By Andrew Coombes, David Gartry

ISBN-10: 0727912011

ISBN-13: 9780727912015

This medium sized textual content is meant to provide the reader a readable entire evaluation of all facets of a cataract from its a variety of views, eg epidemiology, medicolegal features and 3rd international concerns, as well as offering an exposition of previous, current and destiny surgical recommendations for its elimination. The publication is a compilation of chapters supplied by way of skilled surgeons and anaesthetists, epidemiologists, physicists and others curious about the administration of the sufferer with cataract. sleek phakoemuslification concepts are defined intimately and contain uncomplicated physics or phakodynamics in addition to the commonest methods or thoughts for nuclear removing from gentle cataracts to dense brunescent nuclear sclerosis. Wound development is roofed in a few element given that this is often might be the most vital parts of winning phakoemulsification. The refractive implications of wound development are defined due to the fact an figuring out of corneal adjustments in cataract surgical procedure is vital whilst mixed cataract and refractive surgical procedure, that is now typical, is meditated. There are chapters dedicated to neighborhood anaesthetic strategies, the administration of the diabetic sufferer, in addition to different advanced difficulties. A separate bankruptcy is dedicated to biometry and the issues of lens energy calculations in sufferers having formerly passed through corneal refractive surgical procedure. ultimately, destiny advancements corresponding to laser phako and accommodative lens implants are integrated.

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Additional info for Cataract Surgery: FCO Series

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Placing the blade parallel to the internal lateral margin of the tunnel avoids creating a funnel shape and achieves a consistent width. When converting from phacoemulsification to an alternative extracapsular technique, an alternative is to close the initial temporal incision and revert to a different incision type at the superior meridian. 15 Detail of a cross (“X”) suture. 14 Corneal hydration to close a clear corneal incision. enlargement of the primary incision, before IOL insertion, avoids deformation and lateral tearing of the wound, preserves incision structure, and reduces the risk of wound leakage.

Increasing the microscope magnification is also often helpful. Oblique illumination, either in addition to or instead of coaxial illumination, can provide an “orange skin” like specular reflex on the capsule. Having switches on the microscope control pedal allows the two illumination types to be used to maximum effect. 8 In the UK Mr Arthur Steele popularised capsulorhexis under air using a needle in a closed chamber when no red reflex is present. 8). Fluorescein,9 indocyanine green,10 and trypan blue11 have all been described, either injected directly intracamerally or under the capsule.

J Cataract Refract Surg 1998;24: 487–92. 32 Steinert RF, Deacon J. Enlargement of incision width during phacoemulsification and folded intraocular lens implant surgery. Ophthalmology 1996;103:220–5. 33 Kohnen T, Koch DD. Experimental and clinical evaluation of incision size and shape following forceps and injector implantation of a three-piece highrefractive-index silicone intraocular lens. Graefes Arch Clin Exp Ophthalmol 1998;236:922–8. 34 Moreno-Montanes J, Maldonado MJ, Garcia-Layana A, Aliseda D, Munuera JM.

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Cataract Surgery: FCO Series by Andrew Coombes, David Gartry


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