Textbook of Laser Refractive Cataract Surgery is a comprehensive reference for the general ophthalmologist and cataract surgeon regarding the explosive new technology in femtosecond laser cataract surgery.  Femtosecond laser allows extreme precision in surgery, and is used in refractive surgery and for 'cuts' in the cornea, leading to a more uniform treatment for the patient. Textbook of Laser Refractive Cataract Surgery is for cataract surgeons and all eye care providers managing or diagnosing cataracts who wish to be informed about this technology and its applications.  Edited and written by recognized leaders in the field, this book covers background, technical, clinical, and commercial aspects of this exciting technology. Some of the topics covered include the evolution of cataract surgery, femtosecond laser fundamentals, challenges of femtosecond laser technology for cataract surgery, and the economics of laser cataract surgery.   Edited and written by recognized leaders in the field, this book covers background, technical, clinical, and commercial aspects of this exciting technology. Some of the topics covered include the evolution of cataract surgery, femtosecond laser fundamentals, challenges of femtosecond laser technology for cataract surgery, and the economics of laser cataract surgery.  

Ronald R. Krueger, MD, MSE Professor of Ophthalmology Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Medical Director of Refractive Surgery, Cole Eye Institute 9500 Euclid Ave./i32 Cleveland, OH 44195 Jonathan H. Talamo, MD Associate Clinical Professor of Ophthalmology Harvard Medical School Talamo Laser Eye Consultants Reservoir Place, Suite 184 1601 Trapelo Road Waltham, MA 02451 Richard L. Lindstrom, MD Adjunct Professor Emeritus University of Minnesota, Dept of Ophthalmology Founder and Attending Surgeon Minnesota Eye Consultants 9801 Dupont Ave South, Bloomington, MN 55431

Chapter 1:  Evolution of Cataract Surgery STEINERT AGARWAL o          Crystalline Lens Removal (Couching to ICCE) o          Intraocular Lens Insertion o          ICCE to ECCE (importance of capsular bag IOL placement, safety) o          ECCE to Phaco (visual rehab; astig control, UCVA outcomes, eventually safety) o          Small Incision Lens Emulsification and Capsulorhexis o          Foldable IOLs o          Astigmatism control o          Laser capsulotomy allowing easy mgt of PCO if lens in Bag-hence rise of rhexis o          Small Incision Foldable and Premium Lens Insertion o          In the bag centration o          Intact rhexis to allow accommodating IOL function o          ELP o          Astig control (incision size, rotational accuracy of lens in bag) o          Femtosecond laser cataract surgery o          Rise and refinement of refractive cataract surgery §          Importance of rhexis size, centration, shape o          Historical paradigm of the success of lasers in keratorefractive surgery o          Marriage of imaging technology with laser delivery systems-use lasers to do as much as possible for improved precision and safety.   Chapter 2:  Femtosecond Laser Fundamentals LUBATSCHOWSKI PALANKER o          Engineering fundamentals of Lasers   o          Basics of Laser-tissue interaction and Femtosecond Laser peculiarities o          Overview of Femtosecond Laser use in ophthalmology   Chapter 3:  Challenges of  Femtosecond Laser Technology for cataract surgery §          Engineering/technical -           Hardware -           Software -           Imaging -           Image processing §          Clinical -           Pt interface/ergonomics -           Workflow/ergonomics/time/personnel -           QA/Safety -           Breadth of capabilities §          Economic -           Acquisition, maintenance, and variable costs -           Integration of costs in current economic models of cat sx   Chapter 4:  Imaging  and patient interface systems TALAMO & KRUEGER o          Clinical Significance o          Modalities o          Techniques §          OCT §          CSI/SCHEIMPHLUG §          VIDEO §          INTERFACE APPROACHES -           PATIENT SAFETY -           PATIENT COMFORT -           IMAGE RESOLUTION/PRECISION o          Resolution and Limitations   Chapter 5:  Capsulotomy KOCH - OPTIMEDICA STEINERT-LENSX NICHAMIN-LENSAR o          Size o          Shape/Circularity o          Centration o          Strength   Chapter 6:  Nucleus Disassembly o          KRUEGER & OTHER? o          Fragmentation o          Softening o          Approaches for different nuclear densities o          Technical safeguards   Chapter 7:  Corneal Incisions CULBERTSON & YOO SEIBEL & KOCH? o          Principle incision o          Paracenteses o          Astigmatic Incisions o          Femtosecond vs. AK vs. LRI vs. Excimer vs. Toric IOL   Chapter 8:  Femtosecond laser versus phacoemulsification OSHER & NAGY o          Indications/contraindications for laser cataract surgery o          Advantages/Disadvantages o          What we know and what we don¿t...   Chapter 9:  Economics of laser cataract surgery LINDSTROM o          Cost/Benefit ratio - uses in the developing world, teaching etc... o          Possible Economic Models o          Fuel for Technological Advancement   Chapters 10-14:  Commercially available systems (WITH MD¿S) o          Alcon/LensX WEINBERG/SLADE o          LensAR  FREY o          Optimedica  FORCHETTE o          Technolas  HOHLA