The Scrub's Bible (eBook)

Richard Koplin, MD, is Senior Attending Surgeon at the New York Eye and Ear Infirmary, Surgeon at Beth Israel Medical Center, and Director of Cataract Service at the New York Eye and Ear Infirmary. He is also Adjunct Assistant Professor in the Graduate School of Social Servie Fordham University and Clinical Assistant Professor in Ophthalmology at New York Medical College.Elaine I. Wu, MD, Attending Surgeon at the New York Eye and Ear InfirmaryDavid C. Ritterband, MD, Assistant Director, Corneal and Refractive Servies, the New York Eye and Ear InfirmaryJohn A. Seedor, MD, Director, Corneal and Refractive Services, the New York Eye and Ear Infirmary

Chapter 1: Introduction            Key Words Chapter 2: The Evolution of Eye SurgeryChapter 3: The Advent of Ambulatory Eye SurgeryChapter 4: Anatomical ConsiderationsOrbit, lids, and extraocular musclesConjunctiva, sclera, and tear filmCorneaAnterior chamber, aqueous, and irisPosterior chamber and crystalline lensVitreousRetina, choroid, and optic nerveChapter 5: Infection Control Instrument cleaningSterilizationChapter 6: How the patient gets from the front door of the ASC to your OR suiteThe necessary bureaucracyPre-operative area proceduresChapter 7: Decorum in the ORChapter 8: Setting up in the ORScrubbingAnesthesiaPatient prepDrapingInstrumentation            Basic instrument table            How to hand instruments to your surgeonChapter 9: Contemplating Cataract Surgery Why a patient undergoes cataract surgery            What is a cataract operationChapter 10: Cataract SurgeryThe OperationEntry into the eyeIntraocular anestheticViscoelasticPerforming a capsulotomyHydrodissection and hydrodelineationPhacoemulsification            The phaco machine                        The components                        Setting up the phaco machineWhat you will typically find on the phaco system’s menu optionsTrouble-shooting the phaco machinePrinciples of phaco surgery                        Phaco fragmentation techniques                        Phaco machine settings            Irrigation and aspiration            Capsule polish            The lens implant and implantation                        Refractive or premium IOL Understanding IOL power selectionInsertion of a posterior chamber lens implant            Closing the wounds            Concluding the procedureChapter 11: Complications encountered, instruments at the ready: here is a list of “what ifs” and “what to do’s”Chapter 12: The surgical tray for cataract surgeryChapter 13: Surgeon specific instrumentsChapter 14: Ocular biometryChapter 15: Self assessment test cataract surgeryChapter 16: Surgical checklistChapter 17: Corneal SurgeryThe cornea; how it worksSurgery of the corneaPatient prep and anesthesiaContemplating corneal surgeryChapter 18: Corneal transplantation: penetrating keratoplastyChapter 19: Corneal transplantation: keratoprosthesisChapter 20: Corneal transplantation: endothelial keratoplastyChapter 21: Pterygium surgeryChapter 22: Band keratopathy removalChapter 23: Complications encountered, instruments at the ready: here is a list of “what ifs” and “what to do’s”Chapter 24: The surgical tray for penetrating keratoplastyChapter 25: The surgical tray for endothelial keratoplastyChapter 26: Self assessment test corneal surgeryChapter 27: Resource materialsChapter 28: Medications listAppendix A: Surgeon instrument preferences note cataract surgeryAppendix B: Patient identification wall noteGlossary of terms