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Pseudophakic Monovision: A Clinical Guide by renowned ophthalmologic surgery experts Fuxiang Zhang, Alan Sugar, and Graham Barrett reflects decades of robust academic research, with comprehensive discussion of the pseudophakic lens. Pseudophakic monovision is frequently used as a strategy for presbyopia correction in cataract surgery patients, with high satisfaction rates. The authors address the advantages and drawbacks to this approach, with topics ranging from the optics and neurophysiology of monovision to preoperative vision testing and counseling. The book fills a gap in the literature on this essential yet relatively neglected topic.
In the current era of an ever-expanding array of intraocular lenses inserted in cataract surgery, monovision correction is emerging as an efficacious, far less expensive method for managing presbyopia than multifocal lenses. One eye is corrected for optimal distance vision and the other for optimal near vision, thereby avoiding both the expense of multifocal lenses and inconvenience of wearing glasses and/or contact lenses. Emerging adjustable IOLs address eye dominance issues, enabling patients to attain excellent distance acuity in one eye, then select the amount of myopia that works best in the second eye.
Guidelines on basic calculations, optics, and techniques
Various practical considerations, such as patient selection, incorporating IOL monovision into practice, essential preoperative tests, nighttime driving, and limitations
Optics, neurophysiology, and graphic illustrations enhance understanding of the basics of IOL monovision including mini, moderate, and full monovision, as well as the concept of the not-sharply focused-zone
Ocular as well as systemic contraindications, and how to use extra tests to detect subtle contraindications such as monofixation at the preoperative office visit
How to use conventional as well as crossed monovision to enhance premium IOL outcomes such as accommodating and Extended Depth of Focus (EDOF) IOLs
Ocular comorbidity case reports provide knowledge about how specific co-occurring eye diseases impact patient outcome
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The quintessential, reader-friendly guide to refractive cataract surgery (RCS) fundamentals
An estimated 3.6 million cataract surgeries are performed annually in the U.S. Significant advances in IOL technology and techniques have been made in the last two decades. Concurrently, this has given rise to a growing desire among cataract patients to correct preexisting refractive errors with the goal of reducing or eliminating reliance on glasses/contact lenses. Recent surveys have shown that ophthalmology residents and many practicing cataract surgeons receive inadequate training in RCS, including astigmatism and presbyopia correction. The Art of Refractive Cataract Surgery: For Residents, Fellows, and Beginners edited by renowned cataract experts Fuxiang Zhang, Alan Sugar, and Lisa Brothers Arbisser fills a gap in the literature.
This the first book specifically written for students, with uniquely focused chapters based on residents' and junior colleagues' questions and refined by their real feedback. Featuring contributions from a carefully curated team of distinguished refractive cataract surgeons, this reader-friendly book provides expert insights on essential principles and how-to surgical guidance for diverse types of premium IOLs. Clearly-defined basic and fundamental knowledge and applications provide ample inspiration for trainees and early-career refractive cataract surgeons to ford the challenging river of learning curves. Each premium IOL chapter includes candidate selection criteria, contraindications, and evidence-based pearls to inform surgical decision-making, prevent complications, and improve patient outcomes.
Twenty-three chapters cover a full spectrum of contemporary refractive cataract surgery topics, including Topography/LRI/Toric/MFIOL/EDOF/Trifocal/Monovision/Piggyback/ORA/FLACS
Detailed prerequisite of surgical pearls helps ensure optimal outcomes for every cataract surgery
More than 20 procedural videos provide clinical insights on specific techniques
High-yield tables, charts, and illustrations enable rapid acquisition of key information
The authors believe that this unique resource has great value for residents, fellows, and early-career refractive cataract surgeons who wish to incorporate this facet of ophthalmology into practice or improve their RCS skills.
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