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Pediatric Cataract Surgery

Pediatric Cataract Surgery

Techniques, Complications, and Management

9780781743075
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Description

This is the first reference textbook to address the considerable challenges of managing cataracts in children. Content covers all details of pediatric cataracts and surgical techniques to treat and prevent visual impairment. Readers explore patient work-up, diagnosis, surgical techniques, and potential complications. Newly emerging topics, such as temporary polypseudophakia, multifocal lenses, implant biocompatibility, intracapsular rings, and the use of capsular dyes in pediatric cataract surgery, are discussed in detail. Numerous tables and line diagrams and more than 200 full-color photographs clarify concepts.

Product Details
Lippincott Williams & Wilkins
38792
9780781743075
9780781743075

Data sheet

Publication date
2005
Issue number
1
Cover
hard cover
Pages count
320
Dimensions (mm)
216 x 279
Weight (g)
1293

  • SECTION I:: CHARACTERISTICS OF CATARACTS IN CHILDREN 1

  • Embryology and Anatomy of the Human Crystalline Lens 1
  • Etiology and Morphology of Pediatric Cataracts 6
  • Genetics of Congenital Cataracts 14
  • Epidemiology of Pediatric Cataracts and Associated Blindness 18

    SECTION II:: PREOPERATIVE WORKUP 23

  • Evaluation of Visually Significant Cataracts 23
  • Informed Consent 27
  • Intraocular Lens Power Calculation for Children 30

    SECTION III:: CATARACT SURGERY IN CHILDREN 39

  • Historical Overview 39
  • Planning Pediatric Cataract Surgery:: Diverse Issues 44
  • Anesthetic Management of the Pediatric Patient with Cataracts 51
  • Principles of Incision Construction in Pediatric Cataract Surgery 54
  • Ophthalmic Viscosurgical Devices 59
  • Anterior Capsule Management 68
  • Multiquadrant Hydrodissection 77
  • Lens Substance Aspiration 80
  • Posterior Capsulotomy and Anterior Vitrectomy for the Management of Pediatric Cataracts 83
  • Dye-Enhanced Pediatric Cataract Surgery 93
  • Applications of the Fugo Blade 97
  • Lensectomy and Anterior Vitrectomy When an Intraocular Lens Is Not Being Implanted 101
  • Postoperative Medications and Follow-up 105

    SECTION IV:: LENS IMPLANTATION IN CHILDREN 113

  • Posterior Chamber Lens Implants:: Currently Available Lens Designs and Future Application 113
  • Intraocular Lens Types and Sizes for Pediatric Cataract Surgery 127
  • Primary Intraocular Lens Implantation in Infantile Cataract Surgery 134
  • AcrySof Intraocular Lens Implantation in Eyes with Pediatric Cataracts 139
  • The Iris-Claw Lens (Artisan) 150
  • Role of Optic Capture in Pediatric Cataract-Intraocular Lens Surgery 154
  • Polypseudophakia 158
  • Transscleral Suture Fixation of Posterior Chamber Intraocular Lenses 160
  • Secondary Intraocular Lens Implantation 165

    SECTION V:: ANATOMICAL ANOMALIES THAT MAY COMPLICATE CATARACT SURGERY 171

  • Cataracts Associated with Type I Diabetes Mellitus 171
  • Persistent Fetal Vasculature 174
  • Cataract Surgery in Eyes with Retinopathy of Prematurity 179
  • Cataract Surgery in Eyes Treated for Retinoblastoma 184
  • Preexisting Posterior Capsule Defects 189
  • Anterior Lenticonus in Alport Syndrome 194
  • Aniridia and Cataracts 199
  • Lowe Syndrome 203
  • Dislocated Crystalline Lenses 205
  • Pediatric Cataract Surgery in Eyes with Uveitis 211

    SECTION VI:: INTRAOPERATIVE COMPLICATIONS AND POSTOPERATIVE SEQUELAE 217

  • Intraoperative Complications of Pediatric Cataract-Intraocular Lens Surgery and Their Management 217
  • Postoperative Complications of Pediatric Cataract-Intraocular Lens Surgery and Their Management 223
  • Growth of Aphakic and Pseudophakic Eyes 230
  • Opacification of the Ocular Media 236
  • Postoperative Glaucoma 244
  • Strabismus in Pediatric Aphakia and Pseudophakia 254
  • Cystoid Macular Edema 257
  • Retinal Detachment 263

    SECTION VII:: FUNCTIONAL ISSUES 267

  • Management of Residual Refractive Error After Intraocular Lens Implantation 267
  • Aphakia 270
  • Assessment of Visual Functions (Acuity, Contrast Sensitivity) and Amblyopia Management 278

    SECTION VIII:: REFRACTIVE SURGERY 283

  • Phakic Intraocular Lenses in Children 283
  • Pediatric Refractive Surgery 289

    SECTION IX:: MISCELLANEOUS ISSUES AND VIEWS 293

  • Traumatic Cataracts in Children 293
  • Pediatric Cataracts in Developing-World Settings 303
  • Pediatric Cataract Surgery and Intraocular Lens Implantation:: Practice Styles and Preferences of the 2001 ASCRS and AAPOS Membership 308
  • Step-by-Step Approach for Management of Pediatric Cataracts 316
  • My Preferred Approach 321

    Appendix 332

    Index 335
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