Refractive Surgery for Myopia ( Advances in Eye Surgery )

Publication series ： Advances in Eye Surgery

Author： Dieudonne Kaimbo Wa Kaimbo  

Publisher： IntechOpen‎

Publication year： 2016

E-ISBN: INT5921662106

P-ISBN(Paperback): 9789535122494

P-ISBN(Hardback):  9789535122494

Subject： R77 Ophthalmology

Keyword： 眼科学

Language： ENG

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Refractive Surgery for Myopia

Description

This chapter describes current surgical techniques used to correct myopia, including laser correction (laser surgeries), incisional techniques, intrastromal corneal rings, phakic intraocular lenses, and refractive lensectomy. Contents are based on recent findings published in the medical literature and reflect the most advanced achievements in current refractive surgery for myopia. The chapter presents relevant information that patients, students, optometrists, orthoptists, ophthalmologists, as well as scientists involved in management of myopia need to know about this important topic.

Chapter

Chapter 11 Refractive Surgery for Myopia

1. Introduction

2. Medical therapy options

3. Surgical therapy options or surgical procedures (refractive surgery)

4. Corneal refractive surgery

4.1. Corneal ablation by excimer laser

4.2. Laser-asssisted stromal in situ keratomileusis (LASIK)

4.2.1. Advantages of the femtosecond laser vs mechanical microkeratomes

4.2.2. Disadvantages

4.3. Photorefractive keractectomy (PRK)

4.4. Advantage

4.4.1. Disadvantages

4.4.2. Complications

4.5. Laser-assisted subepithelial keratomileusis

4.5.1. Surgical procedure[20, 18, 116]

4.6. Epithelial laser-assisted in situ keratomileusis (Epi-LASIK)

4.6.1. Complications

4.7. Corneal addition procedures

4.8. Corneal relaxation procedures

4.8.1. Corneal thermocoagulation

4.9. Criteria for corneal refractive surgery [8, 53]:

4.10. Preoperative evaluation

4.11. Postoperative care

4.12. Postoperative evaluation [8]

4.13. Results and outcome measures[53, 116]

4.14. LASIK complications [8]

5. Lenticular refractive surgery

5.1. Refractive lens exchange

5.2. Surgical technique [10]

5.2.1. Topical anesthesia

5.2.2. Phacoemulsification

5.2.3. Complications

6. Phakic IOL

6.1. Indications of phakic lenses

6.1.1. Criteria

6.1.2. Surgical procedure for anterior chamber angle-supported phakic IOL

6.1.3. Surgical procedure for iris-fixated phakic IOLs

6.1.4. Surgical technique for posterior chamber phakic IOLs

6.2. Preoperative assessment and patient selection for pIOLs implantation [86]

6.3. Results

6.3.1. Results of angle-supported anterior chamber pIOLs [64]

6.3.2. Results of iris-fixated anterior chamber pIOLs [64]

6.3.3. Results of posterior chamber pIOLs [64]

6.4. Complications

6.4.1. General complications of intraocular surgery [64]

6.4.2. Complications of angle-supported anterior chamber pIOL

6.4.3. Complications of iris-fixated anterior chamber pIOL

6.4.4. Complications of posterior chamber pIOL

7. Multifocal lens

7.1. Toric lens

8. Conclusion

Author details

References

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