The Complicated Cataract The Massachusetts Eye and Ear Infirmary Phacoemulsification Practice Handbook

by Pineda, Roberto; Espaillat, Alejandro; Perez, Victor L.; Rowe, Susannah

• ISBN13: 9781556424861
• ISBN10: 1556424868
• Format: Paperback
• Copyright: 2001-04-16
• Publisher: Slack Incorporated

Summary

Ophthalmologists continue to confront difficult surgical situations, requiring practical surgical maneuvers to achieve a successful outcome. As phacoemulsification becomes the leading method of lens extraction around the world, the incidence of these difficult cases is steadily rising.TheComplicated Cataract: The Massachusetts Eye and Ear Infirmary Practice Handbookis an intermediate phaco book with emphasis on special maneuvers and techniques. It is intended for surgeons who have basic phacoemulsification skills and face challenging situations in their daily practices.The goal of this book is to provide the reader with an accessible way to quickly understand how to handle these difficult clinical situations successfully. The book is organized to allow the reader to rapidly refer to a relevant chapter when a challenging case is encountered. It is designed for use in the office while evaluating patients, as well as in the surgical suite. The modified outline format permits rapid consultation, allowing for easy reference.General ophthalmologists, anterior segment surgeons, residents, fellows, and medical libraries anyone interested in expanding phacoemulsification skills will benefit from the user-friendly format of this book. Some Features Include: Relevant preoperative issues during cataract surgery in the presence of a compromised cornea. Surgical Management of the small pupil. Risk and complications of a dense cataract. Surgical strategies and IOL choices for the pediatric cataract. IOL power calculation after refractive surgery.

Author Biography

Roberto Pineda II, MD
Massachusetts Eye and Ear Infirmary
Bringham and Womens Hospital
Boston, Massachusetts
Alejandro Espaillat, MD
Espaillat Cabral Eye Institute
Santo Domingo, Dominican Republic
Victor L. Perez, MD
Massachusetts Eye and Ear Infirmary
Boston, Massachusetts
Susannah G. Rowe, MD, MPH
Harvard Medical School
Boston University School of Medicine
Boston, Massachusetts

Table of Contents

Dedication	iii
Acknowledgments	vi
Contributing Authors	vii
Preface	viii
Foreword	x
When Is Cataract Surgery Appropriate?	1	(4)
Susannah G. Rowe
The Compromised Cornea	5	(10)
Susannah G. Rowe
Roberto Pineda II
The Small Pupil	15	(24)
Alejandro Espaillat
Susannah G. Rowe
Pseudoexfoliation Syndrome	39	(8)
Robert T. Ang
Susannah G. Rowe
Roberto Pineda II
The Uveitic Eye	47	(12)
Victor L. Perez
C. Stephen Foster
Phacoemulsification After Glaucoma Filteration Surgery	59	(8)
Theresa C. Chen
Victor L. Perez
Susannah G. Rowe
Roberto Pineda II
The Short Eye	67	(10)
Sandra L. Cramer
Victor L. Perez
Susannah G. Rowe
Roberto Pineda II
The Long Eye	77	(6)
Christopher Starr
Victor L. Perez
Roberto Pineda II
The Dense Cataract	83	(8)
Sandra L. Cramer
Victor L. Perez
Susannah G. Rowe
The White Cataract	91	(8)
Richard J. Maw
Roberto Pineda II
The Traumatic Cataract	99	(14)
Eugene S. Lit
Victor L. Perez
Susannah G. Rowe
Roberto Pineda II
The Posterior Polar Cataract	113	(8)
Victor L. Perez
Roberto Pineda II
The Diabetic Patient	121	(8)
Sabera Shah
Alejandro Espaillat
Lloyd M. Aiello
The Pediatric Cataract	129	(12)
Kailenn Tsao
Melanie Kazlas
Intraocular Lens Calculations After Refractive Surgery	141	(6)
Roberto Pineda II
Appendix A. Recommended Intraocular Lens Power Formulas Based on Axial Length	147	(2)
Appendix B. Limbal Relaxing Incision Nomogram (600-Micron Depth)	149	(2)
Appendix C. Algroithm for Pseudophakic Cystoid Macular Edema	151	(4)
Appendix D. Levels of Diabetic Retinopathy: ETDRS Classification and Criteria for Rx	155	(2)
Appendix E. Viscoelastic Directory	157	(2)
Index	159