EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/78788
World view Even best laid refractive surgery plans come with caveats R Kerry Solomon, M.D., refractive editor efractive surgery can be a very re- warding part of our practice. Pa- tients are incredibly grateful at being less dependent on their glasses or contact lenses. There is a caveat, however, to the area of refractive sur- gery—the notion that anatomical success has very little meaning to our patients. Telling pa- tients, "The lens is in an excellent position" or "Your LASIK flap looks pristine" has little mean- ing when patients spend much of their day squinting and struggling to see well enough without their glasses. This is true for all refractive surgery patients, routine and complex. There is an- other caveat: Not every well thought-out surgical plan works out exactly as it should, even when everything is done according to plan. This month's issue focuses on the management of challenging refrac- tive surgery cases. In one feature article, a toric IOL case is presented where everything went according to plan, yet challenges and post-op surprises still occurred. This is the nature of refractive surgery. Members of the refrac- tive editorial board Neel Desai, M.D., and John Berdahl, M.D., offer tips and pearls to readers facing similar cases in their own practices. In another feature, Dr. Berdahl, John Kanellopoulos, M.D., and Richard Lindstrom, M.D., discuss the challenges facing surgeons when performing refractive surgery on post-keratoplasty patients. Additionally, Parag Majmudar, M.D., Eric Donnenfeld, M.D., and John Vukich, M.D., offer pearls and tips for managing post-radial keratotomy (RK) hyperopic shift. As we are aware, post-RK patients can present common challenges for all corneal and cataract refractive surgeons. Finally, Karl Stonecipher, M.D., and Dr. Lindstrom provide their counsel and suggestions for managing the unhappy patient who returns months to years after surgery. I'd like to thank all of the physicians for their contributions and hope you enjoy and glean a few pearls from this issue. Kerry Solomon, M.D., refractive editor Publisher Donald R. Long dlong@eyeworld.org Editorial Editor Jena Passut jena@eyeworld.org Managing Editor Stacy Majewicz smajewicz@eyeworld.org Production Graphic Designer Julio Guerrero jguerrero@eyeworld.org Production Manager Cathy Stern cstern@eyeworld.org 703-383-5702 Production Assistant Karen Salerni ksalerni@eyeworld.org Contributing Writers Vanessa Caceres Lakeland, Florida Michelle Dalton Reading, Pennsylvania Rich Daly Arlington, Virginia Enette Ngoei Singapore Matt Young Malaysia Classified Sales Cathy Stern cstern@eyeworld.org 703-383-5702 EyeWorld Special Projects and Events Jessica Donohoe jdonohoe@eyeworld.org 703-591-2220 AS CRS The official publication of the American Society of Cataract & Refractive Surgery August 2012 Volume 17 • No. 8 PUBLISHING STAFF Senior Contributing Writer Maxine Lipner Nyack, New York Advertising Sales ASCRSMedia 4000 Legato Road Suite 700 Fairfax, VA 22033 703-591-2220 fax: 703-591-0614 eyeworld@eyeworld.org www.eyeworld.org Advertising Sales Jeff Brownstein jbrownstein@eyeworld.org 703-788-5745 Paul Zelin pzelin@eyeworld.org 703-383-5729 ASCRS Publisher: EYEWORLD (ISSN 1089-0084) is published monthly by ASCRS Ophthalmic Services Corp., 4000 Legato Road, Suite 700, Fairfax, VA 22033-4003; telephone: 703-591-2220; fax: 703-591-0614. 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