Dedication
Acknowledgments
About the AuthorPreface
Foreword by Spencer P. Thornton, MD, FACS
Foreword by Dan Z. Reinstein, MD, MA(Cantab), FRCSC, DABO, FRCOphth, FEBOIntroduction
Chapter 1 Astigmatism in the Population
Chapter 2 History of Vectorial Analysis of Astigmatism
Chapter 3 A Dilemma: The Conflict Between Incisional and Laser Ablative Approaches
Chapter 4 The Genesis: A Method to the Madness
Chapter 5 The Nonzero Target and Why It Meets Ongoing Resistance
Chapter 6 The Basics of the Alpins Method
Chapter 7 The Astigmatic Indices: Useful Measures That Make It All Worthwhile
Chapter 8 The Flattening, Steepening, and Rotation of Astigmatism
Chapter 9 Ocular Residual Astigmatism: When Zero Is Not the Target
Chapter 10 For Cataract Patients With Astigmatism: Toric Intraocular Lenses
Chapter 11 Analysis and Management of Refractive Surprises After Toric Intraocular Lens Implantation
Chapter 12 Corneal Topographic Astigmatism: A Measure of Anterior and Total Corneal Power
Chapter 13 Vector Planning Approach: Optimizing Both Corneal and Refractive Astigmatism
Chapter 14 Corneal Astigmatism: Less Is More
Chapter 15 Not Everyone Has Regular Astigmatism: The Hemidivisional Solution
Chapter 16 Topographic Disparity: Quantifying Corneal Irregularity
Chapter 17 The Perfect Treatment: Reduction and Regularization
Chapter 18 Polar Displays Versus Double-Angle Vector Diagrams
Chapter 19 Clinical Application of the Alpins Method for Clinical Studies
Chapter 20 Regulatory Adoption
Chapter 21 Coupling Concepts
Chapter 22 Mixed Astigmatism
Chapter 23 How to Perform Your Own Corneal and Refractive Vector Analyses
Chapter 24 Software: ASSORT, iASSORT, Web Calculators, VECTrAK Appendix Astigmatic Terms and ConceptsFinancial Disclosures
Index
Biography
Dr. Alpins pioneered small-incision cataract surgery in Victoria, Australia, in 1987 and then became a founder and current member of the Excimer Laser & Research Group. He has specialized in cataract and refractive surgery since founding NewVision Clinics in Melbourne, Australia, in 1996. He speaks widely on surgical techniques at national and international meetings and has been a keynote speaker and chair on many occasions.
Dr. Alpins serves on the Royal Australian and New Zealand College of Ophthalmologists (RANZCO) program committee, and has served as chair for the invited speakers subcommittee since 2008. In 2010, he was the invited Council Lecturer at the RANZCO annual scientific meeting in Adelaide, South Australia, which was established to honor Fellows engaged in original work.
In addition to his many writings and lectures, he continues to investigate the vector analytic approach to astigmatism analysis that he pioneered (the Alpins Method). He is involved in ongoing clinical research in this area. He is also an international council member of the International Society of Refractive Surgery (ISRS) of the American Academy of Ophthalmology (AAO).
Dr. Alpins is on the editorial board of a number of publications, including the Journal of Cataract & Refractive Surgery (official journal of the American Society of Cataract and Refractive Surgery and the European Society of Cataract and Refractive Surgeons), the Journal of Refractive Surgery (a publication of the International Society of Refractive Surgery affiliated with the American Academy of Ophthalmology), Ocular Surgery News, EuroTimes, and others. He has contributed over 150 articles in peer-reviewed journals and ophthalmic periodicals as well as more than 20 book chapters. In 2015, he received the Certificate for Outstanding Contribution in Reviewing, awarded by Elsevier.
Dr. Alpins received the 2012 ISRS/AAO Lans Distinguished Award in Chicago, and in 2014 he received the ISRS Lifetime Achievement Award. Dr. Alpins is on the international advisory board for refractive surgery in China.
In January 2017, Dr. Alpins was awarded Member in the General Division of the Order of Australia for “significant service to ophthalmology, particularly to the development of innovative refractive surgery techniques, and to professional associations.” The Order of Australia was established in 1975 by letters patent of Elizabeth II, Queen of Australia, and countersigned by Prime Minister Gough Whitlam. Around 500 prominent Australians receive the award annually. Dr. Alpins is also regularly appointed as an ambassador for the state of Victoria in the government’s annual Australia Day.
Dr. Alpins is the 2017 RANZCO “Norman McAlister Gregg Lecturer” for 2017. The Gregg Lecture was established in 1958 by the Council of the Ophthalmological Society of Australia in recognition of the outstanding contribution made to ophthalmology by Sir Norman Gregg.
Dr. Alpins and his wife, Sylvia, have three daughters: Fiona, Vanessa, and Martine. When Dr. Alpins is not practicing ophthalmology, he enjoys playing golf, skiing, going to live entertainment, and spending time with Sylvia, his daughters, and grandchildren.
His training is summarized below:
Medical degree (MB, BS): University of Melbourne, 1970
Diploma of Ophthalmology: University of Melbourne, 1977
Residency: Alfred Hospital, Australia, 1971-1972
Fellowships and certifications: Ophthalmology Registrar, Royal Victoria Eye & Ear Hospital, Australia, 1974-77; Fellow, RANZCO, 1978; Fellow, Royal Australasian College of Surgeons, 1978; Fellow, American College of Surgeons, 1985; Fellow, Royal College of Ophthalmologists (UK), 1989; Fellow, American Board of Eye Surgery, 2005; Honorary Senior Lecturer, Melbourne University Department of Ophthalmology, 2013.
Memberships: International Intra-Ocular Implant Club; American Society of Cataract and Refractive Surgery; European Society of Cataract and Refractive Surgeons; International Society of Refractive Surgery; American Academy of Ophthalmology; and the Australian Medical Association.
