Index

Master’s Guide to Manual Small Incision Cataract Surgery (MSICS) Ashok Garg, Francisco J Gutiérrez-Carmona, Keiki R Mehta, MS Ravindra

SECTION 1: INTRODUCTION AND RELEVANCE OF MSICS
CHAPTER 1:Clinical Significance and Relevance of Manual Small Incision Cataract Surgery in 21st Century Era
- INTRODUCTION
- OBJECTIVES
- ADVANTAGES OF MSICS
- DISADVANTAGES OF MSICS
- CONCLUSION
CHAPTER 2:The 3-in-1 Simplified Approach for ECCE, MSICS, and Phacoemulsification
- INTRODUCTION
  - Basic Questions
  - Why Learn Simplified 3-in-1 Technique?
- MSICS (HOOK SANDWICH), PHACOEMULSIFICATION, AND THE ECCE TECHNIQUES: THE 3-IN-1 SIMPLIFIED APPROACH (The Sinolinding Approach)
- THE RESULT (Figures 2.22A to 2.23C
- COMPLICATIONS
CHAPTER 3:Pressure Parameters in Manual Small Incision Cataract Surgery
- INTRODUCTION
- HISTORICAL ASPECT
- STEPS OF SURGERY
SECTION 2: VARIOUS MSICS TECHNIQUES
CHAPTER 4:Small Incision Planned Extra
- INTRODUCTION
- INCISION
- SMALL PUPILS
- ANTERIOR CAPSULOTOMY
- HYDRODISSECTION
- NUCLEUS DELIVERY
- CORTEX ASPIRATION
- CAVEATS
CHAPTER 5:Manual Multiphacofragmentation (MPF) Allows for Small Incision Cataract Surgery
- INTRODUCTION
- SURGICAL TECHNIQUE
CHAPTER 6:Chop Multisection and Chopsticks Technique: Chopper, Spatula and Small Incision Cataract Surgery
- INTRODUCTION
- INSTRUMENTATION
- SURGICAL TECHNIQUE
- POSTOPERATIVE MANAGEMENT
  - Shortening the Learning Curve
- COMPLICATIONS
- ADVANTAGES AND DISADVANTAGES OF THE TECHNIQUE (Do's and Don'ts)
  - Advantages
  - Disadvantages
- CONCLUSION
CHAPTER 7:Manual Phacocracking
- INTRODUCTION
- PRINCIPLES
- SURGICAL TECHNIQUES
- COMPLICATIONS
- VISUAL OUTCOMES
- DO’S AND DON’TS OF THE PROCEDURE
- CONTRAINDICATIONS OF MANUAL PHACOCRACKING
- ADVANCE IN MANUAL PHACOCRACKING
CHAPTER 8:Double Nylon Loop (Trisection)
- INTRODUCTION
- PRINCIPLE
- INDICATIONS OF DOUBLE NYLON LOOP TECHNIQUE
- CONTRAINDICATIONS OF DOUBLE NYLON LOOP TECHNIQUE
- SURGICAL TECHNIQUES
- RESULTS AND VISUAL OUTCOMES
- COMPLICATIONS
- DO’S AND DON’TS
CHAPTER 9:Phacosection: A Manual Small Incision No Stitch Cataract Extraction Technique
- INTRODUCTION
- INCISION
  - The Basics of Incision Construction
- ANTERIOR CAPSULOTOMY
- HYDRODISSECTION
- ANTERIOR CORTEX/EPINUCLEUS REMOVAL
- NUCLEUS PROLAPSE
- PHACOSECTION
- POSTERIOR EPINUCLEUS AND CORTEX
- IOL IMPLANTATION
CHAPTER 10:Phacofracture Technique in SICS
- ANESTHESIA
- INCISION
- CAPSULORHEXIS
- HYDROPROCEDURE
- NUCLEAR LUXATION
- NUCLEUS DELIVERY
- COMPLICATIONS
CHAPTER 11:Phacosection— An Elegant SICS
- WHAT IS NEW IN CATARACT SURGERY?
- PREPARATION
- INSTRUMENTATION
- TUNNEL
- CCC
- NUCLEUS MANAGEMENT
- CORTICAL MANAGEMENT
- IOL IMPLANTATION
- GUIDELINES TO BEGINNERS
- DO's AND DON'tS FOR PHACOSECTION
CHAPTER 12:3 mm Manual SICS Stop and Chop
- INTRODUCTION
- INCISION
- CAPSULORHEXIS
- HYDRODISSECTION
- DELIVERING THE NUCLEUS OUT OF THE BAG
- DELIVERY OF THE NUCLEUS OUT OF THE AC
- CONCLUSIONS
- IMPORTANT POINTS TO NOTE (Do's and Don'ts)
CHAPTER 13:Nucleus Management by Visco-expression Technique in Manual SICS
- SURGICAL TECHNIQUE
- DO's AND DON'tS OF THE PROCEDURE
CHAPTER 14:Closed Chamber Manual Phacofragmentation
- INTRODUCTION
- PROCEDURE
- DO's AND DON'TS OF THE PROCEDURE
CHAPTER 15:Manual Phacofragmentation with a Nylon Sling
- INTRODUCTION
- THE BEAUTY OF MANUAL SURGERY
- SURGICAL TECHNIQUE
  - Strategic Consideration
  - Personal Technique
CHAPTER 16:Bluementhal's Technique in MSICS
- INTRODUCTION
- PRINCIPLE
- ANTERIOR CHAMBER MAINTAINER (ACM)
- SIDE PORTS AND ACM PORT
- CAPSULOTOMY
- SCLERAL INCISION
- TUNNEL AND INTERNAL OPENING
- HYDROPROCEDURES AND NUCLEUS PROLAPSE
- NUCLEUS EXPRESSION
- CORTICAL CLEAN-UP
- IOL INSERTION
- CLOSING UP
- DO's AND DON'tS
CHAPTER 17:Irrigating Vectis Technique and Suprahard Cataract
- INTRODUCTION
- THE OPERATION
CHAPTER 18:MSICS under Combined Topical and Pinpoint Anesthesia
- STEP 1: ANESTHESIA
  - Material Required
  - Procedure
- STEP 2: ANTERIOR CHAMBER MAINTAINER (ACM)
- STEP 3: SIDE PORT INCISION
- STEP 4: TUNNEL
- STEP 5: HYDROPROCEDURE
- STEP 6: NUCLEUS DELIVERY AND CORTICAL CLEAN UP
- STEP 7: IOL IMPLANTATION
- STEP 8: STROMAL–HYDRATION
- STEP 9: CONJUCTIVAL CLOSURE
- STEP 10: SPECULUM REMOVAL
CHAPTER 19:Small Incision Sutureless Temporal Approach Extracapsular Cataract Surgery
- INTRODUCTION
- PREOPERATIVE MANAGEMENT
- SURGICAL TECHNIQUE FOR CONVENTIONAL CATARACT SURGERY
- SMALL INCISION SUTURELESS CATARACT SURGERY
- TEMPORAL SMALL INCISION EXTRACAPSULAR SURGERY WITH POSTERIOR CHAMBER INTRAOCULAR LENS
  - Methods
- OUTCOMES
  - Astigmatic Change
  - Refraction and Visual Acuity
- COMPLICATIONS
- DO's AND DON'tS
CHAPTER 20:Sutureless Cataract Surgery with Nucleus Extraction “Fishhook Technique”
- BACKGROUND
- THE HOOK
- THE TECHNIQUE
- OUTCOME
- LEARNING CURVE
- DO's AND DON'tS
CHAPTER 21:Versatility of Anterior Chamber Maintainer (ACM) in SICS
- INTRODUCTION
- MODIFIED BLUEMENTHAL TECHNIQUE
- PHACOFRACTURE AND PHACOSECTION
- ACM IN PHACOEMULSIFICATION
  - Micro-incisional Surgery
  - Secondary Cortical Aspiration
- Do'S AND DON'TS
  - Do's
  - Don'ts
CHAPTER 22:Temporal Manual SICS
- INTRODUCTION
- SURGICAL TECHNIQUE
- INDICATIONS
- RESULTS
- COMPLICATIONS (in our series of 250 cases)
  - Operative
  - Postoperative
- DO'S AND DON'TS OF THE PROCEDURE
  - Do's
  - Don'ts
CHAPTER 23:Modified Snare and New Foldable IOL: SICS for All Situation
- HOW TO START?
- INTRODUCTION
- INSTRUMENTATION
  - Cannula
  - Snare
- INDICATIONS
- CONTRAINDICATION
- ANESTHESIA AND PREOPERATIVE PREPARATION
- PREPARATION OF WOUND
- SCLERAL TUNNEL INCISION
  - Advantages of Temporal Incision
  - With 11 and 15 Number Blade (Figures 23.10A to F)
- ANTERIOR CHAMBER ENTRY (Figures 23.11A and B)
- STAINING OF CAPSULE (Figures 23.12A and B)
- SIDE PORT INCISION (Figures 23.13A and B)
- ANTERIOR CAPSULOTOMY
  - Capsulotomy (Figures 23.14A to F)
  - Capsulorhexis
    - Method
- EXTENSION OF CORNEAL INCISION (Figures 23.15A and B)
- HYDROPROCEDURE
  - Cartico Cleavage Dissection (Figures 23.16A and B)
  - Hydrodissection (Figures 23.17A and B)
  - Hydrodelineation (Figures 23.18A and B)
- NUCLEUS PROLAPSE
  - Methods
- NUCLEUS FRAGMENTATION
  - Bisection (Figures 23.21A to D)
  - Trisection
    - With Bisector (Figures 23.23A and B)
    - With Trisector (Figures 23.24A and B)
- REMOVAL OF NUCLEUS HALF
  - For Soft Cataract
    - Visco Expulsion (Figure 23.25)
    - Lensloop (Figures 23.26A to C)
  - For Hard Cataract
    - McPherson forceps (Figures 23.27A and B)
- CORTICAL CLEAN UP
  - Visco Expression
  - Bimanual Irrigation Aspiration
  - Bimanual Irrigation Aspiration (Manual)
  - Bimanual Irrigation Aspiration (Automated)
- LENS IMPLANT
  - Intraocular Lens
    - Dr Anil Shah's Foldable IOL (Figure 23.30)
- COMPLICATIONS
- SUMMARY OF STEPS
- DISCUSSION
CHAPTER 24:The Double Wire Snare Splitter Technique for Small Incision, Nonphaco Cataract Surgery
- INTRODUCTION
- SURGICAL TECHNIQUE
- SUMMARY
CHAPTER 25:The “Jaws” Slider Pincer Technique for Small Incision, Nonphaco Cataract Surgery
- INTRODUCTION
- THE INSTRUMENT
- THE TECHNIQUE
- RESULTS
  - Variations
- SUMMARY
CHAPTER 26:Mini Nuc Cataract Surgery Under Topical Anesthesia
- TECHNIQUES OF OPHTHALMIC ANESTHESIA
- OCULAR COMPLICATIONS OF RETRO/ PERIBULBAR ANESTHESIA
- WHY IS TOPICAL ANESTHESIA POSSIBLE TODAY
- THE DISADVANTAGES OF TOPICAL ANESTHESIA
- ADVANTAGES OF TOPICAL ANESTHESIA
- CASE SELECTION FOR TOPICAL ANESTHESIA
- TECHNIQUE OF MINI NUC CATARACT SURGERY UNDER TOPICAL ANESTHESIA
CHAPTER 27:Sutureless Manual Small Incision Cataract Surgery using the Kongsap Technique
- INTRODUCTION
- INSTRUMENTATION
- ANESTHESIA
- SURGICAL TECHNIQUE
- SURGICAL RESULTS
- RECOMMENDATIONS
- CONTRAINDICATIONS (PRECAUTIONS)
- CONCLUSION
CHAPTER 28:SICS with Sutureless Trabeculectomy in Cataract with Glaucoma
- INTRODUCTION
- PROCEDURE
- LIMITATIONS
CHAPTER 29:SICS in Pediatric Cataracts
- INTRODUCTION
- WHY SICS AND IOL IN A CHILD?
- SURGICAL PROCEDURE
- SURGERY
- ANESTHESIA
- TUNNEL INCISIONS
- VISCOELASTICS
- ANTERIOR CAPSULECTOMY
- REMOVAL OF LENS MATTER
- PRIMARY IOL IMPLANTATION
- MANAGEMENT OF POSTERIOR CAPSULE
- SELECTION OF IOL POWER
- POSTOPERATIVE MEDICATIONS
- FOLLOW-UPS
- DO's AND DON'tS
CHAPTER 30:Phaco Sandwich Technique in SICS
- INTRODUCTION
- INSTRUMENTATION
- PREOPERATIVE PREPARATION
  - Anesthesia
- SURGICAL TECHNIQUE
CHAPTER 31:Manual Small Incision Cataract Surgery Using Irrigating Vectis
- INTRODUCTION
- SURGICAL PROCEDURE
- MANAGEMENT OF HARD CATARACTS
  - Irrigation-aspiration of the Cortex
- DO's AND DON'tS
CHAPTER 32:MSICS in Difficult Situations
- INTRODUCTION
- SMALL PUPIL
- WHITE CATARACT
- HARD BLACK CATARACT
- SUBLUXATED CATARACTS
- CATARACTS WITH PSEUDOEXFOLIATION
- CATARACTS WITH EXISTING FILTRATION BLEBS
- DO's AND DON'tS
CHAPTER 33:Small Incision Nonphacoemulsification Surgery and Glaucoma
- INTRODUCTION
- DIAGNOSIS OF GLAUCOMA
- DECISION
- COMBINED SURGERY
- INDICATIONS
- PREOPERATIVE EVALUATION
- THE TECHNIQUE
- ANTIMETABOLITES
- COMPLICATIONS
  - Intraoperative Complications
  - Postoperative Complications
- CONCLUSION
CHAPTER 34:Modifications in MSICS for Large Volume Surgeries
- INTRODUCTION
CHAPTER 35:Update on Nucleus Delivery Techniques in Manual Small Incision Cataract Surgery
- INTRODUCTION
- DELIVERY OF NUCLEUS INTO THE ANTERIOR CHAMBERS
- REMOVAL OF NUCLEUS OUT OF THE WOUND6
- CONCLUSION
SECTION 3: MSICS COMPLICATIONS AND ITS MANAGEMENT
CHAPTER 36:Complications and their Avoidance in Manual Small Incision Cataract Surgery
- INTRAOPERATIVE COMPLICATIONS AND THEIR AVOIDANCE
- POSTOPERATIVE COMPLICATIONS AND THEIR AVOIDANCE
CHAPTER 37:Management of Anterior Segment Complications in SICS
- ANESTHETIC COMPLICATIONS7
- WOUND RELATED COMPLICATIONS5
  - Depth of the Incision5
    - Superficial Incision
    - Management
- COMPLICATIONS RELATED TO ANTERIOR CAPSULOTOMY
  - Continuous Curvilinear Capsulorhexis5
- COMPLICATIONS DURING HYDROPROCEDURES5
- COMPLICATIONS DURING NUCLEUS DELIVERY
- COMPLICATION DURING CORTICAL ASPIRATION
- SHALLOW ANTERIOR CHAMBER
- COMPLICATIONS RELATED TO INTRAOCULAR LENS4
- POSTOPERATIVE COMPLICATIONS6
CHAPTER 38:Posterior Segment Complications in SICS and Management
- CYSTOID MACULAR EDEMA
- MEDICAL
- SURGICAL
- VITRECTOMY
  - Prognosis
  - Vitreous Hemorrhage
    - Fate of Blood within the Vitreous1
- ENDOPHTHALMITIS
  - Role of Vitrectomy in Endophthalmitis
- DISLOCATED IOLS
- CHOROIDAL DETACHMENT
- RETINAL DETACHMENT
- VITRITIS
CHAPTER 39:Management of Intraoperative Complications in Manual Small Incision Cataract Surgery
- INTRODUCTION
- COMPLICATIONS DURING PERIBULBAR ANESTHESIA
- COMPLICATIONS DURING INCISION CONSTRUCTION
- COMPLICATIONS DURING CAPSULORHEXIS
- COMPLICATIONS DURING HYDROPROCEDURES
- COMPLICATIONS DURING NUCLEUS PROLAPSE AND DELIVERY
- COMPLICATIONS DURING CORTICAL CLEAN UP
- COMPLICATIONS DURING IOL INSERTION
- SUMMARY
- DO's
- DON’TS
CHAPTER 40:Management of Astigmatism in SICS
- WITH THE RULE AND AGAINST THE RULE ASTIGMATISM
- THE EFFECT OF SURGERY
- INCISION TYPE
- LENGTH OF THE INCISION
- ASTIGMATICALLY NEUTRAL FUNNEL
- DISTANCE FROM CORNEA
- THE ENTRY POINT AT CORNEA
- MANAGING PREEXISTING ASTIGMATISM
CHAPTER 41:Pearls and Pitfalls in Small Incision Cataract Surgery
- AIMS: ASTIGMATISM NEUTRILITY AND SELF-SEALING INCISIONS ((FIGURE 41.1)
- WOUND ARCHITECTURE (FIGURE 41.2)
- SURGICAL PROCEDURE
CHAPTER 42:Management of Nucleus Prolapse in Manual Small Incision Cataract Surgery
- INTRODUCTION
- NUCLEUS PROLAPSE THROUGH CAN-OPENER CAPSULOTOMY
- NUCLEUS PROLAPSE THROUGH CAPSULORHEXIS
  - Partial Hydroprolapse and Wheeling
  - Intracapsular Flip
- TECHNIQUES FOR SPECIFIC TYPE OF CATARACTS
- DO's AND DON'tS

INDEX

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Index

Chapter Notes