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Biaxial Lens Surgery Arturo Pérez Arteaga

SECTION 1: INITIAL CONCEPTS IN BIAXIAL PHACOEMULSIFICATION
CHAPTER 1:Terminology in Biaxial Surgery
- EVOLUTION OF TERMINOLOGY
CHAPTER 2:Why I Have to Learn MICS?
- EVOLUTION OF CATARACT SURGERY
  - Avoiding the Challenge
  - Biaxial Phaco is not a Matter of Incision Size, is a Concept of Search of Excellence
- CURRENT DISTRIBUTION OF CATARACT SURGERY TECHNIQUES (FIG. 2.1)
- CONCLUSION
CHAPTER 3:Phaco-Machines and Instrumentation
- INTRODUCTION
- BASIC FUNCTIONS OF PHACO-MACHINES
  - Irrigation-Aspiration Handpiece
  - Ultrasonic Handpiece
  - Irrigation Handpiece
- THE TRANSDUCERS
- MAGNETORESTRICTIVE HANDPIECE
- PIEZOELECTRIC HANDPIECE
- ASPIRATION PUMPS
- MECHANISM OF ACTION OF PHACO
- SONIC PHACOEMULSIFICATION
- NEOSONIX PHACOEMULSIFICATION
- WHITESTAR TECHNOLOGY
- CATAREX
- AQUALASE
- ER: YAG LASER PHACOEMULSIFICATION
- DODICK PHOTOLYSIS
- RECENT ADVANCES IN PHACO-MACHINES TECHNOLOGY
- MATERIAL FOR PHACO SURGERY INSTRUMENTS
  - Diamond
  - Sapphire
  - Titanium
  - Stainless Steel
- INCISION AND WOUND CONSTRUCTION DYNAMICS
  - Groove Making
  - Tunnel Making
  - Anterior Chamber Entry
  - Side Port Entry
- CAPSULOTOMY
- HYDRODISSECTION AND HYDRODELINEATION
- INSTRUMENTS USED FOR PHACO CHOPPING AND MANIPULATIONS OF NUCLEUS
  - Choppers
  - Phaco Tips (Fig. 3.26)
  - Irrigation Aspiration Tips (Fig. 3.27A)
- BIMANUAL IRRIGATION ASPIRATION AND PHACOEMULSIFICATION (FIG 3.27B)
- INSTRUMENTS FOR FOLDABLE LENS INSERTION (FIGS 3.28 TO 3.31)
- IOL MANIPULATORS
- INSTRUMENTS FOR SPECIAL SITUATIONS
  - Management of Small Pupil
- MANAGEMENT OF WEAK ZONULES
  - Capsular Tension Rings
  - Mackool Cataract Support System
  - Ahmed Capsular Tension Segment (Fig. 3.36)
CHAPTER 4:Phacoemulsification Machines and Systems for Biaxial Lens Surgery
- FLUIDICS
- INFUSION
- ASPIRATION PUMPS
- FILTRATION THROUGH THE INCISIONS
- PHACODYNAMIC
- SCULPTING
- CHOPPING
- EPINUCLEUS REMOVAL
- IRRIGATION—ASPIRATION OF THE CORTEX
- SURGE PREVENTION
CHAPTER 5:Fluidics in Biaxial Lens Surgery
- INTRODUCTION/INDICATION
- THE ANTERIOR CHAMBER
- THE PRINCIPAL COMPONENTS OF A PHACO-MACHINE (FIG 5.8)
  - Pedal (Figs 5.9 and 5.10)
  - Irrigation System (Fig. 5.11)
- RELATIONSHIP BETWEEN THE FLOW RATE, THE DIAMETER AND THE HEIGHT OF PERFUSION (FIG. 5.14)
- FLOW PUMPS AND VACUUM PUMPS
  - The Pump Systems
- HOW TO IMPROVE THE STABILITY OF THE ANTERIOR CHAMBER
  - Increasing Inflow
- DECREASING OUTFLOW
  - Controlling BSS Leaking through Incisions
  - Controlling the Amount of Fluid Aspirated through the Phaco Needle
- SURGE CONTROL
- IRRIGATING CHOPPERS
- CONCLUSION
SECTION 2: CONVERTING MY TECHNIQUE STEP BY STEP
CHAPTER 6:Incisions Creation
- INTRODUCTION
- INSTRUMENTATION
- SURGICAL TECHNIQUE STEP BY STEP
- FINAL CONSIDERATIONS
CHAPTER 7:Microcapsulorhexis
- INTRODUCTION
- COAXIAL VS BIAXIAL
- INSTRUMENTATION
- SURGICAL TECHNIQUE
- CONCLUSION
CHAPTER 8:Biaxial Capsular Bag Hydroprocedures
- INTRODUCTION
- COAXIAL VS BIAXIAL
- INSTRUMENTATION
- SURGICAL TECHNIQUE
- CONCLUSION
CHAPTER 9:Combiaxial Cataract Surgery
- INTRODUCTION
- INSTRUMENTATION
- SURGICAL TECHNIQUE
- CONCLUSION
CHAPTER 10:Biaxial Irrigation/ Aspiration
- INTRODUCTION
- SURGICAL CONSIDERATIONS
- INSTRUMENTATION
- SURGICAL TECHNIQUE
- CONCLUSION AND ADDITIONAL COMMENTS
- INTRODUCTION
CHAPTER 11:Taking Out the Sleeve
- INTRODUCTION
- CLINICAL CORRELATIONS
- INSTRUMENTATION
- SURGICAL TECHNIQUE
- SURGICAL CONSIDERATIONS AFTER YOUR FIRST BIAXIAL SURGERY
CHAPTER 12:19 Gauge: The Port of Entry to Biaxial Lens Surgery
- INTRODUCTION
- PHACO DYNAMICS
CHAPTER 13:Decreasing the Diameters Learning the Pearls for Creation and Management of Forced Infusion
- INTRODUCTION
- CLINICAL CONSIDERATIONS
  - Why do we want to change to smaller diameters?
- DEFINITIONS
  - Passive Infusion
  - Active or Forced Infusion
    - Internal Forced Infusion
    - External Forced Infusion
- CREATING FORCED INFUSION
- CONCLUSION
CHAPTER 14:Microphakonit: The Final Frontier
- INTRODUCTION
- HISTORY
- MICROPHAKONIT: 0.7 MM NEEDLE TIP
- MICROPHAKONIT: 0.7 MM IRRIGATING CHOPPER
- AIR PUMP AND GAS FORCED INFUSION
- BIMANUAL 0.7 MM IRRIGATION/ASPIRATION SYSTEM
- DUET HANDLES
- DIFFERENCES BETWEEN 0.9 MM AND 0.7 MM SETS FOR CATARACT SURGERY
- SURGICAL TECHNIQUE
- SUMMARY
- EVOLUTION OF TECHNOLOGY
- SURGICAL TECHNIQUE
- CLINICAL CORRELATIONS
  - Can We Answer Now a Simple Question?
  - Let's Explain Why
SECTION 3: SPECIAL SITUATIONS MANAGED WITH BIAXIAL SURGERY
CHAPTER 15:Biaxial Cataract Surgery for Incomplete Capsulorhexis Management
- INTRODUCTION
- BIOPHYSICAL BASIS
- COAXIAL VS BIAXIAL
- SOLVING THE PROBLEM, STEP BY STEP
- CONCLUSION
CHAPTER 16:Biaxial Cataract Surgery in Vitreous Loss
- INTRODUCTION
- CLINICAL CORRELATIONS
- COAXIAL VS BIAXIAL
- VITREOUS LOSS MANAGEMENT STEP BY STEP
- CONCLUSION
CHAPTER 17:Biaxial Cataract Surgery in Intumescent Cataracts
- INTRODUCTION
- PHYSICAL BASIS
- COAXIAL VS BIAXIAL
- SURGICAL TECHNIQUE: STEP BY STEP
- CONCLUSION
CHAPTER 18:Biaxial Cataract Surgery in Pseudoexfoliation Syndrome
- INTRODUCTION
- CLINICAL FEATURES IN PSEUDOEXFOLIATION RELATED TO CATARACT SURGERY
- PHYSICAL BASIS
- COAXIAL VS BIAXIAL
- SURGICAL TECHNIQUE: STEP BY STEP
- CONCLUSION
CHAPTER 19:Biaxial Cataract Surgery and Posterior Vitrectomy
- INTRODUCTION
- ETHICAL AND LEGAL CONSIDERATIONS
- PHYSICAL BASIS
- COAXIAL VS BIAXIAL
- STEP BY STEP SURGICAL TECHNIQUE
- CONCLUSION
CHAPTER 20:Biaxial Cataract Surgery in Eyes with Posterior Vitrectomy
- INTRODUCTION
- PHYSICAL BASIS
- COAXIAL VS BIAXIAL
- SURGICAL TECHNIQUE: STEP BY STEP
- CONCLUSION
CHAPTER 21:Biaxial Phacoaspiration
- INTRODUCTION
- LENS FEATURES
- ADVANTAGES
- WHY IN BIAXIAL AND NOT IN COAXIAL
- SURGICAL TECHNIQUE
- CONCLUSION
CHAPTER 22:Biaxial Cataract Surgery: Personal Techniques
- INTRODUCTION
- INSTRUMENTATION
- SURGICAL TECHNIQUE
  - Outside the Capsular Bag
    - Prechop Technique
    - Pull the Nucleus Technique
  - Inside the Capsular Bag (Divide and Conquer Technique)
- CONCLUSION
- SURGICAL TECHNIQUE
- VEJARANO'S MICROPHAKONIT TECHNIQUE
- NEW TECHNIQUE
- INTRODUCTION/INDICATIONS
  - Timing
    - Decreasing Complications
- SURGICAL TECHNIQUE
- POSTOPERATIVE TREATMENT
CHAPTER 23:Biaxial Lens Surgery for Refractive Lens Exchange (MIRLEX)
- INTRODUCTION
- HISTORY
- SURGICAL TECHNIQUE
- CONCLUSION
CHAPTER 24:Intraocular Lenses for Biaxial Surgery
- THINOPTX
  - Spherical Aberrations
  - Implantation Technique (Figs 24.1 to 24.7)
- THE ACRYSMART LENS
  - Acrysmart 46S
  - Acrysmart 48S
- MICRIOL (MICRO INTRAOCULAR LENS)
- DIFERENCES BETWEEN MICRIOL AND THINOPTXTHINOPTX

INDEX

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Chapter Notes