The authors of this book are busy practical men with no particular barrow to push. The text of the book includes a comprehensive review of all aspects of intraocular lens surgery including details of the design, optics chem istry and sterilization of intraocular lenses. Its value is enhanced by excellent illustrations and extensive tabulated references to the litera ture. Accounts of patient acceptability are balanced against candid discus sion of complications and their management. The historical introduction recalls that in the early stages of develop ment of the art, over a period of 10 years, two dozen different lens designs were proposed, most claiming elimination of problems which had arisen with their predecessors. Eventually nearly all disappeared from the scene. In an age where every cataract surgeon has to determine a personal position on intraocular lens implantation the author's reflections on these matters are timely. Intraocular lenses are neither a miracle nor a menace, provided that personal decisions and preferences are carefully thought through and put into practice upon the basis of known facts and not upon the basis of fickle fashion and fad. This book provides a background upon which the reader can eva luate in his own mind the validity of information provided by the manufacturers of various lens designs.
Inhaltsverzeichnis
I History. - I. Posterior Chamber Lenses. - II. Anterior Chamber Lenses. - III. Toward the Modern Implant Lenses. - II The Classic Modern Lens. - I. Design and Fixating Principles of the Classic Lens Models. - II. General Nomenclature. - III Materials, Manufacture, and Sterilization. - § 1 Basic Materials. - § 2 Manufacture. - §3 Sterilization. - IV The Optics of Intraocular Lenses. - I. The Optical Quality of Polymethylmethacrylate Lenses. - II. The Dioptric Power of Human Crystallin. - III. The Pseudophakos as a Substitute for the Crystalline Lens. - IV. Determination of Implant Lens Power. - V. Determination of the Iseikonic Lens Power. - VI. Practical Considerations on the Proper Selection of the Implant Power. - V Pre-, Per-, and Postoperative Management. - I. Preoperative Management. - II. Peroperative Management. - III. Postoperative Management. - IV. Stabilization of Implants by Sutures. - VI The Iris Supported Lenses. - §1 The Iris Clip Lens. - §2 The Copeland Lens. - §3 Medallion Lens. - §4 The Sputnik Lens. - §5 Other Lens Designs. - General Conclusion on Iris Supported Lenses. - VII Iridocapsular and Capsular Supported Lenses. - § 1 Iridocapsular Lenses. - §2 Posterior Chamber Lenses. - Conclusion. - VIII Angle Supported Lenses. - IX Mixed Results and Comparative Studies. - I. Results Obtained with Various Lens Types by the Same Surgeon or Surgical Team. - II. Intracapsular Cataract Extraction and Lens Implantation versus Extracasular Cataract Extraction and Lens Implantation. - III. Pseudophakia versus Aphakia. - X Secondary Lens Implantation. - I. Incidence. - II. Secondary Implantation of Iris and Iridocapsular Supported Lenses. - III. Secondary Implantation of Angle Supported Lenses. - IV. Secondary Lens Implantation Series of Various Lens Types. - Conclusion. - XI Lens Implantation inChildren Traumatic and Infantile Cataracts. - I. Early Reports. - II. Later Reports. - Conclusions on Implantation in Children. - XII Lens Implantation and the Endothelium. - Summary and Conclusion. - Keratoplasty and Lens Implantation. - XIII Lens Implantation and Inflammatory Response and Glaucoma. - XIV Lens Implantation and Cystoid Macular Edema. - I. Introduction. - II. Incidence of Cystoid Macular Edema without Lens Implantation. - III. Incidence of Cystoid Macular Edema with Lens Implantation. - IV. Discussion and Conclusions. - XV Lens Implantation and Retinal Detachment. - XVI Guidelines. - Conclusion.
