Challenges In Cataract Surgery

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.

For thousands of years, cataract surgery continues to be the "pearl" of ophthalmic surgery. It is explained by the fact that cataract removal always leads to an increase in visual acuity of patients. A new technology of cataract removal, phacoemulsification, was introduced by Charles Kelman in 1967. Despite this, it was difficult for the surgeons to transform from extracapsular cataract extraction to the new method - phacoemulsification. Recently, in the ophthalmological practice, the method of femtolaser cataract surgery (FLACS) has been introduced. This method allows you to automatically perform the basic stages of cataract surgery - corneal incisions, capsulorhexis, nucleus fracture. At the same time, to apply the various techniques of cataract surgery, the surgeon must possess virtually all the necessary techniques. This is dictated by the fact that, as a rule, cataract itself is rarely isolated - senile. Knowledge of the basic rules of cataract surgery, the use of pupillary rings and iris retractors in narrow pupils, the use of capsular rings in subluxations of the lens, the use of special modes of phaco in severe late cataracts, and a comprehensive clinical way of thinking can undoubtedly reduce the complications of cataract surgery.

For thousands of years, cataract surgery continues to be the ""pearl"" of ophthalmic surgery. It is explained by the fact that cataract removal always leads to an increase in visual acuity of patients. A new technology of cataract removal, phacoemulsification, was introduced by Charles Kelman in 1967. Despite this, it was difficult for the surgeons to transform from extracapsular cataract extraction to the new method - phacoemulsification. Recently, in the ophthalmological practice, the method of femtolaser cataract surgery (FLACS) has been introduced. This method allows you to automatically perform the basic stages of cataract surgery - corneal incisions, capsulorhexis, nucleus fracture. At the same time, to apply the various techniques of cataract surgery, the surgeon must possess virtually all the necessary techniques. This is dictated by the fact that, as a rule, cataract itself is rarely isolated - senile. Knowledge of the basic rules of cataract surgery, the use of pupillary rings and iris retractors in narrow pupils, the use of capsular rings in subluxations of the lens, the use of special modes of phaco in severe late cataracts, and a comprehensive clinical way of thinking can undoubtedly reduce the complications of cataract surgery.

Ophthalmic nurse practitioners face many challenges today, owing to the effects of demographic change, advancing technology and research, and increasing government legislation. This book contains a wealth of information related to the nursing management of people with various ophthalmic conditions. At the same time, it encourages ophthalmic nurses and allied healthcare professionals to think critically about the wider political and professional issues impacting on their everyday practice. The last three decades have seen major advances in the care of people with ophthalmic conditions in all ag

This is the first reference textbook to address the considerable challenges of managing cataracts in children. Content covers all details of pediatric cataracts and surgical techniques to treat and prevent visual impairment. Readers explore patient work-up, diagnosis, surgical techniques, and potential complications. Newly emerging topics, such as temporary polypseudophakia, multifocal lenses, implant biocompatibility, intracapsular rings, and the use of capsular dyes in pediatric cataract surgery, are discussed in detail. Numerous tables and line diagrams and more than 200 full-color photographs clarify concepts.

This book provides a comprehensive approach to the specialty of cataract surgery. Chapters are authored by an international group of experts who evaluate technology, recommend surgical technique, and review the management of both anticipated and unexpected complications. With more than 30 chapters, everyday challenges such as the white, mature, and uveitic cataract are included while the most difficult cases like the loose lens, posterior polar, aniridic, and the traumatic cataract are covered in detail. The editors have also included topics like IOL repositioning and exchange. Cataract Surgery: Advanced Techniques for Complex and Complicated Cases offers the reader an encyclopedic collection of invaluable lessons that will help both the surgeon who is early in his career as well as the veteran cataract surgeon.

Cataract ranks high among the diseases that cause visual disability and blindness in the world. Cataract surgery is the most common surgery performed by an Ophthalmologist. Phacoemulsification is the state of the art in cataract surgery. Learning the technique of phacoemulsification is a major challenge for the trainee and new ophthalmic surgeons. Mastering the technique requires extensive training and a steep learning curve. The authors have discussed the various steps of phacoemulsification and other techniques of cataract surgery like SICS including the difficulties and complications encountered and how to avoid them. A separate chapter deals with the techniques required to get used to an Operating Microscope and the basic principles of the equipments used. Phacoemulsification for the beginning surgeons is to guide the trainee and new surgeons to learn the surgery in the shortest possible time in order to gain the necessary expertise to perform the surgery with confidence. Both Dr. Munirul Huq and Dr. Mehdi (Matti) Vazeen have extensive experience in cataract surgery and they believe that, the text will help the new surgeon to go through the learning curve and gain proficiency and this will also serve as a reference guide at the time of difficulty and complications. The aim is not to replace other textbooks on the topic but to share the experience of the authors for the benefit of the new upcoming cataract surgeons.

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.