Cataract Surgery from Routine to Complex: A Practical Guide

Randall J. Olson, MD ; George JC Jin, MD, PhD ; Ike K. Ahmed, MD, FRCSC ; Alan S. Crandall, MD ; Robert J. Cionni, MD ; Jason J. Jones, MD

  • $187.95
  • ISBN 10 1-55642-947-7
  • ISBN 13 978-1-55642-947-7
  • 272 pp Hard Cover
  • Pub. Date: 2011
  • Order# 69477

Cataract Surgery from Routine to Complex: A Practical Guide provides eye care professionals guidance on what to do and how to avoid potential complications in all aspects of cataract surgery, just as if the world’s experts were by your side.

Drs. Randy Olson, George Jin, Ike Ahmed, Alan Crandall, Robert Cionni, Jason Jones, along with other contributors concisely provide a wealth of information, including a detailed list of key issues and considerations for virtually all the possible contingencies of the procedure.

Some Topics and Sections Include:

  • Examination
    • Pupil size, ocular dominance, biometry, and more
  • IOL Choice
    • Monofocal: aspheric vs. traditional; presbyopia-correcting: multifocal vs. accommodating; toric, and more
  • Routine Cataract Surgery
    • Microincision cataract surgery, OVD selection, current phacoemulsification techniques, and more
  • Complex Cataract Surgery
    • Hypermature cataract, small pupil, pseudoexfoliation, nanophthalmos, pediatric cataract, and more
  • Intra-Operative Complications
    • Wound burn, posterior capsular rupture, shallow anterior chamber, and more
  • Patient Assessment
    • Visual acuity, refraction, visual quality, and more
  • Postoperative Complications
    • Endophthalmitis, toxic anterior segment syndrome, IOL dislocation, and more

Cataract Surgery from Routine to Complex also includes a companion website that provides more than 2 hours of learning with 38 edited and narrated video presentations, perfectly complementing the procedures discussed inside the text.

Cataract Surgery from Routine to Complex is the combination of a practical guide with broad academic underpinnings along with current controversial subjects on cataract surgery, making it ideal for eye care professionals who wish to update their knowledge and translate it into improved surgical techniques and better cataract patient education.

Section I: Preoperative

Chapter 1: Patient Counseling

Randall J. Olson, MD

Patient Education

Patient Selection

Expectations

Chapter 2: Preoperative Examination

George J. C. Jin, MD, PhD

Pupil Size

Ocular Dominance

Biometry

Keratometry

Corneal Topography

Optical Coherence Tomography

Preoperative Special Testing

Chapter 3: Cataract Assessment and Grading

Randall J. Olson, MD and George J. C. Jin, MD, PhD

Cataract Assessment

Cataract Grading

Chapter 4: Evaluation and Treatment of Lid Margin and Ocular Surface Diseases

Randall J. Olson, MD and George J. C. Jin, MD, PhD

Dry Eye Syndrome

Blepharitis and Meibomian Gland Dysfunction

Anterior Basement Membrane Dystrophy

Chapter 5: Intraocular Lens Choice

Robert J. Cionni, MD and George J. C. Jin, MD, PhD

Monofocal: Aspheric Versus Spherical Intraocular Lenses

Presbyopia-Correcting Intraocular Lenses: Multifocal and Accommodating

Toric Intraocular Lenses

Monovision

Refractive Intraocular Lens Selection

Chapter 6: Intraocular Lens Power Calculation in Primary Cataract Surgery

George J. C. Jin, MD, PhD and Jason J. Jones, MD

Intraocular Lens Power Calculation Formulas

Personalized Constants

Intraocular Lens Power for In-the-Bag and In-the-Ciliary Sulcus Placement

Intraocular Lens Adjustment From the First Eye Outcome

Intraocular Lens Power Calculation in Extreme Short and Long Eyes

George J. C. Jin, MD, PhD and Jason J. Jones, MD

Problems of Intraocular Lens Power Determination

Calculation After Myopic Laser Vision Correction

Methods of Calculation After Hyperopic Laser Vision Correction

Methods of Calculation After Radial Keratotomy

Selection of Intraocular Lens Calculation Methods

Chapter 8: Intraocular Lens Power Calculation in Special Occasions

George J. C. Jin, MD, PhD and Jason J. Jones, MD

Piggyback Intraocular Lens Power

Intraocular Lens Power for IOL Exchange

Intraocular Lens Power in Eyes After Previous Vitrectomy

Intraocular Lens Power in Combined Silicone Oil Removal and Cataract Surgery

Intraocular Lens Power in Eyes Undergoing Phacovitrectomy

Intraocular Lens Power in Eyes After Glaucoma Filtration Surgery

Intraocular Lens Power in Pediatric Cataract Surgery

Section II: Intraoperative

Chapter 9: Intraoperative Routine Issues

Anesthesia

Alan S. Crandall, MD

Microincisional Cataract Surgery

George J. C. Jin, MD, PhD and Randall J. Olson, MD

Viscosurgical Device Selection

Randall J. Olson, MD and George J. C. Jin, MD, PhD

Capsulorrhexis

Jason J. Jones, MD

Hydromaneuvers

Jason J. Jones, MD

Current Phacoemulsification Techniques

Jason J. Jones, MD

Chapter 10: Managing Pre-Existing Astigmatism

Randall J. Olson, MD and George J. C. Jin, MD, PhD

Incisional Effect

Limbal Relaxing Incisions

Toric Intraocular Lenses

Chapter 11: Cataract Surgery in Special Cases

Hypermature Cataract

Iqbal Ike K. Ahmed, MD, FRCSC and Randall J. Olson, MD

Small Pupil

Robert J. Cionni, MD

Zonular Compromise

Robert J. Cionni, MD

Pseudoexfoliation

Jason J. Jones, MD and Alan S. Crandall, MD

Posterior Polar Cataract

Jason J. Jones, MD and George J. C. Jin, MD, PhD

Pediatric Cataract

Robert O. Hoffman, MD and Alan S. Crandall, MD

Uveitic Cataract

Randall J. Olson, MD

Combined Cataract and Glaucoma Surgery

Alan S. Crandall, MD and Randall J. Olson, MD

Cataract in High Myopia

Iqbal Ike K. Ahmed, MD, FRCSC; Jason J. Jones, MD; and George J. C. Jin, MD, PhD

Nanophthalmos

Jason J. Jones, MD and George J. C. Jin, MD, PhD

Cataract Surgery After Posterior Vitrectomy

Robert J. Cionni, MD

Diabetes Mellitus

Randall J. Olson, MD

Cataract Surgery in the Face of Marginal Corneal Endothelium

Randall J. Olson, MD

Chapter 12: Intraoperative Complications

Wound Burn

Randall J. Olson, MD

Posterior Capsular Rupture

Jason J. Jones, MD and George J. C. Jin, MD, PhD

Shallow Anterior Chamber

George J. C. Jin, MD, PhD; Randall J. Olson, MD; and Jason J. Jones, MD

Section III: Postoperative

Chapter 13: Pharmaceutical Interventions

George J. C. Jin, MD, PhD and Randall J. Olson, MD

Nonsteroidal Anti-Inflammatory Drugs

Fourth-Generation Fluoroquinolones

New Corticosteroids

Chapter 14: Postoperative Patient Assessment

George J. C. Jin, MD, PhD and Jason J. Jones, MD

Visual Acuity

Refraction

Visual Quality

Unhappy Patients

Chapter 15: Postoperative Complications

Endophthalmitis

George J. C. Jin, MD, PhD

Toxic Anterior Segment Syndrome

Randall J. Olson, MD

Cystoid Macular Edema

George J. C. Jin, MD, PhD

Posterior Capsular Opacification and YAG Capsulotomy

Randall J. Olson, MD

Intraocular Lens Tilt and Decentration

Jason J. Jones, MD and Iqbal Ike K. Ahmed, MD, FRCSC

Intraocular Lens Dislocation

Alan S. Crandall, MD and George J. C. Jin, MD, PhD

Retained Lens Fragments

Iqbal Ike K. Ahmed, MD, FRCSC and George J. C. Jin, MD, PhD

Anterior Capsular Contraction Syndrome

Jason J. Jones, MD

Capsular Block Syndrome

Jason J. Jones, MD

Retinal Detachment

Randall J. Olson, MD

Intraocular Lens Opacification

George J. C. Jin, MD, PhD

Uveitis, Glaucoma, Hyphema Syndrome

Randall J. Olson, MD

Chapter 16: Postoperative Enhancement

Corneal-Based Procedures

George J. C. Jin, MD, PhD and Randall J. Olson, MD

Lens-Based Procedures

Jason J. Jones, MD; George J. C. Jin, MD, PhD; and Alan S. Crandall, MD

Chapter 17: Cataract Surgery After Previous Refractive Surgery

Cataract Surgery After Laser-Assisted in Situ Keratomileusis

George J. C. Jin, MD, PhD and Alan S. Crandall, MD

Cataract Surgery After Surface Ablation

Randall J. Olson, MD and George J. C. Jin, MD, PhD

Cataract Surgery After Radial Keratotomy

George J. C. Jin, MD, PhD and Randall J. Olson, MD

Chapter 18: Future of Cataract Surgery

Randall J. Olson, MD


Financial Disclosures
Index

Randall J. Olson, MD completed his undergraduate training and medical schooling at the University of Utah in Salt Lake City (BA 1970, MD 1973), his residency at UCLA in 1977 in ophthalmology, and fellowships in cornea at the University of Florida in Gainesville and at the LSU Eye Center in New Orleans, where he joined the faculty in 1977 as Director of Corneal Services. Dr. Olson started as division chief in June 1979 at the University of Utah and has been Chair of the Department of Ophthalmology and Visual Sciences ever since, including the building of 2 eye centers and expansion from one to almost 50 faculty members.

He has authored more than 300 professional publications and is a worldwide lecturer. Dr. Olson specializes in research dealing with intraocular lens complications and anterior segment surgery of the eye. He was selected as one of the 15 top experts in the field of cataract surgery in the United States in a peer survey conducted by Ophthalmology Times, has appeared in the last 4 editions of Best Doctors in America, and has been in the last 2 Cataract and Refractive Surgery Today editions honoring the top 50 professional opinion leaders in the field of cataract and refractive surgery.

George J. C. Jin, MD, PhD is the director of clinical research at Jones Eye Clinic, Sioux City, Iowa. He is an adjunct professor of ophthalmology at the Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah, Salt Lake City, Utah. Dr. Jin earned his medical degree in China at Beijing University Medical School and completed his residency and PhD training at Peking Union Medical College and the Eye Research Center at the Chinese Academy of Medical Sciences. As an associate professor at the Chinese Academy of Medical Sciences, Dr. Jin was the first in China to perform combined surgery of extracapsular cataract extraction with IOL implantation and trabeculectomy. He was also the first surgeon to introduce glaucoma laser surgery to China.

After the completion of 2 postdoctorate fellowship programs at the Department of Ophthalmology at West Virginia University and Bascom Palmer Eye Institute of Miami University, he joined the Eye Institute of Utah in 1990. Dr. Jin has published over 70 peer-reviewed papers in major ophthalmic journals. He is a reviewer for numerous ophthalmic journals and has authored chapters in several ophthalmic textbooks. His research interests concentrate on refractive, cataract, and glaucoma surgeries.

Iqbal Ike K. Ahmed, MD, FRCSC is an assistant professor at the University of Toronto, where he also serves as the research fellowship director in the Department of Ophthalmology and as Director of the Glaucoma and Advanced Anterior Surgical Fellowship. He is also a clinical assistant professor at the University of Utah. Surgical management of glaucoma, the complex cataract, and management of cataract and intraocular lens complications are his areas of subspecialty expertise.

Dr. Ahmed is actively involved in research and medical education at a national and international level. He has received many research grants and has designed diamond scalpels for glaucoma surgery; microsurgical instrumentation; and devices, implants, and techniques for the management of the dislocated cataract and glaucoma.

Dr. Ahmed has published numerous peer-reviewed articles and book chapters and has won many awards and honors for papers, posters, and videos. He has given more than 500 scientific presentations and lectures around the world. He has served as course director for numerous surgical courses and directed the Third International Congress on Glaucoma Surgery in Toronto in 2006. Dr. Ahmed sits on the editorial boards of Ophthalmology, the Journal of Cataract and Refractive Surgery, and Techniques in Ophthalmology, among others, and he is a reviewer for numerous journals as well.

Alan S. Crandall, MD graduated from the University of Utah, receiving his medical degree from the University of Utah School of Medicine. He completed his internship in surgery at the University of Pennsylvania Medical Center in Philadelphia as well as his residency and fellowship in ophthalmology at the Scheie Eye Institute, University of Pennsylvania. He joined the University of Utah Ophthalmology Department in 1981. Dr. Crandall is Professor and Senior Vice Chair of Ophthalmology and Visual Sciences, Director of Glaucoma and Cataract at the Moran Eye Center, University of Utah, in Salt Lake City, Utah.

Dr. Crandall is a diplomat of the National Board of Medical Examiners as well as a member of the American Board of Ophthalmology. In addition, he is a member of the American Society of Cataract and Refractive Surgery, American Glaucoma Society, the European Society of Cataract and Refractive Surgeons, and the International Intra-Ocular Implant Club.

Robert J. Cionni, MD is a board-certified ophthalmologist who specializes in cataract, lens implant, LASIK, and refractive surgeries, performing nearly 2000 surgeries each year. He has established himself as a leader in his specialty by pioneering some of the most advanced cataract and implant techniques. He is actively involved in clinical research, bringing the latest technologies to his patients, sometimes well before these technologies are available to other surgeons.

He has authored numerous articles and textbook chapters about specialized cataract techniques and technologies and the management of complications. Dr. Cionni has designed special implants and surgical techniques to improve the surgical outcomes in patients with traumatic cataract and congenital lens subluxation, as found in many patients with Marfan syndrome. In addition, he teaches surgeons nationally and internationally about the use of these devices. Patients with these types of problems are referred to him from all over the world.

Jason J. Jones, MD is President and Medical Director of Jones Eye Clinic in Sioux City, Iowa and Sioux Falls, South Dakota. He graduated magna cum laude from Harvard College and received his MD from New York University School of Medicine. He completed his residency training at the John A. Moran Eye Center, University of Utah, in 2003.

Dr. Jones specializes in advanced techniques of phacoemulsification, anterior segment reconstruction, implantation of the latest design IOLs, as well as other anterior segment surgeries. He has authored numerous peer-reviewed publications and his active interests in clinical research are development of new intraocular lens technology and management of complex anterior segment surgery.

Contributing Author

Robert O. Hoffman, MD
Professor, Ophthalmology and Visual Sciences
Director, Pediatric Ophthalmology
John Moran Eye Center
University of Utah
Salt Lake City, Utah