Premium and Specialized Intraocular Lenses


by

Guy Kleinmann, Ehud I. Assia, David J. Apple

eISBN: 978-1-60805-832-7, 2014
ISBN: 978-1-60805-833-4



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Table of Contents

Foreword

- Pp. i-ii (2)

Richard L. Lindstrom

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Preface

- Pp. iii

Guy Kleinmann, Ehud I. Assia and David J. Apple

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List of Contributors

- Pp. iv-vii (4)

Guy Kleinmann, Ehud I. Assia and David J. Apple

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Introduction: The Evolution of Intraocular Lenses

- Pp. 3-20 (18)

Brain Zaugg, Guy Kleinmann and David J. Apple

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Aspheric Intraocular Lenses

- Pp. 21-43 (23)

Yoel Greenwald and Guy Kleinmann

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Blue Filtering Intraocular Lenses

- Pp. 44-52 (9)

Randall J. Olson

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Toric Intraocular Lenses for Pseudophakia

- Pp. 53-80 (28)

Jaime Javaloy and Jorge L. Alió

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Multifocal IOLs – Clinical Indication and Pearls for Successful Application and Clinical Results

- Pp. 81-101 (21)

Gerd U. Auffarth, Adi Abulafia and Guy Kleinmann

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Accommodative and Dual Optic Intraocular Lenses

- Pp. 102-128 (27)

Mark Packer, H. Burkhard Dick and George Beiko

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Phakic Intraocular Lenses

- Pp. 129-200 (72)

Jose L. Güell, Thomas Kohnen, Daniel Kook and Merce Morral

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Supplementary IOLs for Pseudophakic Refractive Error Correction

- Pp. 201-214 (14)

Guenal Kahraman and Michael Amon

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Special Intraocular Lenses For Small Incisions

- Pp. 215-229 (15)

Irit Bahar, Yoav Nahum and Guy Kleinmann

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Light Adjustable Lens

- Pp. 230-240 (11)

Peter J. Ness, Nick Mamalis and Liliana Werner

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Iris Prostheses: Overview and Design

- Pp. 241-264 (24)

Michael E. Snyder and Kristiana Neff

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Full Size Lens

- Pp. 265-280 (16)

Fani Segev and Ehud I. Assia

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Ocular Telescopic Devices

- Pp. 281-309 (29)

Eli Rosen, Ehud I. Assia and Guy Kleinmann

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The Future of IOLs

- Pp. 310-311 (2)

Guy Kleinmann, Ehud I. Assia and David J. Apple

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Index

- Pp. 312-321 (10)

Guy Kleinmann, Ehud I. Assia and David J. Apple

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Foreword

Cataract surgery accompanied with implantation of an intraocular lens implant remains the most commonly performed surgery in the field of ophthalmology. It is estimated that over 18,000,000 cataract surgeries are performed each year in the world. Perhaps even more amazing, experts in the public health field tell us that in spite of this large number of cataract surgeries, every year more people suffer from visual and functional handicap secondary to cataract. In the advanced countries, approximately 8 per 1000 population undergo cataract surgery each year, and in the USA where surgeons and health care resources are widely available, the number is 10 per thousand. If these are the ideal numbers in a world with unlimited resources, we should be doing 50,000,000 cataract surgeries per year, or 2.5 times the number currently performed. In most cases, an intraocular lens is implanted, today usually a posterior chamber IOL. We are all aware that intraocular lens implantation began with Sir Harold Ridley’s first surgery on November 29, 1949, and that this brilliant innovator started with and persisted throughout his decades of innovation in implanting intraocular lens implants exclusively in the posterior chamber after extracapsular cataract extraction. History has confirmed the wisdom of this preference. Intraocular Lens Implant Surgery, while at a high state of development, continues to evolve as a combination of innovative surgeons and a well capitalized supporting industry work their magic through the innovation cycle. Their remain many unmet needs in the field of intraocular lens implantation. With growing demand in the face of reduced healthcare financial resources, we need in many parts of the world more efficient and economical models of surgery. Even in advanced countries, the variability of outcome one surgeon and one patient to another is a concern, and should respond to improved technology and education. At the cutting edge, specialized intraocular lens implants customized to the needs and desires of a small cohorts of patients are being developed and utilized. In the future, we can imagine a single lens implant customized to the needs, optics and ocular anatomy of the individual patient. These new and unique intraocular lens implants are the subject of this fascinating new book on “Premium and Specialized Intraocular Lenses’ edited by Guy Kleinmann, Ehud I. Assia and the late David J. Apple. In this book we are treated to an introductory chapter on ‘The Evolution of Intraocular Lenses” that was likely one of my friends David Apple’s last works to be published. For me, this chapter alone makes the book worthy of acquiring, as it is a priceless summary by Dr. Apple and two of his close colleagues regarding his thoughts near the end of his extraordinary career. Following this fascinating and historical summary are Chapters on Accommodating IOL’s, Telescopic IOL’s, Supplementary IOL’s, Full Size IOL’s, and Iris Prosthesis. The authors selected are experienced and knowledgeable. Each of the Chapters is well written, illustrated and full of cutting edge information and clinical pearls not easily accessed in any other source. The book is an easy read, and I learned many clinically useful details regarding these specialized IOL’s. I recommend this book to the cataract surgeon who wishes to stay current with the newest emerging technologies in the intraocular lens and iris implantation field. I thank the editors for a well written, concise and clinically useful summary of the state of the art, and for another opportunity to learn from my much missed friend and colleague David J. Apple.

Richard L. Lindstrom
Adjunct Professor Emeritus
University of Minnesota Department of Ophthalmology
Founder and Attending Surgeon
Minnesota Eye Consultants; Visiting Professor
University of California
Irvine Gavin Herbert Eye Institute, Irvine
California
USA


Preface

We are living in exciting times. The field of IOL has moved forward significantly since the first IOLs that Sir Harold Ridley implanted back in the early 50th. We can guarantee an excellent far uncorrected vision to our patients in most cases where no other ophthalmic pathology exists. The field of premium IOL and special intraocular devices is the new frontier. With advances in surgical technology, IOL power calculation and patients leading a more active lifestyle well into their seventies and beyond, cataract surgery can no longer be considered a functional procedure to remove an opacified lens, and visual acuity alone can no longer be considered the sole criterion of surgical success. As cataract surgery has evolved from a sight-saving operation to a refractive procedure, quality of vision and optical outcomes have become of crucial importance, with the goal being to improve not only acuity, but also quality of life. Lower order visual aberrations such as astigmatism can be effectively reduced by a combination of spectacle correction, corneal surface modification and/or specialized IOLs, improving quality of vision in pseudophakic patients to a great degree. Range of vision can be addressed with multifocal and accommodative IOLs, higher order aberration can be treated with aspheric IOLs, and extra-protection for the blue light is being promised by the blue blocking IOLs. Attempt to implant the IOLs trough a smaller and smaller corneal incisions focusing on lowering the induced astigmatism. The advances in the IOL field are not focuses only to premium IOL. Special cases like aphakia and end stage AMD also get attention and special solutions.

In this book we have tried to summarize the up today knowledge and to base it on evidence base medicine as much as possible.

We hope that you will find this book a useful tool in understanding and practicing premium and special intraocular devices.

Guy Kleinmann
Kaplan Medical Center
Rehovot
Israel

Ehud I. Assia
Meir Medical Center
Kfar Saba
Israel

David J. Apple
Laboratories for Ophthalmic
Devices Research
USA

List of Contributors

Editor(s):
Guy Kleinmann
Kaplan Medical Center
Israel


Ehud I. Assia
Meir Medical Center
Israel


David J. Apple
Laboratories for Ophthalmic Devices Research
Israel




Contributor(s):
Adi Abulafia
Ein-Tal Eye Center
Tel Aviv
Israel


Brain Zaugg
Laboratories for Ophthalmic Devices Research
Sullivan's Island
SC
USA


Daniel Kook
Department of Ophthalmology
Goethe-University
Frankfurt am Main
Germany


David J. Apple
Laboratories for Ophthalmic Devices Research
Sullivan's Island
SC
USA


Ehud I. Assia
Department of Ophthalmology
Meir Medical Center, Kfar-Saba
Sackler School of Medicine
Tel Aviv University
Israel


Eli Rosen
Ophthalmology Department
Meir Medical Center
Kfar Saba
Israel


Fani Segev
Department of Ophthalmology
Meir Medical Center
Kfar-Saba, Sackler School of Medicine
Tel Aviv University
Israel


George Beiko
Assistant Clinical Professor of Ophthalmology
McMaster University
180 Vine St., Suite 103
St. Catharines
Ontarios, L2R 7P3
Canada


Gerd U. Auffarth
Dept. of Ophthalmology
International Vision Correction Research Centre (IVCRC)
Univ. of Heidelberg, INF 400
Heidelberg, 69120
Germany


Guenal Kahraman
Academic Teaching Hospital of St. Johns Vienna
Barmherzige Brüder Wien
Department of Ophthalmology
Johannes von Gott-Platz 1
Vienna, 1020
Austria


Guy Kleinmann
Ophthalmology Department
Kaplan Medical Center
Rehovot
Israel
/
Affiliated with Hadassah Hospital and the Hebrew University School of Medicine
Jerusalem
Israel


H. Burkhard Dick
Professor & Chairman, Center of Visual Sciences and Department of Ophthalmology
Ruhr University Eye Hospital
In der Schornau 23 – 25, Bochum
Germany


I. Howard Fine
Drs. Fine, Hoffman & Packer
LLC, 1550 Oak St.
Ste. 5
Eugene
OR, 97401
USA


Irit Bahar
Department of Ophthalmology
Rabin Medical Center
Petah Tikva
Israel


Jaime Javaloy
Department of Cornea and Refractive Surgery
VISSUM, Instituto Oftalmológico de Alicante
Miguel Hernández University School of Medicine
Alicante
Spain


Jorge L. Alió
Department of Cornea and Refractive Surgery
VISSUM, Instituto Oftalmológico de Alicante
Miguel Hernández University School of Medicine
Alicante
Spain


Jose Luis Güell
Instituto Microcirugia Ocular (IMO)
Barcelona
Spain


Kristiana Neff
Cincinnati Eye Institute
Volunteer Assistant Professor of Ophthalmology
University of Cincinnati School of Medicine
Cincinnati
USA


L. Werner
Intermountain Ocular Research Center
Director, Ocular Pathology
John Moran, Eye Center
University of Utah
65 Mario Capecchi Dr. Salt Lake City
UT, 84132
USA


Mark Packer
Clinical Associate Professor
Oregon Health & Science University
4075 Southpointe Dr. Eugene
OR, 97405
USA


Merce Morral
Instituto Microcirugia Ocular (IMO)
Barcelona
Spain


Michael Amon
Academic Teaching Hospital of St. Johns Vienna
Barmherzige.Brüder Wien, Department of Ophthalmology
Johannes von Gott-Platz 1
Vienna, 1020
Austria


Michael E. Snyder
Cincinnati Eye Institute
Volunteer Assistant Professor of Ophthalmology
University of Cincinnati School of Medicine
Cincinnati
USA


Nick Mamalis
Intermountain Ocular Research Center
Director, Ocular Pathology, John Moran Eye Center
University of Utah, 65 Mario Capecchi Dr. Salt Lake City
Utah, 84132
USA


P.J. Ness
Intermountain Ocular Research Center
Director, Ocular Pathology
John Moran, Eye Center
University of Utah, 65 Mario Capecchi Dr. Salt Lake City
UT, 84132
USA


Randall J. Olson
Department of Ophthalmology and Visual Sciences
and CEO of the John A. Moran Eye Center at the University of Utah School of Medicine
Salt Lake City
Utah, 84132
USA


Thomas Kohnen
Department of Ophthalmology
Goethe-University
Frankfurt am Main
Germany


Yoav Nahum
Department of Ophthalmology
Rabin Medical Center
Petah Tikva
Israel


Yoel Greenwald
Ophthalmology Department
Kaplan Medical Center
Rehovot
Israel
/
Affiliated with Hadassah Hospital
and the Hebrew University School of Medicine
Jerusalem
Israel




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