Contents DedicationAcknowledgmentsAbout the EditorsContributing AuthorsForewordChapter 1: Four Pearls for Surgical Planning With Corneal TopographyStephen D. Klyce, PhD and Michael J. Endl, MD 1. Keratoconus and Other Suspects2. Orbscan for a Posterior Perspective3. So Many Maps, So Little Time4. Careful Alignment is Not Optional in Refractive SurgeryChapter 2: Four Pearls in Wavefront TechnologyTohru Sakimoto, MD and Dimitri T. Azar, MD 5.
Wavefront Technology and Aberrometry6. Diagnostic Value of Aberrometry7. Advantages of Customized Refractive Procedure8. Limitations of Wavefront-Guided LASIK and LASEKChapter 3: Seven Pearls in LASIK Technique With MK and IntralaseElizabeth A. Davis, MD, FACS; David R. Hardten, MD; and Richard L. Lindstrom, MD 9. Preoperative Counseling and Informed Consent10.
Achieve Adequate Exposure and Achieve and Confirm Adequate Suction11. Create a Complete Flap and Use Intralase When Appropriate12. Achieve Consistent Hydration13. Perform the Appropriate Ablation14. Reposition the Flap15. Avoid and Treat Loose EpitheliumChapter 4: Six Pearls in Prevention and Management of LASIK ComplicationsSamir A. Melki, MD, PhD and Dimitri T. Azar, MD 16.
The Midcut Jam, the Sliding Suction Ring, and the Free Cap17. Flap Buttonholes18. The Aborted LASIK and the Repeat LASIK19. Epithelial Ingrowth: Leave or Lift?20. Flattening the Recalcitrant LASIK Flap Fold21. LASIK Flaps: Is Larger Better?Chapter 5: Four Photorefractive Keratectomy, LASEK, and Epi-LASIK PearlsEric Dudenhoefer, MD and Dimitri T. Azar, MD 22. Methods of Epithelial Debridement in Photorefractive Keratectomy23.
LASEK and Epi-LASIK24. Handling Haze and Decentration in Surface Ablation25. Photorefractive Keratectomy for Residual Myopia after Radial KeratotomyChapter 6: Four Phototherapeutic Keratectomy PearlsShahzad Mian, MD and Dimitri T. Azar, MD 26. Location, Location, Location: Depth, Diameter, and Position27. Best Preoperative Refraction for Better Postoperative Vision28. Masking Agents for Smoother Ablation29. Phototherapeutic Keratectomy and the Recurrent Erosion LadderChapter 7: Three Pearls in Excimer Laser Correction and HyperopiaNada S.
Jabbur, MD; Samir A. Melki, MD, PhD; and Dimitri T. Azar, MD 30. Latent Hyperopia, Spasm of Accommodation, and Undercorrected Astigmatism31. Hyperopic LASIK: The Importance of Eye Tracking32. Hyperopic Photorefractive Keratectomy: The Epithelial ChallengeChapter 8: Two Irregular Astigmatism PearlsRamon C. Ghanem, MD; Faisal Al-Tobaigy, MD; Elena Albè, MD; and Dimitri T. Azar, MD 33.
Secondary Hyperopia and Irregular Astigmatism After Radial Keratotomy and Decentered Ablation34. Treatment of Keratectasia in Keratoconus Following LASIKChapter 9: Four Pearls on Presbyopic CorrectionElena Albé, MD; Faisal Al-Tobaigy, MD; Ramon C. Ghanem, MD; Samir A. Melki, MD, PhD; and Dimitri T. Azar, MD 35. Monovision Refractive Surgery36. Conductive Keratoplasty, Monovision, and Blended Vision37. Scleral Surgery for Presbyopia38.
Accommodating and Multifocal Intraocular LensesChapter 10: Seven Pearls in Phakic Intraocular Lens ImplantationThanh Hoang-Xuan, MD; Jean-Louis Arné, MD; and Georges Baikoff, MD 39. Phakic Intraocular Lenses: What Size?40. Iris Visco-Stretch Prevents Mydriasis and Iris Prolapse41. Verisyse Lens: Iris Enclavation42. Implantable Contact Lens: Prevent Pigment Dispersion43. The Inverted Implantable Contact Lens44. Removal of the Viscoelastic Agent45. BiopticsChapter 11: Three Pearls for Successful Cataract Surgery Using Topical AnesthesiaH.
John Shammas, MD and Rania M. Shammas, MD 46. Anesthesia without Akinesia: What If the Eye Moves?47. Enhancing Topical Anesthesia with Adjunctive Measures48. The Unsuitable Candidate for Topical AnesthesiaChapter 12: Four Pearls to Conquer the Difficult IrisPierre G. Mardelli, MD and Samir A. Melki, MD, PhD 49. Small Pupil, Big Challenge50.
The Hidden Capsulorrhexis51. The Floppy Iris Syndrome52. Tips for Iris SuturesChapter 13: Two Pearls in Phacofluidics and Bimanual PhacoemulsificationTais Hitomi Wakamatsu, MD and Dimitri T. Azar, MD 53. Phacoemulsification Fluidics54. Bimanual PhacoemulsificationChapter 14: Three Pearls in Avoiding Phacoemulsification Corneal BurnsJames J. Reidy, MD, FACS 55. Proper Hand Positioning56.
Appropriate Irrigation Flow57. Debulk the Viscoelastic in the Anterior Chamber and Minimize the Use of Ultrasound PowerChapter 15: Five Pearls in the Management of Crystalline and Artificial Intraocular Lens DislocationAmmar N. Safar, MD; Natalie A. Afshari, MD; and Alexandre Assi, Bsc, MBBS, FRCOphth 58. Posterior-Assisted Levitation59. The Sheath Glide Maneuver60. McCannel Sutures for Dislocated Intraocular Lenses61. Double-Knot Transscleral Suture Fixation Technique for Sunset and Sunrise Syndromes62.
Double-Knot Technique for Iris Fixation of Decentered, Dislocated, or Subluxated Silicone Plate Haptic Intraocular LensesChapter 16: Eight Pearls for Challenging Cases in Cataract ExtractionRichard Mackool, MD 63. Capsular Dyes64. The Runaway Rhexis65. Pseudoexfoliation Quandary66. The Shallow Anterior Chamber67. Infusion Misdirection Syndrome68. Techniques for Reattachment of Descemet''s Membrane69. Upright Phacoemulsification70.
Intraocular Lens Power Calculation after LASIKChapter 17: Five Pearls in Limbal Stem Cell TransplantationKimberly C. Sippel, MD and C. Stephen Foster, MD, FACS 71. Correctly Identify Limbal Stem Cell Deficiency72. Optimize the Ocular Surface73. Limbal Stem Cell Autografting: Make Sure the Contralateral Eye is Normal74. Limbal Stem Cell Allografting: Human Leukocyte Antigen Typing and Postsurgical Immunosuppression75. Combining Limbal Stem Cell Transplantation and Corneal Grafting: At the Same Time or Spaced Apart? Chapter 18: Two Pearls for Successful Pterygium ExcisionTushar Agarwal, MD; Namrata Sharma, MD; and Rasik B.
Vajpayee, MS, FRCSEd 76. Mitomycin C: Pros and Cons77. Cosmetic Autografts with Fibrin Tissue GlueChapter 19: Three Pearls in Amniotic Membrane TransplantationKimberly C. Sippel, MD and C. Stephen Foster, MD, FACS 78. Amniotic Membrane Transplantation: When Would One Consider Using It?79. Amniotic Membrane Transplantation: Where Does One Obtain Amniotic Membrane?80. Inlay or Overlay?Chapter 20: Three Pearls for Suturing Corneal Incisions and LacerationsRoberto Pineda II, MD 81.
Head On or Shelve It82. The Compression Factor and Wound Override83. The Sutureless Repair of Corneal LacerationsChapter 21: Three Pearls in Successful Application of Cyanoacrylate Glue to the CorneaJonathan D. Primack, MD 84. Indications: To Glue or Not to Glue?85. Gluing Tips and Avoiding Sticky Situations86. Maintenance of Glue on the Ocular SurfaceChapter 22: Six Pearls in Challenging Corneal SurgeryEsen K. Akpek, MD; Rana Altan-Yaycioglu, MD; and Walter J.
Stark, MD 87. The Neurotrophic Cornea88. The Vascularized Cornea89. Enhancing Regrafting Success90. Epithelial Downgrowth91. Contralateral Corneas in Monocular Patients (Autokeratoplasty)92. Lamellar KeratoplastyChapter 23: Three Pearls to Minimize Postkeratoplasty AstigmatismTushar Agarwal, MD; Namrata Sharma, MD; Rasik B.Vajpayee, MS, FRCSEd; and Samir A.
Melki, MD, PhD 93. Better Choices in Graft Size 94. Avoid Oval Trephination 95. Running Versus Interrupted Sutures Chapter 24: Three Pearls in Managing Posterior Vitreous Pressure During Penetrating KeratoplastySadeer B. Hannush, MD 96. Avoid Posterior Vitreous Pressure: Using Physics to Your Advantage97. Closed Chamber or Open-Sky Phaco-Assisted Cataract Extraction98. Vitrectomy in KeratoplastyChapter 25: Three Pearls in Posterior KeratoplastyTae-Young Chung, MD and Dimitri T.
Azar, MD 99. Femtosecond Laser-Assisted Small Incision Deep Lamellar Endothelial Keratoplasty100. Descemet''s Stripping and Transplantation of Endothelium (Melles and Price Techniques)101. Microkeratome-Assisted Posterior KeratoplastyIndex.