noted teacher. Despite many other demands, each enthusiasti-
cally took on the task of writing and met a tight editorial deadline to produce this text
in a timely manner.
David Chang must be credited with the idea for this book. Shortly after the publica-
tion of his wonderfully edited and comprehensive textbook, Mastering Refractive IOLs:
The Art and Science, he suggested the need for a somewhat more manageable length text
targeted at an audience of surgeons who were new to premium cataract surgery and giv-
ing a step-by-step approach to success. It was my honor to answer this challenge and
assemble the material that made up the first and now second editions of this book.
David Hardten and Kevin Corcoran deserve special mention. Each has participated
for many years in a course we teach together at the American Academy of Ophthalmology
annual symposium as well as the annual American Society of Cataract and Refractive
Surgery meeting. Each has taught me many lessons about how a premium practice should
treat patients.
Dick Lindstrom, my dear friend and one of the most generous people I know, has
given me mentorship and guidance in so many areas. This book has been no exception.
My partners in practice, Roger Ohanesian, Ed Kim, Diana Kersten, Savak
Teymoorian, and Brian Kim have built a truly premium practice since well before
premium implants existed. Thanks to them, Harvard Eye Associates in Laguna Hills,
California has been a truly wonderful place to practice medicine. Interestingly, Roger,
who implanted the world’s first foldable intraocular lens in a human subject as part of the
Staar Surgical study many years ago, reviewed the introduction on history of premium
surgery. He was, I thought, highly qualified to review this history since he personally
lived it.
Robert Maloney, more than any other mentor, has shaped the way I think about both
refractive surgery and the treatment of refractive patients. His mentorship at UCLA, and
that of Bartly Mondino and Gary Holland, taught me that we should run toward, not
away from, our most challenging patients. His willingness to write the foreword to this
book honors me greatly.
Those who were my early teachers at Henry Ford Health System in Detroit all
deserve much credit and include Con McCole, David Carey, Dan Steen, Howard Neff,
Dave Bogorad, Julian Nussbaum, Bob Lesser, Murray Christianson, Uday Desai, Paul
Edwards, Tom Byrd, Barry Skarf, Brian Bachynski, Pat Dennehy, and others.
I have also had the pleasure of working on medical advisory boards and symposium
panels with countless leaders in the field of cataract surgery who have shaped our collec-
tive understanding of this subject matter and deserve our gratitude.