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 tips to investigate the sufferer, practice the strategy, and supervisor the main demanding cataract surgical procedure complex circumstances dealing with either starting and skilled surgeons.
Cataract surgical procedure in complex circumstances covers a large choice of issues together with cataract in excessive myopia, floppy iris syndrome, demanding cataract, phacoemulsification with a small student, and IOL clarification and replacement.
Supplemented by way of greater than 250 colour illustrations, diagrams, a word list, and references, all surgeons, from newbie to specialist will wish this targeted source by way of their side.
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Additional resources for Cataract Surgery in Complicated Cases
32 Chapter 3 Phacoemulsification Phacoemulsification in a glaucomatous eye may be complicated by a number of factors, including loose zonules, shallow chambers, pupils that are difficult to dilate, low endothelial cell count, and vitreous pressure. Speed, accuracy, and minimal invasiveness are essential for safety; surgeon experience with a specific procedure is also important. Regardless of technique, the following principles are standard: If dilation is not excellent, surgical maneuvers performed blindly behind the iris must be cautiously performed.
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. Zetterström C, Lundvall A, Weeber H Jr, Jeeves M. Sulcus fixation without capsular support in children. J Cataract Refract Surg. 1999;25(6):776-781. Cionni RJ, Osher RH. Endocapsular ring approach to the subluxed cataractous lens. J Cataract Refract Surg.
J Cataract Refract Surg. 1998;24(10):1299-1306. 22. Davison JA. Capsule contraction syndrome. J Cataract Refract Surgery. 1993;19(5):582-589. 23. Konradsen T, Kugelberg M, Zetterstrom C. Visual outcomes and complications in surgery for ectopia lentis in children. J Cataract Refract Surg. 2007;33:819-824. 24. Vasavada V, Vasavada VA, Hoffman RO, Spencer TS, Kumar RV, Crandall AS. Intraoperative performance and postoperative outcomes of endocapsular ring implantation in paediatric eyes. J Cataract Refract Surg.