Advanced IOL Fixation Techniques: Strategies for Compromised or Missing Capsular Support

Abnormal or deficient capsular anatomy creates numerous surgical challenges and predisposes eyes to IOL complications. Literally dozens of different approaches have been devised to implant IOLs in the face of compromised capsular support. However, a comprehensive compendium of the most important surgical strategies has not existed, until now.

Advanced IOL Fixation Techniques:Strategies for Compromised or Missing Capsular Support provides this much-needed resource with more than 70 different chapters that cover the wide array of surgical approaches. Among the contributors are many of the original innovators of the most important technologies and methodologies. In addition to teaching a specific surgical technique, these authors cover its history, rationale, and clinical results.

Editor Dr. David F. Chang is well known and acclaimed for 2 best-selling cataract textbooks―Mastering Refractive IOLs and Phaco Chop and Advanced Phaco Techniques. Along with associate editors Drs. Bryan S. Lee and Amar Agarwal, Dr. Chang has now tackled this new major subject area―how to best fixate IOLs when capsular support is compromised or absent.

• Part One covers capsular fixation with either zonulopathy or following posterior capsule rupture. Topics include using conventional and modified capsular tension rings, capsular tension segments or capsular anchors, standard and reverse optic capture with anterior capsulorrhexis, sulcus fixation, posterior capsulorrhexis, and capsular membrane suture fixation.
• Part Two covers noncapsular fixation. Topics include anterior chamber IOLs, iris claw IOLs, iris and transscleral suture fixation of posterior chamber IOLs, and intrascleral haptic fixation using the Yamane double-needle or glued IOL methods.
• Part Three covers miscellaneous topics such as anterior vitrectomy, IOL power calculation for noncapsular IOLs, and sliding slip knots and suture pupilloplasty.

To facilitate skills transfer, most chapters present detailed, step-by-step descriptions of the different techniques. The maneuvers are illustrated by over 1,100 diagrams and high-resolution surgical images. Finally, nearly every chapter is accompanied by narrated instructional videos. Combining over 150 videos, schematic diagrams, surgical images, and detailed written descriptions, Advanced IOL Fixation Techniques provides the most effective way to learn advanced surgical techniques.

With its comprehensive and practical approach to covering the gamut of strategies and devices, Advanced IOL Fixation Techniques:Strategies for Compromised or Missing Capsular Support will be an indispensable resource for cataract surgeons at all levels of experience.

David F. Chang, MD is a summa cum laude graduate of Harvard College and Harvard Medical School. He completed his ophthalmology residency at the University of California, San Francisco (UCSF), where he is now a clinical professor. Having chaired the American Society of Cataract and Refractive Surgery (ASCRS) Cataract Clinical Committee, Dr. Chang has been on the ASCRS Board and Executive Committee since 2009 and served as the 2012-2013 president. He is past chair of the American Academy of Ophthalmology (AAO) Cataract Preferred Practice Pattern Panel and in 2009 completed his 5-year term as chair of the AAO Annual Meeting Program Committee. Dr. Chang co-chairs the joint ASCRS-ASRS (American Society of Retina Specialists) task force on hemorrhagic occlusive retinal vasculitis and the joint ASCRS-AAO-OOSS (Ophthalmic Outpatient Surgery Society) task force on ophthalmic instrument cleaning and sterilization. He also co-chairs the ASCRS Foundation and serves on the medical advisory boards of the Himalayan Cataract Project and Project Vision.

Dr. Chang is one of only 3 ophthalmologists to ever receive the Charlotte Baer Award, which annually honors the most outstanding clinical faculty member at the UCSF Medical School. In addition to the Standard, Senior, and Lifetime AAO Achievement awards, Dr. Chang was the first 4-time AAO Secretariat Award recipient (2003, 2006, 2007, and 2009). He has been honored by the following international ophthalmology organizations: ASCRS (Binkhorst Medal), AAO (Kelman Lecture), Asia-Pacific Association of Cataract & Refractive Surgeons (Lim Medal), United Kingdom & Ireland Society of Cataract & Refractive Surgeons (Rayner Medal), Canadian Society of Cataract and Refractive Surgery (Award of Excellence/Stein Lecture), Canadian Ophthalmology Society (Sally Letson Lecture), All India Ophthalmology Society (President’s Lecture), Indian Intraocular Implant & Refractive Society (Gold Medal), Italian Ophthalmological Society (Strampelli Medal), International Intraocular Implant Club (IIIC Medal), American-European Congress of Ophthalmic Surgery (Visionary Award), International Society of Refractive Surgery (Presidential Recognition Award), Chinese American Ophthalmology Society (Pioneer Award), DOC-German Ophthalmic Surgeons (DOC Innovator Lecture), Royal Australia and New Zealand College of Ophthalmologists (Gregg Medal), and the Asia-Pacific Academy of Ophthalmology (Jose Rizal International Medal). Including these, Dr. Chang has delivered a total of 40 named lectures. He has twice been voted the fifth most influential ophthalmologist in the world by the international readership of The Ophthalmologist.

Dr. Chang served as chief medical editor of EyeWorld and Cataract & Refractive Surgery Today. He is the author or coauthor of more than 120 peer-reviewed papers. Dr. Chang was the textbook editor of Cataract Surgery Today and SLACK Incorporated’s Curbside Consultation in Cataract Surgery and Mastering Refractive IOLs: The Art and Science. Dr. Chang was also the series editor for the Curbside Consultation Ophthalmology textbook series and the principal author of two editions of Phaco Chop and Advanced Phaco Techniques: Strategies for Complicated Cataracts, all published by SLACK Incorporated.