By Roberto Bellucci MD, Simonetta Morselli MD (auth.), Thomas Kohnen MD, Douglas D. Koch MD (eds.)
The subject of the second one quantity of the sequence in ''Essentials in Ophthalmology'' is cataract and refractive surgical procedure, a realm of ophthalmic care that has passed through progressive alterations some time past 10 years. around the world, the removing of the opaque crystalline lens is the main usually played surgical intervention within the human physique, and refractive surgical procedure encompasses an expanding array of tactics with quickly becoming surgical volumes. The target of the editors of this e-book has been to supply up to date clinically correct overviews and to focus on the main attention-grabbing fields of analysis and controversy.
The first half the publication makes a speciality of new cataract surgical innovations and units, together with topical anaesthesia, small incision cataract surgical procedure, glossy intraocular lenses and ophthalmic viscosurgical units. unique recognition is dedicated to tough occasions, reminiscent of mature, uveitic and pediatric cataracts, and to the prevention and administration of complications.
The moment 1/2 the e-book describes present and evolving modalities - either corneal and lenticular - to right human refractive error. specific emphasis is put on subject matters on the topic of caliber of imaginative and prescient, resembling wavefront know-how, measuring caliber of imaginative and prescient, and matters in student size. a lot of those issues pertain additionally to cataract surgical procedure, indicating the merging of applied sciences that's taking place in those significant ophthalmic subspecialties.
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Extra resources for Cataract and Refractive Surgery
Advocates of these nucleus-dividing techniques have suggested that high levels of vacuum help to remove the nuclear fragments and minimize the need for ultrasound energy. With some of the newer phaco instruments, higher vacuum power can be applied with minimal risk of anterior chamber collapse. 6 Choo Choo Chop and Flip Fine described the “choo-choo chop and flip” technique in 1998 . Subsequently, Fine, Packer and Hoffman correlated the reduction of ultrasound energy with this technique to improvement in uncorrected post-operative day one visual acuity .
J Cataract Refract Surg 28:1018–1022 56. Masket S, Gokmen F (1998) Efficacy and safety of intracameral lidocaine as a supplement to topical anesthesia. J Cataract Refract Surg 24:956–960 57. Mathew MR, Webb LA, Hill R (2002) Surgeon experience and patient comfort during clear corneal phacoemulsification under topical local anesthesia. J Cataract Refract Surg 28:1977–1981 58. Mathew MR, Williams A, Esakowitz L, Webb LA, Murray SB, Bennett HG (2003) Patient comfort during clear corneal phacoemulsification with sub-Tenon’s local anesthesia.
Clear corneal incisions have had a proven record of safety with relative astigmatic neutrality. In addition, clear corneal incisions result in an excellent cosmetic outcome. We expect that they will continue to increase in popularity, especially as newer modalities, such as non-thermal bimanual phaco, become the standard of care. 3 Continuous Curvilinear Capsulorhexis Implantation of the IOL in an intact capsular bag facilitates the permanent rehabilitative benefit of cataract surgery. For many years, surgeons considered a “can-opener” capsulotomy satisfactory for both planned extracapsular cataract extraction and phaco.