Illustrated Advanced Anterior Segment Surgery

Iqbal K. Ahmed, MD is Professor, Department of Ophthalmology and Vision Sciences at the University of Utah in Salt Lake City, and Assistant Professor at the Department of Ophthalmology and Vision Science at the University of Toronto, Ontario, Canada, where he is Director of Research at the Kensington Eye Institute, Head of Ophthalmology at Trillium Health Partners, and Medical Director at Prism Eye Institute. Dr. Ahmed has become world renowned for his skills and ground-breaking work in the diagnosis and surgical treatment of highly complex eye diseases including glaucoma and surgical complications. He is recognized as being one of the most experienced complex eye surgeons in the world and has trained numerous surgeons in innovative surgical techniques. Furthermore, he has been at the leading edge of novel treatments for glaucoma, cataract, and lens implant surgery. Patients are referred to him locally, nationally, and from around the world. He has been invited to perform surgery in 4 continents across the globe. Dr. Ahmed has a keen interest in the development of advanced microsurgical devices and techniques in glaucoma surgery and complicated cataract extraction, and is actively involved in research and medical education at a national and international level. He has received research grants to study glaucoma medications, glaucoma laser and surgical devices/techniques, angle closure glaucoma, anterior segment and retinal/optic nerve imaging in glaucoma, cataract surgical techniques and devices, and intraocular lens designs. Dr. Ahmed has designed innovative glaucoma diamond scalpels for surgery, microsurgical instrumentation, and devices, implants, and techniques for the management of the dislocated cataract, iris reconstruction, and glaucoma implant devices. He has done pioneering work in innovative glaucoma surgery, developing and coining the term “Micro-Invasive Glaucoma Surgery (MIGS)” as a new genre of surgical approaches and devices. He also performed the first laser cataract surgery in Canada. As a result of his innovative expertise, Dr. Ahmed has been asked to consult for a variety of companies and manufacturers, especially pertaining to the development of new devices and technologies. Xavier Campos-Möller, MD is head of the Glaucoma and Advanced Anterior Segment Surgery division of the Department of Ophthalmology at Western Memorial Regional Hospital in Corner Brook, Newfoundland, Canada. Dr. Campos-Möller completed his ophthalmology residency at the Asociación para Evitar la Ceguera in Mexico and a fellowship in Anterior Segment Surgery at the Instituto Nacional de Rehabilitación, in Mexico City. He later completed a Glaucoma and Advanced Anterior Segment Surgery fellowship with Ike Ahmed at the University of Toronto in Ontario, Canada. He currently runs a busy surgical practice in Corner Brook, Newfoundland, focusing mostly on cataract, complex anterior segment, microinvasive, and traditional glaucoma surgery. He is committed to the eradication of blindness and frequently travels overseas for humanitarian surgery missions. Manjool Shah, MD serves as a clinical assistant professor of Ophthalmology and Visual Sciences at the Kellogg Eye Center, University of Michigan in Ann Arbor. Additionally, he is the Medical Director of the Division of Glaucoma, Cataract, and Anterior Segment Disease as well as the Director of the glaucoma fellowship program. Dr. Shah completed his residency training at the Casey Eye Institute in Portland, Oregon, and fellowship training in Glaucoma and Advanced Anterior Segment Surgery at the University of Toronto, Ontario, Canada. He is active in teaching residents and fellows at his own institution, participates in surgical education missions around the world, and is an active participant of various national and international societies dedicated to sharing knowledge. His specialized interests include performing and teaching novel and traditional glaucoma surgeries, as well as the management of complex anterior segment challenges. Arsham Sheybani, MD is an avid teacher but balances his life working with residents and fellows by chasing adventure and spending time with his wife and children.

Dedication About the Authors Foreword by Barry Seibel, MD Chapter 1 Introduction—How to Use This Book and Plotting Out a Flight Plan Chapter 2 Ergonomics, Hand Positioning, and Instrument Grips Chapter 3 Incisions Chapter 4 How to Perform a Capsulorrhexis Through a Small Pupil Chapter 5 How to Insert and Remove Iris Hooks Chapter 6 How to Insert and Remove Malyugin Rings Chapter 7 Capsulorrhexis in the Setting of Weak Zonules Chapter 8 Other Challenging Capsulorrhexis Situations Chapter 9 How to Use Capsule Retractors Chapter 10 How to Insert a Capsular Tension Ring Chapter 11 How to Implant Capsular Tension Segments Chapter 12 How to Implant a Modified Capsular Tension Ring Chapter 13 Vitrectomy Pearls Chapter 14 How to Optic Capture an Intraocular Lens Chapter 15 How to Posterior Optic Capture Chapter 16 How to Reverse Optic Capture a Single-Piece Intraocular Lens Chapter 17 How to Insert an Angle-Supported Anterior Chamber Intraocular Lens Chapter 18 How to Implant an Iris Claw Artisan Intraocular Lens Chapter 19 How to Suture an Intraocular Lens to Iris Chapter 20 How to Perform Intrascleral Haptic Fixation of a Three-Piece IOL Chapter 21 How to Fixate an IOL to Sclera With the Yamane Double-Needle Flanged Haptic Technique Chapter 22 How to Suture an Intraocular Lens to Sclera Chapter 23 How to Implant a Piggyback Intraocular Lens Chapter 24 How to Explant an Intraocular Lens From the Capsular Bag Chapter 25 How to Reposition an Intraocular Lens by Scleral Suturing Chapter 26 How to Suture Iris Chapter 27 How to Perform Goniosynechialysis Chapter 28 How to Perform Pupilloplasty in Corectopia Chapter 29 How to Perform an Iris Cerclage Chapter 30 How to Insert Aniridia Implants Chapter 31 HumanOptics and Intrascleral Haptic Fixation of a Three-Piece IOL Chapter 32 How to Repair an Iridodialysis Chapter 33 How to Repair a Cyclodialysis Cleft Chapter 34 How to Prevent and Treat Malignant Glaucoma—Irido-Zonulo-Hyaloido-Vitrectomy References Financial Disclosures Index