Every cataract surgeon is afraid of complications, but while complications cannot be entirely avoided, it is possible to learn to master them. This practical handbook clearly explains how to manage the various complications that may arise during cataract surgery, from a subluxated intraocular lens to a dropped nucleus. It provides the surgeon with clear instructions on how best to proceed in the manner of a cookbook, by first describing the ingredients (equipment) and preparation (planning) and then providing step by step descriptions of technique with the aid of numerous helpful color illustrations and several accompanying surgical videos. Surgical pearls and tips and tricks are highlighted. Using this book, the reader will become a better and more complete cataract surgeon, well equipped to cope with the full range of potential complications.
Posterior segment complications of cataract surgery are encountered not only by the cataract and retinal surgeons but also by the general ophthalmologists in their daily practice. Yet, a definitive volume on this subject is not available. Written by experts in the field of cataract surgery and vitreoretinal surgery, this book is a comprehensive, updated practical guide on evaluation and management of patients with posterior segment complications following cataract surgery. This up-to-date reference covers all aspects of the field including evaluation of a patient, and all surgical procedures currently used in managing various complication in an organized systematic fashion. Necessary surgical modalities and approaches are thoroughly reviewed with ample illustrations for better understanding. Chapter dealing with surgical complications and failure has also been included in this book.
This book presents the principles and pearls for successful surgical management of challenging situations encountered during cataract surgery. A wide range of settings are considered, including cataract surgery in patients with uveitis, traumatic cataract, dislocation of an intraocular lens, intumescent cataract, brunescent cataract, combined cataract and corneal disease, combined cataract and glaucoma, pediatric cataract, and refractive cataract surgery. In addition, preoperative factors conducive to a favorable surgical result are identified and appropriate management of postoperative complications, described. As longevity increases, cataract is becoming an even greater public health issue worldwide. The use of cataract surgery, already one of the most frequently performed surgeries, is consequently increasing still further – a trend reinforced by developments in instrumentation and technology and improvements in access to surgery. However, comorbidities and challenges during surgery are very common. Challenges in Cataract Surgery will be a valuable reference for all residents, fellows, and practicing ophthalmologists who wish to improve their surgical techniques and outcomes.
The book covers all clinical aspects of pediatric cataract surgery. Chapters cover basic sciences, etiology, pre-operative evaluation, choice of intraocular lenses, steps of surgery, complications, considerations in traumatic cataract and post-operative rehabilitation. It includes photographs, diagrams, flow charts and tables for easy memorization and understanding. Multiple choice questions at the end of each chapter help to evaluate the understanding and reinforce important concepts. The book aims to encourage ophthalmic surgeons to successfully treat children with cataract as all of them perform adult cataract surgeries but usually avoid managing pediatric cases. This hesitation is primarily due to exhaustive pre-operative evaluation and long term follow up. As a result the back log of this disease in the developing world is significant and many such children are unable to receive timely intervention during their crucial period of visual development. The chapters primarily focus on the clinically relevant issues to keep the reader interested. The book includes contributions from some of the most talented and experienced pediatric cataract surgeons. The book is relevant for ophthalmologists not commonly practicing pediatric cataract surgery and post graduate students.
Although uncommon, the occurrence of cataracts in very young patients can result in significant impairment—and can lead to blindness. This practical guide delivers need-to-know information to help clinicians treat pediatric patients with cataracts with a range of therapies and essential guidance on the management of complications. Explore the only reference devoted exclusively to pediatric cataract management! • 13 new chapters highlight the latest advances in bilateral cataract surgery, intraocular heparin treatment, treatment of traumatic cataracts, pre- and postoperative management, and techniques appropriate for patients in developing nations. • 4 hours of online procedural video accompany the text—giving readers a clinician’s view of essential procedures. A great way to refine technique, improve outcomes, avoid pitfalls, and manage potential complications. • Quick-reference format helps readers locate vital information at a glance.
Immediately Sequential Bilateral Cataract Surgery (ISBCS): Global History and Methodology is a comprehensive guide for the safe and efficient performance of ISBCS. It provides an overview of the history, recommended protocols, necessary precautions, exclusion criteria, benefits and risks associated with this procedure, organizational standards, and more. Written by the most prominent ISBCS surgeons in the world, chapters recount the arguments for and against bilateral surgery that have been made throughout the ages, up to the present, and deliver achieved and proposed resolutions to all problems discussed. Topics such as ethics and medico-legal issues surrounding ISBCS are also discussed, and a chapter on the global evolution of bilateral cataract surgery provides readers with a complete overview of the development of ISBCS practices in countries from all continents. - Provides a comprehensive history and current status of ISBCS globally - Provides step-by-step recommendations and precautions necessary to perform ISBCS safely, including detailed discussion of surgical infection prophylaxis with antibiotics delivered into the eye at surgery - Reviews and explains the patient benefits associated with ISBCS - Covers development of ISBCS practices worldwide
This book aims to assist ophthalmologists in providing the best possible care for children with congenital cataracts. The entire patient pathway is covered, from preoperative assessment through application of the various surgical techniques to postoperative care and management of complications. Among the topics discussed are new developments in molecular genetics relevant to patient evaluation, intraocular lens power formulas, and the findings of the Infant Aphakia Treatment Study. The surgical section describes anterior capsulotomy, lensectomy, selection of intraocular lens (IOL) power, IOL implantation in the capsular bag, posterior capsulotomy techniques, the use of secondary IOLs and iris-fixated IOLs in children, and surgical management in developing countries. Visual outcomes after surgery are also fully addressed, with chapters on the occurrence of strabismus, nystagmus, and poor stereopsis.
This volume collects for the first time interdisciplinary findings in ophthalmology concerning effectiveness and indications of antiseptics for the prophylaxis and therapy of infections. The first part discusses the use of various antiseptics against colonization, contamination and infection of the eye caused by viruses, bacteria, fungus and protozoa in comparison to topical antibiotics. The spectrum of action, the risk of resistance of only microbiostatic active agents and the galenic requirements of antiseptics are included as well as the local and systemic tolerance. New data to iodophors, polyhexanide and magnesium monoperphthalate are presented, and, for the first time, microbiologic requirements of ocular antiseptics are defined. In the second part the current scientific knowledge of prophylaxis and therapeutic antisepsis is presented including Credé's prophylaxis and requirements in cornea banks. The final part is reserved for additional topics such as isolation techniques, hand hygiene, hygiene of contact lenses and microbiological diagnostics. To ophthalmologists, optometrists and opticians this book will give indispensable information on latest clinical and experimental findings in the field. It will also be essential reading to hygienists, microbiologists, infectionists, pharmacologists, pharmacists, and pediatricians interested in ophthalmologic issues.
This book, in a concise format, explains how to perform manual small incision cataract surgery. The procedure is broken down into the chief elements and described in a step by step manner. Besides the description of the procedure, the book covers indications, necessary supplies, preparation, complication management, and postoperative care. The authors are experts from around the world, and the book will be of value both for surgeons new to this technique and for experienced surgeons who need a review of the procedure. While phacoemulsification surgery has now become the standard of care, understanding how to perform manual extracapsular cataract extractions competently is crucial when faced with complications during phacoemulsification surgery, when operating in a region of the world without access to phacoemulsification or femtosecond lasers, or when a manual approach may be a better choice for the patient.
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.
