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Management of Phaco Complications

ISBN: 9789351521518
ISBN: 9789351521518
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Περιγραφή

Cataracts are a very common condition whereby the lens of the eye becomes cloudy causing blurred vision. Over time, a cataract can get worse, eventually leading to blindness if untreated. Cataracts are the most common cause of blindness worldwide. Phacoemulsification surgery is the most widely used method for cataract management.

This book presents ophthalmic surgeons and trainees with the latest techniques in the management of complications in cataract surgery.

Each technique is illustrated with high quality clinical photographs, a detailed description covering the whole procedure, from basic principles to minute surgical details, and extensive references. Two DVDs ROMs demonstrate the various techniques.

Key points

  • Presents latest techniques in management of complications in phaco surgery
  • Highly illustrated with clinical photographs
  • Includes two DVD ROMs demonstrating surgical techniques
  • Extensive references for further reading

Περιεχόμενα

DVD 1
1. Descemets detachment
2. Descemet?s membrane endothelial keratoplasty (DMEK) with glued
intraocular lens (IOL)
3. Dropped nucleus
4. Glued intraocular lens (IOL) scaffolding
5. Handshake technique for glued intraocular lens (IOL)
DVD 2
1. Lessons learned: Complications of glued intraocular lens (IOL)
2. Longest day 1
3. Pre-Descemet?s endothelial keratoplasty (PDEK) with glued intraocular
lens (IOL)
4. Intraocular lens (IOL) scaffold technique
5. Longest day 2
6. Three times haptic breaking to glued intraocular lens (IOL) with two
months postoperative

Section I: Interventions in Posterior Capsular Rupture
1. Gas Forced Infusion: Controlling the Surge 3
Amar Agarwal
History 3
Introduction 4
Technique 5
Method 5
2. Posterior Capsular Rupture 10
Dhivya Ashok Kumar, Amar Agarwal
Common Risk Factors for Posterior Capsular Rupture 10
Steps for Management of Posterior Capsular Rupture 12
Sequelae after Posterior Capsular Rupture 16
3. Pars Plicata Anterior Vitrectomy: A Redefined Approach 23
Priya Narang, Amar Agarwal
Anatomic Considerations 23
Surgical Technique 25
Precautions 27
4. Sleeveless Phacotip Assisted Levitation of Dropped Nucleus 30
Priya Narang, Amar Agarwal
Surgical Technique 31
5. Sleeveless Extrusion Cannula for
Levitation of Dropped Intraocular Lens 39
Ashvin Agarwal, Priya Narang, Amar Agarwal
Surgical Technique 39

Section II: Glued Intraocular Lens and Intraocular Lens Scaffold
6. Glued Intrascleral Haptic Fixation
of Intraocular Lens (Glued IOL) 47
Ashvin Agarwal, Amar Agarwal
White To White Measurement 47
Surgical Technique 47
7. Handshake Technique for Glued IOL 65
Priya Narang, Amar Agarwal
Leading Haptic Externalization 65
Trailing Haptic Externalization 65
Scharioth Tuck and Glue 67
Injector 67
Handshake Technique for Foldable Glued IOL 67
8. Modifications in the Glued Intraocular Lens Technique 72
Priya Narang, George Beiko, Toshihiko Ohta, Amar Agarwal
No-Assistant Technique 72
Surgical Technique 74
Beiko and Steinerts Modification 77
Toshihiko Ohta?s Y-Fixation Technique 79
Problems with the Glued Intraocular
Lens Technique and their Solutions 84
9. Intraocular Lens Scaffold 87
Priya Narang, Amar Agarwal
Surgical Technique 87
10. Glued Intraocular Lens Scaffold 92
Priya Narang, Amar Agarwal
Concept and Indications 92
Surgical Technique 92
Difficulties 101

Section III: Miscellaneous
11. Intraocular Lens Scaffold for Intraocular Lens Exchange 105
Roger Steinert, Brian Little, Priya Narang, Amar Agarwal
Surgical Technique 106
12. Pre-Descemet?s Endothelial Keratoplasty 110
Harminder Dua, Priya Narang, Amar Agarwal
Surgical Technique 110
13. Negative Dysphotopsia 115
Samuel Masket, Nicole R Fram
Negative Dysphotopsia 115
Positive Dysphotopsia 119
Index 121