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Deep anterior lamellar keratoplasty (DALK) is the mainstay of treatment for corneal pathologies sparing the endothelium. This lamellar surgery has undergone a revolution in the past decades. Various techniques and their modifications have been described to make it safe and reproducible so that it can be performed not only by experts but also the novice corneal transplant surgeons. This book describes the evolution of DALK, indications, preoperative evaluation, the various methods of performing DALK and the postoperative outcomes. The issues related to procurement of donor corneas for such cases are discussed. The "different strokes" in DALK include the conventional Melles and the "Big bubble" technique and also the newer modifications such as "Double bubble" technique, cannula assisted DALK, groove and peel technique as well as diamond blade-guided DALK. The different types of modifications presented by eminent lamellar corneal transplant surgeons from all over the world, in this book are an endeavor to make DALK feasible by all corneal transplant surgeons.
Due to its instantaneous and visible results for patients both anatomically and visually, anterior lamellar keratoplasty is a field of great interest to corneal surgeons. Newer techniques of DALK, femtosecond assisted DALK, TILK, and more have inherent advantages that make them supersede older techniques of keratoplasty by far. Mastering DALK: A Video Textbook on Deep Anterior Lamellar Keratoplasty by Dr. Soosan Jacob combines the practical explanation of written text with the dynamic demonstration of surgical videos. From pre-operative to post-operative patient management and every surgical technique in between, this unique book and its included video website is a complete education on DALK. This includes the history and basics of lamellar keratoplasty, as well as tutorials on various surgical techniques currently in use, advice for complex situations, and management of possible complications. Each chapter includes high-quality photographs and illustrations and is paired with videos on the accompanying website to demonstrate techniques and provide step-by-step instructions. The surgeries in these videos are performed and narrated by the same team of leading international experts who have also written all of the clinical tips, tricks, and pearls of wisdom throughout the book. Some videos include: Retrieving the Lost Bubble DALK Surgery with Type 1 Big Bubble Groove Peel DALK Femtosecond Laser Assisted DALK SMILE Away a Dermoid Any surgeon looking to add anterior lamellar keratoplasty to their practice will appreciate the digestible nature of Mastering DALK: A Video Textbook on Deep Anterior Lamellar Keratoplasty, which provides both the crucial detail of a book and the irreplaceable value of visual demonstration.
As a degenerative disorder of the eye, keratoconus can cause substantial distortion of vision, with multiple images, streaking, and sensitivity to light all reported by patients. Keratoconus: Recent Advances in Diagnosis and Treatment updates ophthalmologists about the innovations that have occurred within the last decade, discussing the diagnostic imaging techniques that have been developed for keratoconus diagnosis, understanding of how examination techniques are related to the evolution of keratoconus, and how to indicate the different therapeutic tools that have been created for keratoconus over the last several years. Additionally, fundamentals for new diagnostic elements, based on the mathematical, physical and biomechanical data are analyzed in depth for a better understanding of the essential diagnostic steps for the clinician to guide patients towards the most adequate therapeutic tool in the case. Modern keratoplasty techniques, assisted by femtosecond lasers or other devices, are also covered and these techniques, along with the emerging conservative treatments, have added to more precise control of the evolution of the disease.
This book provides a practical guide to the most recent advances in the diagnostic management of corneal ectasia. Clear, concise chapters address new standardized nomograms of treatment of early progressive ectasia, new epithelium on future crosslinking with and without oxygen supplement, customized protocols, laser assisted corneal regularization protocols and the new femtolaser assisted lamellar corneal transplant. Clinicians and surgeons seeking a go-to guide on the topic of corneal ectasia will find this book to be an essential resource for the latest developments and predicted future trends in the field.
Offering practical clinical guidance for early diagnosis and effective management, Keratoconus: Diagnosis and Management is a concise, easy-to-read guide to help mitigate loss of vision in patients in a way that does not interfere with quality of life. From early diagnosis and intervention through the most up-to-date treatment and surgical approaches, this consolidated reference covers the essential information needed by cornea fellows and specialists, general ophthalmologists, residents, and optometrists. Provides expert, step-by-step guidance and real-world perspectives from global contributors in the field. Covers the latest advances in cornea transplantation, corneal collagen cross-linking (CXL) in adult and pediatric patients, intrastromal corneal rings, intraocular lenses, corneal regeneration, and laser surgery. Includes quick-reference boxes throughout highlighting essential clinical facts, pitfalls, potential complications, and clinical guidelines. Presents real-world case studies of actual patient scenarios from early to advanced disease states. Features high-quality imaging for keratoconus at various stages, including OCT, Brillouin scanning microscopy, Scheimpflug and combined Placido and Scheimpflug, combined Placido and AS-OCT, clinical and surgical photos, and more.
Keratoconus is a progressive disease of the cornea which can lead to blindness as irregular astigmatism increases. The study of the ectasic diseases of the cornea has evolved considerably in the last several years and this has brought new tools for the keratoconus diagnosis and treatment. A better understanding of treatment options can enhance visual rehabilitation and prevent blindness in these patients. This book provides the reader deeply and updated information on keratoconus treatment. Written by experts from worldwide, the book presents clinical, genetic, metabolic and biomechanical aspects in the development of the disease, the proper intervention time, the imaging tests used for diagnosis and keratoconus monitoring, as well as details on new surgical procedures (as contact lenses and laser technologies) using modern methods with wide technological application. Two pioneers in the keratoconus treatment bring their valuable contribution in specific chapters. Ophthalmologists will find a practical and useful approach of new technologies to get the best results for their patients. This book will really impact changes in the therapeutic conduct of corneal surgeons.
The book covers various aspects of the management of keratoconus, which is a leading cause of visual impairment in young adults. It focuses on the epidemiology and risk factors of keratoconus with a special focus on Southeast Asia. Keratoconus affects the quality of vision, thereby affecting the quality of life. While most patients present with defective vision, many are diagnosed accidentally during screening for refractive surgery. The book covers the varied epidemiology of keratoconus across different parts of the world. It discusses many systemic and ocular diseases associated with keratoconus. The book covers the newer diagnostic techniques and various treatment procedures for keratoconus, helping in diagnosing keratoconus in the early stages and closely watching the progression. It discusses various contact lenses to improve vision quality; widely used collagen crosslinking, and its various modifications for halting the progression. It also explains the surgical approach for keratoconus, such as penetrating keratoplasty, lamellar keratoplasty and other lens-assisted procedures. The book is relevant for general ophthalmologists and cornea specialists.
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