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Due to the ageing population, the need for cataract surgery is increasing very steeply in line with demographic change. Cataract surgery is a highly successful and cost-effective intervention, but the implantation of conventional monofocal intraocular lenses (IOLs) only allows a restoration of distance vision, with minimal postoperative functionality of near and intermediate vision, which are necessary for many common daily tasks. Although the removal of the opacified crystalline lens has been demonstrated to have a very positive impact on the mental health, daily functioning, and Quality of Life (QoL) of patients, it is not surprising that the poor visual restoration achieved with conventional monofocal IOLs at different near and intermediate distances might limit patient functioning and consequently QoL, considering changing lifestyles and increased working years. Therefore, this has led to a growing interest toward IOLs that may also reduce spectacle dependence for intermediate and near distances.
The ability to see deeply affects how human beings perceive and interpret the world around them. For most people, eyesight is part of everyday communication, social activities, educational and professional pursuits, the care of others, and the maintenance of personal health, independence, and mobility. Functioning eyes and vision system can reduce an adult's risk of chronic health conditions, death, falls and injuries, social isolation, depression, and other psychological problems. In children, properly maintained eye and vision health contributes to a child's social development, academic achievement, and better health across the lifespan. The public generally recognizes its reliance on sight and fears its loss, but emphasis on eye and vision health, in general, has not been integrated into daily life to the same extent as other health promotion activities, such as teeth brushing; hand washing; physical and mental exercise; and various injury prevention behaviors. A larger population health approach is needed to engage a wide range of stakeholders in coordinated efforts that can sustain the scope of behavior change. The shaping of socioeconomic environments can eventually lead to new social norms that promote eye and vision health. Making Eye Health a Population Health Imperative: Vision for Tomorrow proposes a new population-centered framework to guide action and coordination among various, and sometimes competing, stakeholders in pursuit of improved eye and vision health and health equity in the United States. Building on the momentum of previous public health efforts, this report also introduces a model for action that highlights different levels of prevention activities across a range of stakeholders and provides specific examples of how population health strategies can be translated into cohesive areas for action at federal, state, and local levels.
A concise review and comprehensive guide to improving cataract surgery outcomes Significant advances have been made in refractive surgery in the last decade. Eye surgeons today can leverage many cutting-edge intraocular lens (IOL) technologies such as multifocal, extended depth of field, toric, accommodating, and aspheric. Concurrent innovations including optics, phacoemulsification, superior keratometry and biometry, and posterior cornea evaluation have resulted in improved cataract surgery outcomes. Recent advances in the diagnosis and treatment of cataracts have dramatically improved patient satisfaction following cataract surgery, yet common and rare complications still occur such as dry eye, endophthalmitis, and retinal detachment. Furthermore, only 80% of cataract surgery procedures bring patients to within 0.5 diopters of their needed refraction. Optimizing Suboptimal Results Following Cataract Surgery: Refractive and Non-Refractive Management presents the latest techniques for achieving optimal results and overcoming complications in cataract surgery. Internationally renowned ophthalmic surgery pioneers Priya Narang and William Trattler have created an unparalleled guide to overcoming complex cases and residual refractive errors. The book starts with six chapters on suboptimal causes and considerations, followed by dedicated sections covering refractive and non-refractive enhancements. The fourth section features chapters on keratoconus, cystoid macular edema, endophthalmitis, toxic anterior segment syndrome, and vitritis, as well as intraoperative aberrometry, futuristic approaches and advancements, and telescopic IOLs. Key Highlights Refractive enhancement procedures including corneal-based procedures such as astigmatic keratotomy, LASIK, PRK, and SMILE; IOL exchange; piggyback IOL; toric IOL; and premium IOLs and associated problems Nonrefractive enhancement procedures including dysphotopsias and surgical management, bullous keratopathy and endothelial keratoplasty, complex IOL issues such as malpositioned IOL and capsular bag, and posterior capsular rupture and IOL lens implantation Practical tips and steps to prevent and manage undesired outcomes 30 surgical videos posted online highlight a diverse array of complex cases and technical advances to help prevent suboptimal results Ophthalmologists, ophthalmology residents, fellows, and subspecialists will greatly benefit from the significant pearls and knowledge presented in this indispensable cataract surgery resource.
This book presents a comprehensive treatise on community ophthalmology principles and practices for countries with developing and emerging economies. It is replete with chapters on basic epidemiology, health economics, basic statistics and lays the foundation of the global eye health-care programs with skills for community-based epidemiological projects in eye care. With extensive experience in conducting various epidemiological surveys funded by the Ministry of Health, WHO, Indian Council of Medical Research, etc., the editors provide practical knowledge to ophthalmologists, public health specialists, physician-scientists, researchers, eye care program managers, optometrists, and academicians involved in community ophthalmology operational studies. Key Features: • Presents a single platform for knowing everything about community ophthalmology from statistics and epidemiology to financing in an easy and succinct manner. • Serves as a robust resource and an advanced teaching tool for medical professionals. • Includes well-illustrated, succinct chapters for better understanding of various aspects of public health in eye care. • Provides tips and tricks for dealing with both expected and unexpected situations while conducting epidemiological research and data collection in the field.
The Report for the 2030 targets on effective coverage of eye care intends to serve as a reference point to commence monitoring progress towards the 2030 global targets that were endorsed by Member States at the 74th World Health Assembly. This report draws on key results from a comprehensive analysis of population-based eye health surveys and includes estimates of effective cataract surgery coverage (eCSC) and effective refractive error coverage (eREC) at the global level, by WHO region, sex and World Bank income level, and the relative quality gap (that is, the percentage difference between ‘effective coverage’ and ‘coverage’). It also serves to highlight key gaps in current data and presents suggestions for additional efforts required to advance the monitoring, policies and programmes for increasing the coverage of eye care interventions.
The first clinical application of the phacoemulsification cataract surgical technique (often referred to as “phaco”) was introduced in 1967 by Dr. Charles Kelman. This innovation is a big step forward for cataract surgery. With the development of intraocular lens (IOL) design, more and more premium presbyopia- and astigmatism-correction IOLs are being used in clinics. This progress has greatly improved the visual quality of cataract patients. This book discusses the basic surgical skills required to perform this procedure, premium IOL surgical design, specific surgical plans for clinically challenging cases, and more. It provides readers with a comprehensive knowledge of the current state of the art of cataract surgery and surgical design.
Immediately Sequential Bilateral Cataract Surgery (ISBCS): Global History and Methodology is a comprehensive guide for the safe and efficient performance of ISBCS. It provides an overview of the history, recommended protocols, necessary precautions, exclusion criteria, benefits and risks associated with this procedure, organizational standards, and more. Written by the most prominent ISBCS surgeons in the world, chapters recount the arguments for and against bilateral surgery that have been made throughout the ages, up to the present, and deliver achieved and proposed resolutions to all problems discussed. Topics such as ethics and medico-legal issues surrounding ISBCS are also discussed, and a chapter on the global evolution of bilateral cataract surgery provides readers with a complete overview of the development of ISBCS practices in countries from all continents. - Provides a comprehensive history and current status of ISBCS globally - Provides step-by-step recommendations and precautions necessary to perform ISBCS safely, including detailed discussion of surgical infection prophylaxis with antibiotics delivered into the eye at surgery - Reviews and explains the patient benefits associated with ISBCS - Covers development of ISBCS practices worldwide
A number of structures contribute to tear production and maintenance, including the tear system, the lids and the orbit. The ocular surface itself is also a part of the system, including the cornea and conjunctiva. This makes for a very complex situation that can easily lead to changes in tear film and the ocular surface that are called "dry eye." Here a team of experts carefully examine how and when surgery is indicated, addressing normal tear film, normal anatomy (including immunological interactions), classification and diagnosis, anti-inflammatory and immnunosup-pressive concepts, correction and drainage techniques, surgery of the conjunctiva and cornea, keratoprosthesis surgery, botulism toxin injections, mucous membrane grafting, and salivary gland transplantation along with other treatments. The collection closed with a set of scientific studies. The color and monochrome clinical photographs and line illustrations are especially well-chosen and informative.
This volume presents the latest trends in the management of pediatric cataract. It covers everything from the role of genetic and systemic work-up to the state of the art in surgery. Discussions include ocular modifications after surgery, the incidence and risk factors of post-surgery complications, and the management of complex cases. There is a chapter dedicated to post-aphakic glaucoma, a new insight to visual rehabilitation, and a summary of a recently published Delphi project. Pediatric ophthalmologists looking for the latest research in the management of cataract will find this publication to be invaluable reading. It will also be useful to general ophthalmologists, residents, and fellows, as well as to medical students and pediatricians who seek an update for daily clinical practice.
The book is provided open access under a CC BY 4.0 license. This book covers all aspects of minimally invasive glaucoma surgery (MIGS) and provides detailed information on each MIGS device, including its mechanism of action; patient selection; implantation techniques; post-operative management; and a review of the existing literature. Step-by-step descriptions are provided for the surgical technique used in implanting each MIGS device, accompanied by clear photographs of each surgical stage. Other areas covered include intra-operative gonioscopy (with tips on optimising the view of the anterior chamber angle) and the management of the intra-operative and post-operative complications. Essential information on the anatomy and physiology of the different aqueous outflow pathways is also included. A separate chapter addresses the introduction of MIGS globally, including the consideration of different reimbursement environments and the different types of glaucoma, e.g. angle closure glaucoma. This book will assist both glaucoma surgeons and general ophthalmologists in overcoming the learning curve involved in performed MIGS, by providing valuable and practical clinical pearls.