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Book and Software Review
August 2000

Refractive Surgery: A Manual of Principles and Practice

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Arch Ophthalmol. 2000;118(8):1142. doi:

Refractive Surgery: A Manual of Principles and Practice provides a practical and concise guide to the wide variety of refractive surgery techniques available today. The text discusses these procedures in moderate detail, but focuses mainly on the currently popular laser-assisted in situ keratomileusis (LASIK) technique. The early chapters (part I) provide an extensive guide to proper patient care, from the initial inquiry to the final postoperative visit. Chapter 6 insightfully discusses strategies for the cotreatment of patients undergoing refractive surgery. Another especially useful chapter discusses some less commonly used examination techniques, which nicely highlight the importance of screening out patients with other ocular diseases. Part II explores the refractive surgery techniques themselves and the unique challenges associated with each. The only section seemingly short on detail is the chapter describing the accepted technique of radial keratotomy, but it is understandable since the procedure is no longer performed at the Gimbel Eye Centers, Canada. In addition, the chapter on LASIK does not seem to address the current concerns surrounding the prevalence of superficial punctate keratopathy and dry eye syndrome following LASIK. The inclusion of multiple case studies in part III, Patient Examples, as well as throughout the text, adds a personal and practical component to the manual. As a whole, this text does an excellent job outlining all potential complications with each refractive surgery technique, and highlighting the importance of properly informing all candidates of the risks involved.

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