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LASIK (Laser in Situ Keratomileusis): Fundamentals, Surgical Techniques, and Complis

2002 Edition, November 26, 2002

Complete Document

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Active, Most Current

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ISBN: 978-0-8247-0797-2
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Product Details:

  • Revision: 2002 Edition, November 26, 2002
  • Published Date: November 26, 2002
  • Status: Active, Most Current
  • Document Language: English
  • Published By: CRC Press (CRC)
  • Page Count: 521
  • ANSI Approved: No
  • DoD Adopted: No

Description / Abstract:


For decades, the majority of ophthalmologists have been embarrassed by and highly suspicious of refractive surgery, at times with good justification. They have been repelled by its tactics in patient recruitment, uneasy about its seemingly cavalier use without longterm data, eager to defend its unsuspecting victims, and deeply concerned that its shortterm benefits are outweighed by its burdensome long-term consequences. And so the words of Germont, uttered pursuant to the most dramatic moment in Verdi's La Traviata, echo the extreme and oftentimes passionate contempt expressed by so many colleagues and close friends towards academically oriented ophthalmologists who marched among the vanguards of laser refractive surgeons. Their repudiation was not unlike Germont's scorn of his son Alfredo for offending Violetta and for making himself worthy of disdain:

Where is my son? . . . no more do I see him.

I am unable to see Alfredo in you.

The ophthalmological peer-reviewed publications and textbooks prior to the late 1980s reflected this disinterest in or hostility toward refractive surgery. Unfortunately, in the pre-LASIK era, there were relatively few high-quality peer-reviewed reports on refractive surgery. Criticisms of the scientific rigor with which clinical studies were conducted were often justified, which, in turn, discouraged academically bound graduates of ophthalmology training programs from dedicating their careers to this subspecialty. Comprehensive textbooks of ophthalmology in the pre-LASIK era also kept refractive surgery at arm's length, relegating it to a minor chapter on the topic. Refractive surgery was viewed as an outlier of great potential but little practical merit in mainstream ophthalmology. But this has all changed with the advent of LASIK!

This book is the first in a series dedicated to Refractive Surgery by Marcel Dekker, Inc. It will most certainly be judged by many as just another LASIK book. While there is abundant coverage of the topic in other books, this volume has several unique features. Its coverage of LASIK is relatively comprehensive, in that it is not limited to LASIK history, surgical techniques, complications, and their management. New aspects of lasers, optics, refraction, diagnostics, and instrumentation are combined with the science and general principles of LASIK, and indications for its use. Although not meant to be encyclopedic, key references abound. They are intended to serve as a guide to the literature on the topic. Thus, this book is not so much a chronicle of LASIK, as an attempt to serve as a source of information relevant to clinical practice.

We are indebted to the students, residents, and colleagues who have made valuable contributions to this book. Several have included original work and analysis in their chapters. It is evident that the authors have attended diligently to their assignments. We are grateful for their effort in integrating the sometimes limited information in peer-reviewed literature with the knowledge derived from their clinical experiences and interactions with colleagues. We hope that this has resulted in a text that is both clinically relevant and as evidence- based as possible.

We thank Dr. Geoffrey Greenwood and Elizabeth Curione of Marcel Dekker, Inc., for their commitment to this project and Drs. Tsubota, Boxer Wachler, Hoang-Xuan, Ang, and Gatinel for their assistance in future books in this series. Special thanks go to Leona Greenhill, for her editorial assistance, and to Rhonda Harris, who managed this project with care and precision. Her attention to detail and her dedication have enabled us to work coherently in the face of adversity.

We take the opportunity to acknowledge the pioneering surgeons and researchers in the field of refractive surgery. Their work and vision have provided the basis not only for current refractive developments that we can offer to our patients, but also for future advances to be made by the next generation of thoughtful contributors to this important field.