{"title":"Choice of Anaesthesia","authors":"Richard M.H. Lee, T. Eke","doi":"10.1007/978-3-030-38234-6_4","DOIUrl":"https://doi.org/10.1007/978-3-030-38234-6_4","url":null,"abstract":"","PeriodicalId":15233,"journal":{"name":"Journal of Cataract & Refractive Surgery","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80068438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Timing of Cataract Surgery","authors":"A. Vasquez-Perez, Christopher Liu, J. Sparrow","doi":"10.1007/978-3-030-38234-6_2","DOIUrl":"https://doi.org/10.1007/978-3-030-38234-6_2","url":null,"abstract":"","PeriodicalId":15233,"journal":{"name":"Journal of Cataract & Refractive Surgery","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79191246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk Stratification","authors":"Ahmed Shalaby Bardan, Christopher Liu, J. Sparrow","doi":"10.1007/978-3-030-38234-6_3","DOIUrl":"https://doi.org/10.1007/978-3-030-38234-6_3","url":null,"abstract":"","PeriodicalId":15233,"journal":{"name":"Journal of Cataract & Refractive Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89789100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"March consultation #5","authors":"José F Alfonso","doi":"10.1097/01.j.jcrs.0000681496.41201.96","DOIUrl":"https://doi.org/10.1097/01.j.jcrs.0000681496.41201.96","url":null,"abstract":"and some 20 degrees rotated, cylinder change. Figure 2 may be interpreted as a slight decentration superiorly, an estimate of up to 0.5 mm superior decentration, but this is difficult to confirm from sagittal curvature without preoperative topography. Preoperative topographies and local curvature maps would be helpful and perhaps particularly relevant for the 1-year measured refraction. In my opinion, the overcorrection might be due to overplanning. My recommendation for correction is anterior segment optical coherence tomography and detailed diagnostic evaluations. But one could check whether a simple +1.50 D reaches good VA, as well as comparing the CDVA and quality of vision for +2.25 D 0. 25D × 8 with +2.50 D 1.25 D × 140. Placing a rigid gas-permeable contact lens in the left eye to see if quality of vision improves can help determine if corneal wavefront-guided (CWFG) ablation is required. If CWFG ablation is required, the residual hyperopia can be treated either with CWFG or aberration-free ablation after determining a refraction closer to that predicted by topography. An optical zone of 6.7 mm should be used with CWFG ablation, and a 6.3 mm with aberration-free ablation. Likely relift would be the most reasonable technique. If CWFG ablation is required, then transepithelial photorefractive keratectomy can be also considered, despite the hyperopic refraction.","PeriodicalId":15233,"journal":{"name":"Journal of Cataract & Refractive Surgery","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80282278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"March consultation #4","authors":"S. Mosquera","doi":"10.1097/01.j.jcrs.0000681492.07848.97","DOIUrl":"https://doi.org/10.1097/01.j.jcrs.0000681492.07848.97","url":null,"abstract":"a larger optical zone will probably not fit to the flap diameter and ensure very good centration of the laser. My second preferred procedure, if RSB thickness was critical, such as in the case of a thick flap or a case of a large mesopic pupil that may require enlargement of the optical zone, would be surface ablation with use of mitomycin-C. Target refraction in both procedures depends on the refraction of the other eye treated in order to avoid postoperative anisometropia.","PeriodicalId":15233,"journal":{"name":"Journal of Cataract & Refractive Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74495255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"March consultation #6","authors":"J. Murta","doi":"10.1097/01.j.jcrs.0000681500.42820.94","DOIUrl":"https://doi.org/10.1097/01.j.jcrs.0000681500.42820.94","url":null,"abstract":"To have a clear idea of what happened with this patient more information from preoperative Scheimpflug topography for K measurements and corneal thickness measurements is necessary. In the patient’s clinical history, were the following possibilities investigated: previous ocular trauma, inflammatory episodes, or even pregnancy, which could have been interrupted? I think that this patient was not a good candidate for refractive surgery because of the observed difference of cycloplegic and subjective refraction of 1.00 D. It would be advisable to check the reasons for such a difference and wait. On the other hand, even though I do not know the preoperative corneal thickness and K measurements, I would have to consider an ICL for this patient. The RSB is very low. What was the thickness of the lenticule? Was surgery performed by microkeratome or femtosecond laser? Possible primary causes for this overcorrection are corneal microstriae (a theoretical cause but unlikely), a technical problem with the excimer laser (I have had this problem twice), or medication. Topiramate, for example, can induce myopia. With the suspension of the drug, hyperopia would be induced. My advice for correction of the refractive error for this patient is implantation of an ICL.","PeriodicalId":15233,"journal":{"name":"Journal of Cataract & Refractive Surgery","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84110857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}