Main description:

Renowned master surgeons share best practices for effectively performing cataract surgery and avoiding complications

Phacoemulsification, the gold standard for cataract extraction, is highly successful. However, the procedure is not without risks and complications. Poor visual outcome, retinal detachment, infection, diplopia, and cornea and iris problems may pose considerable challenges. Additional potential problems arise from implanting the intraocular lens (IOL).

Edited by a renowned master surgeon and educator in the field, and authored by a remarkable cast of cataract experts, this is the definitive text on managing cataract surgery, with practical guidance on recognizing and managing complications, should they arise. Experts demonstrate the right way to perform phacoemulsification and diverse surgical and intraocular lens implantation procedures in order to reduce risk and improve patient outcome.

This second edition is greatly expanded in size and scope to accommodate the latest state-of-the-art methodologies and refinements in surgical strategies. Since the first edition was published, new techniques for refractive cataract surgery, vitrectomy, IOL exchange, and management of IOL implantation without capsular bag support have been improved. Additionally, new technologies have been introduced such as optical coherence tomography, FLACS (femtosecond laser surgery), and implantation of toric and multifocal refractive IOLs, as well as methods to improve IOL power calculation and decision making.

Highlights

A stellar group of national and internationally renowned eye surgeons provide invaluable clinical pearls gleaned from years of refining procedures
Surgical videos further elucidate the most optimal surgical strategies
More than 600 superb illustrations
Management of challenges including small pupils, IFIS, zonular weakness, inadequate capsular support, vitrectomy, corneal burns, high astigmatism, dysphotopsias, and endophthalmitis

This invaluable reference will help ophthalmologists refine their expertise, resulting in fewer risks and more efficacious outcomes. It is a must-have resource for ophthalmology residents and proficient surgeons alike.

Contents:

Section I Anesthesia

1 Complications of Ophthalmic Anesthesia

2 Systemic Complications of Ophthalmic Anesthesia

Section II Wound Construction and Complications

3 Wound Construction and Complications

Section III Management of the Small Pupil

4 Small Pupil Recognition and Management

5 Malyugin Ring

Section IV Management of Capsulorhexis and Complications

6 Anterior and Posterior Capsulorhexis

Section V Management of the Hydrosteps and Complications

7 Complications of the Hydrosteps: How to Recognize and Avoid Them

Section VI Phacoemulsification Techniques and Complications

8 Divide-and-Conquer Technique and Complications

9 Stop-and-Chop Phacoemulsification

10 Vacuum Hemi-Flip Phacoemulsification

11 Phaco-Chop Procedure: Management and Complications

12 Phaco Prechop Procedure

Section VII Soft and Mature Cataract Management and Complications

13 Management of the Soft Nucleus

14 Cortically Mature Lens: White Cataract

15 Dense Brunescent Cataract

16 Posterior Polar Cataract

17 Femtosecond Laser-Assisted Cataract Surgery

18 Conversion to Extracapsular Cataract Extraction

Section VIII Vitrectomy

19 Torn Posterior Capsule and Anterior Vitrectomy

20 Pars Plana Anterior Vitrectomy

21 Postvitrectomy Considerations in Phacoemulsification

22 Posterior-Segment Complications

Section IX Difficult Circumstances

23 Intraoperative Floppy Iris Syndrome

24 Positive Pressure

25 Strategies for Weak Zonules

26 Capsular Tension Devices

Section X Intraocular Lens Implantation in the Absence of Adequate Capsular Support

27 Scleral and Iris Sutured Posterior Chamber Intraocular Lenses and Intraocular Knot-Tying Techniques

28 Corneoscleral Pocket (Hoffman Pocket)

29 Intraocular Lens Fixation in the Absence of Support: The Glued Intraocular Lens

30 The Cow-Hitch Suture Technique

31 Intraocular Lens Exchange with an Open Posterior Capsule

Section XI Iris Reconstruction

32 Iris Defects and Complications

Section XII Ophthalmic Viscosurgical Devices

33 Using Ophthalmic Viscosurgical Devices to Manage Problems in Cataract Surgery

Section XIII Corneal Complications

34 Corneal Problems Associated with Phacoemulsification

35 Management of Problems with Descemet's Membrane

36 Ultrasound-Induced Thermal Incision Contracture

Section XIV Machine Management in Complicated Cases

37 Understanding the Phaco Machine

Section XV Intraocular Lenses and Complications

38 Aspheric Intraocular Lenses

39 Intraocular Lens Implantation

40 Angle-Supported Intraocular Lenses

41 Understanding and Managing the Dysphotopsias

42 Pathology of Complicated Phacoemulsification

Section XVI Premium Intraocular Lenses and Their Management

43 Management of Astigmatism with Peripheral Corneal Relaxing Incisions and Toric Intraocular Lenses

44 Avoiding Unexpected Outcomes with Toric Intraocular Lenses

45 Crystalens/Trulign Intraocular Lenses

46 Diffractive Multifocal Intraocular Lenses

Section XVII Combined Phacoemulsification and Glaucoma Surgery

47 Combined Phacoemulsification and Glaucoma Procedures

48 Microinvasive Glaucoma Surgery

Section XVIII Toxic Anterior Segment Syndrome and Endophthalmitis

49 Toxic Anterior Segment Syndrome

50 Endophthalmitis

Section XIX Prevention Pearls and Damage Control

51 Residual Astigmatism with Toric Intraocular Lenses

52 General Treatment Guidelines

53 The Challenges with Phacoemulsification

54 Microincision Phaco Surgery

55 Divide-and-Conquer Technique