Jaypee Gold Standard Mini Atlas Series LASIK
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1 Jaypee Gold Standard Mini Atlas Series LASIK System requirements: Windows XP or above Power DVD player (Software) Windows Media Player 10.0 version or above (Software) Quick time player version 6.5 or above. Accompanying DVD-ROM is playable only in Computer and not in CD player. Kindly wait for few seconds for DVD to autorun. If it does not autorun then please do the following: Click on my computer Click the drive labelled JAYPEE and after opening the drive, kindly double click the file Jaypee.
2 DVD Contents 1. Flap Wars 2. Aberropia Video 3. Battle of the Bulge
3 Jaypee Gold Standard Mini Atlas Series LASIK Editors Amar Agarwal MS FRCS FRCOphth Athiya Agarwal MD FRSH DO Soosan Jacob MS FRCS DNB MNAMS Agarwal s Group of Eye Hospitals and Eye Research Centre Chennai, India dragarwal@vsnl.com Foreword David R Hardten MD Minneapolis, MN JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD New Delhi Ahmedabad Bengaluru Chennai Hyderabad Kochi Kolkata Lucknow Mumbai Nagpur St Louis (USA)
4 Published by Jitendar P Vij Jaypee Brothers Medical Publishers (P) Ltd. Corporate Office 4838/24 Ansari Road, Daryaganj, New Delhi , India, Phone: Registered Office B-3 EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi , India Phones: , , , Rel: , Fax: , jaypee@jaypeebrothers.com, Visit our website: Branches 2/B, Akruti Society, Jodhpur Gam Road Satellite Ahmedabad , Phones: , Rel: Fax: , ahmedabad@jaypeebrothers.com 202 Batavia Chambers, 8 Kumara Krupa Road, Kumara Park East Bengaluru , Phones: , , Rel: , Fax: bangalore@jaypeebrothers.com 282 IIIrd Floor, Khaleel Shirazi Estate, Fountain Plaza, Pantheon Road Chennai , Phones: , , Rel: Fax: chennai@jaypeebrothers.com /1-3, 1st Floor, Balaji Building, Ramkote Cross Road, Hyderabad , Phones: , Rel: , Fax: hyderabad@jaypeebrothers.com No. 41/3098, B & B1, Kuruvi Building, St. Vincent Road Kochi , Kerala, Phones: , kochi@jaypeebrothers.com 1-A Indian Mirror Street, Wellington Square Kolkata , Phones: , , Rel: , Fax: kolkata@jaypeebrothers.com Lekhraj Market III, B-2, Sector-4, Faizabad Road, Indira Nagar Lucknow Phones: , lucknow@jaypeebrothers.com 106 Amit Industrial Estate, 61 Dr SS Rao Road, Near MGM Hospital, Parel Mumbai , Phones: , , Rel: , Fax: mumbai@jaypeebrothers.com KAMALPUSHPA 38, Reshimbag, Opp. Mohota Science College, Umred Road Nagpur (MS), Phone: Rel: , Fax: nagpur@jaypeebrothers.com USA Office 1745, Pheasant Run Drive, Maryland Heights (Missouri), MO 63043, USA, Ph: jaypee@jaypeebrothers.com, anjulav@jaypeebrothers.com Jaypee Gold Standard Mini Atlas Series LASIK 2009, Jaypee Brothers Medical Publishers All rights reserved. No part of this publication and DVD-ROM should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher. This book has been published in good faith that the material provided by contributors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and editors will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only. First Edition: 2009 ISBN Typeset at JPBMP typesetting unit Printed at Ajanta Offset & Packagings Ltd., New Delhi
5 Dedicated to Robert Cionni
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7 CONTRIBUTORS Amar Agarwal MS FRCS FRCOphth Dr Agarwal s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India Athiya Agarwal MD FRSH DO Dr Agarwal s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India Soosan Jacob MS FRCS DNB MNAMS Dr Agarwal s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India Gaurav Prakash MD Dr Agarwal s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India Dhivya Ashok Kumar MD Dr Agarwal s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India Rahul Tiwari Dip NB, FERC, FICO Dr Agarwal s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road, Chennai, India
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9 FOREWORD No field has changed the field of Ophthalmology so dramatically in the last 10 years as has refractive surgery, led in advances by laser in situ keratomileusis (LASIK). It has been difficult to keep up with all the advances in the field with many textbooks continually attempting to fill gaps in our knowledge while remaining pertinent to changing standards. In this new work Mini Atlas LASIK by Drs Amar Agarwal, Athiya Agarwal and Soosan Jacob, a long-lasting addition to the field is evident. This atlas fills a much needed gap in the educational materials available for our field. Ophthalmology is a very visual field, and images convey a thousand words each, which makes this work packed with information and help us all clinicians in our daily work with refractive surgery. This work lives up to the historical excellence in writing and images by the editors and is a must for the libraries of refractive surgeons and ophthalmologists and other eye care providers that need to be aware of the nuances of the refractive surgery patients clinical findings.
10 x / LASIK The authors have put together the standard images that are needed for the preoperative assessment, management of the patient with the newest wavefront and femtosecond technology, and also for the management of complications of LASIK. Continue to grow your knowledge and awareness of refractive surgery by putting this work to use in your practice. You will be thankful that you did. As a surgeon and clinician, keep advancing the field of refractive surgery. David R Hardten MD Minneapolis, MN
11 PREFACE A Mini Atlas on LASIK has basically been written by keeping in mind that one is nowadays extremely busy to read big books. One needs a small mini atlas which explains with figures and photos how one can perform LASIK and how to manage complications of LASIK. This book has been divided into 4 sections. The first section covers how to preoperatively assess the patient. Examination by the Orbscan, Anterior Segment OCT or Pentacam are all covered in this section. The second section covers LASIK, Wavefront Guided LASIK and also Femtosecond Lasers. The third section helps you to overcome the complications with LASIK. The final section covers Miscellaneous Topics which includes other alternatives to LASIK. Dear reader, we hope that you will enjoy this book. We would like to thank Shri Jitendar P Vij, (Chairman and Managing Director) and Mr Tarun Duneja (Director-Publishing), M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi for publishing this book. Amar Agarwal Athiya Agarwal Soosan Jacob
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13 CONTENTS 1. Basics and Preoperative Assessment... 1 Amar Agarwal, Soosan Jacob, Athiya Agarwal 2. LASIK, Wavefront Guided LASIK and Femtosecond Lasers Amar Agarwal, Soosan Jacob, Dhivya Ashok Kumar, Gaurav Prakash 3. Complications Amar Agarwal, Soosan Jacob 4. Miscellaneous Topics Amar Agarwal, Soosan Jacob, Rahul Tiwari Index...235
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