Mastering Corneal Surgery: Recent Advances and Current Techniques

Amar Agarwal, MS, FRCS, FRCOphth; Thomas John, MD
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ISBN 13:
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Book Description

Mastering Corneal Surgery: Recent Advances and Current Techniques comprehensively covers all the recent advances in the existing techniques for common and rare corneal conditions, as well as presents the potential intraoperative circumstances the surgeon can face with their patients.
Mastering Corneal Surgery: Recent Advances and Current Techniques by Drs. Amar Agarwal and Thomas John, along with more than 50 contributors, cover the most recent innovations in corneal surgery, including corneal procedures in combination with IOL implantation in eyes with deficient capsules, and combining endothelial keratoplasty with IOL repositioning.
Extensive high-quality video demonstrations of the techniques discussed inside Mastering Corneal Surgery: Recent Advances and Current Techniques enhances the written text, creating a superior resource. The 28 videos, combined with the written text, clinical photographs and pictures, furthers the learning process more than learning from text or video alone.
Mastering Corneal Surgery: Recent Advances and Current Techniques covers all the recent advances in the existing techniques for common and rare corneal conditions and presents the potential intraoperative circumstances the surgeon can encounter with their patients. The general ophthalmologist and cornea specialist will welcome the novel surgical methods and their differences from the existing techniques highlighted inside this cutting-edge resource.

More Information


About the Editors
Contributing Authors 
Foreword by Alan N. Carlson, MD

Section I Keratoplasty
Chapter 1 Applied Anatomy and Physiology of the Cornea 
Prafulla K. Maharana, MD and Namrata Sharma, MD
Chapter 2 Penetrating Keratoplasty 
Thomas John, MD
Chapter 3 Automated Lamellar Therapeutic Keratoplasty 
Namrata Sharma, MD and Prafulla K. Maharana, MD
Chapter 4 Deep Anterior Lamellar Keratoplasty 
Laura Vickers, MD and Terry Kim, MD
Chapter 5 Descemet’s Stripping Automated Endothelial Keratoplasty 
Ian Gorovoy, MD and Bennie H. Jeng, MD, MS
Chapter 6 Ultra-Thin Grafts for Descemet’s Stripping Automated Endothelial
Vincenzo Scorcia, MD; Elena Albè, MD; and Massimo Busin, MD
Chapter 7 Descemet’s Membrane Endothelial Keratoplasty
Yuri McKee, MD and Francis W. Price Jr, MD
Chapter 8 Endoilluminator-Assisted Descemet’s Membrane Endothelial
Soosan Jacob, MS, FRCS, DNB, MNAMS and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 9 Corneal Surgery and the Glued Intraocular Lens Technique 
Priya Narang, MS and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 10 Pre-Descemet’s Endothelial Keratoplasty 
Ashvin Agarwal, MS; Dhivya Ashok Kumar, MD;
Priya Narang, MS; Harminder S. Dua, MS, FRCOphth, FRCS, FEBO, PhD; and Amar Agarwal, MS, FRCS, FRCOphth

Chapter 11 Corneal Graft Rejection 
Saima M. Qureshi, MD and Robert A. Copeland Jr, MD
Chapter 12 Femtosecond Laser–Assisted Corneal Graft Surgery 
Jorge L. Alió, MD, PhD; Felipe Soria, MD; Alfredo Vega-Estrada, MD;
and Ahmed Abdou, MD, PhD

Section II Keratoprosthesis and Ocular Surface Disorders 
Chapter 13 Boston Keratoprosthesis 
Bishoy Said, MD and Natalie A. Afshari, MD, FACS
Chapter 14 Modified Osteo-Odonto-Keratoprosthesis 
Giancarlo Falcinelli, MD; Paolo Colliardo, MD; Giovanni Falcinelli, MD;
Andrea Gabrielli, MD; and Maurizio Taloni, MD

Chapter 15 Foldable Nonpenetrating Artificial Cornea 
Yichieh Shiuey, MD and Jose M. Vargas, MD
Chapter 16 Limbal Stem Cell Deficiency
Charles L. Thompson, MD and W. Barry Lee, MD
Chapter 17 Amniotic Membrane Transplantation 
Athiya Agarwal, MD, DO; Soosan Jacob, MS, FRCS, DNB, MNAMS; and
Amar Agarwal, MS, FRCS, FRCOphth

Section III Corneal Surgery Related to Cataract Surgery 
Chapter 18 Limbal Relaxing Incisions 
Rachel Kwok, MBBS; Sunil Ganekal, FRCS; and Vishal Jhanji, MD
Chapter 19 Femtosecond Laser Corneal Incisions 
H. Burkhard Dick, MD, PhD; Tim Schultz, MD; and Ronald D. Gerste, MD, PhD
Chapter 20 Intrastromal Arcuate Keratotomy to Reduce Corneal Astigmatism With a
Femtosecond Laser 
Theresa Rückl, MD; Alexander Bachernegg, MD; Perry S. Binder, MS, MD; and
Günther Grabner, MD

Chapter 21 Descemet’s Membrane Detachment: Classification and Management 
Soosan Jacob, MS, FRCS, DNB, MNAMS and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 22 Corneoscleral Pocket Technique 
Richard S. Hoffman, MD; Alejandro Cerda, MD; I. Howard Fine, MD; and Annette Chang Sims, MD

Section IV Miscellaneous
Chapter 23 Intrastromal Corneal Ring Segments and the Turnaround Technique for
Overcoming False Channel Dissection During Intacs Implantation 
Saraswathy Karnati, MS; Soosan Jacob, MS, FRCS, DNB, MNAMS; and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 24 Corneal Inlays for the Surgical Correction of Presbyopia
George O. Waring IV, MD and Fernando Faria-Correia, MD
Chapter 25 Pterygium Surgery: Raising Ocular Surface Surgery to Cosmetic Outcomes 
Arun C. Gulani, MD, MS and Aaishwariya Gulani, BS
Chapter 26 Limbal Dermoids 
Susan Huang, MD; Roy S. Chuck, MD, PhD; and Jimmy K. Lee, MD
Chapter 27 Ocular Surface Squamous Neoplasia 
Dhivya Ashok Kumar, MD and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 28 Collagen Cross-Linking and Contact Lens–Assisted Collagen Cross-Linking for Corneal Ectatic Disorders
Soosan Jacob, MS, FRCS, DNB, MNAMS; Kaladevi Satish, MS; and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 29 Platelet-Rich Plasma in Corneal Surgery 
Jorge L. Alió, MD, PhD; Francisco Arnalich, PhD; Alejandra E. Rodriguez, MSc; and Alvaro Luque, BSc
Financial Disclosures 


Mastering Corneal Surgery will be helpful to corneal surgeons around the world in improving their surgical dexterity.  Extensive high-quality videos – 28 of them – combined with the written text, clinical photographs and pictures, furthers the learning process, creating a superior learning package.”

”The references at the end of each chapter are quite useful, and the many images and figures help in the learning process. This book nicely reviews the steps of multiple cornea surgeries. It is densely packed with pearls of wisdom from many leading cornea specialists.”

- Jeanine Baqai, MD, Northwestern University Feinberg School of Medicine, Doody’s Review Service

About the Editors

Amar Agarwal, MS, FRCS, FRCOphth, is the Chairman and Managing Director of Dr. Agarwal’s Group of Eye Hospitals and Eye Research Centre in India, which includes 60 hospitals worldwide; past President of the International Society of Refractive Surgery (ISRS); Secretary General of the Indian Intraocular Implant and Refractive Society (IIRSI); and Professor of Ophthalmology at Ramachandra Medical College in Chennai, India.

Dr. Agarwal is the pioneer of phakonit, which is phacoemulsification with needle incision technology. This technique became popularly known as bimanual phaco, microincision cataract surgery (MICS), or microphaco. Dr. Agarwal was the first to remove cataracts through a 0.7-mm tip with the microphakonit technique. He also discovered no-anesthesia cataract surgery and FAVIT, a new technique to remove dropped nuclei. Using an aquarium fish pump to increase the fluid into the eye in bimanual phaco and coaxial phaco has helped prevent surge. This formed the basis of various techniques of forced infusion for small-incision cataract surgery. Dr. Agarwal also discovered a new refractive error called aberropia. He was the first to perform a combined surgery of microphakonit (700-µm cataract surgery) with a 25-gauge vitrectomy in the same patient, thus creating the smallest incisions possible for cataract and vitrectomy. He was the first surgeon to implant a new mirror telescopic intraoperative lens (IOL) for patients suffering from age-related macular degeneration. He was the first in the world to implant a glued IOL, in which a posterior-chamber IOL is fixed in an eye without capsules using fibrin glue. He modified the Malyugin ring (MicroSurgical Technology) for small-pupil cataract surgery into the Agarwal modification of the Malyugin ring for miotic pupil cataract surgeries with posterior capsular defects.
Dr. Agarwal pioneered the technique of IOL scaffold, in which a 3-piece IOL is injected into an eye between the iris and the nucleus to prevent the nucleus from falling in posterior chamber ruptures. He combined glued IOL and IOL scaffold in cases of posterior chamber rupture where there is no iris or capsular support and termed the technique glued IOL scaffold. Pre-Descemet’s endothelial keratoplasty (PDEK) was also pioneered by Dr. Agarwal. In this procedure, the pre-Descemet’s layer and Descemet’s membrane with endothelium are transplanted en bloc in patients with a diseased endothelium.

The first contact lens–assisted collagen cross-linking procedure, a new technique for cross-linking thin corneas, was performed in Dr. Agarwal’s Eye Hospital, as were the first anterior-segment transplantation in a 4-month-old child with anterior staphyloma and the first glued endocapsular ring in cases of subluxated cataracts. Endoilluminator–assisted Descemet’s membrane endothelial keratoplasty (E-DMEK) is also performed in Dr. Agarwal’s Eye Hospital.

Dr. Agarwal has received many awards for his work in ophthalmology, most significantly the Casebeer Award, Barraquer Award, and Kelman Award. He has performed more than 150 live surgeries at various conferences. His videos have won awards at the film festivals of American Society of Cataract and Refractive Surgery (ASCRS), American Academy of Ophthalmology (AAO), and European Society of Cataract & Refractive Surgeons (ESCRS). He has written more than 60 books, which have been published in various languages, including English, Spanish, and Polish. He trains doctors from all over the world in his center on phaco, bimanual phaco, laser-assisted in situ keratomileusis (LASIK), and retina.
The website of Dr. Agarwal’s Eye Hospitals is
Thomas John, MD, was born in India, and lived the majority of his life in the United States. His eye training consisted of an ophthalmology residency at the University of Pennsylvania and a 2-year clinical cornea fellowship at Harvard Medical School, Massachusetts Eye and Ear Infirmary.

Dr. John’s academic pinnacle was in Boston, training under Drs. Kenyon, Foster, Steinert, Dohlman, Abelson, Langston, Wagoner, Gilbard, Boruchoff, and Bajart. His corneal research experience stems from Schepens Eye Research Institute and Massachusetts Institute of Technology (MIT), Harvard Medical School. He completed ophthalmic pathology training under Drs. Eagle, Rockey, and Yanoff during his National Institutes of Health (NIH) ophthalmic pathology fellowship.

Dr. John was Director of Cornea, External Disease, and Contact Lens Service, Assistant Professor, Seeberger Scholar, Pritzker School of Medicine, University of Chicago. Currently, he is the Clinical Associate Professor at Loyola University at Chicago, and Visiting Professor, Medical Faculty of Military University, Military Medical Academy, Belgrade, Serbia. Dr. John’s private offices are in Oak Brook, Oak Lawn, and Tinley Park, Illinois. He was named Chicago’s Top Doctor by Chicago Magazine; America’s Top Doctor, Castle Connelly Medical, Ltd; and America’s Top Ophthalmologist, Consumer Research Council of America for several consecutive years. A partial list of awards includes the H. J. Memorial Research Prize, St. John’s Medical College, India; Best Resident Paper Award, University of Pennsylvania; Honor Award and Senior Honor Award, American Academy of Ophthalmology (AAO), Best of Show Award for surgical technique videos (first place) twice from AAO; First Place Award, Surgical Video Competition, International Society of Refractive Surgeons (ISRS); First Place Award, Surgical Video Competition, American Society of Cataract and Refractive Surgery (ASCRS); First Place Awards for Poster and Best Paper Presentations, ASCRS; Distinguished Physician Award from Indian American Medical Association; Physician Medal of Distinction from Military Medical Academy, Belgrade, Serbia; and a gold medal from the Indian Intraocular Implant and Refractive Society, Chennai, India.

Dr. John is currently on the editorial boards of Ocular Surgery News (OSN), Review of Ophthalmology, and Ophthalmology Management, and was previously on the editorial boards of Annals of Ophthalmology (AO), Expert Review of Ophthalmology, and Optometry Management. He was Chief Editor of the Consultation Section of AO; Associate Editor of AO, Chief Editor, Corneal Dissection Column, OSN; and Editor, Journal Techniques in Ophthalmology. He is widely published in peer-reviewed journals and has edited many books, written many chapters, and made numerous presentations. He served as ASCRS panelist and poster judge and was Chief Film Festival Judge for ASCRS in 2013. He performed live surgery, descemetorhexis with endokeratoplasty, at the International Meeting of the Italian Ophthalmological Society in 2007 in Venice, Italy. He developed numerous surgical instruments and holds a patent on an ophthalmic device. He has delivered numerous surgical video presentations. His present book with Dr. Agarwal is an extension of his surgical interests in ophthalmology.

Ophthalmology remains a singular subject in Dr. John’s “report card of life.” Other subjects include family, namely, his wife Annita and children Michelle, Andrea and Olivia, music, drumming (rock and roll), and dancing (ballroom, line, disco). He started ARVO Rock Concert, has been a band leader and drummer for 12 years, and played drums at the Universal Studios, Orlando, in 2014. In his report card of life, he gives all credit to Jesus Christ without whom he is nobody.