Mastering Corneal Surgery Recent Advances and Current Techniques

Acknowledgments

About the Editors

Contributing Authors

Preface

Foreword by Alan N. Carlson, MD

Introduction

Section I Keratoplasty

Chapter 1 Applied Anatomy and Physiology of the Cornea

Prafulla K. Maharana, MD and Namrata Sharma, MD

Chapter 2 Penetrating Keratoplasty

Thomas John, MD

Chapter 3 Automated Lamellar Therapeutic Keratoplasty

Namrata Sharma, MD and Prafulla K. Maharana, MD

Chapter 4 Deep Anterior Lamellar Keratoplasty

Laura Vickers, MD and Terry Kim, MD

Chapter 5 Descemet's Stripping Automated Endothelial Keratoplasty

Ian Gorovoy, MD and Bennie H. Jeng, MD, MS

Chapter 6 Ultra-Thin Grafts for Descemet's Stripping Automated Endothelial

Keratoplasty

Vincenzo Scorcia, MD; Elena Albè, MD; and Massimo Busin, MD

Chapter 7 Descemet's Membrane Endothelial Keratoplasty

Yuri McKee, MD and Francis W. Price Jr, MD

Chapter 8 Endoilluminator-Assisted Descemet's Membrane Endothelial

Keratoplasty

Soosan Jacob, MS, FRCS, DNB, MNAMS and Amar Agarwal, MS, FRCS, FRCOphth

Chapter 9 Corneal Surgery and the Glued Intraocular Lens Technique

Priya Narang, MS and Amar Agarwal, MS, FRCS, FRCOphth

Chapter 10 Pre-Descemet's Endothelial Keratoplasty

Ashvin Agarwal, MS; Dhivya Ashok Kumar, MD;

Priya Narang, MS; Harminder S. Dua, MS, FRCOphth, FRCS, FEBO, PhD; and Amar Agarwal, MS, FRCS, FRCOphth

Chapter 11 Corneal Graft Rejection

Saima M. Qureshi, MD and Robert A. Copeland Jr, MD

Chapter 12 Femtosecond Laser–Assisted Corneal Graft Surgery

Jorge L. Alió, MD, PhD; Felipe Soria, MD; Alfredo Vega-Estrada, MD;

and Ahmed Abdou, MD, PhD

Section II Keratoprosthesis and Ocular Surface Disorders

Chapter 13 Boston Keratoprosthesis

Bishoy Said, MD and Natalie A. Afshari, MD, FACS

Chapter 14 Modified Osteo-Odonto-Keratoprosthesis

Giancarlo Falcinelli, MD; Paolo Colliardo, MD; Giovanni Falcinelli, MD;

Andrea Gabrielli, MD; and Maurizio Taloni, MD

Chapter 15 Foldable Nonpenetrating Artificial Cornea

Yichieh Shiuey, MD and Jose M. Vargas, MD

Chapter 16 Limbal Stem Cell Deficiency

Charles L. Thompson, MD and W. Barry Lee, MD

Chapter 17 Amniotic Membrane Transplantation

Athiya Agarwal, MD, DO; Soosan Jacob, MS, FRCS, DNB, MNAMS; and

Amar Agarwal, MS, FRCS, FRCOphth

Section III Corneal Surgery Related to Cataract Surgery

Chapter 18 Limbal Relaxing Incisions

Rachel Kwok, MBBS; Sunil Ganekal, FRCS; and Vishal Jhanji, MD

Chapter 19 Femtosecond Laser Corneal Incisions

H. Burkhard Dick, MD, PhD; Tim Schultz, MD; and Ronald D. Gerste, MD, PhD

Chapter 20 Intrastromal Arcuate Keratotomy to Reduce Corneal Astigmatism With a

Femtosecond Laser

Theresa Rückl, MD; Alexander Bachernegg, MD; Perry S. Binder, MS, MD; and

Günther Grabner, MD

Chapter 21 Descemet's Membrane Detachment: Classification and Management

Soosan Jacob, MS, FRCS, DNB, MNAMS and Amar Agarwal, MS, FRCS, FRCOphth

Chapter 22 Corneoscleral Pocket Technique

Richard S. Hoffman, MD; Alejandro Cerda, MD; I. Howard Fine, MD; and Annette Chang Sims, MD

Section IV Miscellaneous

Chapter 23 Intrastromal Corneal Ring Segments and the Turnaround Technique for

Overcoming False Channel Dissection During Intacs Implantation

Saraswathy Karnati, MS; Soosan Jacob, MS, FRCS, DNB, MNAMS; and Amar Agarwal, MS, FRCS, FRCOphth

Chapter 24 Corneal Inlays for the Surgical Correction of Presbyopia

George O. Waring IV, MD and Fernando Faria-Correia, MD

Chapter 25 Pterygium Surgery: Raising Ocular Surface Surgery to Cosmetic Outcomes

Arun C. Gulani, MD, MS and Aaishwariya Gulani, BS

Chapter 26 Limbal Dermoids

Susan Huang, MD; Roy S. Chuck, MD, PhD; and Jimmy K. Lee, MD

Chapter 27 Ocular Surface Squamous Neoplasia

Dhivya Ashok Kumar, MD and Amar Agarwal, MS, FRCS, FRCOphth

Chapter 28 Collagen Cross-Linking and Contact Lens–Assisted Collagen Cross-Linking for Corneal Ectatic Disorders

Soosan Jacob, MS, FRCS, DNB, MNAMS; Kaladevi Satish, MS; and Amar Agarwal, MS, FRCS, FRCOphth

Chapter 29 Platelet-Rich Plasma in Corneal Surgery

Jorge L. Alió, MD, PhD; Francisco Arnalich, PhD; Alejandra E. Rodriguez, MSc; and Alvaro Luque, BSc

Financial Disclosures

Index

Biography

Amar Agarwal, MS, FRCS, FRCOphth, is the Chairman and Managing Director of Dr. Agarwal’s Group of Eye Hospitals and Eye Research Centre in India, which includes 60 hospitals worldwide; past President of the International Society of Refractive Surgery (ISRS); Secretary General of the Indian Intraocular Implant and Refractive Society (IIRSI); and Professor of Ophthalmology at Ramachandra Medical College in Chennai, India.

Dr. Agarwal is the pioneer of phakonit, which is phacoemulsification with needle incision technology. This technique became popularly known as bimanual phaco, microincision cataract surgery (MICS), or microphaco. Dr. Agarwal was the first to remove cataracts through a 0.7-mm tip with the microphakonit technique. He also discovered no-anesthesia cataract surgery and FAVIT, a new technique to remove dropped nuclei. Using an aquarium fish pump to increase the fluid into the eye in bimanual phaco and coaxial phaco has helped prevent surge. This formed the basis of various techniques of forced infusion for small-incision cataract surgery. Dr. Agarwal also discovered a new refractive error called aberropia. He was the first to perform a combined surgery of microphakonit (700-µm cataract surgery) with a 25-gauge vitrectomy in the same patient, thus creating the smallest incisions possible for cataract and vitrectomy. He was the first surgeon to implant a new mirror telescopic intraoperative lens (IOL) for patients suffering from age-related macular degeneration. He was the first in the world to implant a glued IOL, in which a posterior-chamber IOL is fixed in an eye without capsules using fibrin glue. He modified the Malyugin ring (MicroSurgical Technology) for small-pupil cataract surgery into the Agarwal modification of the Malyugin ring for miotic pupil cataract surgeries with posterior capsular defects.

Thomas John, MD, was born in India, and lived the majority of his life in the United States. His eye training consisted of an ophthalmology residency at the University of Pennsylvania and a 2-year clinical cornea fellowship at Harvard Medical School, Massachusetts Eye and Ear Infirmary. Dr. John’s academic pinnacle was in Boston, training under Drs. Kenyon, Foster, Steinert, Dohlman, Abelson, Langston, Wagoner, Gilbard, Boruchoff, and Bajart. His corneal research experience stems from Schepens Eye Research Institute and Massachusetts Institute of Technology (MIT), Harvard Medical School. He completed ophthalmic pathology training under Drs. Eagle, Rockey, and Yanoff during his National Institutes of Health (NIH) ophthalmic pathology fellowship.Dr. John is currently on the editorial boards of Ocular Surgery News (OSN), Review of Ophthalmology, and Ophthalmology Management, and was previously on the editorial boards of Annals of Ophthalmology (AO), Expert Review of Ophthalmology, and Optometry Management. He was Chief Editor of the Consultation Section of AO; Associate Editor of AO, Chief Editor, Corneal Dissection Column, OSN; and Editor, Journal Techniques in Ophthalmology. He is widely published in peer-reviewed journals and has edited many books, written many chapters, and made numerous presentations. He served as ASCRS panelist and poster judge and was Chief Film Festival Judge for ASCRS in 2013. He performed live surgery, descemetorhexis with endokeratoplasty, at the International Meeting of the Italian Ophthalmological Society in 2007 in Venice, Italy. He developed numerous surgical instruments and holds a patent on an ophthalmic device. He has delivered numerous surgical video presentations. His present book with Dr. Agarwal is an extension of his surgical interests in ophthalmology.

“Mastering Corneal Surgery will be helpful to corneal surgeons around the world in improving their surgical dexterity.  Extensive high-quality videos – 28 of them – combined with the written text, clinical photographs and pictures, furthers the learning process, creating a superior learning package.”

- SirReadaLot.org

”The references at the end of each chapter are quite useful, and the many images and figures help in the learning process. This book nicely reviews the steps of multiple cornea surgeries. It is densely packed with pearls of wisdom from many leading cornea specialists.”

- Jeanine Baqai, MD, Northwestern University Feinberg School of Medicine, Doody’s Review Service