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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
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 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.
With improved technology, external forces, and new information, your perspective and how you approach surgery will change. This book will help you reevaluate phacoemulsification, and your individual technique. Paul discusses important procedures such as Hydrodissection, Divide & Conquer, the Phaco Chop, Stop & Chop, and now ViscoExpression and Vacuum-Cleaner Phacoemulsification, clarifying each in his easy to understand style.
The IOL technical specifications, the clinical data, and the necessary clinical and surgical skills comprise the scientific foundation for achieving a "premium" refractive outcome. To consistently achieve patient satisfaction, however, requires mastering the art of patient and IOL selection, communicating and counseling effectively, and providing a "premium" patient experience. This is a nontraditional book in which multiple experts are separately asked to discuss controversial subjects in a reader-friendly format. There is balanced coverage of all of the available refractive IOLs, as well as those that may become available in the near future. A major emphasis is placed on avoiding and managing complications or potentially dissatisfied patients. There are more than 200 chapters that are organized into 14 major sections, over 300 images, 100 tables, and 12 sidebars that cover every aspect of refractive IOL clinical practice. This is a comprehensive educational resource addressing the most demanding and rapidly evolving area in cataract and refractive surgery today and the first book to cover both the clinical and nonclinical aspects of offering refractive IOL services.
The first of its kind on this topic, Mastering Iris Repair: A Video Textbook of Iris Repair and Pupilloplasty Techniques combines practical explanations with dynamic surgical videos and animations, perfect for specialists as well as general ophthalmologists. Together with top surgical experts, Drs. Ashvin Agarwal, Amar Agarwal, and Priya Narang have created an accessible text filled with high-yield information that provides essential coverage of the most recent innovations in iris repair. With appeal for subspecialty areas such as cornea, glaucoma, cataract, and retina, this book identifies abnormalities that are regular challenges for the ocular surgeon. Nearly 200 figures are accompanied by more than 4 hours of new, original instructional video and animation with narration hosted on a companion website. Mastering Iris Repair is divided into 3 sections to provide quick access in a comprehensive resource: Iris repair techniques: Single-pass four-throw pupilloplasty, McCannel and Siepser suturing techniques, different types of sutures, and repair management Special topics: Pinhole pupilloplasty, pupilloplasty in special indications, iris prosthesis, and complications of iris repair and pupilloplasty Extended implications of iris and pupil repair: Iris cosmetics devices, how devices manipulate iris tissue, and intraocular lenses affected by iris repair techniques Abundantly referenced and supplemented by evidence-based cases, Mastering Iris Repair: A Video Textbook of Iris Repair and Pupilloplasty Techniques enhances surgical potential for all ophthalmologists.
Mastering Corneal Surgery: Recent Advances and Current Techniques comprehensively covers all the recent advances in the existing techniques for common and rare corneal conditions, as well as presents the potential intraoperative circumstances the surgeon can face with their patients. Mastering Corneal Surgery: Recent Advances and Current Techniques by Drs. Amar Agarwal and Thomas John, along with more than 50 contributors, cover the most recent innovations in corneal surgery, including corneal procedures in combination with IOL implantation in eyes with deficient capsules, and combining endothelial keratoplasty with IOL repositioning. Bonus! Extensive high-quality video demonstrations of the techniques discussed inside Mastering Corneal Surgery: Recent Advances and Current Techniques enhances the written text, creating a superior companion website resource. The 28 videos, combined with the written text, clinical photographs and pictures, furthers the learning process more than learning from text or video alone. Mastering Corneal Surgery: Recent Advances and Current Techniques covers all the recent advances in the existing techniques for common and rare corneal conditions and presents the potential intraoperative circumstances the surgeon can encounter with their patients. The general ophthalmologist and cornea specialist will welcome the novel surgical methods and their differences from the existing techniques highlighted inside this cutting-edge resource.
While chopping techniques are particularly advantageous for complicated cataracts, they must be integrated with other devices and strategies. Phaco Chop, the best-selling cataract surgery book, has been revised and updated into a Second Edition to reflect the many advances over the past few years. More than half of the 30 total chapters are new. These detail strategies for complicated cases and introduce femtosecond laser nuclear fragmentation techniques. Dr. David F. Chang is widely acknowledged as one of the best cataract surgical teachers. His video instruction courses for phaco chop and complicated cataracts have consistently ranked among the best attended and top rated at the American Academy of Ophthalmology and American Society of Cataract and Refractive Surgeons meetings for over a decade. The Four Main Sections inside the Second Edition - Phaco Chop Techniques - Phacodynamics of Chopping - Femtosecond Laser Nuclear Pre-Chopping - Complicated Cases and Complications - Strategies and Management Section One is a detailed guide for learning phaco chop. The faculty from Dr. Chang's popular phaco chop course outlines their pearls based upon extensive experience teaching residents and transitioning surgeons. Section Two provides the general principles of instrumentation and configuring machine parameters. Separate chapters specifically address optimizing the Infiniti, Signature, and Stellaris platforms for chopping. Section Three introduces femtosecond laser nuclear pre chopping with separate chapters on the LenSx, LensAR, and Optimedica platforms. Section Four covers small pupils and IFIS, rock hard and white mature cataracts, weak zonules, and extremely long and short eyes with an emphasis on managing posterior capsule rupture, advanced IOL fixation strategies, and avoiding and managing capsulorrhexis complications. Bonus Video Material Phaco Chop and Advanced Phaco Techniques, Second Edition includes instructional video that complements and supplements the content of the book. With your book purchase, you will receive a DVD that contains 26 surgical videos in high definition 3D format. With the enclosed 3D glasses--learning intraocular surgical techniques is taken to a new level. Additionally, you will receive access to a website that includes additional companion surgical videos narrated by Dr. Chang in 2D format--watch, listen, view repeatedly, and learn the techniques The narrated videos produced by Dr. Chang illustrate advanced surgical techniques and technologies. Together with over 400 high-resolution operative photographs, this paired format overcomes the limitations of learning new and advanced surgical techniques from written text alone. With its comprehensive and integrated emphasis on advanced surgical techniques, optimizing phaco technology, and complication management, Phaco Chop and Advanced Phaco Techniques: Strategies for Complicated Cataracts, Second Edition will appeal to residents and transitioning surgeons as well as high volume surgeons interested in honing their most advanced phaco skills.