Pediatric Cataract Surgery Techniques, Complications, and Management

by Wilson, M. Edward; Trivedi, Rupal H.; Pandey, Suresh K.

• ISBN13: 9780781743075
• ISBN10: 0781743079
• Edition: 1st
• Format: Hardcover
• Copyright: 2005-02-28
• Publisher: LWW

Summary

This is the first reference textbook to address the considerable challenges of managing cataracts in children. Content covers all details of pediatric cataracts and surgical techniques to treat and prevent visual impairment. Readers explore patient work-up, diagnosis, surgical techniques, and potential complications. Newly emerging topics, such as temporary polypseudophakia, multifocal lenses, implant biocompatibility, intracapsular rings, and the use of capsular dyes in pediatric cataract surgery, are discussed in detail. Numerous tables and line diagrams and more than 200 full-color photographs clarify concepts.

Table of Contents

Preface	v
SECTION I: CHARACTERISTICS OF CATARACTS IN CHILDREN	1	(22)
Embryology and Anatomy of the Human Crystalline Lens	1	(5)
Suresh K. Pandey
Etiology and Morphology of Pediatric Cataracts	6	(8)
Suresh K. Pandey
M. Edward Wilson, Jr.
Genetics of Congenital Cataracts	14	(4)
Vanita Kumar
Jai Rup Singh
Daljit Singh
Epidemiology of Pediatric Cataracts and Associated Blindness	18	(5)
Rupal H. Trivedi
M. Edward Wilson, Jr.
SECTION II: PREOPERATIVE WORKUP	23	(16)
Evaluation of Visually Significant Cataracts	23	(4)
Suresh K. Pandey
Informed Consent	27	(3)
M. Edward Wilson, Jr.
Rupal H. Trivedi
Intraocular Lens Power Calculation for Children	30	(9)
Scott K. McClatchey
Elizabeth M. Hofmeister
SECTION III: CATARACT SURGERY IN CHILDREN	39	(74)
Historical Overview	39	(5)
Rupal H. Trivedi
M. Edward Wilson, Jr.
Suresh K. Pandey
Planning Pediatric Cataract Surgery: Diverse Issues	44	(7)
Rupal H. Trivedi
M. Edward Wilson, Jr.
Anesthetic Management of the Pediatric Patient with Cataracts	51	(3)
Linda S. Dancy
Charles T. Wallace
Principles of Incision Construction in Pediatric Cataract Surgery	54	(5)
Rupal H. Trivedi
M. Edward Wilson, Jr.
Ophthalmic Viscosurgical Devices	59	(9)
Rupal H. Trivedi
M. Edward Wilson, Jr.
Anterior Capsule Management	68	(9)
M. Edward Wilson
Suresh K. Pandey
Multiquadrant Hydrodissection	77	(3)
Abhay R. Vasavada
Rupal H. Trivedi
Bharti Nihalani
Lens Substance Aspiration	80	(3)
Rupal H. Trivedi
M. Edward Wilson, Jr.
Posterior Capsulotomy and Anterior Vitrectomy for the Management of Pediatric Cataracts	83	(10)
Rupal H. Trivedi
M. Edward Wilson, Jr.
Dye-Enhanced Pediatric Cataract Surgery	93	(4)
Suresh K. Pandey
Applications of the Fugo Blade	97	(4)
Daljit Singh
Ravi Shankar Jit Singh
Lensectomy and Anterior Vitrectomy When an Intraocular Lens is Not Being Implanted	101	(4)
M. Edward Wilson, Jr.
Suresh K. Pandey
Postoperative Medications and Follow-up	105	(8)
Hamid Ahmadieh
M.R. Ja'farinasab
SECTION IV: LENS IMPLANTATION IN CHILDREN	113	(58)
Posterior Chamber Lens Implants: Currently Available Lens Designs and Future Application	113	(14)
Suresh K. Pandey
Randall J. Olson
Intraocular Lens Types and Sizes for Pediatric Cataract Surgery	127	(7)
Suresh K. Pandey
M. Edward Wilson, Jr.
Primary Intraocular Lens Implantation in Infantile Cataract Surgery	134	(5)
Rupal H. Trivedi
M. Edward Wilson, Jr.
AcrySof Intraocular Lens Implantation in Eyes with Pediatric Cataracts	139	(11)
Rupal H. Trivedi
M. Edward Wilson, Jr.
The Iris-Claw Lens (Artisan)	150	(4)
Daljit Singh
Kiranjit Singh
Arun Verma
Ravi Shankar Jit Singh
Role of Optic Capture in Pediatric Cataract-Intraocular Lens Surgery	154	(4)
Abhay R. Vasavada
Rupal H. Trivedi
Polypseudophakia	158	(2)
M. Edward Wilson, Jr.
Rupal H. Trivedi
Transscleral Suture Fixation of Posterior Chamber Intraocular Lenses	160	(5)
Suresh K. Pandey
M. Edward Wilson, Jr.
Secondary Intraocular Lens Implantation	165	(6)
Rupal H. Trivedi
M. Edward Wilson, Jr.
SECTION V: ANATOMICAL ANOMALIES THAT MAY COMPLICATE CATARACT SURGERY	171	(46)
Cataracts Associated with Type I Diabetes Mellitus	171	(3)
M. Edward Wilson, Jr.
Rupal H. Trivedi
Persistent Fetal Vasculature	174	(5)
Irene Anteby
Cataract Surgery in Eyes with Retinopathy of Prematurity	179	(5)
Rupal H. Trivedi
M. Edward Wilson, Jr.
Cataract Surgery in Eyes Treated for Retinoblastoma	184	(5)
Rupal H. Trivedi
M. Edward Wilson, Jr.
Preexisting Posterior Capsule Defects	189	(5)
Daljit Singh
Seema K. Singh
Kiranjit Singh
Anterior Lenticonus in Alport Syndrome	194	(5)
Rupal H. Trivedi
M. Edward Wilson, Jr.
Aniridia and Cataracts	199	(4)
Rupal H. Trivedi
M. Edward Wilson, Jr.
Lowe Syndrome	203	(2)
Stacey J. Kruger
M. Edward Wilson, Jr.
Rupal H. Trivedi
Dislocated Crystalline Lenses	205	(6)
Daljit Singh
Kiranjit Singh
Indu R. Singh
Ravijit Singh
Pediatric Cataract Surgery in Eyes with Uveitis	211	(6)
Suresh K. Pandey
Rupal H. Trivedi
M. Edward Wilson, Jr.
SECTION VI: INTRAOPERATIVE COMPLICATIONS AND POSTOPERATIVE SEQUELAE	217	(50)
Intraoperative Complications of Pediatric Cataract-Intraocular Lens Surgery and Their Management	217	(6)
Suresh K. Pandey
M. Edward Wilson, Jr.
Postoperative Complications of Pediatric Cataract-Intraocular Lens Surgery and Their Management	223	(7)
Suresh K. Pandey
M. Edward Wilson, Jr.
Growth of Aphakic and Pseudophakic Eyes	230	(6)
Rupal H. Trivedi
M. Edward Wilson, Jr.
Opacification of the Ocular Media	236	(8)
Mohammad Ali Javadi
Hamid Ahmadieh
Postoperative Glaucoma	244	(10)
John Facciani
Rupal H. Trivedi
M. Edward Wilson, Jr.
Strabismus in Pediatric Aphakia and Pseudophakia	254	(3)
M. Edward Wilson, Jr.
Rupal H. Trivedi
Cystoid Macular Edema	257	(6)
Srinivas K. Rao
Retinal Detachment	263	(4)
Suresh K. Pandey
SECTION VII: FUNCTIONAL ISSUES	267	(16)
Management of Residual Refractive Error After Intraocular Lens Implantation	267	(3)
M. Edward Wilson, Jr.
Suresh K. Pandey
Aphakia	270	(8)
Rupal H. Trivedi
M. Edward Wilson, Jr.
Assessment of Visual Functions (Acuity, Contrast Sensitivity) and Amblyopia Management	278	(5)
Catherine M. Suttle
Suresh K. Pandey
SECTION VIII: REFRACTIVE SURGERY	283	(10)
Phakic Intraocular Lenses in Children	283	(6)
Daljit Singh
Ravijit Singh
Pediatric Refractive Surgery	289	(4)
M. Edward Wilson, Jr.
Rupal H. Trivedi
SECTION IX: MISCELLANEOUS ISSUES AND VIEWS	293	(39)
Traumatic Cataracts in Children	293	(10)
M. Edward Wilson, Jr.
Rupal H. Trivedi
Suresh K. Pandey
Pediatric Cataracts in Developing-World Settings	303	(5)
M. Edward Wilson, Jr.
Rupal H. Trivedi
Pediatric Cataract Surgery and Intraocular Lens Implantation: Practice Styles and Preferences of the 2001 ASCRS and AAPOS Membership	308	(8)
M. Edward Wilson, Jr.
Luanna R. Bartholomew
Rupal H. Trivedi
Step-by-Step Approach for Management of Pediatric Cataracts	316	(5)
Suresh K. Pandey
M. Edward Wilson, Jr.
Rupal H. Trivedi
My Preferred Approach	321	(11)
M. Edward Wilson, Jr.
Rupal H. Trivedi
Appendix Articles Relevant to Pediatric Cataract Surgery Published by the Editors in Peer-Reviewed Journals	332	(3)
Index	335