Clinical Outcomes and Quality of Care in Refractive Surgery
| Author | : Steven C. Schallhorn |
| Publisher | : |
| Total Pages | : 45 |
| Release | : 2009 |
| Genre | : |
| ISBN | : |
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Clinical Outcomes And Quality Of Care In Refractive Surgery
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Making Eye Health a Population Health Imperative
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 587 |
| Release | : 2017-01-15 |
| Genre | : Medical |
| ISBN | : 0309439981 |
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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.
Current Concepts in Refractive Surgery
| Author | : Jeewan S Titiyal |
| Publisher | : Jaypee Brothers Medical Publishers |
| Total Pages | : 267 |
| Release | : 2021-10-30 |
| Genre | : Medical |
| ISBN | : 9354652131 |
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Refractive surgery is eye surgery to improve the refractive state of the eye and reduce or eliminate the need for glasses or contact lenses. The most common type of refractive surgery uses lasers to reshape the curvature of the cornea. This book is a practical guide to the latest advances in refractive surgery procedures. Beginning with an introduction to the evolution of refractive surgery, the next section discusses pre-operative workup, patient evaluation, and decision making. The following sections cover different refractive procedures including corneal ablative, refractive lenticule extraction, lens-based surgeries, enhancements and retreatments, and presbyopia (a condition associated with aging). The final section covers a selection of miscellaneous topics such as bioptics, collagen cross-linking, intracorneal ring segments, incisional surgery, and challenging scenarios. Each section is highly illustrated and provides in depth detail on machines and laser platforms, surgical techniques, outcomes, and potential complications and their management. Key points Practical guide to latest advances in refractive surgery Covers numerous different procedures In depth detail on techniques, outcomes, equipment and complications Highly illustrated with clinical photographs and figures
Refractive Surgery E-Book
| Author | : Dimitri T. Azar |
| Publisher | : Elsevier Health Sciences |
| Total Pages | : 608 |
| Release | : 2019-01-09 |
| Genre | : Medical |
| ISBN | : 0323551165 |
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Comprehensive and clinically focused, Refractive Surgery, 3rd Edition, brings you the knowledge and expertise of leading ophthalmology experts and refractive surgeons from around the world. Together they provide practical coverage of the latest advances in this fast-changing field, including improved optics and biomechanics, improved diagnostics, new surgical techniques, and more. Hundreds of high-quality photographs guide you from patient selection to mastery of surgical techniques. Offers step-by-step guidance on a wide range of common refractive procedures. Covers new topics such as management of LASIK complications; SMILE and management of SMILE complications; collagen cross-linking, including instrumentation and applications in keratoconus and ectasia; intracorneal lenses; and multifocal and accommodating IOLs. Contains a new chapter on Preoperative Evaluation of Keratoconus and Ectasia. Uses high-quality surgical video clips to demonstrate a variety of surgical techniques. Addresses initial as well as ongoing management of patients. Includes tables of indications, preferences, hot tips, and management of complications throughout, making guidance quick and easy to access.
The Outcomes of Refractive Eye Surgery
| Author | : Colm McAlinden |
| Publisher | : |
| Total Pages | : |
| Release | : 2010 |
| Genre | : |
| ISBN | : |
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Introduction: This PhO study investigates finite objective and subjective clinical outcomes of refractive surgery. Methods: A series of studies was conducted to investigate laser retreatment procedures, a comparison between the OPO-Scan and WaveScan aberrometers, a comparison of aberrometry changes following laser in situ keratomileusis (LASIK) and laser-assisted subepithelial keratectomy (LASEK), internal aberration changes following LASIK, the development of a quality of vision (OoV) questionnaire and the refractive outcomes of the SCHWINO Amaris excimer laser. Results: Good visual and refractive outcomes were found with LASEK retreatment and a high incidence (23%) of epithelial ingrowth occurred following flap-lift LASIK retreatments. In the comparison between the OPO-Scan and WaveScan, medium consistency was found for aberrations z;' and z~ with poor consistency for all other aberrations. In the comparison between LASIK and LASEK, both procedures caused increases to spherical aberration with LASIK additionally causing increases to two fourth-order aberrations and LASEK causing increases to two fifth-order aberrations. Investigations into internal aberrations found LASIK increased internal spherical aberration which attenuated the increase in anterior corneal spherical aberration. A OoV questionnaire was successfully developed utilising Rasch analysis demonstrating good precision, reliability, and internal consistency with good construct validity and test-retest reliability. The SCHWINO Amaris was found to be effective for the treatment of a range of refractive errors. Conclusion: Significant clinical finding were found for laser retreatments and primary treatments with two different laser systems. Aberrations were found to be poorly correlated with the OPO-Scan and the WaveScan. An effective OoV questionnaire was developed which may be used in prospective clinical and research studies."
The Art of Refractive Surgery
| Author | : Sudarshan Khokhar |
| Publisher | : Thieme |
| Total Pages | : 412 |
| Release | : 2022-09-25 |
| Genre | : Medical |
| ISBN | : 9392819927 |
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The Art of Refractive Surgery aims at providing a simplified and step-wise approach to ophthalmologists for planning and performing various refractive surgeries including corneal, lenticular, or combined approaches. Refractive surgery is extremely challenging as suboptimal outcomes are unacceptable. This field has seen huge developments in the recent years with advancements in investigative modalities, better laser delivery systems, wider range of options of refractive surgeries, and improved eye-tracking devices. However, the selection of ideal surgery for every patient remains a challenge and a thorough understanding of basic concepts can aid in decision-making. The Art of Refractive Surgery deals with these basic concepts, and provides certain surgical and planning tips, which have been derived through years of experience. Key Features: Interactive style of the narrative ideal for refractive surgeons, ophthalmologists, fellows, and residents who wish to update their refractive surgery knowledge Practical examples with individual case-based approach for planning, decision-making and surgical management in a variety of scenarios Extensive review of literature and includes the latest meta-analysis and clinical studies Numerous illustrations and simple language to elucidate complex refractive situations Surgical videos explaining each refractive surgery step-wise for deeper understanding
Report of the 2030 targets on effective coverage of eye care
| Author | : World Health Organization |
| Publisher | : World Health Organization |
| Total Pages | : 48 |
| Release | : 2022-10-12 |
| Genre | : Medical |
| ISBN | : 9240058001 |
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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 Assessment of Postoperative Refractive Surgery Patients in Clinical Research
| Author | : Melissa D. Bailey |
| Publisher | : |
| Total Pages | : |
| Release | : 2004 |
| Genre | : Eye |
| ISBN | : |
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Abstract: We examined existing data from Food and Drug Administration (FDA) clinical trials for approved ophthalmic lasers to determine if trends for improvement in outcomes occurred with changes in laser technology. The repeatability of autorefraction measurements, visual acuity measurements, and the National Eye Institute Refractive Error Quality of Life (NEI-RQL-42) Questionnaire was evaluated in laser in situ keratomileusis (LASIK) patients. We also compared the performance of the NEI-RQL-42 to another survey for refractive surgery patients to see if similar results were obtained when subjects completed the surveys simultaneously. Finally, we evaluated patient survey responses and opinions of eye care practitioners to provide direction for generating hypotheses for future research studies. We found that cycloplegic autorefraction measurements with the Grand Seiko autorefractor were repeatable and agreed well with subjective refraction. The NEI-RQL-42 was determined to have an acceptable level of repeatability and produced results that were similar to other studies that tested refractive surgery patients. Measurements of low-contrast visual acuity under various lighting conditions were also found to have acceptable levels of repeatability, and 5% contrast visual acuity appears to be sensitive to differences between LASIK and non-LASIK patients. When evaluating reasons why patients would recommend LASIK to others, we determined that the primary reason was to eliminate the need for glasses and/or contact lenses. Focus group sessions with eye care practitioners revealed that practitioners would like to have more information about the relationship between patient personality and psychological issues and satisfaction with the results of the procedure. The eye care practitioners defined a successful LASIK procedure as one in which the patients had good uncorrected visual acuity, refractive error within " 0.50 D of the intended correction, and no new or increase in night vision or dry eye symptoms. Future studies in corneal refractive surgery patients should be able to use the measurement techniques evaluated in these studies to answer the following two research questions: What factors are associated with the dependence on glasses and/or contact lenses five years after LASIK, and what psychological factors are associated with the patient's view of a LASIK procedure?
Quality of Vision
| Author | : Jack T. Holladay |
| Publisher | : SLACK Incorporated |
| Total Pages | : 164 |
| Release | : 2007 |
| Genre | : Eye |
| ISBN | : 9781556428012 |
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Good vision is more than 20/20 on a Snellen visual acuity chart. The modern ophthalmologist understands that contrast sensitivity, near and distance vision, performance under light and dark conditions, and the brain's interpretation of input from the sensory apparatus, are all important elements in patients' quality of vision. In Quality of Vision: Essential Optics for the Ophthalmic Surgeon, ophthalmologist and optics expert Dr. Jack T. Holladay explores the elements of vision that lie beyond Snellen testing. He explains the Quality of Vision addresses: - Measuring and treating astigmatism in corneal and IOL surgery - The importance of correcting spherical aberration in cataract and refractive surgery - IOL calculations after refractive surgery - Promising approaches to the correction of presbyopia - Other practical topics the clinician can use every day Recognized as the leader in ophthalmic optics, Dr. Holladay incorporates practical aspects of daily practice into each chapter as he expertly explains the scientific principles, mathematical formulas, and theories behind these important issues. Additionally, Quality of Vision includes numerous color illustrations to provide visual representations of the text's key points. Dr. Holladay discusses what's on everyone's mind: - How to take the best measurements and perform the best calculations to ensure good outcomes in cataract and refractive surgery - How neural adaptation can improve outcomes - How today's excimer laser systems deliver excellent optical correction, and why tomorrow's systems will perform even better Quality of Vision: Essential Optics for the Ophthalmic Surgeon is the most complete and practical reference for ophthalmologists looking to increase their understanding of optical physics and their ability to deliver good vision to their patients after cataract and refractive surgery.
Optimizing Suboptimal Results Following Cataract Surgery
| Author | : Priya Narang |
| Publisher | : Thieme |
| Total Pages | : 323 |
| Release | : 2018-10-22 |
| Genre | : Medical |
| ISBN | : 1626238960 |
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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 includes complimentary access to a digital copy on https://medone.thieme.com.
