Product Description

The availability of new presbyopia-correcting and toric IOLs along with the CMS ruling allowing Medicare patients to pay a premium to upgrade to them, has dramatically and permanently altered clinical practice for every cataract and refractive surgeon.

Facing the challenge of educating patients about these options, as well as managing and meeting their expectations, today’s clinicians more than ever need to share knowledge, experience, and advice with their ophthalmic colleagues.

Dr. David F. Chang and his associate editors, Drs. Steven Dell, Warren Hill, Richard L. Lindstrom, and Kevin Waltz, have assembled a “Who’s Who” team of more than 200 refractive IOL experts to create Mastering Refractive IOLs: The Art and Science, a must-have book and reference for all cataract and refractive surgeons—whether you are already implanting a high volume of refractive IOLs or just starting to offer them.

The IOL technical specifications, the clinical data, and the necessary clinical and surgical skills comprise the scientific foundation for achieving a “premium” refractive outcome. To consistently achieve patient satisfaction, however, requires mastering the art of patient and IOL selection, communicating and counseling effectively, and providing a “premium” patient experience.

This is a nontraditional book in which multiple experts are separately asked to discuss controversial subjects in a reader-friendly format. There is balanced coverage of all of the available refractive IOLs, as well as those that may become available in the near future. A major emphasis is placed on avoiding and managing complications or potentially dissatisfied patients.

Mastering Refractive IOLs: The Art and Science has more than 200 chapters that are organized into 14 major sections, over 750 images, 100 tables, and 11 sidebars that cover every aspect of refractive IOL clinical practice.

Major sections include:

• Why Offer Premium IOLs
• Transitioning to Presbyopia-Correcting IOLs
• Transitioning to Presbyopia-Correcting IOLs: Quick Start guides
• Presbyopia-Correcting IOLs today
• Presbyopia-Correcting IOLs in the future
• Refractive IOLs—Quality of Vision
• Patient Selection & Education
• Presbyopia-Correcting IOL Selection
• Preoperative Ocular Assessment
• Managing Astigmatism
• Premium Cataract Surgery
• Refractive Lens Exchange
• Enhancements
• Complications—Avoidance and Management

Mastering Refractive IOLs: The Art and Science is the most comprehensive educational resource addressing the most demanding and rapidly evolving area in cataract and refractive surgery today and the first book to cover both the clinical and nonclinical aspects of offering refractive IOL services.

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Contents

Dedication
Acknowledgments
About the Chief Editor
About the Associate Editors
Contributing Authors
Foreword by Spencer P. Thornton, MD, FACS
Preface

Section I	Why Offer Premium IOLs?
Chapter 1	The Birth of the Premium IOL Channel Jim Denning, BS
Chapter 2	Refractive IOLs—Economic Demographics David Harmon
Chapter 3	Refractive IOLs—Economic Demographics Geoff Charlton
Chapter 4	Refractive Surgery and IOLs—Future Trends I. Howard Fine, MD
Chapter 5	Refractive Surgery and IOLs—Future Trends Richard L. Lindstrom, MD
Chapter 6	Refractive surgery and IOLs—Future Trends Lee T. Nordan, MD
Chapter 7	What Is a Premium IOL Worth? J. Andy Corley
Chapter 8	What Is a Premium IOL Worth? Kay Coulson, MBA
Chapter 9	Understanding Who the Premium IOL Patients Are Shareef Mahdavi, BA
Chapter 10	Premium IOLs—Re-Engineering Your Practice Darrell E. White, MD
Chapter 11	The Refractive IOL Patient’s Journey Stephen S. Lane, MD
Chapter 12	Premium IOLs—External Marketing Michael W. Malley, BA
Chapter 13	Premium IOLs—External Marketing Shareef Mahdavi, BA
Chapter 14	Premium IOLs—Internal Marketing Kay Coulson, MBA, Internal Marketing Jim Denning, BS
Chapter 15	Lessons learned From Marketing Cosmetic Surgery Marie Czenko Kuechel, MA
Chapter 16	Premium IOLs and the Role of Your Staff R. Bruce Wallace, III, MD, FACS
Chapter 17	Premium IOLs and the Role of Your Staff Kevin L. Waltz, OD, MD
Chapter 18	ASCRS Presbyopia Education Task Force—Challenge Ahead John Ciccone
Section II	Transitioning to Presbyopia-Correcting IOLs
Chapter 19	Lessons Learned From Keratorefractive Surgery Louis Probst, MD and John Lehr, OD
Chapter 20	Transitioning From Cataract to Refractive IOL Surgery Kevin Denny, MD
Chapter 21	Transitioning From Cataract to Refractive IOL Surgery Sandra Yeh, MD
Chapter 22	Transitioning From Cataract to Refractive IOL Surgery Timothy B. Cavanaugh, MD
Chapter 23	Transitioning From Keratorefractive to Refractive IOL Surgery Jay Bansal, MD
Chapter 24	Transitioning From Keratorefractive to Refractive IOL Surgery Marguerite B. McDonald, MD, FACS
Chapter 25	Transitioning From Keratorefractive to Refractive IOL Surgery Jose L. Güell, MD; Merce Morral, MD; Oscar Gris, MD; and Felicidad Manero, MD
Chapter 26	Refractive IOLs in a Residency Program—Can It Work? Thomas A. Oetting, MD; Jeffrey J. Caspar, MD; Bonnie An Henderson, MD; and Terry Kim, MD
Chapter 27	Refractive IOLs in a Managed Care Setting William Jerry Chang, MD
Chapter 28	Refractive IOLs in a Comanaged Optometric Network Paul Ernest, MD
Section III	Transitioning to Presbyopia-Correcting IOLs: Quick Start Guides
Chapter 29	How Do I Get Started With the ReZoom? George Beiko, BM, BCh, FRCS(C)
Chapter 30	How Do I Get Started With the ReSTOR? Richard Tipperman, MD
Chapter 31	How Do I Get Started With the Tecnis Multifocal? Julian D. Stevens, MRCP, FRCS, FRCOphth
Chapter 32	How Do I Get Started With the Crystalens? D. Michael Colvard, MD, FACS
Section IV	Presbyopia-Correcting IOLs Today
Chapter 33	AMO ReZoom Multifocal—Clinical Pearls R. Bruce Wallace III, MD, FACS
Chapter 34	AMO ReZoom Multifocal—Clinical Pearls Farrell Tyson, MD, FACS
Chapter 35	AMO ReZoom Multifocal—Clinical Pearls Rosa Braga-Mele, MD, MEd, FRCSC
Chapter 36	Alcon ReSTOR Multifocal—Clinical Pearls Robert J. Cionni, MD
Chapter 37	Alcon ReSTOR Multifocal—Clinical Pearls David Allen, BSc, FRCS, FRCOphth
Chapter 38	Alcon ReSTOR Multifocal—Clinical Pearls Samuel Masket, MD
Chapter 39	Aspheric ReSTOR—What Is Different? Paul Ernest, MD
Chapter 40	Aspheric ReSTOR—What Is Different? Robert P. Lehmann, MD, FACS
Chapter 41	ReSTOR Designs—Past, Present, Future Satish Modi, MD, FRCS(C), CPI
Chapter 42	Diffractive Multifocal IOL—How Does It Work? James A. Davison, MD, FACS
Chapter 43	AMO Tecnis Multifocal—Clinical Pearls Pietro Giardini, MD and Nicola Hauranieh, MD
Chapter 44	AMO Tecnis Multifocal—Clinical Pearls Frank Jozef Goes, MD
Chapter 45	AMO Tecnis Multifocal—Clinical Pearls Y. Ralph Chu, MD
Chapter 46	Comparison of Diffractive Multifocal IOLs Ulrich Mester, MD and Hakan Kaymak, MD
Chapter 47	Eyeonics Crystalens—Clinical Pearls Jack A. Singer, MD
Chapter 48	Eyeonics Crystalens—Clinical Pearls James P. Gills, MD and Pit Gills, MD
Chapter 49	Eyeonics Crystalens—Clinical Pearls Robert Jay Weinstock, MD
Chapter 50	Crystalens 4.5 Versus 5.0—What Is Different? James A. Davies, MD, FACS
Chapter 51	Crystalens HD—Early Results John A. Hovanesian, MD; Y. Ralph Chu, MD; James A. Davies, MD, FACS; John F. Doane, MD; and Roger V. Ohanesian, MD
Chapter 52	Crystalens—What Is the Mechanism? Kevin L. Waltz, OD, MD
Chapter 53	Crystalens—What Is the Mechanism? Stephen B. Wiles, MD
Section V	Presbyopia-Correcting IOLs in the Future
Chapter 54	Overview of Accommodating IOLs George Beiko, BM, BCh, FRCS(C)
Chapter 55	Overview of Accommodating IOLs John A. Vukich, MD
Chapter 56	Visiogen Synchrony—Clinical Pearls Ivan L. Ossma, MD, MPH and Andrea Galvis, MD Pearls for Implanting the Visiogen Synchrony IOL David F. Chang, MD
Chapter 57	Visiogen Synchrony—Clinical Pearls George Beiko, BM, BCh, FRCS(C)
Chapter 58	Lenstec Tetraflex—Clinical Pearls Paul Dougherty, MD
Chapter 59	Lenstec Tetraflex—Clinical Pearls Conall F. Hurley, MB, BCh, BAO, FRCSI
Chapter 60	Shape-Changing IOLs: PowerVision Louis D. “Skip” Nichamin, MD and John A. Scholl, MS
Chapter 61	Shape-Changing IOLs: NuLens Jorge L. Alió, MD, PhD; Joshua Ben-Nun, MD; and Paul Kaufman, MD
Chapter 62	Calhoun Light Adjustable Lens—Presbyopia Correction Arturo Chayet, MD; Federico Badala, MD; Christian Sandstedt, PhD; Shiao Chang, PhD; Paul Rhee, OD; and Daniel M. Schwartz, MD
Chapter 63	Calhoun Light Adjustable Lens—Presbyopia Correction Jose L. Güell, MD; Merce Morral, MD; Felicidad Manero, MD; Maite Sisquella, OPT; and Daniel M. Schwartz, MD
Chapter 64	Acritec IOL José F. Alfonso, MD, PhD
Chapter 65	Vision Membrane IOL Lee T. Nordan, MD and David Castillejos, MD
Chapter 66	New Bioptics: Refractive IOLs Combined With Intracorneal Lenses Kevin L. Waltz, OD, MD
Section VI	Refractive IOLs—Quality of Vision
Chapter 67	Measuring Our IOL Outcomes Pietro Giardini, MD and Nicola Hauranieh, MD
Chapter 68	Presbyopia-Correcting IOLs—Interpreting Clinical Data Kerry D. Solomon, MD; Luis E. Fernández de Castro, MD; Helga P. Sandoval, MD, MSCR; and David T. Vroman, MD
Chapter 69	Multifocal IOLs: Measuring Aberrations W. Andrew Maxwell, MD, PhD and Jim Schwiegerling, PhD
Chapter 70	Multifocal IOLs: Comparing Aberrations Lana J. Nagy, BS; Geunyoung Yoon, PhD; and Scott MacRae, MD
Chapter 71	Pseudoaccommodation and Spherical Aberration Marc A. Michelson, MD
Chapter 72	Understanding Multifocal Haloes Carlos Vergés, MD, PhD
Chapter 73	Understanding Multifocal Haloes Kevin L. Waltz, OD, MD Pearls for Managing Halos Dwayne Logan, MD
Chapter 74	Aspheric IOLs—Matching Corneal and IOL Wavefront George Beiko, BM, BCh, FRCS(C)
Chapter 75	Aspheric IOLs—Matching Corneal and IOL Wavefront Mark Packer, MD, FACS; I. Howard Fine, MD; and Richard S. Hoffman, MD
Chapter 76	Aspheric IOLs—Matching Corneal and IOL Wavefront Roberto Bellucci, MD
Chapter 77	Monovision With Aspheric IOLs J. E. “Jay” McDonald II, MD and David J. Deitz, MPhil
Chapter 78	Neuroadaptation to Monovision J. E. “Jay” McDonald II, MD and David J. Deitz, MPhil
Chapter 79	Neuroadaptation and Multifocal IOLs Robert M. Kershner, MD, MS, FACS
Chapter 80	Neuroadaptation and Multifocal IOLs Pablo Artal, MD
Chapter 81	Visual Function Training for Multifocal Patients Hakan Kaymak MD and Ulrich Mester MD
Chapter 82	Adapting to My Own Multifocal Halos Guy E. Knolle, MD, FACS
Chapter 83	How I see With the ReZoom Tom M. Coffman, MD
Chapter 84	How I See With the ReSTOR Daniel Vos, MD
Chapter 85	How I See With the ReSTOR Jess C. Lester, MD, FACS
Chapter 86	How I See With the Crystalens Harvey Zalaznick, MD
Chapter 87	How I See With the Crystalens Brian D. Lueth, MD
Chapter 88	How I See With the Tecnis MF and Rezoom R. Lee Harman, MD, FACS How I See With Mixed Multifocals Anonymous
Section VII	Patient Selection and Education
Chapter 89	The Mindset of the Refractive IOL Patient Kerry K. Assil, MD and William K. Christian, MD
Chapter 90	The Mindset of the Refractive IOL Patient Alan Aker
Chapter 91	The Mindset of the Refractive IOL Surgeon Alan Aker
Chapter 92	Screening and Counseling Refractive IOL Patients Steven J. Dell, MD
Chapter 93	Screening and Counseling Refractive IOL Patients David F. Chang, MD
Chapter 94	Screening and Counseling Refractive IOL Patients Mark Packer, MD, FACS
Chapter 95	Screening and Counseling Refractive IOL Patients Robert J. Cionni, MD
Chapter 96	Managing Patient Expectations David F. Chang, MD
Chapter 97	Managing Patient Expectations Jay S. Pepose, MD, PhD
Chapter 98	Managing Patient Expectations Richard S. Hoffman, MD
Chapter 99	Managing Patient Expectations Richard Tipperman, MD
Chapter 100	Managing Patient Expectations Frank A. Bucci, Jr, MD
Chapter 101	Managing Patient Expectations Kenneth J. Rosenthal, MD, FACS
Chapter 102	The Role of the Refractive IOL Counselor James D. Dawes, MHA, CMPE, COE
Chapter 103	Who Is a Premium IOL Candidate? Alan Shiller
Chapter 104	Refractive Candidates—Who Is good? Who Is Not? Stephen G. Slade, MD, FACS
Chapter 105	Refractive Candidates—Who Is good? Who Is Not? Weldon W. Haw, MD and Edward E. Manche, MD
Chapter 106	Refining My Indications for Multifocal IOLs James A. Davison, MD, FACS
Chapter 107	Refractive IOLs and Patient Office Flow William D. Gaskins, MD, FACS
Chapter 108	Multifocal IOLs and Glaucoma—How Much Is Too Much? Iqbal Ike K. Ahmed, MD, and Joshua Teichman, MD
Chapter 109	Multifocal IOLs and Glaucoma—How Much Is Too Much? Parag D. Parekh, MD, MPA and Thomas W. Samuelson, MD
Chapter 110	Multifocal IOLs and Maculopathy—How Much Is Too Much? Martin A. Mainster, PhD, MD, FRCOphth and Patricia L. Turner, MD
Chapter 111	What if Multifocal IOL Patients Develop ARMD? Johnny L. Gayton, MD What if Multifocal IOL Patients Develop ARMD? Richard J. Mackool, MD
Chapter 112	Premium IOLs in Post-LASIK Eyes Uday Devgan, MD, FACS
Chapter 113	Premium IOLs in Post-LASIK Eyes Jeffrey D. Horn, MD
Chapter 114	Premium IOLs in Post-LASIK Eyes Renée Solomon, MD and Eric Donnenfeld, MD
Chapter 115	Patient Education—Using the IOL Counselor Robert D. Watson
Chapter 116	Patient Education—Using Eyemaginations Michael Sopher
Chapter 117	Ethics of Refractive IOL Counseling Charles M. Zacks, MD
Chapter 118	Ethics of Refractive IOL Counseling David F. Chang, MD
Chapter 119	Ethics of Refractive IOL Counseling Lisa Brothers Arbisser, MD
Chapter 120	Risk Management and Informed Consent Richard L. Abbott, MD
Chapter 121	Risk Management and Informed Consent James J. Salz, MD
Section VIII	Presbyopia-Correcting IOL Selection
Chapter 122	Why Offer Multiple Premium IOLs? David F. Chang, MD
Chapter 123	Why Offer Multiple Premium IOLs? Joel K. Shugar, MD, MSEE
Chapter 124	Why Offer Multiple Premium IOLs? Audrey Talley-Rostov, MD
Chapter 125	Why Offer Multiple Premium IOLs? Sheri L. Rowen, MD, FACS
Chapter 126	Monovision With Monofocal IOLs William F. Maloney, MD
Chapter 127	Monovision With Monofocal IOLs Graham D. Barrett, MBBCh, FRANZCO, FRACS
Chapter 128	Multifocal IOL in One Eye? Frank A. Bucci, Jr, MD IOL Selection: Can I Implant a Multifocal IOL in Just One Eye? Richard J. Mackool, MD
Chapter 129	Mixing IOLs—What Are the Options? Elizabeth A. Davis, MD, FACS and Richard L. Lindstrom, MD
Chapter 130	Bilateral Multifocals—Mixing Versus Matching Con Moshegov, MD, FRANZCO, FRACS
Chapter 131	Which IOL Combination? Clinical Results Jay S. Pepose, MD, PhD
Chapter 132	Mixing IOLs—How Do I Get Started? John F. Doane, MD, and Randolph T. Jackson, MD
Chapter 133	Mixing Multifocal IOLs—Clinical Results Frank A. Bucci, Jr, MD
Chapter 134	Mixing Tecnis and ReZoom Multifocal IOLs Michael C. Knorz, MD
Chapter 135	Mixing Multifocal IOLs—Staged Implantation Kerry K. Assil, MD and William K. Christian, MD
Chapter 136	Pearls for Mixing Multifocal IOLs Angel López Castro, MD
Chapter 137	Pearls for Mixing Multifocal IOLs Matteo Piovella, MD
Chapter 138	Mixing Accommodating and Multifocal IOLs J. Trevor Woodhams, MD
Chapter 139	Mixing or Matching IOLs—Why I Do Not Mix Richard Tipperman, MD
Chapter 140	Mixing Versus Matching—Who Is More Satisfied? Paul Mann, MD
Chapter 141	Matching Versus Mixing IOLs—Clinical Comparison Richard J. Mackool, MD and Richard J. Mackool Jr, MD
Chapter 142	Refractive IOL Selection –European Perspective H. Burkhard Dick, MD
Chapter 143	Refractive IOL Selection –South American Perspective Leonardo Akaishi, MD
Chapter 144	Refractive IOL –Asian Perspective Jerry Tan Tiang Hin, MBBS, FRCS, FRCOphth
Chapter 145	Case Studies—What Would You Do? How Would You Counsel These Patients Seeking Maximum Spectacle Independence David F. Chang, MD; Steven J. Dell, MD; Warren E. Hill, MD, FACS; Richard L. Lindstrom, MD; and Kevin Waltz, MD
Section IX	Preoperative Ocular Assessment
Chapter 146	Hitting Emmetropia Warren E. Hill, MD, FACS
Chapter 147	Biometry Pearls Steven J. Dell, MD
Chapter 148	Measuring Axial Length Warren E. Hill, MD, FACS and Thomas C. Prager, PhD, MPH
Chapter 149	Intraocular Lens Power Calculations for Multifocal Lenses Jack T. Holladay, MD, MSEE, FACS
Chapter 150	Refining Your A-constant 543 Guy M. Kezirian, MD, FACS
Chapter 151	IOL Calculation After Prior Refractive Surgery Kenneth J. Hoffer, MD, FACS
Chapter 152	Pupil Assessment for Refractive IOLs Mujtaba A. Qazi, MD and Jay S. Pepose, MD, PhD
Chapter 153	Corneal Topography—Is It Necessary? Matthew C. Caldwell, MD and Natalie A. Afshari, MD
Chapter 154	Corneal Topography and Refractive IOLs—What to Look For Ming Wang, MD, PhD, and Tracy Schroeder Swartz, OD, MS, FAAO
Chapter 155	Corneal Topography and Refractive IOLs—What to Look For David R. Hardten, MD
Chapter 156	Corneal Topography and Refractive IOLs—Case Studies William Trattler, MD and Carlos Buznego, MD
Chapter 157	Optimizing the Ocular Surface Preoperatively Sherman W. Reeves, MD, MPH and Richard L. Lindstrom, MD
Chapter 158	Retina Assessment for Refractive IOL Patients—What Do I Do? David F. Chang, MD; Jay S. Pepose, MD, PhD, and Olga Konykhov, MD; Warren E. Hill, MD, FACS; and Kerry D. Solomon, MD; Luis E. Fernández de Castro, MD; and Helga P. Sandoval, MD, MSCR
Section X	Managing Astigmatism
Chapter 159	Measuring Astigmatism Noel Alpins, FRACO, FRCOphth, FACS, and George Stamatelatos, BSc Optom
Chapter 160	LRIs—How Do I Get Started? Jonathan B. Rubenstein, MD, and Vanee Virash, MD
Chapter 161	LRIs and Refractive IOLs—My Way Louis D. “Skip” Nichamin, MD
Chapter 162	LRIs and Refractive IOLs—my way James P. Gills, MD, and Pit Gills, MD
Chapter 163	Peripheral Corneal Relaxing Incisions and Refractive IOLs—My Way Kevin M. Miller, MD
Chapter 164	LRIs and Refractive IOLs—My Way Eric Donnenfeld, MD, and Renée Solomon, MD
Chapter 165	CRIs and the Terry-Schanzlin Astigmatome Allan M. Robbins, MD, FACS
Chapter 166	LRIs: An Alternative to Free-Hand Incisions Randall J Olson, MD
Chapter 167	LRI Pearls R. Bruce Wallace, III, MD; Jonathan B. Rubenstein, MD; and Steven J. Dell, MD
Chapter 168	Laser Enhancement for Astigmatism—Bioptics Johnny L. Gayton, MD
Chapter 169	Toric IOLs—How Do I Get Started? Jeffrey D. Horn, MD
Chapter 170	STAAR Toric IOLs Stephen Bylsma, MD
Chapter 171	Toric IOLs—Staar Versus Acrysof David F. Chang, MD
Chapter 172	Acrysof Toric IOL Technique Edward Holland, MD
Chapter 173	When Do I Use LRIs Versus Toric IOLs? David F. Chang, MD
Chapter 174	When Do I Use LRIs Versus Toric IOLs? Richard A. Lewis, MD; Louis D. “Skip” Nichamin, MD; Edward Holland, MD; and Kerry D. Solomon, MD, and Luis E. Fernández de Castro, MD
Chapter 175	Can I Combine Toric IOLs and LRIs? Kevin M. Miller, MD
Section XI	Premium Cataract Surgery
Chapter 176	Pearls for Improving Your Cataract Surgical Skills David F. Chang, MD
Chapter 177	Pearls for Improving Your Cataract Surgical Skills Uday Devgan, MD, FACS
Chapter 178	Pearls for Improving Your Cataract Surgical Skills Brian Little, FRCS, FRCOphth, FHEA
Chapter 179	Pearls for Improving Your Cataract Surgical Skills Rosa Braga-Mele, MD, MEd, FRCSC
Chapter 180	Pearls for Improving Your Cataract Surgical Skills William J. Fishkind, MD, FACS
Chapter 181	Pearls for Improving Your Cataract Surgical Skills Lisa Brothers Arbisser, MD
Chapter 182	Sizing the Capsulorrhexis David F. Chang, MD; Steven Dewey, MD; Richard Tipperman, MD; and Barry S. Seibel, MD
Chapter 183	Improving the Corneal Incision Seal Michael Y. Wong, MD
Chapter 184	Diffractive Multifocal IOL Centration Paolo Vinciguerra, MD, and Fabrizio I. Camesasca, MD
Chapter 185	Why Use topical NSAIDs? John R. Wittpenn, MD
Chapter 186	Maintaining Patient Satisfaction Postoperatively Richard Tipperman, MD Premium IOL Surgery Pearls for Postoperative Management Kevin L. Waltz, OD, MD
Chapter 187	Maintaining Patient Satisfaction Postoperatively Uday Devgan, MD, FACS
Chapter 188	Creating a Premium Refractive Patient Environment James D. Dawes, MHA, CMPE, COE
Chapter 189	The Premium Patient Experience Darrell E. White, MD
Section XII	Refractive Lens Exchange
Chapter 190	The PRELEX Story R. Bruce Wallace, III, MD, FACS
Chapter 191	Patient and Surgeon Mindset—What Is Different? Avery Alexander, MD
Chapter 192	Presbyopic Refractive Patients—LVC or IOL? Y. Ralph Chu, MD and Dan Davis, OD
Chapter 193	Presbyopic Refractive Patients—LVC or IOL? Sheraz M. Daya, MD, FACP, FACS, FRCS(Ed), FRCOphth
Chapter 194	RLE With Multifocal IOLs—Bioptics Approach José F. Alfonso, MD, PhD
Chapter 195	RLE—Lens Removal: What Is Different? I. Howard Fine, MD; Richard S. Hoffman, MD; and Mark Packer, MD, FACS
Chapter 196	RLE—Lens Removal: What Is Different? Steven Dewey, MD
Chapter 197	RLE—Lens Removal: What Is Different? Barry S. Seibel, MD
Chapter 198	Optimizing the Cornea and the IOL With RLE Michael B. Brenner, MD, FICS
Chapter 199	Retinal Detachment Risk in Myopes Barry S. Seibel, MD
Chapter 200	Retinal Detachment Risk in Myopes Jorge L. Alió, MD, PhD and Mohamed H. Shabayek, MD, PhD
Chapter 201	Retinal Detachment Risk in Myopes Kerry D. Solomon, MD, and Luis E. Fernández de Castro, MD Retinal Detachment Risk in Myopes James P. Gills, MD and Pit Gills, MD
Chapter 202	Retinal Detachment Risk With Refractive Surgery Yachna Ahuja, MD and Suber S. Huang, MD, MBA
Section XIII	Enhancements
Chapter 203	Approaching Astigmatism in Presbyopia IOL Patients Jason E. Stahl, MD
Chapter 204	Approaching Astigmatism in Presbyopia IOL Patients Rick Milne, MD
Chapter 205	Tolerance of Residual Refractive Error After ReSTOR Luis Fernández-Vega, MD, PhD; José F. Alfonso, MD, PhD; Robert Montés-Micó, PhD; and Hussein Amhaz, MD, PhD
Chapter 206	Should I Learn PRK/LASIK or Refer These Out? Helen Wu, MD
Chapter 207	Should I Learn PRK/LASIK or Refer These Out? Leonard Yuen, MD, MRCOphth, MPH, and Brian S. Boxer Wachler, MD
Chapter 208	Teaming Up With a LVC Surgeon Michael T. Furlong, MD
Chapter 209	Differentiating Enhancements From Complications Kevin L. Waltz, OD, MD
Chapter 210	Indications and Timing for Laser Enhancement Michael Lawless, MD
Chapter 211	Laser Enhancement—What Cataract Surgeons Should Know Elizabeth A. Davis, MD, FACS, and David R. Hardten, MD, FACS
Chapter 212	Laser enhancement– what cataract surgeons should know Jose. L. Güell; MD, Javier A. Gaytan Melicoff; Natalia Pelaez; MD, Merce Morral; MD, and Felicidad Manero, MD
Chapter 213	Post-Multifocal IOL Wavefront: Are the Readings Reliable? Charles Campbell
Chapter 214	Mini-RK: Indications and Technique Richard L. Lindstrom, MD
Chapter 215	Mini-RK: Indications and Technique Frank A. Bucci, Jr., MD
Chapter 216	Refractive Enhancement With Piggybacking IOLs Richard S. Hoffman, MD, I. Howard Fine, MD, and Mark Packer, MD, FACS
Chapter 217	Refractive Enhancement With Piggybacking IOLs Warren E. Hill, MD, FACS
Section XIV	Complications—Avoidance and Management
Chapter 218	Troubleshooting Symptoms After Refractive IOL Implantation Roger Steinert, MD
Chapter 219	Troubleshooting Symptoms After Refractive IOL Implantation David R. Hardten, MD
Chapter 220	Managing the Unhappy Presbyopia Correcting IOL Patient D. Rex Hamilton, MD, MS, FACS
Chapter 221	Managing Complaints Following ReZoom IOL Implantation Tom M. Coffman, MD
Chapter 222	Communicating With the Unhappy Refractive IOL Patient John W. Potter, OD, FAAO
Chapter 223	Lessons Learned From a Consultation Practice Alan S. Crandall, MD
Chapter 224	Lessons Learned From a Consultation Practice Sonia H. Yoo, MD; George D. Kymionis, MD, PhD; Yunhee Lee, MD; Terrence P. O’Brien, MD; and William W. Culbertson MD
Chapter 225	Managing Crystalens Complications Jeffrey Whitman, MD
Chapter 226	Yag Capsulotomy and Crystalens—Clinical Pearls Jack A. Singer, MD
Chapter 227	Capsular Contraction After Crystalens Harvey Carter, MD Capsular Contraction After Multifocal IOLs Richard Tipperman, MD
Chapter 228	Decentration of Multifocal IOLs—What Now? Renée Solomon, MD and Eric Donnenfeld, MD; William Martin, MD; and Tom M. Coffman, MD
Chapter 229	Refractive IOL Exchange—Indications and Techniques Michael E. Snyder, MD and Robert H. Osher, MD
Chapter 230	Refractive IOL Exchange—Indications and Techniques Harry B. Grabow, MD IOL Explantation David F. Chang, MD
Chapter 231	Explanting the Crystalens—Technique Jeffrey Whitman, MD
Chapter 232	Personal Experience With Endophthalmitis in RLE Robert Morris, MRCP, FRCS, FRCOphth
Chapter 233	Capsular Tears, Weak Zonules—Can I Still Implant a Refractive IOL? Uday Devgan, MD, FACS Can I Put a Multifocal IOL in the Sulcus? Richard J. Mackool MD Can I Put a Multifocal IOL in the Sulcus? Richard Mackool MD and Roger F. Steinert, MD
Chapter 234	Dry Eye After Refractive Surgery Ahmad M. Fahmy, OD, FAAO and David R. Hardten, MD
Chapter 235	Do Multifocal Optics Compromise Retinal Treatments? J. Michael Jumper, MD; Ron P. Gallemore, MD, PhD; and Robert A. Mittra, MD
Chapter 236	Do Multifocal Optics Compromise Retinal Treatments? Abdhish R. Bhavsar, MD
Appendix A	Dell Questionnaire
Appendix B	Dell Questionnaire—Coulson Modification
Appendix C	Dell Questionnaire—Chang Modification
Appendix D	Preconsultation Handout David F. Chang, MD
Appendix E	Multifocal IOL FAQ Handout David F. Chang, MD
Appendix F	Crystalens FAQ Handout David F. Chang, MD
Appendix G	Patient Information Sheet for Advanced Elective Options With Cataract Surgery Barry S. Seibel, MD
Appendix H	OMIC Informed Consent for Refractive Lensectomy
Appendix I	LRI Instrumentation
Financial Disclosures
Index

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Reviews

"The book Mastering Refractive IOLs: The Art and Science edited by Dr. David F. Chang provides a comprehensive review of the subject. The most interesting chapter in this section (Section II) is on the subject of residency training. Program chairs and residency directors will find this chapter very useful. The technology review in this section (Section V) is fascinating, and the photos are excellent. This section (Section VI) is a must read for any physician who plans to implant presbyopia-correcting or accommodative IOLs. Overall, this is an excellent text. Many of the chapters can be used as teaching tools for residents and fellows, and it is also an excellent reference for the office."

— Vahid Feiz, Department of Ophthalmology & Vision Science, Uni. Of California, Davis, CA, Cornea

"Dr. Chang and his associate editors, Dr. Steven J. Dell, Dr. Warren E. Hill, Dr. Richard L. Lindstrom, and Dr. Kevin L. Waltz, present a comprehensive text, designed for surgeons wanting guidance from experts in making presbyopia-correcting IOLs part of their practice. This is one of the most thoroughly referenced texts to be published on the science, and the art, of vision correction with IOLs. It is truly a classic. I encourage any serious practitioner of refractive eye surgery to read this book to gain solid instruction in the use of presbyopia-correcting IOLs."

— Spencer P. Thornton, MD, FACS

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About the Editor

David F. Chang, MD is a Summa Cum Laude graduate of Harvard College and earned his MD at Harvard Medical School. He completed his ophthalmology residency at the University of California, San Francisco (UCSF) where he is now a clinical professor. Dr. Chang is Chairman of the American Academy of Ophthalmology (AAO) Annual Meeting Program Committee, having previously chaired the Cataract Program Subcommittee. He organized and was the program cochair for the first 7 AAO “Spotlight on Cataracts” Symposia. He is also on the program committees for the ASCRS Annual Meeting and the OSN Hawaiian Eye Meeting.

He has been selected to deliver the following named lectures: Transamerica Lecture (UCSF), Williams Lecture (UCSF), Wolfe Lecture (University of Iowa), DeVoe Lecture (Columbia-Harkness), Gettes Lecture (Wills Eye Hospital), Helen Keller Lecture (University of Alabama), Kayes Lecture (University of Washington, St. Louis), Thorpe Lecture (Pittsburgh Ophthalmology Society), Schutz Lecture (New York University Medical Center), Wallace-Evan Lecture (Casey Eye, Oregon), Proctor Lecture (UCSF/Proctor Foundation), and the keynote address at the Chinese American Ophthalmological Society’s 20th anniversary meeting. He is a 3-time AAO Secretariat Award recipient (2003, 2006, 2007). He was the inaugural recipient of the UCSF Department of Ophthalmology’s Distinguished Alumni Award (2005) and in 2006 became only the third ophthalmologist to ever receive the Charlotte Baer Award honoring the outstanding clinical faculty member at the UCSF Medical School. He was the third recipient of the Strampelli Medal from the Italian Ophthalmological Society (2007).

Dr. Chang is chairman of the AAO Practicing Ophthalmologists’ Curriculum Panel for Cataract and Anterior Segment, which developed the American Board of Ophthalmology knowledge base for the MOC examination. He is also on the AAO Cataract Preferred Practice Pattern Panel and the AAO Revitalization Study Group. Dr. Chang is chair of the ASCRS Cataract Clinical Committee and is a member of the ASCRS Eye Surgery Education Council Presbyopia Task Force. He is on the Board of Directors for the Pan American Association of Ophthalmology. He is on the scientific advisory board for the UCSF Collaborative Vision Research Group, American Medical Optics, Allergan ATLAS, Calhoun Vision, Medennium, Peak Surgical, and Visiogen, and is the medical monitor for the Visiogen Synchrony accommodating IOL FDA monitored trial. He is cochief medical editor for Cataract and Refractive Surgery Today and developed the CRSToday Virtual Textbook of Cataract Surgery. He is the cataract editor for 2 online educational sites: the AAO’s “Specialty Clinical Updates” and the Ocular Surgery News’ “Ophthalmic Hyperguides.” He is an associate editor for the 3rd edition of Cataract Surgery (Elsevier 2008, Roger F. Steinert, editor). He was the chief editor for Curbside Consultation in Cataract Surgery (SLACK Incorporated, 2007), the series editor for the 7 SLACK Incorporated Curbside Consultation in Ophthalmology textbooks, and the principal author of Phaco Chop (SLACK Incorporated, 2004), which was the first ophthalmic textbook with a paired DVD featuring instructional surgical video. Finally, his coauthored 2005 report on IFIS and tamsulosin is one of the 5 most cited papers from the Journal of Cataract and Refractive Surgery (Source: Editorial, JCRS 1/08).

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