The surgical correction of astigmatism is the last frontier to optimizing visual outcomes for patients. Practical Astigmatism: Planning and Analysis is a comprehensive guide to correcting astigmatism from pre-operative planning to post-operative analysis. This provides readers with unique insight to what actually happened surgically: did the astigmatism over or under correct? Was it on-axis or off-axis? With this book, ophthalmologists will be able to analyze previous procedures with the appropriate nomograms and more often achieve targeted outcomes. Dr. Noel Alpins has developed the Alpins Method of astigmatism to provide accurate planning and analysis of astigmatism procedures. His method focuses on analyzing refractive and corneal astigmatism parameters and using the results in future surgery to improve visual outcomes. The importance of the ocular residual astigmatism (ORA) is detailed when planning astigmatism surgery. Practical Astigmatism features vector planning for refractive laser surgery as well as planning and analysis applied to cataract and limbal relaxing incisions, , in addition to demonstrating graphical analysis of astigmatism using high quality vector and fan diagrams, as used in scientific journals. In addition, hemidivisional analysis of the irregular cornea, corneal coupling in incisional and excimer laser surgery for mixed astigmatism and toric IOL planning with total corneal power using corneal topographic astigmatism (CorT total) are addressed as well. Some Questions Answered Inside: What is the difference between regular and irregular astigmatism? How do I diagnose each, and how does this affect my surgical technique? Can I incorporate corneal astigmatism when performing excimer laser surgery? Why are my LRIs undercorrecting the astigmatism? Is it safe to perform excimer laser on keratoconous patients? Which corneal astigmatism measure do I choose and what do I do following a refractive surprise? Practical Astigmatism: Planning and Analysis will help ophthalmologists, optometrists, and technicians alike address each patient’s unique circumstances and act as your in-depth guide to correcting astigmatism.   Testimonials… “For more than three decades I have been listening to, arguing with, and admiring the work of Dr. Noel Alpins in the field of astigmatism.  Despite his remote location on the small island of Australia, his knowledge of astigmatism is at the peak of Mt. Everest.  There are few others who have devoted their careers to understanding and managing astigmatism for which the world of ophthalmology is truly grateful.�  - Robert H. Osher, MD “Noel is an original thinker who took on and conquered the complexities of astigmatism analysis, publishing the seminal papers on the way. His work has formed the cornerstone from which our current understanding and management of astigmatism has been built. He is someone from whom we have all learnt a great deal and this book is a testament to this.� - Dan Z Reinstein, MD MA(Cantab) FRCSC DABO FRCOphth FEBO  

This book functions as a resource for providers who treat patients with neuro-ophthalmic conditions. Using an evidence-based approach to controversial management decisions, the material is presented in a digestible, case-based format. Divided into six sections, the book begins with an introduction to its framework, format, and purpose. Following this, sections two, three, and four discuss various optic neuropathies, ocular motility disorders, and transient visual symptoms. The concluding sections then address neuro-ophthalmic manifestations of pain, including migraine and post-concussive syndrome, and systemic diseases, such as giant cell arteritis. Each chapter focuses on cases that are historically complex, or which have undergone a recent shift in traditional management due to new scientific discoveries or newly available therapies. Controversies in Neuro-Ophthalmic Management presents essential, thorough information on management options and the data for their use to provide the best care for patients.

Optical coherence tomography (OCT) angiography is an important new imaging modality that is already being used by ophthalmologists in retina centers worldwide. It uses motion as intrinsic contrast, thus obviating the need to inject any intravenous dye. It uses infrared light that is invisible to the patient, and only requires few seconds per scan. This makes it both easier to use and much better tolerated by patients than traditional dye-based fluorescein angiography (FA) and indocyanine green (ICG) angiography. Inside Optical Coherence Tomography Angiography of the Eye Drs. David Huang, Bruno Lumbroso, Yali Jia, and Nadia Waheed include detailed information on clinical applications and fundamental principles needed to understand and use this new technology. This includes information on high-speed OCT systems, algorithms to extract flow contrast, the appearance of the normal eye, the findings in myriad diseases, and tips on how to deal with artifact and pitfalls. The 3-dimensional nature of OCT angiography provides visualization that was not possible before with either FA or ICG and readers will come to appreciate how this enables the visualization of previously difficult to image vascular beds such as the 4 retinal vascular plexuses (radial peripapillary, superficial, intermediate, and deep), the choriocapillaris, and the deeper choroidal vessels. Given its noninvasive nature and ease of use, OCT angiography imaging is rapidly taking an important place in everyday ophthalmology and may soon replace fluorescein angiography in everyday practice. Optical Coherence Tomography Angiography of the Eye is designed to be the definitive text on this cutting-edge technology for the retina specialist and comprehensive ophthalmologist.

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.

"The Little Eye Book: A Pupil's Guide to Understanding Ophthalmology "is an easy-to-understand introduction to the field of eye care that has been updated into a new "Second Edition," This book is written with the non-physician in mind, so you won't be bogged down with heavy details, yet every basic fact that you need is right here. With photographs as well as drawings and helpful tables and charts, this conversational-style text packs a big punch. Beginning with an illustrated description of ocular anatomy, the book sweeps you into the workings of vision with hardly a blink, where you'll learn what happens when light meets the eye. But life is never perfect, and sometimes the eye isn't either. You'll get a good overview of disorders and trauma, from lids to optic nerves. The all-important red eye has a section all its own, including symptoms, signs, what's an emergency and what's not. A chapter on eye symptoms and their potential causes will help you understand patients' complaints. New to the Second Edition: - A chapter on refractive errors and their correction, including a section on glasses and contact lenses - New technology topics including optical coherence tomography, scanning laser tomography, wavefront analysis and more - Updated information on medications and refractive surgery - Includes over 65 figures and 10 tables Now you will finally understand how the eye works without spending hours trying to get through an overwhelming medical book. Need to know how to take a history, check vision or pupils, or give someone eye medications? It's in here! Wonder what special testing is available? We tell you! Have questions about surgery or medical treatment? Yep, we covered that, too, and more! Written by Janice K. Ledford, an eyecare professional with over 26 years of experience, "The Little Eye Book: A Pupil's Guide to Understanding Ophthalmology, Second Edition "is perfect for anyone who works in the eye care industry or with patients, but isn't an ophthalmologist.

Completely revised and updated third edition of Lee's Ophthalmic Histopathology, this well-illustrated and practically-oriented text has retained its general layout and style and division into specimen-based chapters. The visual image remains key to explaining the pathological processes - facilitated by full colour photography throughout the text. The text and illustrations are also provided as a searchable CD-ROM. The book emphasizes pertinent recent advances, particularly in the molecular basis of disease and in the diagnosis and classification of tumours. including improvements in immunohistochemistry and cytogenetic and molecular biological studies. This book is an invaluable source of reference for ophthalmic pathologists, general pathologists and ophthalmologists.

Doctors wishing to practice as ophthalmology consultants are required to pass the FRCOphth Part 1 examination administered by the Royal College of Ophthalmologists (RCOphth). This comprehensive revision guide is a key resource for meeting the challenges of this exam. Carefully mapped to the curriculum, and reviewed by twelve leading experts in the field, making it an authoritative guide to the exam. Written according to the latest RCOphth guidance, MCQs for FRCOphth Part 1 reflects recent changes in the subject weighting and examination format. It features 450 MCQs spread evenly across five sections, with detailed solutions and explanations, helpful figures, as well as three mock exams, and further reading to aid self-assessment. Including high quality clinical images, this book also aids the learning of complicated concepts through acronyms, mnemonics, and accessible clarifications. Written by an academic registrar in ophthalmology, this is a must have resource for anyone preparing for the FRCOphth Part 1 examination.

Pathologic Myopia is a major cause of severe vision loss worldwide. The mechanisms for vision loss include cataract, glaucoma, retinal detachment, and above all, myopic maculopathy within the posterior staphyloma. The first edition of Pathologic Myopia is one of the only current books to specifically address this disease and discusses recent developments in imaging technologies and various approaches to treatments, such as laser photocoagulation, photodynamic therapy, pharmaco-therapeutic injections in the vitreous, and surgery. This new edition is a timely update to the standard reference in the field, with new chapters on advanced refractive error correction, genetics, developing a classification system, and special surgical approaches for pathologic myopia. Complete with even more high-quality color images and informative tables, this book is written and edited by leaders in the field and is geared towards ophthalmologists, including residents and fellows in training, glaucoma and cataract specialists, and vitreoretinal macula experts.

The Understanding Glaucoma chart shows the structure of the eye along with a visual depiction of the fluid pressure associated with glaucoma. The optic nerve, the Canal of Schlemm and normal and damaged retinas are shown as close-up views. Heavy gauge 3ml lamination with sealed edges and two metal eyelets for hanging makes chart highly durable. Write-on/wipe-off with dry erase marker (not included).

A new basic textbook of outstanding quality for optometrists, dispensing opticians and the eye-care professions. Macroscopic and microscopic detail is presented, with extra ultrastructural and biochemical elements in sufficient depth to gain a sound understanding of the visual apparatus and its anomalies. Specially drawn illustrations are supplemented by colored photographs of special features.

This book provides a practical overview of pathology and interventions in the suprachoroidal space of the eye. Concise and well-structured chapters examine anatomy, physiology and pathophysiology, suprachoroidal haemorrhage, choroidal effusions and ocular hypotony management, imaging, suprachoroidal buckling for retinal detachment, drug delivery, suprachoroidal glaucoma devices, subretinal gene therapy and suprachoroidal retinal implant. Suprachoroidal Space Interventions meets the need for a book that improves awareness of established and novel interventions in the suprachoroidal space, particularly as it has been increasingly recognised as a potential space for glaucoma surgery, drug deliveries and retinal surgery. Ophthalmologists and scientists with an interest in glaucoma and retinal surgery will find the book to be an easy to use reference tool for a rapidly developing area of ophthalmology that can be applied in modern clinical practice.

This book focuses on the concept of ocular rigidity, the biomechanical properties and hydrodynamics of the human eye. The basics of anatomy and physiology are explored and the relevant data for the clinician are emphasized throughout the book. The engineering aspects as well as the clinical interpretation are presented to provide context. Ocular Rigidity, Biomechanics and Hydrodynamics of the Eye summarises recent evidence on ocular rigidity, but also provides a complete presentation of the data so far. The authors have recently worked on ocular rigidity corneal and globe biomechanics and hydrodynamics and the new, up-to-date data on the subject are highlighted in each chapter. The aim is to provide the framework or the understanding of these parameters and to determine their relevance in health and disease. This book will be an essential read for all practicing ophthalmologists looking to gain a more in-depth understanding of this interesting area of research particularly in refractive surgery and glaucoma.

This book presents a clear, coherent account of spatial vision, integrating anatomical, perceptual, psychophysical, and neurophysiological data collected by both the authors and other researchers.

This edited book focuses on the recent advances in our understanding of age-related macular degeneration (AMD), combining epidemiology and clinical diagnosis, with genetics and immunological aspects as well as the role of proteostasis and mitochondria before diving into new therapies including stem cell based approaches. AMD is a leading cause of largely incurable blindness worldwide and projected to double from 2.07 million to 5.44 million individuals by 2050 in the United States. Globally, 288 million individuals are projected to have AMD by 2040. The disease has enormous socioeconomic impact on the affected individuals, their families and the society. This book will bring together the state of the art basic science knowledge with clinically relevant findings and address the challenges for future research in AMD. The intersection of different disciplines will provide potential areas for further investigations to reduce the burden of blindness from AMD. This book offers an appealing and insightful resource for clinicians, scientists, students and fellows.

There has been a recent explosion of public interest in less invasive facial rejuvenation products and treatments. At the forefront of this are the U.S. FDA Approvals of Botox and Xeomin injections. In addition to the broad array of cosmetic applications for botulinum toxin, a new range of functional treatments is similarly beginning to emerge. These treatments include creating a “chemical� tarsorrhaphy to promote corneal healing, reducing thyroid-associated eyelid retraction, and—most compelling—reducing the frequency and severity of muscle tension and migraine headaches. These new applications significantly expand the scope of botulinum toxin treatments for medical disorders that have traditionally included the treatment of strabismus as well as a number of disorders of spasticity. Cosmetic and Clinical Applications of Botox and Dermal Fillers, Third Edition by Dr. William J. Lipham and Dr. Jill S. Melicher continues to evolve and advance along with these applications, addressing important information for anyone interested in expanding his or her clinical practice in this area. This updated and revised Third Edition also describes how to perform a broad range of treatments with a wide variety of dermal filler agents, including the newer hyaluronic acid and poly-l-lactic acid derivatives. Topics inside the Third Edition include: Treatment of blepharospasm, meige syndrome, and hemifacial spasm Botulinum toxin as a treatment for functional disorders Neuro-ophthalmic uses for botulinum toxin Cosmetic applications of botulinum toxin Periorbital rejuvenation using cosmetic filler agents and fat injection Marketing botulinum toxin and dermal filler agents to build your practice Additionally, an accompanying video website with nine supplemental videos is included to demonstrate the techniques discussed. Video topics include: Botulinum toxin for benign essential blepharospasm Botulinum toxin for hemifacial spasm Botulinum toxin for headaches Botulinum toxin chemical brow lift Botulinum toxin for forehead rhytids Botulinum toxin for glabellar rhytids Botulinum toxin for treatment of orbicularis lateral Hyaluronic acid filler for perioral rejuvenation Hyaluronic acid filler for the nasolabial fold Cosmetic and Clinical Applications of Botox and Dermal Fillers, Third Edition is perfect for anyone interested in the use of Botox and dermal filler agents for a wide variety of functional and minimally invasive facial rejuvenation procedures. General ophthalmologists, anterior segment surgeons, dermatologists, facial plastic surgeons, residents, and fellows alike will benefit from adding this valuable book and video website to their collection.

Curbside Consultation in Neuro-Ophthalmology has been updated into a Second Edition! The Second Edition contains new questions and is completely updated! Curbside Consultation in Neuro-Ophthalmology: 49 Clinical Questions, Second Edition contains new questions and brief, practical, evidence-based answers to the most frequently asked questions that are posed during a "curbside consultation" between surgical colleagues. Dr. Andrew G. Lee and associate editors Dr. Paul W. Brazis and Dr. Lanning B. Kline have designed this unique reference in which neuro-ophthalmologists offer expert advice, preferences, and opinions on tough clinical questions commonly associated with neuro-ophthalmology. The unique Q&A format provides quick access to current information related to neuro-ophthalmology with the simplicity of a conversation between two colleagues. Images, diagrams, and references are included to enhance the text and to illustrate common clinical dilemmas. Some of the questions that are answered inside the Second Edition include: What is the evaluation for papilledema? What is the work up for third nerve palsy? What is the treatment for giant cell arteritis? What is the evaluation for optic disc edema with a macular star? What is the evaluation for anisocoria? Curbside Consultation in Neuro-Ophthalmology: 49 Clinical Questions, Second Edition provides information basic enough for residents while also incorporating expert pearls that even high-volume ophthalmologists will appreciate. Residents, fellows, and practicing physicians alike will benefit from the user-friendly, casual format and the expert advice contained within.

This book is a comprehensive guide to ophthalmic anaesthesia detailing different types of anaesthesia, techniques, subsequent effects and possible complications. Divided into six sections the book begins with basic clinical knowledge including anatomy and physiology and the effects of ocular medications. The following sections examine the techniques and uses of regional anaesthesia, concluding with a chapter on emergencies in ocular surgery. The second half of the book covers general anaesthesia covering the physiological and pharmacological effects on the eye, and its use for numerous subspecialty surgical procedures including for examination and diagnosis, for paediatric surgeries, vitreoretinal surgery, glaucoma, emergency eye surgery and more. The final section is dedicated to the causes and management of chronic ophthalmic pain. Each chapter features an abstract and 'nuggets of wisdom' providing useful points on the topic. Nearly 200 clinical images and tables enhance learning. Key Points Comprehensive guide to ophthalmic anaesthesia covering types, techniques, effects and complications Discusses both regional and general anaesthesia for numerous ocular surgeries Includes chapters on emergencies in ocular surgical procedures Each chapter includes an abstract and 'nuggets of wisdom'

This book is a comprehensive overview of blepharitis that covers the various types of this common and challenging entity. Concise and unique, chapters are clinically focused, providing an equal emphasis on the medical as well as surgical management of this condition. The book concludes with a look at future directions in the field as they pertain to diagnosis and management. Blepharitis is an invaluable reference written specifically for comprehensive ophthalmologists, cornea and external disease specialists, residents, fellows, and optometrists.

Mastering Corneal Surgery: Recent Advances and Current Techniques comprehensively covers all the recent advances in the existing techniques for common and rare corneal conditions, as well as presents the potential intraoperative circumstances the surgeon can face with their patients. Mastering Corneal Surgery: Recent Advances and Current Techniques by Dr. Amar Agarwal and Dr. Thomas John, along with more than 50 contributors, cover the most recent innovations in corneal surgery, including corneal procedures in combination with IOL implantation in eyes with deficient capsules, and combining endothelial keratoplasty with IOL repositioning. Bonus! Extensive high-quality video demonstrations of the techniques discussed inside Mastering Corneal Surgery: Recent Advances and Current Techniques enhances the written text, creating a superior resource. The 28 videos, combined with the written text, clinical photographs and pictures, furthers the learning process more than learning from text or video alone. Mastering Corneal Surgery: Recent Advances and Current Techniques covers all the recent advances in the existing techniques for common and rare corneal conditions and presents the potential intraoperative circumstances the surgeon can encounter with their patients. The general ophthalmologist and cornea specialist will welcome the novel surgical methods and their differences from the existing techniques highlighted inside this cutting-edge resource.

This book explains how medical photography is part of the workflow in many specialties: it is needed for registries, to preserve information, for follow up, second opinion and teaching, among others. The book gathers information on this field, providing valuable practical tips for those that have never used photography for medical uses as well as those who use it regularly. Covering specialities ranging from dermatology, plastic surgery, dentistry, ophthalmology and endoscopy to forensic medicine, specimen photography and veterinary medicine, it highlights standardization for each procedure and relevance to ethical, patients' perception of medical photography, cybersecurity and legal aspects. The book also presents practical sections explaining how to organize a photographic file, coding, reimbursement, compliance, use of social media and preservation as well as in depth concepts on sharp focus on blurred vision. This volume will appeal to all clinicians and practitioners interested in acquiring a high level of technical skill in medical photography.

This book provides ophthalmic professionals and trainees with practical guidance on how to perform cataract surgery efficiently. From patient satisfaction and risk stratification to safely performing cataract surgery, it addresses specific problems and offers clear solutions. The respective chapters address the health economy, surgical outcomes, staff satisfaction, surgical training, and research. Cataract surgeons seeking to further develop their clinical skills will find this book an indispensable resource in their day-to-day practice. Written by respected laser and lens refractive surgeons, this book will provide professionals and trainees with valuable new approaches to cataract surgery and patient management.

For both surgeon and patient alike, the success of modern implant surgery is increasingly judged by the refractive and astigmatic outcome. In spite of this, there has not yet been a practical book that addresses the process of performing limbal relaxing incisions (LRIs). Dr. Louis D. "Skip" Nichamin and his contributors aim to fill this void with Limbal Relaxing Incisions: A Practical Guide. Limbal Relaxing Incisions serves as a guide for novice refractive implant surgeons looking to incorporate incisional astigmatism surgery into their repertoire. It also contains practical pearls that the more experienced practitioner can use to refine astigmatic refractive outcomes following lens-based surgery. Limbal Relaxing Incisions covers a wide range of information from the history, background, and future of astigmatism management, to important subjects such as measuring cylinder and strategic planning for the surgical correction of astigmatism. Dr. Nichamin and his contributors detail their personal approaches to the use of LRIs, each presenting a slightly different technique and providing simple clinical pearls for both the novice and experienced practitioner. In addition, the book offers a discussion on astigmatic enhancement surgery, potential complications, and insight into the emerging field of Femto-Second Laser technology to further refine and automate astigmatism correction. Residents in ophthalmology, comprehensive ophthalmologists, refractive cataract surgeons, and keratorefractive surgeons taking up lens-based refractive surgery will appreciate the "this is how I do it" approach in Limbal Relaxing Incisions: A Practical Guide, as well as the emphasis on clinical pearls, written by some of the most experienced refractive cataract surgeons in the field.

This book offers an extensive review of the most recent data on the pathophysiological role of structural and functional alterations in the microcirculation, particularly focusing on hypertension and diabetes. It covers several relevant and innovative aspects, including the possible mechanisms involved in the development of microvascular remodeling and rarefaction, the technical approaches available for the detection of microvascular alterations, including non-invasive evaluations, the prognostic role of changes in small resistance artery structure, the possibility of preventing or regressing such alterations with appropriate treatment, and the potential clinical advantages of such intervention. A number of innovative areas of research are considered, including the role of the immune system, inflammation and oxidative stress in the development of microvascular alterations. Lastly, it examines the availability of recent non-invasive methods for the evaluation of small resistance artery morphology in the retina, which in the near future may provide a useful tool for the stratification of cardiovascular risk and even for clinical decisions regarding drug treatment, thus providing physicians with a clinically relevant instrument for improving and optimizing the management of hypertensive and diabetic patients. The book provides valuable, clinically relevant information for specialists (cardiology, internal medicine, and endocrinology) and general practitioners, and also offers novel and stimulating data to basic and clinical researchers.

This book aims to cover the important pediatric ophthalmic diagnoses that present in the emergency room. A collaborative work of experienced experts, it describes the history, examination, testing, epidemiology, pathogenesis, treatment, and prognosis for a variety of disorders. Richly illustrated, the book off ers an invaluable tool for all specialists and trainees entrusted with the care of children presenting with ocular conditions. Across 17 comprehensive yet concise chapters, this book provides an overview on a number of typical pathologies, including trauma, infections, inflammations, and tumors. Organized into five sections, each chapter is written to relay broad insight into the common ophthalmic conditions that may bring a child in for an acute healthcare visit. Additionally, skillfully written text is further supplemented by many high-quality images, including clinical photographs, fundus images, radiographs, and intraoperative photos. Pediatric Ophthalmology in the Emergency Room meets the market need for a resource on this specific topic designed for trainee instruction. It is a valuable text for medical students, residents, and fellows, as well as anyone involved in the urgent or emergent care of children, including ER physicians, ophthalmologists, optometrists and other personnel.

This book reviews the current state of ocular drug therapy and future therapeutic opportunities for a wide variety of conditions, including Age-related Macular Degeneration, Diabetic Retinopathy and Macular Edema, Glaucoma, and Inherited Retinal Diseases. Retinal diseases are major contributors to moderate or severe vision impairment in adults aged 50 years and older. The respective patient populations for many of these indications is expected to significantly increase as the world population continues to grow older. An improved understanding of the etiological underpinnings of ocular degenerative diseases over the past decade has significantly bolstered ophthalmic drug discovery. In this volume, contributions from leading experts explore the unique challenges faced for ocular drug discovery and delivery providing the reader with detailed information on ocular pharmacokinetics, in vitro, ex vivo and in vivo models for retinal disease pathology and emerging gene therapy treatments. The book is intended for all researchers and clinicians who wish to increase their knowledge on the latest findings in ocular drug therapy.