Anterior Segment Optical Coherence Tomography

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SLACK Incorporated, 2008 - Medical - 179 pages
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High-speed anterior segment optical coherence tomography (OCT) offers a non-contact method for high resolution cross-sectional and three-dimensional imaging of the cornea and the anterior segment of the eye. As the first text completely devoted to this topic, Anterior Segment Optical Coherence Tomography comprehensively explains both the scientific principles and the clinical applications of this exciting and advancing technology.

Anterior Segment Optical Coherence Tomography enhances surgical planning and postoperative care for a variety of anterior segment applications by expertly explaining how abnormalities in the anterior chamber angle, cornea, iris, and lens can be identified and evaluated using the Visante OCT™.

Inside Anterior Segment Optical Coherence Tomography, Dr. Roger Steinert and Dr. David Huang, along with 22 of the field’s leading professionals, provide a wealth of useful clinical and physiological material about this new diagnostic imaging technique. Valuable images are included to assist in the pre- and postoperative assessment of various anterior segment disorders. Additionally, this unique resource contains detailed information on biometric measurements to enhance diagnostic capability.

On the leading edge of anterior segment imaging:
• Mapping of corneal thickness and keratoconus evaluation
• Measurement of LASIK flap and stromal bed thickness
• Visualization and measurement of anterior chamber angle and diagnosis of narrow angle glaucoma
• Measuring the dimensions of the anterior chamber and assessing the fit of intraocular lens implants
• Visualizing and measuring the results of corneal implants and lamellar procedures
• Imaging through corneal opacity to see internal eye structures

With the increase in popularity of anterior chamber imaging, and anterior segment OCT proving to be the best tool for high resolution biometry, Anterior Segment Optical Coherence Tomography is a must-have for anterior segment, refractive, cornea, and glaucoma surgeons.




 

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Contents

PHYSICS AND FUNDAMENTALS OF ANTERIOR SEGMENT OPTICAL COHERENCE TOMOGRAPHY
1
KERATOCONUS SCREENING
11
EVALUATION OF LASIK FLAPS
23
MEDICAL EVALUATION MANAGEMENT AND PLANNING ANTERIOR LAMELLAR SURGERY FOR CORNEAL AND ANTERIOR SEGMEN...
35
PENETRATING AND POSTERIOR LAMELLAR KERATOPLASTY
49
CORNEAL OPACITIES
63
REFRACTIVE CORNEAL IMPLANTS
73
INTACS INTRACORNEAL RING SEGMENTS
79
SAFETY CRITERIA FOR PHAKIC INTRAOCULAR LENS IMPLANTATION BASED ON ANTERIOR SEGMENT OPTICAL COHERENCE TOM...
117
OPTICAL COHERENCE TOMOGRAPHY FOR ANTERIOR SEGMENT TUMORS
127
MEASUREMENT OF ACCOMMODATION
139
INTRAOCULAR LENSES AND CATARACTS
149
PROFILE OF CLEAR CORNEAL CATARACT INCISIONS AS DEMONSTRATED BY OPTICAL COHERENCE TOMOGRAPHY
159
FUTURE DIRECTION OF ANTERIOR SEGMENT OPTICAL COHERENCE TOMOGRAPHY
165
FINANCIAL DISCLOSURES
175
INDEX
177

UTILIZATION OF VISANTE OCT FOR GLAUCOMA EVALUATIONS
89
QUANTITATIVE MEASUREMENT OF THE ANTERIOR CHAMBER ANGLE WITH OPTICAL COHERENCE TOMOGRAPHY
109

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About the author (2008)

Roger F. Steinert, MD, is Professor of Ophthalmology, Professor of Biomedical Engineering, Vice Chair of Clinical Ophthalmology, and Director of Cataract, Refractive, and Corneal Surgery at the University of California Irvine. Prior to accepting these appointments, he was on the faculty of Harvard Medical School and in consultative practice in Boston. Dr. Steinert earned his medical degree from Harvard Medical School, having graduated summa cum laude from Harvard College. He served his residency at Harvard Medical School's Massachusetts Eye and Ear Infirmary where he was an attending surgeon until moving to UC Irvine. In his current position, Dr. Steinert combines a consultative practice in cataract, refractive, and corneal surgery with teaching and translational laboratory research in these fields. He has authored or coauthored four earlier textbooks, including Cataract Surgery, which is in its third edition. He has published more than 120 peer-reviewed journal scientific articles and more than 60 book chapters. He serves on the editorial boards of Ophthalmology, where he serves as Associate Editor, the Journal of Cataract and Refractive Surgery, the Journal of Refractive Surgery, and Ophthalmic Surgery, Lasers, and Imaging. He has presented nine named lectureships, including the 2004 Binkhorst Lecture at ASCRS and the upcoming 2008 Barraquer Lecture at AAO. Dr. Steinert serves as medical monitor of several FDA trials. He holds seven US and numerous international patents. He has received the Senior Honor Award of the American Academy of Ophthalmology and has been selected by his peers for inclusion in every edition of Best Doctors in America and America's Top Doctors. Ophthalmology Times named him one of the top 100 ophthalmologists in North America and he has biographical listings in Who's Who in America, Who's Who in the World, Who's Who in North America, and Who's Who in Science and Engineering. He is a Past President of ASCRS, a member of the Executive Committee, and currently is Annual Meeting Program Chair.

David Huang, MD, PhD, is the Charles C. Manger, III, MD Chair in Corneal Laser Surgery and Associate Professor of Ophthalmology and Biomedical Engineering at the University of Southern California. He is also the Medical Director of the Doheny Laser Vision Center at Doheny Eye Institute. Dr. Huang earned his MD degree from Harvard University and his PhD in Medical Engineering and Medical Physics from Massachusetts Institute of Technology. He received ophthalmology residency training at USC and fellowship training in cornea, external disease, and refractive surgery at Emory University School of Medicine. Prior to joining the USC faculty, Dr. Huang was on the staff of the Cole Eye Institute of the Cleveland Clinic. Dr. Huang is known for his innovations in applying laser and optical technology to eye diseases. He is a coinventor of optical coherence tomography (OCT), an imaging technology that has been applied to the measurement of eye structures with unprecedented precision. He has eight issued patents and six pending patents in the areas of OCT, tissue engineering, and corneal laser surgery. He has been the principal investigator of four National Institutes of Health research grants. He serves on the governing board, editorial board, program committee, or advisory committee of six professional organizations. He has published more than 60 peer-reviewed articles and edited two books. Dr. Huang has received an Achievement Award from the American Academy of Ophthalmology and was selected as one of the Best Doctors in America.

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