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Product Description

With surface treatments gaining in popularity, a book that addresses in-depth analysis of the latest advancements is essential. Refractive Surface Ablation: PRK, LASEK, Epi-LASIK, Custom, PTK, and Retreatment offers step-by-step information on everything from the patient selection process to performing the procedures to patient management.

Drs. Paolo Vinciguerra and Fabrizio I. Camesasca, along with over twenty renowned international contributors, weave together multiple topics on surface ablations inside this all-inclusive, yet concise text—answering the questions on the mind of even the most experienced refractive surgeons.

Successful surface ablation is dependent upon total patient management by today’s surgeon. Refractive Surface Ablation provides, in comprehensive detail, the patient selection process, assessment, an understanding of the software, treatment, pain, haze, and patient management.

Some topics covered include:

• Topography based biometry
• Causes and management of surface ablation complications
• Proper diagnosis and treatment of decentration
• Drug effect evaluation by confocal microscopy
• Intraoperative topography
• Advanced use of aberrometry for custom ablation
• Different LASEK and surface ablation techniques

The comprehensive and user-friendly instruction for difficult and complex cases allows the surgeon to be at the forefront with the latest techniques and procedures involved with surface ablation.

Inside you will also find:

• Integration of topography, tomography, confocal microscopy, and normograms
• Chapters specific to intra and post-operative complications and retreatment
• Over 200 color images and photographs

Refractive Surface Ablation: PRK, LASEK, Epi-LASIK, Custom, PTK and, Retreatment is a unique and essential resource for both novice and experienced ophthalmologists and optometrists.

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Contents

Dedication
Acknowledgments
About the Editors
Contributing Authors
Introduction

Section I: Patient Selection and Preoperative Management: Understanding Surface Ablation

Chapter 1:Topography in Surface Ablation

Paolo Vinciguerra, MD; Luca Maestroni, MD

Chapter 2:Useful Information for the Refractive Surgeon: Aberrometry and Its Application to Vision Care

Raymond A. Applegate, OD, PhD

Chapter 3:Clinical Application of Differential Wavefront Aberrometry

Phil Buscemi OD; S. Harkaran; Richard Bains

Chapter 4:Understanding Wavefront: Microns vs Diopters

Stephen D. Klyce, PhD

Chapter 5:Patient Selection for Surface Ablation

Paolo Vinciguerra, MD; Luca Maestroni, MD

Chapter 6:Biomechanics of Surface Ablation and LASIK

Jennifer R. Lewis, PhD; Cynthia J. Roberts, PhD

Section II: General Principles

Chapter 7:General Principles in Surface Ablation

Paolo Vinciguerra, MD; Fabrizio I. Camesasca, MD; Ingrid M. Torres, MD

Chapter 8:Smoothing in Excimer Refractive Surgery

Paolo Vinciguerra, MD; Fabrizio I. Camesasca, MD

Chapter 9:Evaluation and Development of Ablation Profiles

Paolo Vinciguerra, MD; Fabrizio I. Camesasca, MD

Chapter 10:Treatment of Myopia

Fabrizio I. Camesasca, MD; Paolo Vinciguerra, MD

Section III: Surface Ablation

Chapter 11:Treatment of Astigmatism

Paolo Vinciguerra, MD; Fabrizio I. Camesasca, MD; Guido Nizzola, MD; Daniel Epstein, MD, PhD

Chapter 12:Treatment of Hyperopia

Paolo Vinciguerra, MD; Fabrizio I. Camesasca, MD

Chapter 13:Treatment of Presbyopia

Fabrizio I. Camesasca, MD; Paolo Vinciguerra, MD; Ingrid M. Torres, MD

Chapter 14:Topographically-Guided Transepithelial PRK for Refractive and Therapeutic Purposes

Leopoldo Spadea, MD; Angela Di Gregorio, MD

Chapter 15:The Role of Amino Acids in Corneal Healing: A New Method for Evaluating Cellular Density and Extracellular Matrix Distribution

Maria Ingrid Torres Munoz, MD; Paolo Vinciguerra, MD; Fabrizio I. Camesasca, MD; Fabio Grizzi, PhD; Francesco Saverio Dioguardi, MD; Nicola Dioguardi, MD

Section IV: The Evolution of Surface Ablation: LASEK, Epi-LASIK, and Custom Ablation

Chapter 16: LASEK
Thomas V. Claringbold II, DO; Lee Shahinian, Jr, MD Chapter 17:Butterfly LASEK
Paolo Vinciguerra, MD; Fabrizio I. Camesasca, MD Chapter 18:LASEK With Custom Ablation and Smoothing
Paolo Vinciguerra, MD; Fabrizio I. Camesasca, MD Chapter 19: Refractive, Aberrometric, and Pachymetric Stability and Patient’s Satisfaction in Refractive Status and Vision Profile After Customized Treatment
Mario R. Romano, MD Chapter 20:Advanced Surface Ablations for Myopia: Epi-LASIK
Vikentia J. Katsanevaki, MD, PhD; Maria I. Kalyvianaki, MD; Irini I. Naoumidi, PhD; Ioannis G. Pallikaris, MD, PhD Chapter 21:LASEK and Epi-LASIK Excimer Surface Ablation
Elena Albè, MD; Dimitri T. Azar, MD Chapter 22:Wavefront Customized PRK: Zyoptix
Stefano Baiocchi, MD, PhD; Marco Lazzarotto, MD; Claudia Sforzi, MD, PhD; Aldo Caporossi, MD Chapter 23:No Alcohol LASEK vs PRK: A Comparative Study
Leopoldo Spadea, MD; Arianna Fiasca Chapter 24:In Vivo Confocal Microscopy: Clinical Relevance in Refractive Surgery and in Epithelial Flap-Based Surface Ablation Techniques
Leonardo Mastropasqua, MD; Mario Nubile, MD; Manuela Lanzini, MD Chapter 25:Corneal Wound Healing Response in LASEK
Marcelo V. Netto, MD; Rajiv R. Mohan, PhD; Renato Ambrósio Jr, MD; Steven E. Wilson, MD

Section V: Management of Complications Chapter 26: Photorefractive Keratectomy (PRK): Complications During the Epithelial and Stromal Healing Phase
Aldo Caporossi, MD; Marco Lazzarotto, MD; Tomaso Caporossi, MD; Stefano Baiocchi, MD, PhD Chapter 27:Reducing the Risk for Post-LASIK Ectasia
Daniel Epstein, MD, PhD, Paolo Vinciguerra, MD Chapter 28:Diagnosis of Decentered Treatment
Paolo Vinciguerra, MD; A. Randazzo, MD Chapter 29:The Use of Mitomycin C in Surface Ablation
Francesco Carones, MD

Section VI: Phototherapeutic Keratectomy: Making Possible the Impossible Chapter 30:Custom Phototherapeutic Keratectomy With Intraoperative Topography
Paolo Vinciguerra, MD; Fabrizio I. Camesasca, MD Chapter 31:Long-term Follow Up of Ultrathin Corneas After Surface Retreatment With Phototherapeutic Keratectomy
Paolo Vinciguerra, MD; Maria Ingrid Torres Munoz, MD; Fabrizio I. Camesasca, MD; Fabio Grizzi, PhD;Cynthia Roberts, PhD Chapter 32: Nomograms for Surface Laser Correction
Guy M. Kezirian, MD, FACS

Section VII: The Refractive Surgery Patient: After Surgery Chapter 33: Cataract Extraction with IOL Implant After Refractive Surgery
Paolo Vinciguerra, MD; Pietro Rosetta, MD; Nadia Incarnato, MD Chapter 34:Pharmacological Corneal Wound Healing After Surface Ablation
Edoardo Midena, MD; Catia Gambato, MD; Alessandra Ghirlando, MD Chapter 35:Corneal Surface Analysis After Photorefractive Keratectomy
Sebastiano Serrao, MD, PhD; Marco Lombardo, MD Chapter 36: VHF Digital Ultrasound: Artemis 2 Scanning in Corneal Refractive Surgery
Dan Z. Reinstein, MD, MA(Cantab), FRCSC; Ronald H. Silverman, PhD; Timothy J. Archer, BA(Oxon) Chapter 37:The Fractal Geometry Of Human Corneal Stroma
Fabio Grizzi, PhD, Carlo Russo, PhD; Ingrid Torres-Munoz, MD; Nicola Dioguardi, MD; Francesco Saverio Dioguardi, MD Appendix A:Pre- and Intraoperative Instrumental Diagnostics
Paolo Vinciguerra, MD; Fabrizio I. Camesasca, MD Appendix B:LASEK Information for Patients
Thomas V. Claringbold II, DO; Lee Shahinian, Jr, MD Index

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About the Editors

Paolo Vinciguerra, MD began his studies on refractive surgery in 1986. Since that time, he has been constantly involved with projecting and developing excimer laser applications to refractive surgery, first with Aesculap Meditech (1989 to 1990), then with NIDEK (1991 to present). He has authored several patents: cross-cylinder ablation method for the correction of astigmatism, recentering mask technique ablation profiles for custom ablation, artificial eye for testing excimer ablation, custom ablation transition zone for custom ablation, computerized system for the analysis of corneal stroma with confocal microscopy and fractal analysis, development-integrated topographer/aberrometer/autorefractometer/pupillometer, as well as a variety of surgical instruments.

Dr. Vinciguerra has developed several original refractive surgery techniques: cross cylinders in hyperopic-myopic and high astigmatism, recentering mask technique, presbyopia technique, phototherapeutic keratotomy (PTK), smoothing after refractive surgery, a specific masking fluid for smoothing after PTK and PRK, Butterfly LASEK, variable aspheric transition zone, retreatment technique for hyperopic eyes, custom ablation transition zone, definition of new topographic indexes for automated evaluation of corneal optical quality, use of Scheimpflug camera in refractive surgery, and a new system for the preoperative evaluation of cataractous eyes that underwent previous refractive surgery with index of complexity and identification of the most appropriate IOL to be implanted. He has also developed several original surgical instruments.

Dr. Vinciguerra is Chairman of the Ophthalmology Department of the Istituto Clinico Humanitas, Rozzano, Milano, Italy. He is Consultant for the Italian High Council for Health since 2003, is member of the Italian Committee for Continuing Medical Education, has been Visiting Professor with the Ohio State University, and is actively involved with several Italian and International Ophthalmological Societies. He has received five ASCRS and two ISRS-AAO Best Paper Prizes, the International Society of Refractive Surgery Award for scientific contribution in 1988, the American Academy of Ophthalmology Achievement Award Certificate in 2003, and the Lans Lecture Award of the International Society of Refractive Surgery in 2005.

Since 2000, he promotes and chairs the international refractive surgery meeting Refr@ctive.online.

Dr. Vinciguerra has held and participated in manifold courses worldwide on refractive surgery and published numerous scientific papers and books on refractive surgery.

Fabrizio Ivo Camesasca, MD was Fellow to Research with the Helen Keller Eye Research Foundation, Birmingham, Alabama, in 1988 to 1990, and achieved the Educational Commission for Foreign Medical Graduates Licensure in 1989. Besides his ophthalmological career, he was involved with the planning and start-up of the Istituto Clinico Humanitas, one of the largest general hospitals in Milan, Italy, from 1993 to 1998. He is Vice-Chairman of the Ophthalmology Department of Istituto Clinico Humanitas, has worked with Dr. Paolo Vinciguerra since 1999, and has been involved with refractive surgery since 2000.

In 2000, he received the American Academy of Ophthalmology Achievement Award Certificate. He is a member of the Italian Committee for Continuing Medical Education, and of the Scientific Committee for the Italian Ophthalmological Society.

Dr. Camesasca has been the scientific secretary of the international refractive surgery meeting Refr@ctive.online since 2000.

Dr. Camesasca has held several courses worldwide and has published numerous scientific articles and book chapters on refractive, cataract, and retinal surgery.

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