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Cornea and Refractive Surgery

edited by: D.A. Long

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Publication details: Book. 1998. ix and 307 pages. Publication date: 1998-02-19. 114 figures of which 51 in color and 45 tables. Hardbound.

ISBN: 978-90-6299-140-2 (ISBN 10: 90-6299-140-8; Kugler Publications)
This publication is part of the New Orleans Academy of Ophthalmology series
Also available as ebook



From Friday morning, February 21, 1997, through Sunday, February 23, at noon, members and guests of the New Orleans Academy of Ophthalmology heard presentations and discussions of the latest techniques and trends in the study of corneal diseases and surgery, including refractive surgery. This was the subject of the. Forty- Sixth Annual Symposium of the Academy. The speakers comprised a group of eight clinician-surgeons with a wealth of experience and a well-respected talent for innovation in their areas of expertise. From trends in bacterial keratitis to ocular surface disease and healing to the latest opinions on anterior segment reconstruction and refractive surgery, the topics covered were diverse and timely. Especially interesting were the discussions generated by the panelists' presentations and by the question and answer sessions.
The demands placed on the speakers at the Annual Meeting of the New Orleans Academy of Ophthalmology are large and multiple, and probably greater than for most other educational conferences. Each speaker commits to preparing several lectures and usually a panel discussion for presentation, and all speakers are asked to participate in the panel discussions and question and answer periods. The topics are chosen by the program committee, and we sometimes ask speakers to present a subject that is not in their area of research or primary interest. This usually means researching and preparing a completely new lecture. And last, but not least, all speakers commit to preparing chapters and completing panel discussions for this book. And these duties are added to already busy practice and speaking schedules; in fact, the speakers are selected because they have new ideas and useful things to say that everyone wishes to hear. Not all invited speakers are up to the task, but this year we were fortunate that all of our first choices accepted the challenge.
Because of the rapidity of change in both refractive surgery and anterior segment treatment, we have attempted to provide the transactions as rapidly as possible. This urgency has again added more demands on the time and energy of the speakers. And this group of authors has responded admirably to our requests. Because of their efforts the reader can use this publication as an update and as a gauge to his/her present practice guidelines.
I wish to thank all eight speaker/authors for their efforts on behalf of the New Orleans Academy of Ophthalmology and the readers of this publication. The information presented here was put on paper by the authors, but we readers are the ones who benefit. In addition, they have added to a forty-year tradition of publications by the New Orleans Academy of Ophthalmology. I hope that readers consider this book as timely and as useful as previous issues of the Transactions.
I also wish to thank Monica L. Monica, MD, President of the NOAO, and the Executive Committee for supporting the program and this publication. As always, a considerable amount of time and effort came from Emily Busby, executive secretary of the NOAO, and my thanks go to her, as well. Lastly, Marguerite McDonald, MD, deserves much credit in the organization of the meeting and the program. Her knowledge and experience were truly indispensable.

Daniel A. Long, MD

Table of Contents

Table of Contents



Corneal innervation and provision of anesthesia for ocular surgeries
Terrence P. O'Brien

Corneal healing problems
Jeffrey P. Gilbard

Phototherapeutic keratectomy update
Walter J. Stark

Management of bacterial keratitis
Terrence P. O'Brien

Wound healing in the cornea: the dawn of a new era?
Steven E. Wilson

Questions and Answers
Clifford Hendricks (Moderator)

Recent advances in corneal transplantation
M. Farooq Ashraf, Elizabeth A. Davis and Walter J. Stark

Effect of suture techniques on corneal transplant astigmatism and refractive errors
Perry S. Binder

Panel discussion - PKP astigmatism management
Perry S. Binder (Moderator)

Panel discussion - Management of postoperative keratoplasty problems
Walter J. Stark (Moderator)

Questions and Answers
Bruce Barron (Moderator)

Dry eye
Jeffrey P. Gilbard

Harbingers of death: peripheral corneal inflammatory disorders
Steven E. Wilson and David M. Meisler

Panel discussion - Pterygium - management of mild, moderate, and severe ones
Jeffrey P. Gilbard (Moderator)

Panel discussion - Corneal spots - cases, work-up, management
Terrence P. O'Brien (Moderator)

Questions and Answers
Ellen Schneider (Moderator)


Current status of excimer laser photorefractive surgery for myopia
Perry S. Binder

Radial keratotomy - best techniques today
Richard L. Lindstrom

Panel discussion - Radial keratotomy and astigmatic keratotomy - what if things go wrong?
Terrence P. O'Brien (Moderator)

A comparison of current instrumentation for lamellar refractive surgery
Perry S. Binder and Robert W. Lambert

Panel discussion - How good is ALK? Should it be done?
Steven E. Wilson (Moderator)

Laser in situ keratomileusis
Richard L. Lindstrom

Astigmatism surgery - non-incisional techniques and asymmetric astigmatism
Arturo S. Chayet

Astigmatism surgery - incisional procedures
Richard L. Lindstrom

Questions and Answers
Miles Friedlander (Moderator)

Photorefractive keratectomy for hyperopia and astigmatism
Arturo S. Chayet

Clear lensectomy and intraocular lens implantation in high hyperopia
Dimitrios S. Siganos and Ioannis G. Pallikaris

Panel discussion - Management of overcorrections
Arturo, S. Chayet (Moderator)

A new optical effect of arcuate keratomy - treatment of small or decentered excimer laser ablation zones
Ioannis G. Pallikaris and Dimitrios S. Siganos

Refractive surgical correction using ICR technology
Arturo S. Chayet and the ICR Study Group

Panel discussion - Decisions in RK, ALK, PRK, LASIK - which procedure for which patients?
Steven E. Wilson (Moderator)

Intraocular lens implants for presbyopia
Richard L. Lindstrom

Advances in computerized corneal topographic analysis? Where's the beef?
Steven E. Wilson and Stephen D. Klyce

Cataract surgery incisions and their refractive implications
Richard L. Lindstrom

Index of authors

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