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

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

9781626231290
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Description

Renowned master surgeons share best practices for effectively performing cataract surgery and avoiding complications

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.

Product Details
Georg Thieme
80244
9781626231290
9781626231290

Data sheet

Publication date
2017
Issue number
2
Cover
hard cover
Pages count
528
Dimensions (mm)
215.90 x 279.40
Weight (g)
1905

  • 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 Descemets 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

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