1st Edition

Limbal Relaxing Incisions A Practical Guide

By Louis Nichamin Copyright 2014
134 Pages
by CRC Press

134 Pages
by CRC Press

For both surgeon and patient alike, the success of modern implant surgery is increasingly judged by the refractive and astigmatic outcome. In spite of this, there has not yet been a practical book that addresses the process of performing limbal relaxing incisions (LRIs). Dr. Louis D. “Skip” Nichamin and his contributors aim to fill this void with Limbal Relaxing Incisions: A... Read more
Dedication

Acknowledgments

About the Editor

About the Associate Editor

Contributing Authors

Preface

Introduction

Chapter 1 History, Background, and Future of Incisional Astigmatic Surgery

Section 1 The Foundation and Future of Astigmatic Keratotomy

Spencer P. Thornton, MD, FACS

Section 2 Limbal Relaxing Incisions: History, Current State of the Art, and Future

Richard L. Lindstrom, MD; Molly McDonald, OD; and David R. Hardten, MD

Chapter 2 Measuring Astigmatism: Planning Surgery and Tracking Results

Noel A. Alpins, MD, FACS and George Stamatelatos, OD

Chapter 3 Overview for the Use of Limbal Relaxing Incisions

Louis D. \u201cSkip\u201d Nichamin, MD

Chapter 4 This Is How I Do It

Section 1 Limbal Relaxing Incisions to Correct Astigmatism

James P. Gills, MD and Pit Gills, MD

Section 2 How I Perform Limbal Relaxing Incisions

Richard S. Hoffman, MD

Section 3 Astigmatism Correction With Peripheral Corneal Relaxing Incision

Douglas D. Koch, MD and Christian C. Hester, MD

Section 4 My Approach to Limbal Relaxing Incisions

Randall J. Olson, MD

Section 5 My Guide to Peripheral Corneal Relaxing Incisions

Jonathan B. Rubenstein, MD

Section 6 Astigmatism in Three Dimensions

R. Bruce Wallace III, MD

Chapter 5 Enhancement of Patients With Prior Limbal Relaxing Incisions

David R. Hardten, MD and Molly McDonald, OD

Chapter 6 Limbal Relaxing Incision Complications

Parag D. Parekh, MD, MPA

Chapter 7 Femtosecond Laser Limbal Relaxing Incisions

Eric D. Donnenfeld, MD; Allon Barsam, MD, MA, FRCOphth; and An Vo, MD

Financial Disclosures

Index

Biography

Louis D. “Skip” Nichamin, MD is the Medical Director and Managing Partner of the Laurel Eye
Clinic in Brookville, Pennsylvania, one of the leading private ophthalmic practices in the country.
After graduating from the University of Michigan in Ann Arbor, Michigan and Wayne State
University School of Medicine in Detroit, Michigan with high distinction and recognition, including
membership in the Alpha Omega Alpha Honor Society, he completed his ophthalmic residency
at the Sinai Hospital of Detroit in Michigan where he was awarded the H. Saul Sugar award for his
outstanding performance.

Dr. Nichamin has since been the recipient of numerous awards, lectured extensively around the
world, and authored hundreds of articles and chapters in the fields of cataract and refractive surgery.
His broad surgical experience numbers in the tens of thousands of surgical cases and includes
posterior, as well as anterior, segment procedures.

Dr. Nichamin has been a representative for the American Academy of Ophthalmology Board
of Councilors and served as the Chairman of the Cataract Clinical Committee of the American
Society of Cataract and Refractive Surgery. He holds a board position on the ASCRS Philanthropic
Foundation. Dr. Nichamin is a committee member of the American Academy of Ophthalmology
Preferred Practice Patterns and founding member of the American College of Ophthalmic
Surgery. He has been awarded the Senior Achievement and Secretariat Awards by the American
Academy of Ophthalmology. He is an active consultant in the ophthalmic industry and serves on
numerous medical advisory boards.

“This is a high quality book that will help surgeons beginning to perform limbal relaxing incisions learn how to do the technique or experience surgeons how to fine tune their technique.”

- Elizabeth C. Chiang, MD, PhD, Northwestern University Feinberg School of Medicine, Doody’s Review Service