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Phaco Tips and Tricks
Vikas Mahatme
CHAPTER 1:
Converting from Extra-capsular Cataract Extraction Surgeon to a Phaco Surgeon: A Stepwise Approach
CHAPTER 2:
Capsulorhexis
CHAPTER 3:
Hydrodissection and Hydrodelineation
HYDRODELINEATION
How and why nucleus drop occurs?
Let us see why it occurs
How to avoid nucleus drop?
CHAPTER 4:
Incisions
CHAPTER 5:
Phacodynamics
PERISTALTIC PUMP
Irrigation
Phaco Power
How do you judge that this phaco power is proper for a particular patient (or nucleus)?
How to assess the depth of groove that has been created?
SURGE PHENOMENON
How do you test for surge phenomenon?
Causes of Surge
Other Causes
VACUUM
Preset Vacuum
How to get a judgment of vacuum needed for any particular nucleus?
Actual Vacuum
When to increase the vacuum
When to decrease the vacuum
What is chattering?
FLOW RATE
Testing for Vent Mechanism
Testing for Surge Phenomenon
CHAPTER 6:
Woodcutter's Nucleus Cracking Technique
DEALING WITH NUCLEUS and ITS FRAGMENTS USING WOODCUTTER'S NUCLEUS CRACKING TECHNIQUE
Important Pre-requisite
Steps of Woodcutter's Technique
Advantages of Woodcutter's Technique
AREAS OF ADDITIONAL ATTENTION (AAA)
What do you do when you feel that woodcutter's technique is not working up to the mark?
How to learn?
For a Phaco Beginner
For Phaco Master
How to deal with small nucleus fragments at periphery? (Fig. 6.13)
CHAPTER 7:
Dealing with Epinucleus and Cortex
CHAPTER 8:
Frequently Asked Questions
CHAPTER 9:
Actions: They Speak for Themselves
FORCES OTHER THAN VACUUM AND FLOW RATE THAT MODIFY AND HELP IN DOING PHACO
CHAPTER 10:
Subluxated Lens, Small Pupil and Pediatric Cataract
SMALL PUPIL
Causes
Mechanism of Dilating and Method of Dilatation
PEDIATRIC CATARACT
APPENDICES:
Our Contributions to Ophthalmology
Appendix I
RECTAL MUCOUS MEMBRANE GRAFT IN DRY EYE
Frequently Asked Questions:
Appendix II
NEW PIGMENT FOR COSMETIC CORNEAL TATTOOING
Areas that Deserve Improvements
About the EASY BREATH —An Asset for Ophthalmic Surgery
Appendix III
SCLERAL FLAP ELEVATION BY FILTRATION ENHANCING KNOT IN TRABECULECTOMY
Procedure
Area of Added Attention and Possible Problems
Bibliography
MAHATME EYE BANK AND EYE HOSPITAL
Learning Opportunities
MAHATME EYE BANK AND EYE HOSPITAL
INDEX
TOC
Index
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