Pediatric Cataract Surgery

Techniques, Complications, and Management

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Wydawca: Lippincott Williams & Wilkins

ISBN: 9780781743075

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Opis

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.

Szczegóły produktu

Wydawca Lippincott Williams & Wilkins

Indeks 38792

EAN13 9780781743075

ISBN 9780781743075

Opis

Rok wydania: 2005
Numer wydania: 1
Oprawa: twarda
Liczba stron: 320
Wymiary (mm): 216 x 279
Waga (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