Phacoemulsification and Intraocular Lens Implantation: Mastering Techniques and Complications in Cataract Surgery

ISBN-13: 9781626231290 / Angielski / Twarda / 2017 / 528 str.

William J. Fishkind

Opis

Phacoemulsification, the gold standard for cataract extraction, is highly successful. However, the procedure is not without risks and complications. Poor visual outcome, retinal detachment, infection, diplopia, and cornea and iris problems may pose considerable challenges. Additional potential problems arise from implanting the intraocular lens (IOL).Edited by a renowned master surgeon and educator in the field, and authored by a remarkable cast of cataract experts, this is the definitive text on managing cataract surgery, with practical guidance on recognizing and managing complications, should they arise. Experts demonstrate the right way to perform phacoemulsification and diverse surgical and intraocular lens implantation procedures in order to reduce risk and improve patient outcome.This second edition is greatly expanded in size and scope to accommodate the latest state-of-the-art methodologies and refinements in surgical strategies. Since the first edition was published, new techniques for refractive cataract surgery, vitrectomy, IOL exchange, and management of IOL implantation without capsular bag support have been improved. Additionally, new technologies have been introduced such as optical coherence tomography, FLACS (femtosecond laser surgery), and implantation of toric and multifocal refractive IOLs, as well as methods to improve IOL power calculation and decision making.Highlights

• A stellar group of national and internationally renowned eye surgeons provide invaluable clinical pearls gleaned from years of refining procedures
• Surgical videos further elucidate the most optimal surgical strategies
• More than 600 superb illustrations
• Management of challenges including small pupils, IFIS, zonular weakness, inadequate capsular support, vitrectomy, corneal burns, high astigmatism, dysphotopsias, and endophthalmitis

This invaluable reference will help ophthalmologists refine their expertise, resulting in fewer risks and more efficacious outcomes. It is a must-have resource for ophthalmology residents and proficient surgeons alike.

Spis treści

Section I Anesthesia
1 Complications of Ophthalmic Anesthesia
2 Systemic Complications of Ophthalmic Anesthesia
Section II Wound Construction and Complications
3 Wound Construction and Complications
Section III Management of the Small Pupil
4 Small Pupil Recognition and Management
5 Malyugin Ring
Section IV Management of Capsulorhexis and Complications
6 Anterior and Posterior Capsulorhexis
Section V Management of the Hydrosteps and Complications
7 Complications of the Hydrosteps: How to Recognize and Avoid Them
Section VI Phacoemulsification Techniques and Complications
8 Divide-and-Conquer Technique and Complications
9 Stop-and-Chop Phacoemulsification
10 Vacuum Hemi-Flip Phacoemulsification
11 Phaco-Chop Procedure: Management and Complications
12 Phaco Prechop Procedure
Section VII Soft and Mature Cataract Management and Complications
13 Management of the Soft Nucleus
14 Cortically Mature Lens: White Cataract
15 Dense Brunescent Cataract
16 Posterior Polar Cataract
17 Femtosecond Laser Assisted Cataract Surgery
18 Conversion to Extracapsular Cataract Extraction
Section VIII Vitrectomy
19 Torn Posterior Capsule and Anterior Vitrectomy
20 Pars Plana Anterior Vitrectomy
21 Postvitrectomy Considerations in Phacoemulsification
22 Posterior-Segment Complications
Section IX Difficult Circumstances
23 Intraoperative Floppy Iris Syndrome
24 Positive Pressure
25 Strategies for Weak Zonules
26 Capsular Tension Devices
Section X Intraocular Lens Implantation in the Absence of Adequate Capsular Support
27 Scleral and Iris Sutured Posterior Chamber Intraocular Lenses and Intraocular Knot-Tying Techniques
28 Corneoscleral Pocket (Hoffman Pocket)
29 Intraocular Lens Fixation in the Absence of Support: The Glued Intraocular Lens
30 The Cow-Hitch Suture Technique
31 Intraocular Lens Exchange with an Open Posterior Capsule
Section XI Iris Reconstruction
32 Iris Defects and Complications
Section XII Ophthalmic Viscosurgical Devices
33 Using Ophthalmic Viscosurgical Devices to Manage Problems in Cataract Surgery
Section XIII Corneal Complications
34 Corneal Problems Associated with Phacoemulsification
35 Management of Problems with Descemet's Membrane
36 Ultrasound-Induced Thermal Incision Contracture
Section XIV Machine Management in Complicated Cases
37 Understanding the Phaco Machine
Section XV Intraocular Lenses and Complications
38 Aspheric Intraocular Lenses
39 Intraocular Lens Implantation
40 Angle-Supported Intraocular Lenses
41 Understanding and Managing the Dysphotopsias
42 Pathology of Complicated Phacoemulsification
Section XVI Premium Intraocular Lenses and Their Management
43 Management of Astigmatism with Peripheral Corneal Relaxing Incisions and Toric Intraocular Lenses
44 Avoiding Unexpected Outcomes with Toric Intraocular Lenses
45 Crystalens/Trulign Intraocular Lenses
46 Diffractive Multifocal Intraocular Lenses
Section XVII Combined Phacoemulsification and Glaucoma Surgery
47 Combined Phacoemulsification and Glaucoma Procedures
48 Microinvasive Glaucoma Surgery
Section XVIII Toxic Anterior Segment Syndrome and Endophthalmitis
49 Toxic Anterior Segment Syndrome
50 Endophthalmitis
Section XIX Prevention Pearls and Damage Control
51 Residual Astigmatism with Toric Intraocular Lenses
52 General Treatment Guidelines
53 The Challenges with Phacoemulsification
54 Microincision Phaco Surgery
55 Divide-and-Conquer Technique