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白内障术后欠佳疗效的优化策略:关于屈光及非屈光的处理
$47.98
本书引自国际著名的Thieme出版社,由国际知名眼科手术专家Priya Narang和William Trattler为处理复杂性白内障病例和术后残余屈光不正等并发症制定的全面的白内障相关手术指南。
※ 屈光相关性处理:包括基于角膜的手术,如散光角膜切开术、LASIK、PRK和SMILE,IOL置换,背驮式IOL植入,环曲面IOL等功能性IOL植入,以及相关问题。
※ 非屈光相关性处理:包...
※ 非屈光相关性处理:包括对于大泡性角膜病变和需要进行角膜内皮移植的病例处理,对于复杂的人工晶状体相关问题的处理,如发生人工晶状体和囊袋位置异常后的处理、后囊破裂情况下的人工晶状体植入等。
※ 常见或罕见并发症的处理:常见并发症如术后干眼症;罕见的并发症,如眼内炎和视网膜脱离等。本书提供了解决这些问题的实用技巧、步骤和方案。
※ 尖端技术创新:尖端创新技术的运用会提高白内障手术的效果。既包括多焦点人工晶状体、环曲面人工晶状体、非球面人工晶状体在临床的应用;也包含了光学、超声乳化技术、高端角膜测量学和生物测量学的内容。
本书引进自世界知名的Thieme出版社,是一部新颖、独特的眼科学著作。著者就可能导致白内障术后发生屈光偏差的相关因素进行了分析,不仅对术前眼部屈光参数测量与IOL计算公式的选择进行了介绍,还对术后发生屈光偏差的处理方法进行了详细阐释。本书为国际众多眼科专家的经验汇总,不仅涵盖了多种白内障术后眼部并发症(包括术后出现角膜疾病、IOL-囊袋位置异常、眼底黄斑水肿、眼前段毒性综合征等)的详细处理方法,还就白内障手术的未来发展方向和进展进行了探讨。本书内容系统、图文并茂,对避免白内障术后出现欠佳疗效有很强的指导作用,适合广大眼科医生阅读参考。
董喆,北京同仁医院白内障中心主任医师。擅长各种类型白内障和晶状体疾病的诊断和治疗,目前已成功完成白内障手术近万例。对于眼内屈光手术有较深的造诣,已完成各种类型的眼内屈光手术百余例。同时致力于眼屈光学,白内障和晶状体疾病的基础研究。
篇 总 论第 1 章 白内障手术后疗效不佳的原因:术前筛查和充分沟通的作用一、疗效不佳原因概述 二、术前筛查 三、病史评估 四、视力 五、眼球运动和眼位分析六、角膜内皮镜检查和角膜厚度测量七、人工晶状体度数计算和人工晶状体选择 八、瞳孔反射和眼后节检查九、眼压 十、实验室检查十一、知情同意和咨询的作用 十二、关键点第 2 章 泪膜及角膜异常一、概述二、泪膜异常 三、角膜异常 四、增加术中视野清晰度五、结论六、关键点第 3 章 屈光术后的人工晶状体屈光度数计算:选择正确的计算方式一、概述 二、偏差的来源 三、屈光术后眼的人工晶状体屈光度计算的解决方法四、结论五、关键点 第 4 章 残留的屈光不正一、残留的屈光不正二、引起白内障术后残留屈光不正的原因三、白内障术后残留屈光不正的处理四、结论 五、关键点第 5 章 角膜后表面散光的基础与临床应用一、概述二、角膜后表面散光的测量三、角膜后表面散光对 Toric 人工晶状体计算的影响四、临床实践中的 Toric 人工晶状体计算五、结论六、关键点 第 6 章 屈光不正校正后白内障手术的注意事项一、概述二、术前角膜地形图的重要性三、优化 LASIK 术后患者的视力预后四、结论五、关键点 第二篇 屈光加强手术操作第 7 章 基于角膜的手术:散光角膜切开术、LASIK、PRK 和 SMILE一、概述 二、更好地实现患者对白内障手术的期望 三、人工晶状体眼患者的术前评估 四、角膜屈光手术选择 五、结论六、关键点 第 8 章 人工晶状体置换一、概述 二、人工晶状体置换术适应证 三、游离囊袋内的人工晶状体四、人工晶状体取出策略五、植入新的人工晶状体六、结论 七、关键点第 9 章 背驮式人工晶状体 一、起源二、屈光因素 三、手术并发症四、晶状体间浑浊的治疗五、预防晶状体间浑浊 六、继发的背驮式人工晶状体并发症七、结论八、关键点第 10 章 Toric 人工晶状体一、概述二、术前规划 三、Toric 屈光度计算四、手术注意事项 五、屈光误差结果 六、处理残留屈光不正七、临床实例 八、关键点第 11 章 高端人工晶状体及相关问题一、概述 二、老视矫正型人工晶状体 三、景深延长型人工晶状体 四、关键点 第三篇 非屈光性的增强操作第 12 章 眩光幻影及手术处理一、概述二、负性眩光幻影三、正性眩光幻影 四、关键点第 13 章 大泡性角膜病变及角膜内皮移植一、概述 二、明确危险因素 三、术前检查 四、人工晶状体选择 五、手术思考 六、大泡性角膜病变的处理 七、角膜内皮移植 八、关键点 第 14 章 脱位的人工晶状体及囊袋:关于人工晶状体的复杂问题一、脱位的人工晶状体二、囊袋 - 人工晶状体的复合体三、讨论四、关键点 第 15 章 后囊膜破裂和人工晶状体植入术一、概述 二、处理 三、玻璃体切割术及其重要性四、后方辅助悬浮五、人工晶状体支架 六、光学部夹持 七、蛋白胶黏固定人工晶状体八、人工晶状体胶黏术中的无辅助技术 九、三方技术 十、胶黏人工晶状体支架十一、特殊病例 十二、并发症 十三、讨论 十四、关键点 第四篇 其他第 16 章 MiLoop: 显微介入、零超声、晶状体碎核一、理论依据和背景二、MiLoop 设备三、新型核碎解手术技术 四、技术说明五、临床研究 六、讨论七、关键点 第 17 章 圆锥角膜及白内障手术 一、概述 二、不规则角膜的生物测量 三、关于人工晶状体的考虑 四、其他人工晶状体选择五、圆锥角膜眼的白内障手术结果 六、结论七、关键点 第 18 章 双晶状体摘除术(有晶状体眼人工晶状体取出联合同期白内障摘除及人工晶状体植入术)一、概述 二、手术方法 三、结论 四、关键点第 19 章 黄斑囊样水肿及处理一、概述二、组织学 三、发病机制 四、临床表现 五、预防 六、治疗方案 七、结论 八、关键点第 20 章 眼内炎、眼前段毒性综合征及玻璃体炎 一、概述二、眼内炎三、眼前段毒性综合征 四、玻璃体炎 五、关键点第 21 章 术中像差测量 一、概述二、人工晶状体优化及正常和特殊眼轴眼 三、散光控制 四、像差测量的困难挑战五、结论 六、关键点第 22 章 未来发展方向与进展一、未来以效率为中心的白内障模式二、白内障术前检查相关技术的进展 三、白内障手术中的进展 四、人工晶状体技术 五、预防六、关键点 第 23 章 望远镜型人工晶状体一、概述 二、一种放置于睫状沟的用于年龄相关性黄斑疾病及其他黄斑疾病的新型镜面望远镜型人工晶状体 LMI-SI(OriLens)三、术前检查评估 四、LMI-SI(OriLens)植入手术五、结果 六、LMI-SI 的优势七、关键点
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