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This book describes community ophthalmology professionals in South Asia who demonstrate social entrepreneurship in global health to help the rural poor. Their innovations contested economic and scientific norms, and spread from India and Nepal outwards to other countries in Africa and Asia, as well as the United States, Australia, and Finland. This feminist postcolonial global ethnography illustrates how these innovations have resulted in dual socio-technical systems to solve the problem of avoidable blindness. Policymakers and activists might use this example of how to avoid Schumacher's critique of low labor, large scale and implement Gandhi's philosophy of good for all.
This is a comprehensive, practical guidebook that provides a clear overview and update of current modern techniques of ocular surgery. The chapters will be of interest to a wide audience. The chapters are written by experts with special interest and extensive clinical experience in the topics.
This open access book provides a comprehensive overview of the application of the newest laser and microscope/ophthalmoscope technology in the field of high resolution imaging in microscopy and ophthalmology. Starting by describing High-Resolution 3D Light Microscopy with STED and RESOLFT, the book goes on to cover retinal and anterior segment imaging and image-guided treatment and also discusses the development of adaptive optics in vision science and ophthalmology. Using an interdisciplinary approach, the reader will learn about the latest developments and most up to date technology in the field and how these translate to a medical setting. High Resolution Imaging in Microscopy and Ophthalmology – New Frontiers in Biomedical Optics has been written by leading experts in the field and offers insights on engineering, biology, and medicine, thus being a valuable addition for scientists, engineers, and clinicians with technical and medical interest who would like to understand the equipment, the applications and the medical/biological background. Lastly, this book is dedicated to the memory of Dr. Gerhard Zinser, co-founder of Heidelberg Engineering GmbH, a scientist, a husband, a brother, a colleague, and a friend.
This book, in a concise format, explains how to perform manual small incision cataract surgery. The procedure is broken down into the chief elements and described in a step by step manner. Besides the description of the procedure, the book covers indications, necessary supplies, preparation, complication management, and postoperative care. The authors are experts from around the world, and the book will be of value both for surgeons new to this technique and for experienced surgeons who need a review of the procedure. While phacoemulsification surgery has now become the standard of care, understanding how to perform manual extracapsular cataract extractions competently is crucial when faced with complications during phacoemulsification surgery, when operating in a region of the world without access to phacoemulsification or femtosecond lasers, or when a manual approach may be a better choice for the patient.
New cataract removal techniques, anesthesia and viscoelastic substances, and the implantation of modern intraocular lenses are essential topics in the fast developing field of ophthalmic surgery. This publication provides a comprehensive update discussing these items thoroughly. Special emphasis is given to the management of mature cataract and phacoemulsification in the vitreous cavity. Intraocular lens calculation is highlighted by optical coherence biometry, in particular, the measurements to increase the predictability of intraocular lens implantation. Implantation techniques, incision architecture and wound construction as well as Scheimpflug-photography of foldable intraocular lenses and the prevention of PCO (posterior capsular opacification) are covered. The last two articles emphasize the implantation of special intraocular lenses including piggyback intraocular lens and multifocal intraocular lens implantation. Anterior eye segment surgeons looking for an update on modern cataract surgery will find a wealth of timely information on new techniques and results in small incision cataract surgery in this publication.
Presents advances in phacoemulsification instruments and techniques; covers a full range of key topics including anesthesia, management of pediatric cataracts, intraocular lenses, and lasers; reflects knowledge in pathogenesis and biochemistry; and discusses the use of sutures and suture materials in complex secondary 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
Health-Care Solutions from a Distant Shore Health care in the United States and other nations is on a collision course with patient needs and economic reality. For more than a decade, leading thinkers, including Michael Porter and Clayton Christensen, have argued passionately for value-based health-care reform: replacing delivery based on volume and fee-for-service with competition based on value, as measured by patient outcomes per dollar spent. Though still a pipe dream here in the United States, this kind of value-based competition is already a reality--in India. Facing a giant population of poor, underserved people and a severe shortage of skills and capacity, some resourceful private enterprises have found a way to deliver high-quality health care, at ultra-low prices, to all patients who need it. This book shows how the innovations developed by these Indian exemplars are already being practiced by some far-sighted US providers--reversing the typical flow of innovation in the world. Govindarajan and Ramamurti, experts in the phenomenon of reverse innovation, reveal four pathways being used by health-care organizations in the United States to apply Indian-style principles to attack the exorbitant costs, uneven quality, and incomplete access to health care. With rich stories and detailed accounts of medical professionals who are putting these ideas into practice, this book shows how value-based delivery can be made to work in the United States. This "bottom-up" change doesn't require a grand plan out of Washington, DC, agreement between entrenched political parties, or coordination among all players in the health-care system. It needs entrepreneurs with innovative ideas about delivering value to patients. Reverse innovation has worked in other industries. We need it now in health care.