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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.
This is the first book to analyze virtually all complications of phacoemulsification surgery with the goal throughout of avoidance, recognition, and management. As the key to recognizing problems is to understand proper surgical technique, the authors begin with a discussion of the correct procedure, and then go on to evaluate potential complications, where they occur, and how to treat them. Solutions are provided for all situations, from simple problems to the most complex--all described by a who's who of leading specialists and educators. From phacoemulsification problems and vitrectomy, to hydrodissection, hydrodileneation, and phaco-trabeculectomy complications, this outstanding guide is essential for anybody performing cataract surgery. Key features of this new clinical reference:Contributions from the best known surgeons and educators in the world, including Howard Fine, Sam Masket, Randy Olson, Alan Crandall, Roger Steinert, David Chang, Skip Nichamin, and many more!Shows correct surgical techniques so that complications can be seen in the appropriate clinical contextNearly 300 detailed, full-color illustrations clarify all concepts and help you visualize key pointsOffers tips on anticipating problems that lead to complicationsProvides detailed, step-by-step instructions on how to manage problems after they occurHere is the definitive text for avoiding and treating all types of complications of phacoemulsification, as well as a reliable reference on standard surgical techniques. The information provided is essential for all ophthalmologists, eye surgeons, clinicians, and residents who need a thorough understanding of the surgical techniques and complication avoidance that will most benefit their patients.
Cataracts are a very common condition whereby the lens of the eye becomes cloudy causing blurred vision. Over time, a cataract can get worse, eventually leading to blindness if untreated. Cataracts are the most common cause of blindness worldwide. Phacoemulsification surgery is the most widely used method for cataract management. This book presents ophthalmic surgeons and trainees with the latest techniques in the management of complications in cataract surgery. Each technique is illustrated with high quality clinical photographs, a detailed description covering the whole procedure, from basic principles to minute surgical details, and extensive references. Two DVD ROMs demonstrate the various techniques. Key points Presents latest techniques in management of complications in phaco surgery Highly illustrated with clinical photographs Includes two DVD ROMs demonstrating surgical techniques Extensive references for further reading
Presents advances in phacoemulsification instruments and techniques; covers a full range of key topics including anesthesia, management of pediatric cataracts, intraocular lenses, and lasers; reflects knowledge in pathogenesis and biochemistry; and discusses the use of sutures and suture materials in complex secondary interventions.
Accompanying CD-ROM contains over 45 minutes of live video that demonstrates many of the techniques discussed inside the pages of Phaco Nightmares.
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.
What surgical advancements have spawned from the evolution of phaco technology? Join the thousands of surgeons who have utilized Phacodynamics: Mastering the Tools and Techniques of Phacoemulsification Surgery to understand and benefit from the advantages of phaco technology. The revised, expanded, and updated Fourth Edition of this classic text includes over 300 simple, yet elegant, figures and illustrations detailing the latest machine technologies and surgical techniques. Visual learners... In addition to examining the intricate relationship between the surgeon and the phaco machine, Dr. Barry Seibel profiles how the most recent advancements in machine technology can enhance your surgical procedures and optimize your results. With schematic figures and illustrations to accompany the detailed descriptions, surgeons can readily identify and distinguish between various flow pumps, vacuum pumps, and ultrasound power modulations. Surgery can then be customized moment by moment for each individual patient to maximize safety and efficacy. Phacodynamics, Fourth Edition utilizes a simplified approach to explain all the latest advancements in phaco technology and surgery and should be in the hands of all surgeons practicing in this specialized area. New topics included that are unique to this Fourth Edition: Bimanual Microincision Phaco Ultrasound Power Modulations including Burst and Pulse Modes AquaLase and Laser Surgical Technologies Expanded Horizontal Chopping Techniques including PreChop Vertical Chopping Techniques and Instrumentation Bimanual Irrigation and Aspiration Phacodynamic Complications Phacodynamics of Surgical Instrument Design
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.
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.
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.