By Lucio Buratto MD, Stephen Brint MD, Luigi Caretti MD
Dr. Lucio Buratto; Dr. Stephen Brint; and Dr. Luigi Caretti offer step by step method of facilitate how one can check the sufferer, practice the procedure, and supervisor the main not easy cataract surgical procedure advanced circumstances dealing with either starting and skilled surgeons.
Cataract surgical procedure in complex situations covers a large choice of themes together with cataract in excessive myopia, floppy iris syndrome, anxious cataract, phacoemulsification with a small student, and IOL rationalization and replacement.
Supplemented by way of greater than 250 colour illustrations, diagrams, a word list, and references, all surgeons, from newbie to professional will wish this specific source via their side.
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Extra info for Cataract Surgery in Complicated Cases
In short eyes with IOLs of high dioptric power, a double or piggyback lens may be required so that the sum of the 2 powers is equivalent to the total power needed (see Chapter 9). Final Steps of the Procedure When the VES has been removed, injection of BSS into the AC can be used to test the survival of the bleb as it may have been damaged by direct trauma or by an intraoperative drop in IOP. 56 This maneuver, only possible in eyes after a trabeculectomy (not a deep sclerectomy), can be performed in eyes with a poorly filtering bleb prior to phacoemulsification.
Merriam JC, Zheng L. Iris hooks for phacoemulsification of the subluxated lens. J Cataract Refract Surg. 1997;23(9):1295-1297. 33. Lee V, Bloom P. Microhook capsule stabilization for phacoemulsification in eyes with pseudoexfoliation-syndrome-induced lens instability. J Cataract Refract Surg. 1999;25(12):1567-1570. 34. Mackool RJ. Capsule stabilization for phacoemulsification (letter). J Cataract Refract Surg. 2000; 26:629. 35. Ahmed II, Crandall AS. Ab externo scleral fixation of the Cionni modified capsular tension ring.
Jensen AD, Cross HE. Surgical treatment of dislocated lenses in Marfan’s syndrome and homocystinuria. Trans Am Acad Ophthalmol Otolaryngol. 1972;76(6):1491-1499. Varga B. The results of my operations improving visual acuity of ectopia lentis. Ophthalmologica. 1971;162(2):98-110. Maumenee IH. The eye in the Marfan syndrome. Birth Defects Orig Artic Ser. 1982;18(6):515-524. Straatsma BR, Allen RA, Pettit TH, Hall MO. Subluxation of the lens treated with iris photocoagulation. Am J Ophthalmol. 1966;61(5, pt 2):1312-1324.