Jaypee Gold Standard Mini Atlas Series: Phacoemulsification

Amar Agarwal MS FRCS FRCOphth Chairman and Managing Director, Dr Agarwal’s Group of Eye Hospitals and Eye Research Center, Chennai, Tamil Nadu, India Priya Narang MS Director, Narang Eye Care and Laser Center, Ahmedabad, Gujarat, India

DVD content



 



1. Angle Kappa and Multifocal Glued IOL



2. Intraocular Lens (IOL) Scaffold



3. Lens Coloboma



4. Mature Cataract + Adherent Leucoma + Posterior Synechia



5. No Assistant Technique



6. Pars Plicata Anterior Vitrectomy (PPAV)



7. Subluxated Bag—IOL Complex with Dislocated Ring and Endocapsular Segment



 



Table of Contents



 



Section 1 Phaco Basics





Diagrammatic Representation of the Connection of Air Pump to the Infusion Bottle
Internal Gas Forced Infusion
Viscoelastic being Injected with a 26 G Needle Attached to a 1 mL Syringe
Framing a Clear Corneal Incision
Location of the Incision
Size of the Incision
Plane of the Incision
Capsulorhexis being done with a Bent 26 Gauge Needle Capsulorhexis Flap
Vertical Chop
Chopping the Nuclear Hemisegments
Pull out Nuclear Fragments from Bag and Emulsify
Bi-manual Cortical Aspiration


Section 2 Challenging Cases





Pseudoexfoliation
Deposition of Fluffy Amorphous Material Around the Pupil in Pseudoexfoliation
Pigment Deposition on Anterior Capsule
Posterior Synechia
Posterior Polar Cataract
Trypan Blue Enhanced Capsulorhexis being Performed in a Miotic, Fibrotic Pupil
Surgical Tips
Subluxation of the Lens and its Management
Modified Cionni’s Capsular Tension Ring
Lenticular Coloboma
Iris Coloboma
Soemmering Ring
Posterior Lenticonus


Section 3 Complications





Sleeveless Phacotip Assisted Levitation of Dropped Nucleus (SPAL) Technique—Step 1
Spal Technique—Step 2
Dropped Nucleus Lying on the Retina
Managing the Anterior Chamber Opacities and Herniated Vitreous
Posterior Vitrectomy and Phacofragmentation
Insulating the Retina with Perfluorocarbon
Principle of an Ophthalmic Endoscopic System
Removal of Entire Hard Lens Fragment with Perfluorocarbon
Management of Lens Coloboma with Glued IOL
Dislocated IOL on the Retina
Sleeveless Extrusion Cannula for Levitation of Dropped IOL Surgical Technique
Perfluorocarbon Liquids
25-G Chang Passive-Action IOL Forceps
Temporary Haptic Externalization
Removal of a Plate Haptic IOL
Management of Eyes with two Intraocular Implants
Endophthalmitis: Methods of Collecting Specimens
Clinical Features
Organisms Associated with Acute Postoperative Endophthalmitis
Delayed-onset Endophthalmitis
Propionibacterium Endophthalmitis
Diagnostic Workup andMicrobiological Studies
Techniques of Specimen Collection
Endophthalmitis (Anterior Chamber Washout before Vitrectomy)
Antimicrobial Therapy
Corticosteroid Therapy
Vitrectomy
Cystoid Macular Edema
Macular Edema
Cystoid Macular Edema
Cme and Aciol—Possible Pathophysiology
Clinical Appearance of CME
Macular Function Tests in Cystoid Macular Edema
Optical Coherence Tomography in CME
Sequela of CME: Post-CME Lamellar Hole
Prophylactic Treatment
Therapy for Established CME
Glued IOL
Glued IOL (Continued)
Traumatic Iridodialysis
Boston Keratoprosthesis (KPro)
Decentration of the Capsular Bag and IOL
IOL Scaffold
Glued IOL Scaffold
Pre-Descemet’s Endothelial Keratyoplasty with Glued IOL
Surgical Considerations for Combined Procedure
Surgical Technique
Preoperative and Postoperative Image of Patient of PDEK with Glued IOL Refractive Concern


Section 4 Microincision Cataract Surgery (Phakonit and Microphakonit)





Clear Corneal Incision Made with a Special Knife (MST, USA)
Capsulorhexis Initiated with a Needle
MST Rhexis Forceps used to Perform the Rhexis in a Mature Cataract
Designs of Agarwal Irrigating Choppers
Phakonit Irrigating Chopper and Phako Probe without the Sleeve Inside the Eye
Phakonit Being Done
Bimanual Irrigation Aspiration Completed
Soft Tip Irrigation-aspiration from MST, USA
Thinoptx Roller cum Injector Inserting the IOL in the Capsular Bag
Comparison between Phaco Foldable IOL and Phakonit Thinoptx IOL
Microphakonit
Microphakonit Completed. The Nucleus has been Removed
Bimanual Irrigation-aspiration with the 0.7 mm Set
Bimanual Irrigation-aspiration Completed
Index