Management of Complications in Refractive Surgery

Refractive surgery is practiced worldwide on patients today and to offer it as an obligatory reference for the refractive surgeon, not only for the clinical and surgical practice but also for the academicapproach to the study of the complications of refractive surgical techniques including Premium IOLs.
The third edition of this book contains new chapters that cover the complications of new important surgical approaches, such as multifocal intraocular lenses, premium lenses, extended depth of field lenses, femtosecond laser, corneal surgery and others. In addition, chapters from the previous edition, which cover complications such as Intraoperative complications, e.g. intraocular refractive surgery, femtosecond laser, LASIK and EPILASIK, refractive lens exchange, corneal refractive surgery, early post-operative complications and late post-operative complications, were updated to ensure it contains the most current information. 
This book provides ophthalmic surgeons with appropriate solutions for the most frequent problems they would face in their daily practice.

List of contents

Section 1: Complications of Corneal Refractive Surgery: LASIK Intraoperative Complications.- Chapter 1. Thin, Irregular, and Buttonhole Flaps.- Chapter 2. Intraoperative Flap Complications in LASIK: Prevention and Management of Free Flaps.- Chapter 3. Management of the Distorted Flap.- Section 2: Complications of Corneal Refractive Surgery: SMILE Intraoperative Complications.- Chapter 4. Uncollaborative Patient and Suction Losses.- Chapter 5. Lenticule Creation Complications: OBL, Black Spots and Treatment Decentrations.- Chapter 6. Lenticule Extraction Complications: Retained Fragments, Incision Tears, Cap Perforation, and False Dissection Plane.- Section 3: Complications of Corneal Refractive Surgery: LASIK and SMILE Postoperative Complications.- Chapter 7. Scarring.- Chapter 8. Infections After Refractive Surgery.- Chapter 9. Diffuse Lamellar Keratitis (DLK).- Chapter 10. Pressure-Induced Interlamellar Stromal Keratitis and Persistent Epithelial Defect (PED) Masquerade Syndrome.- Chapter 11. Small Incision Lenticule Extraction (SMILE) Complications.- Chapter 12. Prevention and Management of Flap Striae After LASIK.- Chapter 13. Marginal Sterile Corneal Infiltrates After LASIK and Corneal Procedures.- Chapter 14. Melting.- Chapter 15. Dry Eye.- Chapter 16. Post-LASIK Corneal Dysesthesia.- Chapter 17. Epithelial Ingrowth.- Chapter 18. Corneal Ectasia.- Chapter 19. Ptosis.- Section 4: Complications of Corneal Refractive Surgery: Surface Ablation Complications.- Chapter 20. Complications of Laser Epithelial Keratomileusis (LASEK).- Chapter 21. Corneal Haze After Refractive Surgery.- Section 5: Complications of Corneal Refractive Surgery: Refractive Miscalculation.- Chapter 22. Refractive Miscalculation with Refractive Surprise - Sphere.- Chapter 23. Astigmatism Surprise After Refractive Surgery.- Section 6: Complications of Corneal Refractive Surgery: Optical Aberrations and Corneal Irregularities.- Chapter 24. Causes of Higher-Order Aberrations Induction in Excimer Laser and Femtosecond Surgery.- Chapter 25. Night Vision Disturbances Following Refractive Surgery: Causes, Prevention, and Treatment.- Chapter 26. Decentration.- Chapter 27. Corneal Irregularity Following Refractive Surgery: Causes and Therapeutic Approaches.- Chapter 28. Treatment of the Aberrated Cornea with Wavefront Guided Excimer Laser Surgery.- Section 7: Complications of Corneal Refractive Surgery: Other Corneal Refractive Surgical Procedures.- Chapter 29. Complications of Corneal Collagen Cross-Linking.- Chapter 30. CXL for Post-LASIK Ectasia.- Chapter 31. Complications for Refractive Keratotomy.- Chapter 32. Management Complications of Intracorneal Ring Segment Implantation.- Chapter 33. Corneal Inlays: Complications.- Chapter 34. EDOF and Multifocal Lenses.- Section 8: Refractive Lens Exchange Complications.- Chapter 35. Complications of Multifocal Intraocular Lenses.- Chapter 36. Refractive Surprise AfterCataract Following Corneal Refractive Surgery.- Chapter 37. Refractive Lens Exchange and Choroidal Neovascularization.- Chapter 38. Multifocal IOL and EDOF Lenses Neuroadaptation Failure.- Chapter 39. Retinal Complications Following Refractive Lens Exchange and Phakic IOL.- Section 9: Phakic Intraocular Lens Complications.- Chapter 40. Complications of Anterior Chamber Angle-Supported Phakic Intraocular Lenses.- Chapter 41. Complications of Iris-Supported Phakic IOLs.- Chapter 42. Complications of Posterior Chamber Phakic IOLs.- Chapter 43. Bilensectomy Procedures.- Section 10: Optic Nerve, Retina, and Binocular Vision.- Chapter 44. Optic Neuropathy and Retinal Complications After Corneal Refractive Surgery.- Chapter 45. Effect of Refractive Surgery on Strabismus and Binocular Vision.- Chapter 46. Diplopia Following Refractive Lens Exchange.- Chapter 47. Complications Related to Femtosecond Laser-Assisted LAISK.- Section 11: Refractive Surgery Outcomes and Quality of Life.- Chapter 48. Refractive Surgery Outcomes and Frequency of Complications.- Chapter 49. Influence of Refractive Surgery Complications on Quality of Life.- Chapter 50. Predicting the Unhappy Patient and Patient Expectations.

About the author

Prof. Dr. Jorge Alio MD, PhD, FEBO is Professor and Chairman of Ophthalmology, University Miguel Hernandez, Alicante, Spain, founder of Vissum Corporation, Spain and the Jorge Alió Foundation for the Prevention of Blindness. He is a high volume surgeon in cataract, cornea and refractive surgery with over 55,000 surgeries performed. His main research interests include lens, refractive and corneal surgery. Pioneer in the area of multifocal, accommodative and toric IOLs, excimer laser refractive surgery, phakic IOLs and more recently corneal regeneration surgery. Author of over 940 peer review papers, 410 chapters, 99 books. Extremely active at congresses with lectures and courses. 2022 Hirsch factor (h-factor) of 70 (Scopus). LXIII chair of the Academia Ophthalmologica Internationalis, XLIX chair of the European Academy of Ophthalmology, President of the ISRS/AAO (2006-2008) member of the American Ophthalmological Society, member of the Board ofthe European Society of Cataract and Refractive Surgeons and has received over 103 international and national awards. He is the creator and Director of the online International Specialization Course in Refractive, Cornea and Lens Surgery (University Miguel Hernandez). Fellows from all over the world come to his research facilities to be trained under his supervision. 
 
Dimitri Azar, MD, MBA is the Chief Executive Officer of Twenty/Twenty Therapeutics, a joint venture established by Google/Verily and Santen. He is Distinguished Professor and BA Field chair of ophthalmic research and Executive Dean Emeritus at the University of Illinois College of Medicine, where he pioneered the convergence of engineering and data science/artificial intelligence with basic and clinical medicine. Dimitri sits on the board of the Tear Film and Ocular Surface Society, the board of the Himalayan Cataract Project and the Verily SAB board. He also served as a non-executive director 
on the Boards of Novartis (2012-2019) and Verb Surgical (2015-2019). He completed his residency and fellowship training at the Massachusetts Eye and Ear Infirmary, Harvard Medical School. 
He then moved to the Johns Hopkins Wilmer Ophthalmological Institute as assistant professor and founding director of the refractive surgery service (1991-1996). He returned to the Mass Eye and Ear Infirmary as the Director of the Cornea, Refractive Surgery and Contact lens Services (1996-2006). He was named tenured Professor of Ophthalmology at Harvard Medical School (2003-2006) and senior scientist at the Schepens Eye Research Institute, before joining the University of Illinois as Head of the Ophthalmology Department (2006-2011), and later as Executive Dean (2011-2018). He is an internationally recognized ophthalmic surgeon and a leader in basic science, corneal wound healing, angiogenesis, and clinically related vision research, making significant contributions to the treatment of corneal and anterior segment diseases and to advances in refractive surgery through mathematical analyses and applications of advanced optics. His basic science research on matrix metalloproteinases in corneal wound healing and angiogenesis was continually funded by the National Eye Institute R01 award between 1993 and 2021. Dr. Azar received his MD from American University of Beirut and his MBA (with high distinction) from University of Chicago, Booth School of Business. He also holds an honorary doctoral degree from the University of Balamand, as well as an honorary master's degree from Harvard. Dr. Azar is the author of more than 500 scientific articles and book chapters. He is the editor of 23 books in ophthalmology and holds more than 76 patents in ophthalmic pharmacology and bioengineering. He was named one of The Best Doctors in America and recognized among Castle Connolly’s Regional Top Doctors in America annually between 1994 and 2020. He is a member of the Beta Gamma Sigma Honor Society and has served as Trustee for the Chicago Medical Society and 
for the Association of Research and Vision in Ophthalmology, and President of the Chicago Ophthalmological Society. Dr. Azar has received numerous named lectures and leadership awards, including the Life Achievement award by the American Academy of Ophthalmology, the Lans Distinguished Award, the Castroviejo Award, and the University of Illinois at Chicago Scholar Award and Distinguished Professor Award. 
 
Jorge L. Alió del Barrio MD, PhD, FEBOS-CR, FWCRS
Jorge L. Alió del Barrio graduated in Medicine and Surgery from the Universidad Autónoma de Madrid. Specialized in Ophthalmology at the University Hospital of Ramón y Cajal (Madrid, 2009-2013), and he subspecialized in the area of Cornea, Cataract, Ocular Surface and Refractive Surgery after completing Fellowships at Guy`s and St Thomas' Hospital (2013-2014, London, UK) and Moorfields Eye Hospital (2014-2015, London, UK). PhD by the University of Alcalá de Henares (Madrid), he is currently working as a cornea, cataract, ocular surface and refractive surgery surgeon at Vissum (Miranza Group) in Alicante, Spain. He is also Associate Professor in the Department of Ophthalmology in the Faculty of Medicine of the Universidad Miguel Hernández in Alicante. More than 160 publications in prestigious peer reviewed journals and international scientific books support his research and scientific background. Graduated as "Fellow of the European Board of Ophthalmology-Specialist Diploma in Cataract and Refractive Surgery (FEBOS-CR)" from September 2018 and later awarded (2022) by the Spanish Society of Ophthalmology with the “Premio Arruga” to the best CV of a Spanish ophthalmologists under 40 years of age. Declared as “Top reviewer” by the Journal of Refractive Surgery in 2021, 2022, 2023 and 2024 and finally declared as “Fellow of the World College of Refractive Surgeons & Visual Sciences” (FWCRS) from June 2023".

Summary

Product details

• Assisted by: Jorge L. Alio (Editor), Jorge Alio del Barrio (Editor), Dimitri T. Azar (Editor), Dimitri T Azar (Editor)
• Publisher: Springer International Publishing
• Languages: English
• Product format: Hardback
• Release: 26.10.2025
• EAN: 9783031953606
• ISBN: 978-3-031-95360-6
• Illustrations: Approx. 500 p. 450 illus. in color., farbige Illustrationen
• Subjects: Natural sciences, medicine, IT, technology > Medicine > Clinical medicine; Laser, Surgery, Chirurgische Techniken, Retina, Ophthalmology, pathogenesis, cornea, minimally invasive surgery, Cataract surgery, refractive surgery, Myopia, Astigmatism, Hyperopia, Excimer Laser, Intraocular Lenses