Refractive Cataract Surgery: Best Practices and Advanced Technology

by John Hovanesian

Overview

Updated and expanded, this Second Edition of Refractive Cataract Surgery: Best Practices and Advanced Technology is a practical guide for cataract surgeons and general ophthalmologists who wish to take their practices to a new level by offering refractive solutions to their cataract patients.
All chapters have been updated to provide the latest information on premium surgery, including how-to chapters on extended depth-of-focus implants, intraoperative aberrometry, and femtosecond laser surgery. Both well-established and cutting-edge implants and techniques are presented in chapters that are organized by topic and detailed step-by-step.

Dr. John A. Hovanesian and his contributors include enhancement strategies such as piggyback lenses, laser enhancement, and incisional surgery which are presented as separate and complete solutions.

In addition to surgical strategies, Refractive Cataract Surgery, Second Edition explains the psychology of creating a premium practice. Non-technical matters such as patient screening, ethics, communicating the value of lenses, and managing the unhappy patient are thoroughly presented with easy-to-adopt ideas.

New in the Second Edition:

• Intraoperative aberrometry
• Femtosecond laser cataract surgery
• Diagnostic and management tools for ocular surface disease
• Extended depth-of-focus implants
• Updated information on Tecnis toric, Trulign, and other accommodating IOLs
• Advice on various pricing models

Refractive Cataract Surgery: Best Practices and Advanced Technology, Second Edition explores every angle of premium surgery and practice and offers improvements for all levels of surgeons, from the resident to the experienced physician, resulting in a top experience and a lifetime of premium vision for the patient.

Product Details

ISBN-13:	9781040143124
Publisher:	CRC Press
Publication date:	06/01/2024
Sold by:	Barnes & Noble
Format:	eBook
Pages:	296
File size:	13 MB
Note:	This product may take a few minutes to download.

About the Author

John A. Hovanesian, MD, FACS is a member of the clinical faculty at the UCLA Jules Stein Eye Institute and is in private ophthalmic practice in Laguna Hills, California with Harvard Eye Associates. He completed his undergraduate training in 3 years in the Honors Chemistry program at the University of Michigan, where he was a James B. Angell Scholar and was inducted into the Phi Beta Kappa honor society as a sophomore. After graduating summa cum laude, he earned his medical degree from the University of Michigan Medical School and completed his residency training at Henry Ford Hospital, where he was named Resident of the Year and was selected by his faculty to serve as chief resident. He then completed a 2-year fellowship in cornea and external disease at the UCLA Jules Stein Eye Institute. In his private practice in Southern California, he directs one of the country’s most recognized Food and Drug Administration study centers, evaluating new eye care technologies. He serves as a board member or consultant for over 20 eye technology companies.

As the son of 2 teachers, Dr. Hovanesian enjoys contributing to ophthalmic education and serves the American Academy of Ophthalmology as editor or the Online News and Education network’s cataract and anterior segment section. He is a regular contributor and member of the editorial board for Ocular Surgery News, Cataract and Refractive Surgery Today, The Premier Surgeon, Advanced Ocular Care, and Primary Care Optometry News. He blogs at www.healio.com.

In his spare time, Dr. Hovanesian enjoys spending time with his wife and 3 children. An Eagle Scout, he is also a volunteer leader with the Boy Scouts of America, serving both of his sons’ Scout groups and also as chairman of the board of directors of the Orange County, California Council. He also volunteers with Armenian EyeCare Project, a nonprofit focused on eliminating preventable blindness in the former Soviet Union. He and his wife also teach Sunday school at his church in Costa Mesa, California.

Table of Contents

Dedication Acknowledgments About the Editor Contributing AuthorsPrefaceForeword to the Second Edition by Robert K. Maloney, MD, MAForeword to the First Edition by David F. Chang, MDIntroduction Section I Setting the Stage for Premium Cataract Surgery Chapter 1 How to Get Started in Premium Cataract SurgeryJohn A. Hovanesian, MD, FACS Chapter 2 Refractive Intraocular Lenses: Everyday Ethical IssuesDavid F. Chang, MD and Bryan S. Lee, MD, JD Chapter 3 Prognostic Predictors for Premium Intraocular LensesGeorge O. Waring IV, MD; R. Luke Rebenitsch, MD, PCEO; and Jason E. Stahl, MD Chapter 4 Preparing the Ocular Surface for Cataract and Refractive SurgeryJodi Luchs, MD, FACS Chapter 5 Preoperative Testing for Refractive Cataract SurgeryKevin Jwo, MD; William F. Wiley, MD; Ji Won Kwon, MD, PhD; and Jimmy Lee, MD Chapter 6 Practice Management Considerations of Refractive Cataract SurgeryKevin J. Corcoran, COE, CPC, CPMA, FNAO Chapter 7 Advertising and Public Relations for Premium Cataract SurgeryPaul Stubenbordt, BS Chapter 8 Educating Patients About Refractive Cataract SurgeryJohn A. Hovanesian, MD, FACS Section II Surgical Technique and Implants Chapter 9 Femtosecond Laser-Assisted Cataract SurgeryKendall E. Donaldson, MD, MS Chapter 10 Intraoperative Wavefront AberrometryJoel M. Solano, MD and John P. Berdahl, MD Chapter 11 Microincisional Cataract SurgeryMujtaba A. Qazi, MD; Abu-Bakar Zafar, MD; and Jay S. Pepose, MD, PhD Chapter 12 Micro-Invasive Glaucoma SurgerySavak Sev Teymoorian, MD, MBA Chapter 13 The Toric Intraocular Lens: Successful StrategiesAdi Abulafia, MD and Warren E. Hill, MD Chapter 14 Limbal Relaxing IncisionsR. Bruce Wallace III, MD and John A. Hovanesian, MD, FACS Chapter 15 Integrating Monovision Into Presbyopic Intraocular Lens SurgeryJ. E. Jay McDonald II, MD and Garth Rotramel, BA, SPHR Chapter 16 Multifocal ImplantsFarrell (Toby) Tyson, MD, FACS Chapter 17 Accommodating Implants: The CrystalensRobert J. Weinstock, MD Section III Postoperative Considerations and Enhancements Chapter 18 Refractive Intraocular Lenses: Managing Unhappy PatientsEric Donnenfeld, MD; Alanna Nattis, DO; Eric Rosenberg, DO; and Allon Barsam, MD, MA, MRCOphth Chapter 19 Enhancement With Piggyback or Intraocular Lens ExchangesAdi Abulafia, MD and Warren E. Hill, MD Chapter 20 Excimer Laser Enhancements After Intraocular Lens SurgeryJay Bansal, MD and Arun C. Gulani, MD, MS Chapter 21 Enhancements With Micro-Radial Keratotomy/Astigmatic KeratotomyFrank A. Bucci Jr, MD Financial Disclosures Index

Editorial Reviews

Reviewer: Charles C Lin, M.D.(Stanford University School of Medicine)
Description: Covering all aspects of refractive cataract surgery, this book is a guide to providing a good patient experience, including preoperative, intraoperative, and postoperative management.
Purpose: It strives to equip cataract surgeons with the knowledge and tools to develop and optimize a refractive cataract surgery practice. Results of modern day cataract surgery should indeed be quite precise and this serves as the basis for this book's objective.
Audience: The intended target audience is ophthalmology residents and fellows, and all cataract surgeons. Drawing from experts in the field, the book offers helpful information for ophthalmologists at all levels of training and experience.
Features: A discussion of preoperative preparation of cataract patients begins the book, with an emphasis on optimizing ocular surface disease and obtaining accurate corneal measurements. Numerous chapters are then devoted to surgical technique with state-of-the-art equipment and technology, including femtosecond cataract surgery and intraoperative aberrometry, LRIs, multifocal IOLs, and accommodative IOLs. The book concludes with a discussion of how to manage the unhappy postoperative patient. Particularly helpful are table overviews of the various available premium IOLs and corneal topography and tomography devices. In addition, sample questionnaires and forms used in experienced high-volume cataract practices and practice considerations regarding financial matters, are also helpful for surgeons interested in building a premium cataract practice.
Assessment: This book achieves its stated aim of educating readers on how to develop a refractive cataract surgery practice. It provides helpful, practical advice on creating a patient-oriented practice along with a useful discussion of surgical techniques and technology.

Doody's Review Service

Particularly helpful are table overviews of the various available premium IOLs and corneal topography and tomography devices. This book achieves its stated aim of educating readers on how to develop a refractive cataract surgery practice. It provides helpful, practical advice on creating a patient-oriented practice along with a useful discussion of surgical techniques and technology. “

               - : Charles C Lin, MD, Doody's Review Service

From the Publisher