DESCRIPTION:
How can one best master a rupture of the posterior capsule during cataract surgery? How should one operate on a dropped nucleus? What is the ideal management for a subluxated intraocular lens? If you are seeking answers to these and similar questions, then this is the book for you.
Every surgeon is afraid of complications, but while complications cannot be entirely avoided, it is possible to learn to master them. This practical handbook clearly explains how to manage the various complications that may arise during cataract surgery. It provides the surgeon with clear instructions on how best to proceed in the manner of a cookbook, by first describing the ingredients (equipment) and preparation (planning) and then providing step by step descriptions of technique with the aid of numerous helpful color illustrations and several accompanying surgical videos. Surgical pearls and pitfalls are highlighted. Using this book, the reader will become a better and more complete cataract surgeon, well equipped to cope with the full range of potential complications.
CONTENTS:
Part I Complication Management Using a Phacoemulsification Machine
1 Basics
1.1 Difficulty of Cataract Surgery in Relation to Density of Nucleus
1.2 Difficulty of Cataract Surgery in Relation to Other Factors
1.3 Anatomy of Different IOL Implantation Sites
1.4 Small-Gauge Vitrectomy
1.5 SICS: The Modified ECCE
2 Equipment
2.1 Devices
2.2 Standard Instruments for Anterior Segment Procedures
3 Planning for Surgical Complications
3.1 Different Cases for Surgical Planning
3.2 Correct IOL Choice
4 General Surgical Techniques for Anterior Segment Surgery
4.1 Anaesthesia
4.2 Standard Instruments for Phacoemulsification
4.3 Phacoemulsification of an Easy Cataract
4.4 Phacoemulsification of a Difficult Cataract
4.4.1 Small Pupil: Implantation of Iris Retractors and Malyugin Ring
4.4.2 Problems During Capsulorhexis
4.4.3 Problems During Hydrodissection
4.4.4 Complications During Phacoemulsification
4.4.5 Problems During I/A: Implantation of Capsular Tension Ring
4.4.6 Problems During IOL Implantation
4.4.7 Problems During Final Steps
4.5 Traumatic Cataract
4.6 SICS
4.6.1 Standard Instruments for SICS
4.6.2 SICS Surgery
4.7 Summary
5 Special IOL Fixation Techniques
5.1 Iris-Claw IOL Implantation
5.1.1 Standard Instruments for Iris-Claw IOL Implantation
5.1.2 Iris-Claw IOL Implantation Surgery
5.2 Intrascleral IOL Implantation (Scharioth Technique)
5.2.1 Standard Instruments for Intrascleral IOL Implantation
5.2.2 Intrascleral IOL Implantation Surgery
5.3 Scleral IOL Fixation
5.4 Summary
6 Possible Surgeries After Insertion of a Trocar at Pars Plana
6.1 Introduction
6.2 Anterior Vitrectomy from Pars Plana
6.2.1 Basics of Anterior Vitrectomy
6.2.2 Special Instruments and Material for Anterior Vitrectomy
6.2.3 Anterior Vitrectomy from the Limbus
6.2.4 Anterior Vitrectomy from Pars Plana
6.3 Recovery of a Subluxated Nucleus from Pars Plana
6.4 Recovery of a Subluxated IOL from Pars Plana
6.5 Removal of Posterior Capsular Opacification from Pars Plana
6.6 Summary
7 Complication Management for Anterior Segment Cases
7.1 Posterior Capsule Rupture
7.1.1 IOL Scaffolding for Residual Lens Pieces in Capsular Rupture (Agarwal Technique)
7.2 Zonular Lysis
7.2.1 Surgery I: Phaco and Capsular Tension Ring
7.2.2 Surgery I Continued: Lens Capsule Extraction and Implantation of Scleral- or Iris-Fixated IOL
7.2.3 Surgery II: ICCE and Implantation of an Iris-Claw IOL
7.3 Management of an Anteriorly Dislocated Intraocular Lens
7.3.1 Management of a Decentred Intraocular Lens
7.4 Management of an Anteriorly Dislocated Bag-IOL Complex
7.4.1 Removal of Bag-IOL Complex and Secondary Iris-Claw IOL Implantation
7.4.2 Scleral Fixation of Dislocated Bag-IOL Complex (Hoffmann Technique)
7.5 Summary
Part II Complication Management Using a Vitrectomy Machine
8 General Surgical Techniques for Posterior Segment Surgery
8.1 Standard Instruments for Pars Plana Vitrectomy
8.2 Binocular Indirect Ophthalmo Microscope (BIOM)
8.3 Anaesthesia
8.4 Pars Plana Vitrectomy
9 Complication Management for Posterior Segment Cases
9.1 Management of a Posteriorly Dislocated Nucleus (Dropped Nucleus)
9.1.1 Extraction of a Posteriorly Dislocated Nucleus with Fragmatome
9.1.2 Extraction of a Posteriorly Dislocated Nucleus with PFCL
9.2 Management of a Posteriorly Dislocated Bag-IOL Complex
9.2.1 IOL Extraction and Implantation of an Iris-Fixated IOL
9.2.2 Scleral and Intrascleral Fixation of the Dislocated IOL
9.3 Summary
10 Surgical Pearls
10.1 Intraocular Lens Exchange
10.2 Extraction of an Acrylic IOL Through IOL Refolding
10.3 Extraction of a Silicone IOL Through Bisecting of IOL
10.4 Iris Capture by the IOL Optic
10.5 Iridoplasty
10.6 Implantation of an Iris Prosthesis
10.6.1 Implantation of a Foldable Iris Prosthesis
10.6.2 In-the-Bag Implantation of an Iris and IOL Prosthesis
10.6.3 Scleral Fixation of an Iris and IOL Prosthesis
11 Materials and Companies
12 Compilation of All Pits and Pearls
