Jaypee Brothers
In Current Chapter
In All Chapters
X
Clear
X
GO
Normal
Sepia
Dark
Default Style
Font Style 1
Font Style 2
Font Style 3
Less
Normal
More
Surgical Techniques in Ophthalmology (Cataract Surgery)
Ashok Garg, Jorge L Alio
SECTION I: EVOLUTION OF VARIOUS CATARACT SURGERY TECHNIQUES AND TECHNOLOGY
CHAPTER 1:
Pearls and Tricks in Congenital Cataract Surgery
INTRODUCTION
Diagnosis
PREOPERATIVE PEARLS
Pupil Dilation
IOL Implantation
IOL Power Calculation
GENERAL ANESTHESIA
SURGICAL PEARLS AND TRICKS
CHAPTER 2:
Cataracta Juvenilis and Congenital Lens Subluxation Surgical Procedure
INTRODUCTION
THE CATARACT PROCEDURE
CATARACT SURGERY, WITHOUT PLACEMENT OF AN INTRAOCULAR LENS
CATARACT SURGERY WITH LENS IMPLANTATION
IMPLANTATION OF AN INTRAOCULAR LENS
SURGICAL TECHNIQUE OF CONGENITAL LENS SUBLUXATION
CONCLUSION
CHAPTER 3:
Congenital Cataract Surgery
INTRODUCTION
TREATMENT IN CONGENITAL CATARACT
IOL POWER IN CONGENITAL CATARACT
SURGICAL TECHNIQUE
POSTOPERATIVE MANAGEMENT
CHAPTER 4:
Bimanual Microcataract Surgery in Children
INTRODUCTION
HISTORY
HISTORY BIMANUAL PHACO
BIMANUAL MICROPHACOEMULSIFICATION TECHNIQUE
ANESTHESIA
Paracentesis11 (Fig. 3)
Dye of the Capsule12–14 (Fig. 4)
Viscous
Capsulorhexis15
Hydrodelineation-hydrodissection
Phacoemulsification of the Nucleus (Fig. 7)
EPINUCLEUS REMOVAL IF EXIST
IRRIGATION–ASPIRATION THE CORTEX
LENS
CONCLUSION
CHAPTER 5:
The 3-in-1 Simplified Approach for ECCE, MSICS and Phacoemulsification
INTRODUCTION
WHY LEARN SIMPLIFIED 3-IN-1 TECHNIQUE?
Advantages of the 3-in-1 Approach
Patient Preparation Includes
The 3-in-1 Technique Precautions
Pre-surgical Reminders
MSICS (HOOK SANDWICH), PHACOEMULSIFICATION, AND THE ECCE TECHNIQUES: THE 3-IN-1 SIMPLIFIED APPROACH (THE SINOLINDING APPROACH)
I. Planning and Evaluation
1. Patient Selection
II. Anesthesia
III. Surgical Procedure
The Technique
1. Initial Phase (the crossroad)
Hint
Hint
2. Incision Phase (Figs 7–13)
3. Lens Delivery Phase (Figs 16–18)
Hint
Hint
Hint
Hint
4. IOL Insertion
IV. The Result: (Figs 22A to C, 23)
V. Complications
CHAPTER 6:
Dynamics of the Capsulorhexis
APPLYING A FORCE ON A THIN SHEET OF ELASTIC TISSUE
RIPPING AND SHEARING
RIPPING
Shearing
Dealing with the Capsule
DYNAMICS OF THE CAPSULORHEXIS
Approach A
Approach B
SMALL CAPSULORHEXIS
CHAPTER 7:
Dynamics of Nucleus Emulsification
APPLIED ANATOMY
INSTRUMENTS
Phaco Tips
Choppers/Sinskey Hook
NUCLEUS EMULSIFICATION
Techniques
Basic Dynamics of Nucleus Phacoemulsification
Power Modulations in Phacoemulsification
Pulse Phaco
Duty Cycle
Burst Mode
Variations of Burst Duration
Hyperpulse Mode
Whitestar
Variable Whitestar
Occlusion Mode
Infiniti
Neosonix
Sonic Mode
TRENCHING
NUCLEUS ROTATION
NUCLEUS ROTATION WITH PHACO TIP
NUCLEUS CRACKING
CHOPPING
DIRECT CHOP OF NUCLEUS
Peripheral Chop
Central Chop
Modified Peripheral Chop
REMOVAL OF NUCLEUS FRAGMENTS
Subincisional Quadrant
CHAPTER 8:
Nucleus Management by Visco-expression Technique in Manual SICS
OUR SURGICAL TECHNIQUE IS AS FOLLOWS
THE ADVANTAGES WITH THIS TECHNIQUE ARE
DO'S AND DON'TS OF THE PROCEDURE
CHAPTER 9:
Phaco Chopping for All Cataract Conditions
CHOPPING OF GRADE 1 TO 3 SCLEROSED NUCLEI
BLACK CATARACT PHACOEMULSIFICATION
ENDOTHELIAL PROTECTION
Machine Parameters
Torsional Emulsification and Hard Cataracts
Phacotips Preference
Role of Fluidics
Use of Cold Infusion Solutions
Predisposing Factors for Posterior Capsule Rupture in Black Cataracts Emulsification
Indications for Converting Back
SOFT CATARACT MANAGEMENT
SMALL PUPIL
Practicing Small Pupil Phacoemulsification
Key Factors
Chopping
CHAPTER 10:
Quick Chop Express for Suprahard Cataract
INTRODUCTION
SUPRAHARD CATARACTS A CHALLENGE FOR A SURGEON, WHY?
Unique Features
QUICK CHOP COMBO TECHNIQUE FOR SUPRAHARD CATARACTS
Surgical Procedure
ADVANTAGES OF QUICK CHOP COMBO TECHNIQUE
MERITS OF QUICK CHOP COMBO TECHNIQUE
FEW TIPS FOR THE BEGINNERS
HYPERPULSE TECHNOLOGY FOR SUPRAHARD CATARACT
CAVEATS
CHAPTER 11:
Chopping in Hard Cataracts—Burst Phaco
INTRODUCTION
Chopping Involves Two Main Criterias
Different Chopping Techniques
Vertical Chop
Karate Chop
CONCLUSION
CHAPTER 12:
Phacoemulsification Surgery Procedure and IOL-Implantation without Using Viscoelastics
ABSTRACT
Background
Methods
Results
Conclusions
INTRODUCTION
PATIENTS AND METHODS
Noncontact Corneal Endothelium Microscopy
Surgery Method with BSS
Surgery Method with Healon®
Results
Corneal Endothelial Cell Number and Shape
Intraocular Pressure
Refraction Values and Visual Acuity
DISCUSSION
CONCLUSION
CHAPTER 13:
Prechop with Two 25 G Cannulas and Micro-Biaxial Cataract Technique (No Irrigating Chopper Microphakonit)
INTRODUCTION
INSTRUMENTATION
SURGICAL TECHNIQUE
CONCLUSION
CHAPTER 14:
Biaxial Phacoaspiration with 700 micron Technology
INTRODUCTION
WHY IN BIAXIAL AND NOT IN COAXIAL
SURGICAL TECHNIQUE
CHAPTER 15:
Avoiding and Solving the Incomplete Capsulorhexis Cases with Biaxial Techniques
INTRODUCTION
Avoiding Complications while Constructing the Microcapsulorhexis
Avoiding Complications during Biaxial Phaco with an Incomplete Capsulorhexis
CONCLUSIONS
CHAPTER 16:
How to Perform Biaxial MICS Step by Step ?
CHAPTER 17:
BiMICS versus CoMICS Our Actual Technique (Bimanual Micro-Cataract Surgery versus Coaxial Micro-Cataract Surgery)
INTRODUCTION
HISTORICAL BACKGROUND
BiMICS (FIG. 2)
Introduction
Material (Fig. 3)
Microphacodynamics3,5,8 (Fig. 4)
Irrigation- Aspiration10 (Fig. 5)
Phacotips
Capsulorhexis (Fig. 6)
Blades
The Phaco Machines
Phaco Pumps
Ultrasound Power Delivery
Implant insertion11 (Fig. 7)
Astigmatism
Coaxial Microincision Cataract Surgery12,15,18
Capsulorhexis
Phacotips
The Phaco Machines (Fig. 11)
The Pumps
Ultrasound Delivery
Irrigation- Aspiration
Incision-assisted Implantation (Fig.12)
CONCLUSION
CHAPTER 18:
Advances in Microphakonit: 700 micron Cataract Surgery
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
TECHNIQUE
Incision
Rhexis
Hydrodissection
Microphakonit
SUMMARY
CHAPTER 19:
Microincision Coaxial Phaco is the Everyday Phacoemulsification
INTRODUCTION
PHACO MACHINE AND TECHNIQUE
VERY HARD CATARACT REMOVAL
IN CASE OF COMPLICATIONS
CHAPTER 20:
Advances in Fluid Dynamics of Micro-coaxial Incision Surgery
PHACO SLEEVE
NEEDLES FOR MINI-INCISION COAXIAL PHACOEMULSIFICATION
THE ASPIRATION LINE
ASPIRATION FLOW RATE
IRRIGATION LINE
DYNAMICS OF THE PUMPS
Peristaltic Pump
Venturi Pump
MINI-COAXIAL PHACO: GRIP
MINI-COAXIAL PHACO: FRAGMENTS REMOVAL
MINI-COAXIAL PHACO: SURGE
CHAPTER 21:
Bimanual Microphacoemulsification
CHAPTER 22:
Coaxial Miniphacoemulsification
CHAPTER 23:
Heads Up Cataract Surgery with the True Vision 3D Visual Display System
INTRODUCTION
CHAPTER 24:
Pearls of Supracapsular Surgery Using the Tilt and Tumble Technique
INDICATIONS
PREOPERATIVE PREPARATION
OPERATIVE PROCEDURE
POSTOPERATIVE CARE
CONCLUSION
CHAPTER 25:
Intrepid Microcoaxial (2.2 mm) System for Safe Phacoemulsification
SURGICAL TECHNIQUE
Results
CHAPTER 26:
Locomotive Cored Technique for Rapid Fast Safe Phacoemulsification
MATERIAL AND METHODS
THE TECHNIQUE
SUMMARY
CHAPTER 27:
Microincisional Lens Surgery
CORE MESSAGES
1. INTRODUCTION: THE TRENDS TOWARDS MICROINCISION CATARACT SURGERY (MICS)
Summary for the Clinician
2. MICS DEFINITION
Confirmed Advantages of MICS
Summary for the Clinician
3. INDICATION FOR MICS SURGERY
Summary for the Clinician
4. OUR SURGICAL TECHNIQUE STEP BY STEP
4.1. MICS Anesthesia
4.2. MICS Incision
4.3. MICS Capsulorhexis
4.4. MICS Hydrodissection, Hydrodelineation
4.5. MICS Prechopping
4.6. MICS Phacoemulsification and Removal Section
Summary for the Clinician
5. FLAT INSTRUMENTS CONCEPT
Summary for the Clinician
6. FLUIDICS IN MICS
Avoiding Corneal Burn
Summary for the Clinician
7. IRRIGATION AND ASPIRATION: CREATING A BALANCED FLUIDICS ENVIRONMENT
Stable Chamber System
Summary for the Clinician
8. IS MICROINCISION CATARACT SURGERY WORTHWHILE?
8.1. Clinical Outcome
8.2. Outcome of the Incision
8.3. Astigmatism Control with MICS
8.4. Corneal Aberration Control with MICS
Optical Quality of MICS IOL
Summary for the Clinician
9. END OF THE SURGERY
10. FUTURE OF MICS
CHAPTER 28:
A Challenging Case of IOL Power Calculation after Previous Refractive Surgery
PATIENT CHRIS VT/AGE 53
IOL MASTER
Tomey Values
DISCUSSION
SURGERY
CONCLUSION
CHAPTER 29:
Lens Surgery after Previous Refractive Surgery
INTRODUCTION
DIAGNOSIS-DECISION MAKING–THE SURGERY – IOL CALCULATION –THE OUTCOME
DEMOGRAPHICS
DECISION MAKING
IOL CHOICE
SURGICAL CONSIDERATIONS OF CATARACT SURGERY AFTER PREVIOUS REFRACTIVE SURGERY. HOW TO PROCEED?
Radial Keratotomy
Excimer Laser
IOL POWER CALCULATION AFTER PREVIOUS CORNEAL REFRACTIVE SURGERY
A CASE REPORT
IN CONCLUSION
CLINICAL OUTCOMES - RESULTS—FOLLOW-UP
FOLLOW-UP AND SECONDARY PROCEDURES AFTER CATARACT SURGERY
YAG CAPSULOTOMY
A PIGGYBACK IOL
IN SUMMARY
CHAPTER 30:
Phaco in Hard Cataracts Grade-IV
CHAPTER 31:
How to Do the Microincision Cataract Surgery (MICS) with White Star Technology and Insertion of the New Accommodating IOL- Crystalens
INTRODUCTION
New Surgical Technique
Bimanual Phacoemulsification
THE ADVANTAGES OF WHITE STAR TECHNOLOGY
Chatter and Microchatter
Jackhammer Effect and Cavitational Energy
Fragment Followability
Surgical Instruments
SURGICAL TECHNIQUE
NUCLEAR DIVISION WITH WHITE STAR TECHNOLOGY
NEW IOL TECHNOLOGY
PATIENT SELECTION
POWER OF IOL CALCULATION
Postoperative Medications and Follow-up
CHAPTER 32:
Management of White Cataract
ABSENCE OF RED GLOW
PRESSURIZED CAPSULAR BAG
LIQUID CORTEX
LARGE BROWN NUCLEUS
Weak Zonules
ABSENCE OF EPINUCLEUS POSTERIOR WITH THINNED CAPSULE
CHAPTER 33:
Phaco Surgery in Highly Myopic Eyes
CHAPTER 34:
Toric Bag-in-the-Lens (BIL) Implantation: Why and How to Implant?
INTRODUCTION
CHAPTER 35:
Phacosection: A Manual Small Incision No Stitch Cataract Extraction Technique
MODERN SUTURELESS MANUAL SMALL INCISION CATARACT SURGERY TODAY
Incision
The Basics of Incision Construction
Anterior Capsulotomy
Hydrodissection
Anterior Cortex/Epinucleus Removal
Nucleus Prolapse
Phacosection
Posterior Epinucleus and Cortex
IOL Implantation
CHAPTER 36:
Sutureless Cataract Surgery with Nucleus Extraction “Fishhook Technique”
BACKGROUND
THE HOOK
THE TECHNIQUE
Tunnel Construction
Capsular Opening
Hydrodissection and Nucleus Mobilization
Nucleus Hook Extraction
Completing the Surgery
OUTCOME
LEARNING CURVE
Do's and Don'ts
CHAPTER 37:
Chop-Multisection and Chopsticks Technique: Chopper, Spatula and Small Incision Cataract Surgery
INTRODUCTION
INSTRUMENTATION
SURGICAL TECHNIQUE
Preoperative Management
Anesthesia
Incision
Capsulotomy
Hydrodissection and Luxation of the Nucleus
Nuclear Fragmentation
Extraction of the Cortex and Nucleus Remained
IOL Implant and Incision Closure
Postoperative Management
Shortening the Learning Curve
COMPLICATIONS
ADVANTAGES AND DISADVANTAGES OF THE TECHNIQUE (Do's and Don'ts)
Advantages
Disadvantages
CONCLUSION
CHAPTER 38:
Manual Small Incision Cataract Surgery with Chevron Incision
SECTION II: MANAGEMENT OF COMPLICATED CATARACTS AND CATARACT SURGERY COMPLICATIONS
CHAPTER 39:
Glued IOL
INTRODUCTION
SCLERAL FIXATED IOL
FIBRIN GLUE
SURGICAL TECHNIQUE
DISCUSSION
SUMMARY
CHAPTER 40:
PCIOL Scleral Suturing Using Endoscopy
CONCLUSION
CHAPTER 41:
Bimanual Microincision Phacoemulsification for Difficult and Challenging Cases
CHAPTER 42:
Traumatic Cataracts
TRAUMATIC CATARACTS
Pathophysiology
Management
Key Points of Note
Conclusion
CHAPTER 43:
Complicated Cataract Surgical Procedure
MANAGEMENT OF THE SMALL PUPIL IN PHACOEMULSIFICATION
Preoperative Considerations
Surgical Techniques
Hyporeactive Pupil
Pharmacologic Treatment
Phaco Chop Technique at Small Pupil
Postoperative Considerations
PHACOEMULSIFICATION IN SUBLUXATED CATARACTS
Capsular Ring
Description
Implantation Technique
Surgery Technique at Subluxated Cataracts
PHACOEMULSIFICATION IN PSEUDOEXFOLIATION
Capsulorhexis
Hydrodissection and Hydrodelineation
Phacoemulsification
Conclusions
CHAPTER 44:
Pearls for Small Pupil Phaco Surgery
VISCOELASTICS
SYNECHIOLYSIS AND PUPILLARY STRETCHING
IRIS HOOKS
PUPIL EXPANSION DEVICES
MALYUGIN RING
SURGICAL TECHNIQUE WITH MALYUGIN RING IN SICS
SPECIAL CASES
CONCLUSION
CHAPTER 45:
Management of IFIS with Biaxial Technique and Malyugin Ring
INTRODUCTION
CHAPTER 46:
Managing Intraoperative Floppy Iris Syndrome
CHAPTER 47:
Modern Phaco in Complicated Cases
CONCLUSION
CHAPTER 48:
Chandelier Illumination and Bimanual Vitrectomy Used to Remove a Dislocated IOL
INTRODUCTION
MANAGEMENT OF A MALPOSITIONED IOL
CHANDELIER ILLUMINATION
REINVERTER SYSTEM
WIDE FIELD INDIRECT CONTACT VITRECTOMY LENSES
BIMANUAL VITRECTOMY
CHAPTER 49:
Prevention of PCO
INTRODUCTION
Subject
CONCLUSION
SECTION III: ADVANCES IN CATARACT SURGERY TECHNIQUES AND TECHNOLOGY
CHAPTER 50:
The New Era of Wavefront-Guided Cataract Surgery and Astigmatism Correction with the O Range Intraoperative Aberrometer
CHAPTER 51:
No Ultrasounds Phaco in CLE with Soft Nucleus
TECHNIQUE DESCRIPTION
CONCLUSION
CHAPTER 52:
Posterior Polar Cataract Phacoemulsification: A Myth Exploded
WHAT DOES IT PROVE?
MODIFIED HYDRODISSECTION
MODIFIED ROTATION OF THE NUCLEUS
WHY SHOULD MODIFIED ROTATION BE DONE? IS'NT VISCODISSECTION, AS DESCRIBED BY DR. FINE, SUFFICIENT TO SEPARATE THE EPINUCLEUS?
PHACOEMULSIFICATION OF THE NUCLEUS
GRADE ZERO NUCLEUS
NUCLEAR SCLEROSIS
AUTHENTICATION OF DR. ROHIT OM PARKASH CONCEPT
CHAPTER 53:
Newer Chopping Techniques in 0.7 mm Bimanual Microphaco
THE ADVENT OF 0.7 MM PHACOEMULSIFICATION
SURGICAL TECHNIQUE
BIMANUAL MST HANDPIECES USED TO COMPLETE THE I/A
Results
CHAPTER 54:
Advanced Phaco Techniques: Soft Lens Removal and Implantation of ReSTOR Multifocal Lens
CHAPTER 55:
Cataract Surgery in Complex Situations
IRIS DISORDERS
Congenital Iris Anomalies
CAPSULO-ZONULAR AFFECTIONS
CHAPTER 56:
Primary Phacoemulsification Combined with Drainage Angle Viscodissection in the Management of Chronic Narrow Angle/Angle-Closure Glaucoma (CNAG/CACG) and Co-existent Cataract
THE PROCEDURE
CHAPTER 57:
Aspheric IOL Technology: Basic Principles and Clinical Application
DISCUSSION
CHAPTER 58:
1.8 mm C-MICS Phaco Chop with the Stellaris System
INTRODUCTION
Surgical Equipment
1.8 mm C-MICS Surgical Technique
Differential Approach
IOL Considerations
Results
CONCLUSION
CHAPTER 59:
Lens Laser Combination Surgery
SPECIFICS
Concept
Steps Seen in Images
Advantages
CHAPTER 60:
The AT LISA Toric Multifocal IOL The Customization of Microincision Phaco-refractive Surgery
CHAPTER 61:
Capsular Bag Refilling Using Capsulotomy-Capturing Intraocular Lens
INTRODUCTION
REFILLING THE LENS CAPSULE WITH CAPSULOTOMY-CAPTURING INTRAOCULAR LENS
IOL
Surgical Procedure
RESULTS AND DISCUSSION
Expected Mechanism of Accommodation
Enhancement of Accommodation-Amplitude and PCO-Prevention by Dual-Optic
Summary
CHAPTER 62:
Laser Cataract Surgery
INTRODUCTION
HOW DOES LASER PHACO WORK?
Technique of Er:YAG Laser Phaco
Advantages of Er:YAG Phaco over Ultrasound Phaco
Disadvantages of Er:YAG Phaco
Nd:YAG Laser Phacoemulsification
ARC Laser Corporation Dodick Photolysis
FDA-APPROVED
Conclusions
CHAPTER 63:
Micro-biaxial Cataract Surgery Combined with Posterior Vitrectomy
PHYSICAL BASIS
Coaxial vs Biaxial
Step by Step
Incisions
Capsulorhexis
Hydrodissection
Phacoemulsification
Irrigation/Aspiration
Pars-Plana Vitrectomy
IOL Implantation
Final Steps
CHAPTER 64:
Multifocal IOLs
OPTICS OF MULTIFOCAL IOLS
TYPES OF MULTIFOCAL IOLS
COUNSELING FOR MULTIFOCAL IOLS
Pre-selection of Patients
Surgical Steps and Results
POST-SURGICAL MANAGEMENT
CHAPTER 65:
Cataract Surgery in Post RK Cases
INDEX
TOC
Index
×
Chapter Notes
Save
Clear
