Minimizing Incisions and Maximizing Outcomes in Cataract Surgery

by Alio, Jorge L.; Fine, I. Howard

• ISBN13: 9783642028618
• ISBN10: 3642028616
• Edition: DVD
• Format: Hardcover
• Copyright: 2010-01-30
• Publisher: Springer Verlag

Summary

Many ophthalmologists are in the transition from the traditional cataract surgery technique to the new minimally incision cataract surgery (MICS) technique. They are in the need of updated information on how to make this transition smoothly. In this book, world-renowned opinion leaders present up-to-date information on the new and fast-developing trends in cataract surgery. It reflects the state of the art of microincisional cataract surgery with the concept of minimizing incision. It offers all necessary information on the new technology as well as on the surgical technique. Further, it demonstrates how to handle difficult cataract cases as well as new intraocular lenses.

Table of Contents

Introduction	p. 1
The Transition Towards Smaller and Smaller Incisions	p. 5
Micro-Coaxial Phacoemulsification with Torsional Ultrasound	p. 5
Transitioning to Bimanual MICS	p. 11
0.7 mm Microincision Cataract Surgery	p. 13
MICS Instrumentation	p. 25
Evolution of Ultrasound Pumps and Fluidics and Ultrasound Power: From Standard Coaxial Towards the Minimal Incision Possible in Cataract Surgery	p. 37
Coaxial Microincision Cataract Surgery Utilizing Non-Linear Ultrasonic Power: An Alternative to Bimanual Microincision Cataract Surgery	p. 51
Technology Available	p. 57
How to Better Use Fluidics with MICS	p. 57
How to Use Power Modulation in MICS	p. 69
MICS with Different Platforms	p. 75
MICS with the Accurus Surgical System	p. 75
Using the Alcon Infiniti and AMO Signature for MICS	p. 84
Stellaris Vision Enhancement System	p. 89
Surgical Technique - How to Perform a Smooth Transition	p. 95
Pupil Dilation and Preoperative Preparation	p. 99
Incisions	p. 108
Thermodynamics	p. 117
Using Ophthalmic Viscosurgical Devices with Smaller Incisions	p. 124
Capsulorhexis	p. 133
Hydrodissection and Hydrodelineation	p. 135
Biaxial Microincision Cataract Surgery: Techniques and Sample Surgical Parameters	p. 140
Biaxial Microincision Phacoemulsification: Transition, Techniques, and Advantages	p. 144
BiMICS vs. CoMICS: Our Actual Technique (Bimanual Micro Cataract Surgery vs. Coaxial Micro Cataract Surgery)	p. 149
Endophthalmitis Prevention	p. 156
Biaxial Microincision Phacoemulsification for Difficult and Challenging Cases	p. 163
MICS in Special Cases: Incomplete Capsulorhexis	p. 175
MICS in Special Cases (on CD): Vitreous Loss	p. 187
How to Deal with Very Hard and Intumescent Cataracts	p. 195
IOL Types and Implantation Techniques	p. 209
MICS Intraocular Lenses	p. 209
Implantation Techniques	p. 220
Special Lenses	p. 235
Toric Posterior Chamber Intraocular Lenses in Cataract Surgery and Refractive Lens Exchange	p. 235
Special Lenses: MF	p. 244
Special Lenses: Aspheric	p. 249
Intraocular Lenses to Restore and Preserve Vision Following Cataract Surgery	p. 257
Microincision Intraocular Lenses: Others	p. 263
Outcomes	p. 277
Safety: MICS versus Coaxial Phaco	p. 277
Control of Corneal Astigmatism and Aberrations	p. 286
Corneal Endothelium and Other Safety Issues	p. 292
Incision Quality in MICS	p. 297
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