Product Description

A Complete Surgical Guide for Correcting Astigmatism: An Ophthalmic Manifesto is a comprehensive text dealing with the surgical correction of astigmatism. Cataract and refractive surgeons seeking to refine their corrective procedures will benefit greatly from the state-of-the-art techniques presented. General ophthalmologists will also find this text useful as a reference for learning the basics of managing astigmatism.

Toric IOLs, laser and incisional techniques, and upcoming toric IOL technology are examples of the procedures profiled and analyzed. Extensive outcomes data and thought-provoking case presentations offer readers the opportunity to analyze proper procedures on a case-by-case basis.

A Complete Surgical Guide for Correcting Astigmatism: An Ophthalmic Manifesto provides an in-depth analysis of the latest advancements in refractive surgery and the resulting techniques that are now available. This essential manual is perfect for every surgeon desiring to effectively manage and treat patients with astigmatism.

Dr. Gills has assembled a group of highly skilled cataract and refractive surgeons to produce this innovative text. Their breadth of experience includes the development of new surgical techniques that continually expand the variety of corrective options available for patients with astigmatism.

Topics Include:

• Correction of astigmatism at the time of cataract and clear lens replacement surgery.
• Innovative techniques for the correction and management of refractive challenges including irregular astigmatism caused by keratoconus, pterygia, and PKP.
• Techniques for addressing primary astigmatism in refractive surgery patients.

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Contents

Dedication
About the Author
Contributing Authors
Acknowledgments
Preface

Section I. Overview

Chapter 1. Surgical Correction of Astigmatism

Mana Tehrani MD; Nick Mamalis MD; Richard S. Hoffman, MD;
I. Howard Fine, MD; Burkhard Dick, MD; and Mark Packer, MD

Section II. Corneal Surface Procedures in Cataract and Refractive Patients

Chapter 2. Astigmatic Correction with Laser-Assisted Sub-Epithelial Keratectomy

Johnny L. Gayton MD; Michelle Van Der Karr; Val Sanders, CRA, COT

Chapter 3. Treating Astigmatism with Conductive Keratoplasty

Jason E. Stahl, MD; and Daniel S. Durrie, MD

Chapter 4. Conductive Keratoplasty: An Emerging Technology for Management of Irregular Astigmatism

Marc A. Michelson, MD

Chapter 5. Bioptics for the Pseudophakic Patient

Louis D. "Skip" Nichamin, MD

Chapter 6. Management of Astigmatism in Conjunction

With Clear-Corneal Phaco Surgery

Louis D. "Skip" Nichamin, MD

Chapter 7. Correction of Astigmatism in Clear-Corneal Cataract Surgery

Robert M. Kershner, MD, FACS

Chapter 8. The Blue Line Cataract Incision and Slit Lamp Astigmatic Correction

Kurt Buzard, MD, FACS

Chapter 9. Astigmatic Keratotomy: Arcuate and Transverse Incisions for Managing Astigmatism

Anthony Lombardo, MD, PhD; and Richard Lindstrom, MD

Chapter 10. Reducing Pre-Existing Astigmatism with Limbal Relaxing Incisions

James P. Gills, MD; R. Bruce Wallace III, MD; Kevin Miller, MD;
I. Howard Fine, MD; Miles Friedlander, MD; Michael McFarland, MD;
Xiaoyan Zhang, MD, PhD; Nicole S. Granet

Chapter 11. Minimizing Postoperative Cylinder with Peripheral Clear-Corneal Relaxing Incisions

Randall J. Olson, MD

Chapter 12. Managing Coupling in Secondary Astigmatic Keratotomy

James P. Gills, MD; J. James Rowsey, MD

Section III. Correcting Astigmatism with Toric Lenses

Chapter 13. Toric Intraocular Lenses: History and Applications

Harry B. Grabow, MD; Mana Tehrani, MD; and Nick Mamalis, MD

Chapter 14. Using the Toric Intraocular Lens in a Complete Astigmatism Management Program

James P. Gills, MD; and Myra N. Cherchio, COMT

Chapter 15. The STAAR Toric Intraocular Lens: Indications and Pearls

David F. Chang, MD

Chapter 16. Correction of Astigmatism With Customizable Foldable Toric Intraocular Lenses

Gangolf Sauder, MD

Section IV. Managing Irregular Astigmatism

Chapter 17. Correction of Irregular Astigmatism

Maria Regina Chalita, MD; and Ronald R. Krueger, MD, MSE

Chapter 18. Management of Corneal Transplant Astigmatism

James C. Hays, MD

Chapter 19. Reducing Post-Graft Astigmatism

Miles Friedlander, MD; and Nicole S. Granet, BA

Chapter 20. Treating Keratoconus with Astigmatic Keratotomy and Intraocular Lenses: A New Approach

Approach

J. James Rowsey, MD; James P. Gills, MD; and Pit Gills III, MD

Index

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About the Author

James P. Gills, M.D. is founder and director of St. Luke’s Cataract & Laser Institute and Clinical Professor of Ophthalmology at the University of South Florida. He is the country’s first ophthalmologist to dedicate his practice solely to the treatment of cataracts via the use of intraocular lens implants. His contributions to medicine span across both academia and clinical ophthalmology. Dr. Gills established his academic career early, when as a resident at Johns Hopkins, he published the first scientific paper classifying mucopolysaccharidoses. As his clinical practice grew, he became known by his peers for challenging the status quo. Many ingenious advancements in ophthalmic surgery stem from his drive to improve cataract surgery.

More than 20 years ago, he developed an intraocular solution composed of antibiotics and anti-inflammatory medications, designed to reduce the risk of infection and inflammation after surgery. This procedure, along with his technique of filtering the irrigating solutions, has probably saved countless eyes. Perhaps his most outstanding contribution in ophthalmology was his presentation of the first scientific paper demonstrating the safety and benefit of intraocular anesthesia in 1997. Thanks to this breakthrough, patients undergoing cataract surgery via topical anesthesia can enjoy the procedure free of pain, needles, and patches.

Never satisfied unless his patients are independent of glasses, Dr. Gills openly admits to his obsession with correcting astigmatism. His use of limbal and corneal relaxing incisions, and more recently, toric intraocular lenses has turned cataract surgery into a refractive procedure. He has even developed a technique to piggyback toric intraocular lenses, enabling him to accurately correct extremely high levels of astigmatism.

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