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Author: Adel Barbara
Publisher: Springer
ISBN: 3319980327
Category : Medical
Languages : en
Pages : 395
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Book Description
This book presents new technologies which are available now for the rehabilitation of visual acuity in patients suffering from keratoconusand for arresting the progression of this frustrating disease. All these current treatment options in differing combinations aim to improve the quality of life of the patients and although successful, they are causing confusion for the ophthalmologists; what procedure to do and when? How to perform? Which combination of treatments to choose? Controversies in the Management of Keratoconusprovidesthe widely used treatment options for keratoconus including collagen corneal cross –linking (CXL) covering all the available techniques, intrastromal corneal ring segments (ICRS) , phakic intra-ocular lenses (IOLs), photorefractive keratectomy (PRK) combined or not with CXL penetrating keratoplasty (PK) and deep anterior lamellar keratoplasty ( DALK). Each treatment is addressed by more than one author with different points of view in order to present the various approaches, the logic behind them and the most relevant clinical data available.A chapter by the editor tries to put some light on how to navigate among these controversies. This book will be of interest to trainees as well as the specialized ophthalmologists.
Author: Adel Barbara
Publisher: Springer
ISBN: 3319980327
Category : Medical
Languages : en
Pages : 395
Get Book Here
Book Description
This book presents new technologies which are available now for the rehabilitation of visual acuity in patients suffering from keratoconusand for arresting the progression of this frustrating disease. All these current treatment options in differing combinations aim to improve the quality of life of the patients and although successful, they are causing confusion for the ophthalmologists; what procedure to do and when? How to perform? Which combination of treatments to choose? Controversies in the Management of Keratoconusprovidesthe widely used treatment options for keratoconus including collagen corneal cross –linking (CXL) covering all the available techniques, intrastromal corneal ring segments (ICRS) , phakic intra-ocular lenses (IOLs), photorefractive keratectomy (PRK) combined or not with CXL penetrating keratoplasty (PK) and deep anterior lamellar keratoplasty ( DALK). Each treatment is addressed by more than one author with different points of view in order to present the various approaches, the logic behind them and the most relevant clinical data available.A chapter by the editor tries to put some light on how to navigate among these controversies. This book will be of interest to trainees as well as the specialized ophthalmologists.
Author: Adel Barbara
Publisher: Springer
ISBN: 9783319980317
Category : Medical
Languages : en
Pages : 397
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Book Description
This book presents new technologies which are available now for the rehabilitation of visual acuity in patients suffering from keratoconusand for arresting the progression of this frustrating disease. All these current treatment options in differing combinations aim to improve the quality of life of the patients and although successful, they are causing confusion for the ophthalmologists; what procedure to do and when? How to perform? Which combination of treatments to choose? Controversies in the Management of Keratoconusprovidesthe widely used treatment options for keratoconus including collagen corneal cross –linking (CXL) covering all the available techniques, intrastromal corneal ring segments (ICRS) , phakic intra-ocular lenses (IOLs), photorefractive keratectomy (PRK) combined or not with CXL penetrating keratoplasty (PK) and deep anterior lamellar keratoplasty ( DALK). Each treatment is addressed by more than one author with different points of view in order to present the various approaches, the logic behind them and the most relevant clinical data available.A chapter by the editor tries to put some light on how to navigate among these controversies. This book will be of interest to trainees as well as the specialized ophthalmologists.
Author: Kathryn Colby
Publisher: Springer
ISBN: 3319552988
Category : Medical
Languages : en
Pages : 153
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Book Description
This book provides comprehensive coverage of the most important corneal diseases in children, including congenital corneal opacities, infectious keratitis, corneal ectasia, ocular surface disorders and allergic eye disease. Highlights include an extensive discussion of corneal surgery in children, in-depth coverage of the role of various anterior segment ocular imaging modalities in the diagnosis and management of corneal diseases in the pediatric population, and surgical videos to further assist the reader. Chapters dedicated to amblyopia management and contact lens use in children round out the volume. Corneal Diseases in Children stands out as one of the few books dedicated to this important topic.
Author: Melissa Barnett
Publisher: Bentham Science Publishers
ISBN: 1681085666
Category : Medical
Languages : en
Pages : 508
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Book Description
Contemporary Scleral Lenses: Theory and Application, provides comprehensive information about scleral lenses. Chapters of this volume have been contributed by renowned scleral lens experts and cover a variety of interesting topics. These topics include the history and evolution of scleral lenses, basic scleral lens structure, optics and customizable features of scleral lenses, analysis of ocular surface shape, ocular surface topography and advances in optometry technology. These topics give readers an explanation of how to utilize diagnostic equipment in optometry practice and enables practitioners to employ a scientific and objective approach to scleral lens fitting. Key features of this volume include: - A straightforward approach to ophthalmic examination flow, evaluation and documentation - A review of Scleral lens care and handling - Descriptions of a variety of complex medical and ocular indications for scleral lenses - Strategic tips to promote your own scleral lens practice - A unique perspective of esteemed corneal specialists regarding the collaborative care of the patient This textbook is a suitable reference for ophthalmology students and practitioners. This text will assist practitioners in enhancing their scleral lens practice by providing them useful information for improving patient vision, ocular surface rehabilitation and quality of life.
Author: Jorge L Alio
Publisher: JP Medical Ltd
ISBN: 9350905094
Category : Medical
Languages : en
Pages : 126
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Book Description
Keratoplasty is the transplantation of all or part of the cornea to repair scarred or damaged tissue. A femtosecond laser is a laser which emits ultrashort pulses, used for minimally invasive corneal surgery. This book is a concise guide to the technique of femtosecond laser-assisted keratoplasty. Beginning with an introduction to the technology, the following chapters discuss its use for different disorders. This practical text is based on the surgical experience of its internationally recognised authors from Spain, Germany, France and the USA. It includes more than 230 full colour clinical photographs and illustrations to enhance learning. Key points Concise guide to the corneal transplantation procedure of femtosecond laser-assisted keratoplasty Covers key technologies and uses for different disorders Internationally recognised author and editor team Includes more than 230 clinical photographs and illustrations
Author: Mehrdad Mohammadpour
Publisher: CRC Press
ISBN: 1040124305
Category : Medical
Languages : en
Pages : 328
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Book Description
This is an updated and comprehensive treatise on optical, medical, and surgical management of keratoconus with an exclusive panoramic view of all existing modalities for confronting this serious disabling morbidity affecting people in their youth. Early diagnosis and proper treatment can salvage vision and help patients to get back to their routines and enhance their quality of life. The contents include optical and glass prescription and contact lens fitting; CXL alone; and combined surgeries, phakic IOLs, and corneal transplantation. The illustrated and organized 360-degrees approach makes this a must-have manual for ophthalmology trainees, fellows, and professionals. Key Features: Focuses on optical management for keratoconus, with the latest updates on surgical management Covers a very interesting and relevant topic for ophthalmologists and cornea specialists, using a practical case-based format Uses evidence-based algorithms from updated published data and insights from experienced authors
Author: Adel Barbara
Publisher: JP Medical Ltd
ISBN: 9350254042
Category : Medical
Languages : en
Pages : 249
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Book Description
Textbook on Keratoconus introduces the latest developments and techniques for the treatment of keratoconus. The book begins with an introduction to the epidemiology, genetics and pathology of the condition, followed by detailed sections on its diagnosis and treatment. With contributions from numerous international ophthalmic experts, the text examines new surgical techniques such as intracorneal rings, phakic intraocular lenses, topographic guided photorefractive keratectomy, femtosecond laser corneal implants and collagen corneal cross-linking.
Author: C.J. Roberts
Publisher: Kugler Publications
ISBN: 9062998763
Category : Medical
Languages : en
Pages : 328
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Book Description
While lecturing in recent months at a number of prominent institutions, I asked some of the residents and fellows whether and how they might benefit from a book on corneal biomechanics. The typical response was the look of a deer caught in the headlights as they tried to intuit the “appropriate” answer, but had little understanding or insight as to why this would be an important and useful knowledge base for them now, or in the future. I then posed the question differently. “Would a book that explained corneal biomechanical principles and testing devices and their application in detecting eyes at risk for developing keratoconus and post-LASIK ectasia, understanding the biomechanical impact of specific types of keratorefractive surgery and riboflavin UV-A corneal collagen cross-linking, and the impact of corneal biomechanics on the fidelity of intraocular pressure measurement and risk for glaucoma progression be of interest?” Framed in this context, the answer I got was a resounding, “Yes!” Therein lies a fundamental disconnect that highlights both the opportunity and need to educate all ophthalmologists about this nascent field. This comprehensive book is strengthened by the breadth of contributions from leading experts around the world and provides an important resource for ophthalmologists at all levels of training and experience. It gives a panoramic snapshot of our understanding of corneal biomechanics today, bridging the gap between theoretical principles, testing devices that are commercially available and in development as well as current and potential future clinical applications. While there has been a long-held appreciation that all types of keratorefractive surgery have an impact and interdependence on corneal biomechanics and wound healing, the initial finite element analyses that were applied to understand radial keratotomy were limited by incorrect assumptions that the cornea was a linear, elastic, homogenous, isotropic material.1 With the advent of excimer laser vision correction, critical observations indicated that Munnerlyn’s theoretic ablation profiles did not account for either lower or higher order (e.g. spherical aberration) refractive outcomes,2 suggesting that there were important components missing from the equation—e.g., corneal biomechanics and wound healing. In a seminal editorial, Roberts3 pointed out that the cornea is not a piece of plastic, but rather a material with viscoelastic qualities. Since that time, much has been learned about spatial and depth- related patterns of collagen orientation and interweaving, as well as the biomechanical response to different keratorefractive surgeries that sever tension-bearing lamellae, as the cornea responds to and redistributes stress induced by IOP, hydration, eye rubbing, blinking and extraocular muscle forces.3-6 The first reports of post-LASIK ectasia7 highlighted the need to identify a biomechanical signature of early keratoconus as well as corneas at high risk of developing ectasia irrespective of their current topography or tomography. The introduction of two instruments into clinical use—the Ocular Response Analyzer (ORA) and the Corneal Visualization Scheimpflug Technology (Corvis ST)—that allow measurement of various biomechanical metrics further catapulted the field. The availability of these instruments in routine clinical settings allowed the systematic study of the effect of age, collagen disorders, collagen cross-linking, corneal rings, flaps of various depths, contour, sidecut angulation, pockets, and flockets, just to name of few. Future application of biomechanics to the sclera may improve our understanding of the development and prevention of myopia, as well as scleral surgeries and treatments under development for presbyopia. It was appreciated by Goldmann and Schmidt that corneal thickness and curvature would influence the measurement of applanation tonometry. The recent ability to measure some corneal biomechanical metrics have led to IOP measurement that may be more immune both to their influence and the impact of central corneal thickness (CCT). Certain chapters in this book explain how a thin cornea could be stiffer than a thick one and that stiffness is also impacted by IOP, thereby precluding simplistic attempts to adjust IOP measurements using nomograms based upon CCT alone. Also highlighted is how corneal hysteresis, the ability of the cornea to absorb and dissipate energy during the bidirectional applanation response to a linear Gaussian air puff, appears to be an independent risk factor for glaucoma progression and rate of progression.9,10 This comprehensive book starts out with a section devoted to outlining basic biomechanical principles and theories, teaching us the language of what Dupps11 has referred to as “mechanospeak”, thus providing a context and common vocabulary to better comprehend the following chapters. By first defining basic concepts such as stress-strain relationships and creep, this theoretical basis is later applied to explain the pathogenesis of corneal diseases, e.g., explaining how a focal abnormality in corneal biomechanical properties precipitates a cycle of decompensation and localized thinning and steepening, clinically expressed as ectasia progression. These early chapters further detail biomechanical differences between in-vivo and ex-vivo testing, between human and animal corneas and sclera, and between methods of testing. The second section provides a thorough description of two FDA-approved devices to measure corneal biomechanics in the clinic (i.e., the ORA and the Corvis ST), as well as an overview of potential future technologies, including OCT with air puff stimulus, ocular pulse elastography, and Brilloiun microscopy. The third and final section of the book is a thorough treatise on how to interpret the metrics derived from the waveform provided by available clinical devices; their adjunct use in ectasia risk screening; the comparative biomechanical impact of various keratorefractive surgeries and corneal procedures such as PRK, LASIK, SMILE, and corneal collagen cross-linking; the impact of corneal biomechanics on IOP measurement; and potential biomechanical markers of enhanced susceptibility to glaucoma progression. This compendium of our current knowledge of corneal biomechanics, its measurement and application, provides a strong foundation to more fully understand advances in keratorefractive and corneal surgery, diseases, and treatments, all of which are interdependent on and influence inherent corneal biomechanical properties and behavior. Both the robust aspects and limitations of our current understanding are presented, including the challenge of creating accurate and predictive finite element models that incorporate the impact of IOP, corneal thickness, geometry, and scleral properties on corneal biomechanics. This book provides a key allowing clinical ophthalmologists and researchers to grasp the basics and nuances of this exciting field and to shape it as it evolves in the future.
Author: Elias I. Traboulsi
Publisher: OUP USA
ISBN: 0195326148
Category : Medical
Languages : en
Pages : 940
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Book Description
This book takes a clinical approach to the patient with a genetic disease that affects the eye. The chapters on particular types of diseases follow the same organizational format, covering history, pathogenesis and etiology, epidemiology, classification, clinical manifestations and diagnosis, and treatment. The recent progress achieved in the molecular genetics of eye disease is fully reflected throughout the book. It is written by leading experts in the field and provides clinical, molecular genetic and management information on common and rare diseases. The chapters are heavily illustrated and provide a good Atlas for the practicing ophthalmologist or geneticist.
Author: Mazen M. Sinjab
Publisher: Springer Science & Business Media
ISBN: 3642218407
Category : Medical
Languages : en
Pages : 166
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Book Description
This book, designed for ophthalmologists and particularly for refractive surgeons, aims to develop practical and clinical skills in readers so that they are able to make the right decisions in managing keratoconus. There are four main chapters. The first is devoted to diagnosis and describes the clinical signs, the appearances on microscopy, and the significance of corneal hysteresis and corneal topography. Classifications and patterns of keratoconus are then presented, and the author offers his own new classification of topographic patterns. The third chapter addresses the management of the disease in detail. Both non-interventional and interventional approaches are discussed with due attention to contraindications and complications. In addition, a novel classification of management parameters is suggested, and a systematic approach to management, formulated. In the final chapter this approach is applied to nine cases that serve as clinical examples.
