Περιεχόμενα
1. Cataract Surgery in the Dry Eye Patient 1
Ryan St Clair, Edward C Lai, Christopher E Starr
? Preoperative Evaluation 2
? Preoperative Testing 3
? Preoperative Treatment 3
? Intraoperative Considerations 4
? Postoperative Care 5
2. Cataract Surgery in Eyes with Corneal Opacification 8
Jeewan S Titiyal, Himanshu Shekhar
? Indications 8
? Preoperative Work-up 8
? Investigations 9
? Surgical Technique 9
? Postoperative Management 10
? Aids to Facilitate Surgery 10
3. Cataract Surgery in Patients with Pterygium 15
Sudeep Das, Mathew Kurian, Rohit Shetty, Somshekar Nagappa, Soumya Ganesh Nanaiah
? Surgical Techniques for Pterygium Excision 15
? Simultaneous or Sequential Surgery for Pterygium and Cataract 15
? Choice of IOLs 18
? Choice of Cataract Surgical Technique following Pterygium Surgery 18
? Counseling 19
4. Cataract Surgery in Compromised Endothelium 21
Steve A Arshinoff
? When Should Concern be aroused? 21
? What Actions can be taken? 21
5. Management of Coexisting Astigmatism during Cataract Surgery 27
Timothy V Roberts
? Prevalence of Astigmatism 27
? Terminology: Axis or Meridian? 28
? Measuring Astigmatism 28
? Surgical Techniques 29
? Surgical Planning 31
? Patient Selection 31
? Astigmatism Management Algorithm 32
? Astigmatic Keratotomy 32
? Corneal Marking and Toric IOL Alignment Techniques 33
? Intraoperative Alignment Systems 33
6. Cataract Surgery in Eyes after Corneal Surgery 35
Jorge L Alio, Ahmed A Abdelghany, Alessandro Abbouda
? Preoperative Clinical Examination 35
? Planification of Cataract Surgery 36
? Cataract Surgery in Eyes with Previous Keratoplasty or Associated to Keratoplasty 36
? The Role of Femtosecond Laser in Combined Cataract and Keratoplasty 41
? Cataract Surgery in Eyes with Previous Corneal Trauma and Scars 42
? Cataract Surgery in Keratoconic Eyes 42
? Cataract Surgery in Eyes with Previous Corneal Refractive Surgery 42
? Cataract Surgery after LASIK and PRK 42
? Cataract Surgery with Previous Incisional Corneal Surgery 43
? Combined PK and Cataract Surgery 45
? MICS with Toric IOL in Eyes with Previous Corneal Surgery 45
? Intralase Femtosecond Corneal Graft Surgery 47
? Postoperative Follow-up 49
7. Cataract Surgery in Highly Myopic Eyes 52
Robert Lalane, Uday Devgan
? High Myopia 52
? Preoperative Evaluation 52
? Intraoperative Considerations and Strategies 53
? Postoperative Management 55
8. Cataract Surgery in Eyes with Shallow Anterior Chamber 57
Larry Benjamin
? Preoperative Issues 57
? Peroperative Problems 57
? Capsulorhexis 57
? Hydrodissection 58
? Phacoemulsification and Irrigation/Aspiration 59
? Biometry 59
9. Phacoemulsification in a Small Pupil 61
Vaishali Vasavada, Abhay R Vasavada
? Preoperative Considerations 61
? Postoperative Considerations 65
10. Cataract Surgery in Intraoperative Floppy Iris Syndrome (IFIS) Eyes 67
Steve A Arshinoff, Milad Modabber
? α-Adrenergic Pharmacology and Causes of IFIS 67
? Surgical Complications of IFIS 69
? IFIS Management Strategies 69
? Pharmacologic Management ofIFIS 70
? Ophthalmic Viscosurgical Devices 70
11. Cataract Surgery in Uveitic Eyes 77
Aliza Jap, Soon-Phaik Chee
? Surgical Technique 79
? Postoperative Management 83
12. Cataract Surgery in Patients with Iris Defects 85
Sathish Srinivasan, Darren S J Ting
? Iris Suturing 85
? Selection of PID 87
? Surgical Technique 88
? Endocapsular Implantation 90
? Outcomes 90
? Complications 91
? Other Complications 93
13. Phaco in White Mature/Hypermature/Intumescent Cataract 95
Anne M Floyd, Nick Mamalis
? Types of White Cataracts 95
? Preoperative Evaluation 96
? Surgical Approach 97
? Capsular Staining 97
? Capsulotomy 97
? Phacoemulsification 98
? Posterior Capsule Weakness 99
? Zonular Weakness 100
14. The Surgery of Rock Hard Cataracts 101
Richard Packard
? Classification of Rock Hard Cataracts 101
? Anatomy 101
? Incisions 101
? Capsulorhexis, Viscoelastics, and Irrigating Solutions 102
? Hydrodissection 103
? Summary of Learning Points with Rock Hard Cataract 106
15. Cataract Surgery in Eyes with Posterior Polar Cataract 107
David Allen
? The Condition 107
? The Problem 108
? Surgical Planning 108
? Surgery 108
? Outcomes 112
16. Surgery of Subluxated Cataracts: Malyugin Modified CTR 114
Boris Malyugin
? Surgical Technique 115
? Results 117
17. Cataract in Patients with Pseudoexfoliation 119
Alan S Crandall
18. Phacoemulsification in Vitrectomized Eyes 122
Arup Chakrabarti, Meena Chakrabarti, Sonia R John
? Risks in Vitrectomized Eyes 122
? Preoperative Considerations 124
? History 124
? Preoperative Work-up 124
? Intraocular Lens Power Considerations 125
? Postoperative Management 129
? Complications 129
19. Lens Extraction in Primary Angle Closure Glaucoma 132
Nafees B Baig, Ka-wai Kam, Clement CY Tham
? Definition and Classification of Angle Closure Glaucoma 132
? Management Approach to Chronic Angle Closure Glaucoma 133
? Biometry of PACG Eyes 133
? Anatomical Effects of Cataract Extraction in PACG Eyes 134
? Effects of Cataract Extraction on IOP in PACG Eyes 134
? PACG with Coexisting Cataract 135
? PACG without Cataract 136
? Role of Lens Extraction in APAC 137
? Technical Challenges of Lens Extraction in PACG 137
20. Cataract Surgery and Management of the Glaucoma Patient 140
Anjum Cheema, Kuldev Singh, Anurag Shrivastava
? Cataract Surgery: A Global Perspective 140
? Cataract Surgery and Intraocular Pressure Lowering 141
? Combined Cataract and Glaucoma Surgery in the POAG Patient 142
? Surgical Considerations 145
? Pseudoexfoliation and Cataract Surgery 145
? IOL Considerations 147
? Management of Glaucoma in the Postoperative Period 147
? Prostaglandin Analog (PGA) Use and Cystoid Macular Edema (CME) 147
21. Lens-induced Glaucoma 152
Rengaraj Venkatesh, Srinivasan Kavitha
? Types 152
? Phacolytic Glaucoma 152
? Phacomorphic Glaucoma 154
22. Cataract Surgery in Eyes with Filtering Blebs 158
Dewang Angmo, Tanuj Dada
? Preoperative Evaluation 159
? Intraoperative Measures 160
? Postoperative Consideration 161
? Outcome of Phacoemulsification in Eyes with a Filtering Bleb 161
23. Cataract Surgery in the Presence of Diabetic Retinopathy 165
Chan Nguyen, Uday Devgan
? Preoperative Testing 165
? Increased Risk of Progression 165
? The Role of Anti-VEGF Agents 166
? Surgical Challenges 169
24. Cataract Surgery and Intraocular Lens Selection in
Patients with Age-related Macular Degeneration 171
Meena Chakrabarti, Sonia R John, Arup Chakrabarti
? Timing of Cataract Surgery in Patients with AMD 171
? Review of Literature Regarding the Relationship between
Modern Cataract Surgery and Progression of AMD 171
? Preoperative Imaging and the Role of Potential Vision Test before Cataract Surgery 174
? Cataract Surgery in Eyes with Wet AMD in the ERA of Anti-VEGF Therapy 175
? Use of Advanced Technology IOLs (ATIOLs) in AMD Patients Undergoing Cataract Surgery 176
25. Femtosecond Laser Cataract in Diseased Eyes 180
Michael Lawless
? Technique 180
? Relative Contraindications to Laser-Assisted Cataract Surgery 181
? Complex Cases for Femtosecond Cataract Surgery 183
? Cataract Surgery in Minors 186
? Postrefractive Surgery 186
26. Persistent Fetal Vasculature 189
Muralidhar Ramappa, Rupal H Trivedi
? Etiopathogenesis 189
? Clinical Manifestations 189
? Clinical Diagnosis 191
? Role ofImaging 191
? Management 192
? Visual Outcome 193
? Postoperative Complications 193
? Cosmetic Outcome 194
27. Cataract Surgery in Eyes Treated for Retinoblastoma 196
Rupal H Trivedi, Muralidhar Ramappa
28. Congenital Rubella Syndrome 199
Muralidhar Ramappa, Rupal H Trivedi
? Etiopathogenesis 199
? Epidemiology of CRS 200
? Clinical Manifestations 201
? Surgical Management of CRS 204
? Antenatal Diagnosis of Rubella 204
? Surveillance 204
? Preventive Steps 205
29. IOL Power Calculation after Corneal Refractive Surgery 208
Giacomo Savini, Kenneth J Hoffer
? Reasons for Errors in Intraocular Lens (IOL) Power Calculation
after Corneal Refractive Surgery 208
? Methods Developed to Calculate IOL Power after Corneal Refractive
Surgery by Excimer Laser 209
? Methods Developed to Calculate IOL Power after Incisional Corneal
Refractive Surgery 215
30. IOL Power Calculation in High Myopia, Hypermetropia and
Postvitrectomized Eyes 218
Harshul Tak, Suresh K Pandey
? IOL Power Calculation in High Myopia 218
? IOL Power Calculation in High Hypermetropia 220
? IOL Power Calculation in Postvitrectomized Eyes 221
? IOL Power Calculation in Silicone Oil Filled Eyes 221
31. Perioperative Management of the Cataract Surgery Patient 224
Michael A Mikhail, Amit K Ghosh
? Preoperative History and Physical Examination for Cataract Surgery 224
? Preoperative Testing for Cataract Surgery 225
? Perioperative Care for Patients with Medical Disorders Undergoing Cataract Surgery 225
? Complications of Cataract Care 227
Index 229
