The surgical correction of astigmatism is the last frontier to optimizing visual outcomes for patients. Practical Astigmatism: Planning and Analysis is a comprehensive guide to correcting astigmatism from pre-operative planning to post-operative analysis. This provides readers with unique insight to what actually happened surgically: did the astigmatism over or under correct? Was it on-axis or off-axis? With this book, ophthalmologists will be able to analyze previous procedures with the appropriate nomograms and more often achieve targeted outcomes. Dr. Noel Alpins has developed the Alpins Method of astigmatism to provide accurate planning and analysis of astigmatism procedures. His method focuses on analyzing refractive and corneal astigmatism parameters and using the results in future surgery to improve visual outcomes. The importance of the ocular residual astigmatism (ORA) is detailed when planning astigmatism surgery. Practical Astigmatism features vector planning for refractive laser surgery as well as planning and analysis applied to cataract and limbal relaxing incisions, , in addition to demonstrating graphical analysis of astigmatism using high quality vector and fan diagrams, as used in scientific journals. In addition, hemidivisional analysis of the irregular cornea, corneal coupling in incisional and excimer laser surgery for mixed astigmatism and toric IOL planning with total corneal power using corneal topographic astigmatism (CorT total) are addressed as well. Some Questions Answered Inside: What is the difference between regular and irregular astigmatism? How do I diagnose each, and how does this affect my surgical technique? Can I incorporate corneal astigmatism when performing excimer laser surgery? Why are my LRIs undercorrecting the astigmatism? Is it safe to perform excimer laser on keratoconous patients? Which corneal astigmatism measure do I choose and what do I do following a refractive surprise? Practical Astigmatism: Planning and Analysis will help ophthalmologists, optometrists, and technicians alike address each patient’s unique circumstances and act as your in-depth guide to correcting astigmatism. Testimonials... “For more than three decades I have been listening to, arguing with, and admiring the work of Dr. Noel Alpins in the field of astigmatism. Despite his remote location on the small island of Australia, his knowledge of astigmatism is at the peak of Mt. Everest. There are few others who have devoted their careers to understanding and managing astigmatism for which the world of ophthalmology is truly grateful.” - Robert H. Osher, MD “Noel is an original thinker who took on and conquered the complexities of astigmatism analysis, publishing the seminal papers on the way. His work has formed the cornerstone from which our current understanding and management of astigmatism has been built. He is someone from whom we have all learnt a great deal and this book is a testament to this.” - Dan Z Reinstein, MD MA(Cantab) FRCSC DABO FRCOphth FEBO

Since the advent of keratorefractive surgery and its rising popularity, irregular astigmatism has become an increasingly important issue for ophthalmologists and optometrists. Despite the success of LASIK and PRK, there are more and more patients experiencing visual quality problems due to the non-physiological modification of the corneal structure. Among these complications, irregular astigmatism is perhaps the most difficult to treat. Every physician who performs keratorefractive surgery understands that in reducing a patient.s refractive error, there is a possibility of creating irreversible effects on visual quality. This text is intended to help prevent and reduce the iatrogenic creation of irregular astigmatism, as well as provide effective treatment when postoperative complications do arise. With the maturation of keratorefractive technology in recent years, effective treatment for iatrogenic irregular astigmatism is quickly developing. It provides everything refractive surgeons, ophthalmologists, and optometrists need to know about this important topic.

This book explores the development, optics and physiology of astigmatism and places this knowledge in the context of modern management of this aspect of refractive error. It is written by, and aimed at, the astigmatism practitioner to assist in understanding astigmatism and its amelioration by optical and surgical techniques. It also addresses the integration of astigmatism management into the surgical approach to cataract and corneal disease including corneal transplantation.

A young soldier in training for the special forces in Vietnam learns how to rid himself of anxieties under stress and other emotional factors that may hinder his effectiveness in combat.

Corneal tomography is a non-invasive medical imaging technique for mapping the surface curvature of the cornea, the outer structure of the eye. This procedure may be carried out with a Pentacam, which uses a rotating camera to create a 3D image of the anterior of the eye. This third edition has been fully updated to provide the latest developments in corneal tomography using the Pentacam system. Beginning with an introduction, the following sections cover corneal maps and profiles, corneal refraction, Wavefront analysis, systematic interpretation of corneal tomography, and corneal tomography in ectatic corneal diseases. The final section explains the Holladay Report, and corneal tomography and aberrometry in cataract surgery. Presented in a step by step format the new edition of this popular manual also includes discussion on false positives and false negatives. Authored by recognised expert Mazen M Sinjab, the book features nearly 350 high quality, colour images and illustrations. Key points Fully revised, third edition presenting latest advances in corneal tomography using the Pentacam system Presented in step by step format with nearly 350 images and illustrations Authored by recognised expert Mazen M Sinjab Previous edition (9789350255759) published in 2012

Thoroughly revised and updated, this popular book provides a comprehensive yet easy to read guide to modern contact lens practice. Beautifully re-designed in a clean, contemporary layout, this second edition presents relevant and up-to-date information in a systematic manner, with a logical flow of subject matter from front to back. This book wonderfully captures the ‘middle ground’ in the contact lens field ... somewhere between a dense research-based tome and a basic fitting guide. As such, it is ideally suited for both students and general eye care practitioners who require a practical, accessible and uncluttered account of the contact lens field. Outlines a rational clinical approach to modern contact lens fitting - practical advice for the clinic and the classroom Logical structure and systematic layout, with relevant chapters grouped into coherent sections for easy reference Up-to-date for accurate information Chapters are contextualised through cross-referencing - helping to reflect the relative importance of different topics Provides an 'historical time line' of contact lens development and explains the current global situation Explains how contact lenses are fabricated, designed, manufactured and measured Reviews the scientific principles that underpin the clinical application of contact lenses New chapter on daily disposable contact lenses. Contributing authors comprising optometrists, ophthalmologists, dispensing opticians, industry experts, researchers and clinicians – all of whom are true international leaders in their sub-specialty areas. Many new line diagrams and clinical photographs to illustrate, inform and explain the concepts outlined in the text. Special consideration is given to the most popular lens replacement systems – daily, two-weekly and monthly. Extensive appendices to assist chair-side decision making in everyday practice. Efron Grading Scales for Contact Lens Complications. Evidence-based approach with numerous up-to-date references at the end of each chapter.