The Duke Manual of Corneal and Cataract Surgery

 

Description:

Concise, authoritative, and easy to navigate, The Duke Manual of Corneal and Cataract Surgery offers a step-by-step, highly illustrated approach to the most commonly performed procedures in corneal and cataract surgery. Ideal for cornea and cataract specialists, ophthalmic surgeons, residents, and fellows, it contains practical guidance from Drs. Nandini Venkateswaran and Preeya K. Gupta, as well as other experts at Duke University, making it an unparalleled “how-to” manual for the wide variety of cases and operative scenarios you may encounter. 

 

Table of Contents:

 

SECTION 1: JUST THE BASICS

1 Phacodynamics: The Highlights

FLUIDICS

Inflow

Outflow

PUMPS

SURGE

PHACOEMULSIFICATION (ULTRASOUND ENERGY)

FOLLOWABILITY

2 Phacoemulsification Machine Settings

PHACODYNAMIC PRINCIPLES

THE FOOT PEDAL

CATARACT REMOVAL

Sculpting

Chopping

Quadrant Removal

Epinucleus

Cortex Removal

Capsular Polish

Viscoelastic Removal

SECTION 2: CATARACT REMOVAL

3 Soft Cataract Removal Techniques

PREOPERATIVE CONSIDERATIONS

SURGICAL PLANNING

SURGICAL PROCEDURE

Capsulorhexis

Hydrodissection

Hydrodelineation

Nucleus Removal

Epinucleus Removal

Cortex Removal

4 Dense Cataract Removal Techniques

PREOPERATIVE CONSIDERATIONS

Examination

Surgical Planning

SOFT-SHELL SURGICAL TECHNIQUE

Pearls and Potential Pitfalls

POSTOPERATIVE CONSIDERATIONS

5 White Cataract Removal Techniques

PREOPERATIVE CONSIDERATIONS

Keratometry Measurements

Slit-Lamp Anterior Segment Examination

Surgical Planning

SURGICAL PROCEDURE

POSTOPERATIVE CONSIDERATIONS

6 Posterior Polar Cataract Techniques

PREOPERATIVE CONSIDERATIONS

Surgical Planning

SURGICAL PROCEDURE

Phacoemulsification of a Posterior Polar Cataract

Various Surgical Scenarios With Posterior Polar Cataracts

POSTOPERATIVE CONSIDERATIONS

7 Non Phacoemulsification Techniques for Lens Removal

PREOPERATIVE CONSIDERATIONS

Surgical Planning

SURGICAL PROCEDURE

Manual Small Incision Cataract Surgery

POSTOPERATIVE CONSIDERATIONS

8 An Overview of Femtosecond Laser-Assisted Cataract Surgery

LASER COMPONENTS

PREOPERATIVE CONSIDERATIONS

Patient Factors

SURGICAL PROCEDURE

ANTERIOR SEGMENT IMAGING

POSTOPERATIVE MANAGEMENT

9 Floppy Iris Syndrome—Surgical Tips and Pearls

PREOPERATIVE CONSIDERATIONS

INTRAOPERATIVE CONSIDERATIONS

TECHNIQUES FOR INSERTION OF IRIS EXPANSION DEVICES

Malyugin Ring

I-Ring

TECHNIQUES FOR NUCLEUS DISASSEMBLY

TIPS FOR IRIS MANAGEMENT

POSTOPERATIVE CONSIDERATIONS

10 Intraoperative Management of Zonular Weakness

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE

Intraoperative Signs of Zonular Weakness

Capsulorhexis

Hydrodissection

Nuclear Disassembly

Cortical Removal

Capsular Hooks

Capsular Tension Rings

Capsular Tension Segments

POSTOPERATIVE CONSIDERATIONS

11 Pediatric Cataract Surgery: Special Considerations

PREOPERATIVE CONSIDERATIONS

Patient Selection and Timing

Preoperative Examination

Measurements

SURGICAL CONSIDERATIONSa

Examination Under Anesthesia

Traction Suture

Surgical Incisions

Anterior Capsulotomy

Nucleus Removal

Intraocular Lenses

Posterior Capsulotomy

Anterior Vitrectomy

Special Considerations

POSTOPERATIVE CONSIDERATIONSa

Medications

Visual Axis and Posterior Capsular Opacification

Amblyopia

Glaucoma

ACKNOWLEDGMENTS

12 Management of Postoperative Complications of Cataract Surgery

RETAINED LENS FRAGMENT

Definition

Risk Factors

Presentation

Diagnosis

Management

Surgical Technique

ENDOPHTHALMITIS

Definition

Risk Factors

Presentation

Diagnosis

Management

TOXIC ANTERIOR SEGMENT SYNDROME

Definition

Etiology

Presentation

Diagnosis

Management

WOUND BURN

Definition

Risk Factors

Presentation

Prevention

Management

DESCEMET MEMBRANE DETACHMENT

Definition

Risk Factors

Presentation

Diagnosis

Management

SECTION 3: POSTERIOR CAPSULAR RUPTURE AND VITRECTOMY

13 Causes and Signs of Posterior Capsular Rupture

PREOPERATIVE CONSIDERATIONS

POSTERIOR CAPSULAR RUPTURE

SURGICAL PLANNING

14 Anterior Vitrectomy—Surgical Approach and Settings

PREOPERATIVE CONSIDERATIONS

Prevent Causing More Vitreous Prolapse

Avoid Manipulation of the Prolapsed Vitreous

Take Measures to Prevent Loss of Lens Fragments Into the Posterior Segment

Avoid Worsening Any Capsular Damage

SURGICAL PROCEDURE: ANTERIOR VITRECTOMY

ALTERNATIVE APPROACH: PARS PLANA ANTERIOR VITRECTOMY

POSTOPERATIVE CONSIDERATIONS

ACKNOWLEDGMENTS

SECTION 4: IOL CONSIDERATIONS

15 Toric Intraocular Lenses

CONSIDERATIONS FOR A TORIC IOL

SURGICAL TECHNIQUE

ADDITIONAL CONSIDERATIONS

POSTOPERATIVE COMPLICATIONS

16 Extended Depth of Focus Intraocular Lenses

PREOPERATIVE CONSIDERATIONS

HISTORY

LENS DESIGN

TORIC EDOF IOL

QUALITY OF VISION

CONTRAINDICATIONS

17 Multifocal Intraocular Lenses

LENS DESIGN

Considerations for an MfIOL

SURGICAL TECHNIQUE

Additional Considerations

POSTOPERATIVE COMPLICATIONS

18 Trifocal Intraocular Lenses

TYPES OF TRIFOCAL INTRAOCULAR LENSES

PREOPERATIVE CONSIDERATIONS

SURGICAL PLANNING

INTRAOPERATIVE CONSIDERATIONS

POSTOPERATIVE CONSIDERATIONS

19 Intraocular Lens Formula Selection for the Cataract Surgeon

PREOPERATIVE FORMULA DATA ENTRY

CAPTURE PHASE AT MACHINE

Validation

Screening

FORMULA ACCURACY

High Axial Myopia (>26 mm)

Hyperopic Eyes (AL < 22 mm)

CONCLUSION

SECTION 5: ASTIGMATISM MANAGEMENT

20 Corneal Topography for the Cataract Surgeon

GENERAL MEASUREMENT CONSIDERATIONS

SPECIFIC PATTERNS OF IMPORTANCE IN CATARACT SURGERY

Regular Astigmatism

Irregular Astigmatism

Surface Pathologies (eg, Anterior Basement Membrane Dystrophy, Pterygium)

POST-LASER REFRACTIVE SURGERY CALCULATIONS

21 Manual Limbal Relaxing Incisions

BASICS OF ASTIGMATISM

MANUAL LRI PEARLS

NOMOGRAMS

AVOID MANUAL LRIS IN CASES OF:

SURGICAL PEARLS

22 Femtosecond Laser-Assisted Limbal Relaxing Incisions

FEMTOSECOND LASER PRINCIPLES

AVOID FEMTOSECOND LRIS IN CASES OF

NOMOGRAMS

SURGICAL PEARLS

SECTION 6: SECONDARY INTRAOCULAR PLACEMENT

23 Anterior Chamber Intraocular Lens Placement

CONSIDERATIONS FOR AN ACIOL

SURGICAL PLANNING

PREOPERATIVE STEPS

ACIOL Sizing Guide

SURGICAL STEPS

24 Iris-Sutured Intraocular Lenses

PREOPERATIVE CONSIDERATIONS

Important Preoperative Considerations

Advantages of Iris-Sutured IOLs

Disadvantages of Iris-Sutured IOLs

SURGICAL PLANNING

SURGICAL PROCEDURE

Modified Siepser Knot

POSTOPERATIVE CONSIDERATIONS

25 Glued Intraocular Lens Technique

PREOPERATIVE CONSIDERATIONS

SURGICAL PLANNING

SURGICAL PROCEDURE: GLUED INTRAOCULAR LENS (FIG. 25.1)

POSTOPERATIVE CONSIDERATIONS

26 Sutureless Scleral Intraocular Lens Fixation Techniques: Yamane Technique

SECTION 7: CORNEAL SURGERY

27 Penetrating Keratoplasty

INDICATIONS FOR PENETRATING KERATOPLASTY1,2

Optical Indications

Therapeutic Indications

Tectonic Indications

PREOPERATIVE CONSIDERATIONS

SURGICAL PLANNING1

SURGICAL PROCEDURE: PENETRATING KERATOPLASTY (FIG. 27.2)

POSTOPERATIVE CONSIDERATIONS10,11

28 Descemet Stripping Automated Endothelial Keratoplasy

PREOPERATIVE CONSIDERATIONS

Cornea

Lens

Anterior Chamber and Iris

SURGICAL PROCEDURE

Technique

Sheets Glide (Video 28.1)

Endoserter (Video 28.2)

Suture Pull-through (Video 28.3)

POSTOPERATIVE CONSIDERATIONS

In the Recovery Area

Air Bubble Management

29 Descemet Membrane Endothelial Keratoplasty

CLINICAL CONSIDERATIONS

RELATIVE CONTRAINDICATIONS

PRESURGICAL CONSIDERATIONS

SURGICAL CONSIDERATIONS

SURGICAL STEPS

POSTOPERATIVE CONSIDERATIONS

30 Combined Keratoplasty and Cataract Surgery

PREOPERATIVE CONSIDERATIONS

Combined Endothelial Keratoplasty (EK) and Cataract Surgery

Combined Penetrating Keratoplasty (PKP) and Cataract Surgery

SURGICAL PROCEDURE

Combined EK and Cataract Surgery

Combined PKP and Open-Sky Extracapsular Extract Extraction

POSTOPERATIVE CONSIDERATIONS

31 Deep Anterior Lamellar Keratoplasty

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE

POSTOPERATIVE CONSIDERATIONS

32 Management of Limbal Stem Cell Deficiency

PREOPERATIVE CONSIDERATIONS

Patient Selection

Anesthesia

Preoperative Eye Drops

Indications and Contraindications for All LSCT Procedures

POSTOPERATIVE CONSIDERATIONS

Suggested Postoperative Followup and Monitoring

Systemic Immunosuppression

SIMPLE LIMBAL EPITHELIAL TRANSPLANT7

SLET-Specific Contraindications

Requests to Eye Bank: Allogenic (Deceased Donor Eye) for SLET

SLET Surgical Technique (Video 32.1; Fig. 32.1)

Unique SLET Postoperative Considerations

CLAU, KLAL, AND LR-CLAL: COMMONALITIES

Preoperative Drops

Surgical Technique

Postoperative Care

CONJUNCTIVAL LIMBAL AUTOGRAFT

CLAU-Specific Indications and Contraindications

CLAU Surgical Technique (Video 32.2)

Living Donor Eye (Autologous): Preparation of Donor Tissue

KERATOLIMBAL ALLOGRAFT

KLAL Recipient-Specific Indications and Contraindications

Requests to Eye Bank: Allogenic (Deceased Donor Eye) for KLAL

KLAL Surgical Technique (Video 32.3)

Deceased Donor Eye: Preparation of Donor Tissue

Recipient Eye

Placement of Donor Tissue on Recipient Eye

Unique KLAL Postoperative Considerations

LIVING RELATED CONJUNCTIVAL LIMBAL ALLOGRAFT

Lr-CLAL Recipient-Specific Indications and Contraindications

Lr-CLAL Donor-Specific Selection (Brief Summary)

Requests to Eye Bank

Lr-CLAL Surgical Technique

Deceased Donor Eye: Preparation of Donor Tissue

Recipient Eye

Placement of Donor Tissue on Recipient Eye

Unique Lr-CLAL Postoperative Considerations

33 Corneal Biopsy

INDICATIONS FOR A CORNEAL BIOPSY

TECHNIQUE

NEXT STEPS

34 Graft Rejection Management

PREOPERATIVE CONSIDERATIONS

Medical Management

SURGICAL PLANNING

SURGICAL PROCEDURE

Repeat DSAEK/DMEK

Repeat PKP

POSTOPERATIVE CONSIDERATIONS

35 Selection and Evaluation of Donor Cornea Tissue for TransplantationWorking With Your Eye Bank for Optimal Outcomes

ESTABLISH A RELATIONSHIP WITH YOUR LOCAL EYE BANK

REVIEW DONOR CRITERIA

CONSIDER LAMELLAR TISSUE (DMEK AND DSEK) PREPREPARED BY EYE BANK

NONPROFIT EYE BANKS VERSUS FOR-PROFIT TISSUE SERVICES (IE, CORNEAGEN)

Is For-Profit the Right Path?4

36 Biopsy and Excision of Suspected Ocular Surface Squamous Neoplasia

DEFINITION OF OSSN

PREOPERATIVE CONSIDERATIONS

SURGICAL PROCEDURE

POSTOPERATIVE CONSIDERATIONS

37 Pterygium Excision Techniques

PREOPERATIVE CONSIDERATIONS

Possible Surgical Indications

SURGICAL PROCEDURE

RECURRENT PTERYGIUM

POSTOPERATIVE CONSIDERATIONS

38 Conjunctival Melanoma Treatment Techniques

PREOPERATIVE CONSIDERATIONS

Clinical Workup

Surgical Planning

SURGICAL PROCEDURE: CONJUNCTIVAL MELANOMA EXCISION

POSTOPERATIVE CONSIDERATIONS

SECTION 8: CORNEAL REFRACTIVE SURGERY

39 Photorefractive Keratectomy

PREOPERATIVE CONSIDERATIONS

Advantages of PRK

Disadvantages of PRK

Indications/Surgical Planning

SURGICAL PROCEDURE: PHOTOREFRACTIVE KERATECTOMY

POSTOPERATIVE CONSIDERATIONS

40 Laser In Situ Keratomileusis

PREOPERATIVE CONSIDERATIONS

Understand the FDA-Approved Treatment Parameters for LASIK

Select Appropriate Patients

Gather and Prepare the Appropriate Supplies

SURGICAL PROCEDURE

POSTOPERATIVE CONSIDERATIONS

41 Small Incision Lenticule Extraction

PREOPERATIVE CONSIDERATIONS

Preoperative Screening

Surgical Planning

SURGICAL PROCEDURE: SMILE (VIDEO 41.1)

POSTOPERATIVE CONSIDERATIONS

42 Special Considerations for Post Intraocular Lens Enhancements

PREOPERATIVE CONSIDERATIONS

ENHANCEMENT OPTIONS

KERATOREFRACTIVE SURGERY

PIGGYBACK IOL

IOL EXCHANGE

Steps for an IOL Exchange (Video 42.1)

43 Management of Postoperative Photorefractive Keratectomy Complications

INFECTIOUS KERATITIS

CORNEAL HAZE DEVELOPMENT

SLOW EPITHELIALIZATION

POSTOPERATIVE PAIN

STEROID-INDUCED OCULAR HYPERTENSION

CORNEAL ECTASIA

DRY EYE

44 Management of Post Laser In Situ Keratomileusis Complications

EPITHELIAL INGROWTH (<3% OF EYES, LESS COMMON WITH FEMTOSECOND LASER FLAP/INVERTED SIDECUT)

Treatment

INFECTIOUS KERATOPATHY

Treatment

DIFFUSE LAMELLAR KERATITIS

Treatment Depends on the Stage of DLK

PRESSURE-INDUCED STROMAL KERATOPATHY

Treatment

STRIAE (FLAP FOLDS OR WRINKLES)

Treatment

CENTRAL ISLANDS

Treatment

DECENTERED ABLATION

Treatment

RESIDUAL REFRACTIVE ERROR (UNDERCORRECTION/OVERCORRECTION/ASTIGMATISM)

Treatment

POOR QUALITY OF VISION/OPTICAL ABERRATIONS (GLARE, HALOS, STARBURSTS)

Treatment

REMOTE FLAP TRAUMA (DISLOCATION, TEAR, AVULSION)

Treatment

ECTASIA

DRY EYE

45 Phakic Intraocular Lenses Techniques

VERISYSE LENS

VISIAN ICL

VISIAN TORIC ICL

CONTRAINDICATIONS TO VISIAN ICL

ARTISAN VERISYSE IRIS CLAW LENS

SECTION 9: MANAGEMENT OF IRIS ABNORMALITIES

46 Iris Defects, Iridodialysis, and Artificial Iris Implantation Techniques

IRIS DEFECTS

Preoperative Considerations

Iris Repair Surgical Procedure

Postoperative Considerations

IRIDODIALYSIS REPAIR

Preoperative Considerations

Surgical Procedure: Hoffman Scleral Pocket Technique

ARTIFICIAL IRIS IMPLANTATION

Surgical Procedure: Complete Iris Replacement With Iris Prosthesis (Fig. 46.4)

Postoperative Considerations

47 Iris Cyst Excision Techniques

PREOPERATIVE CONSIDERATIONS

History

Slit-Lamp Examination

Imaging

SURGICAL PROCEDURE

Techniques

POSTOPERATIVE CONSIDERATIONS

Index

 

An aparitie	01/09/2021
Autor	Preeya Gupta, Nandini Venkateswaran
Dimensiuni	178 x 254 mm
Editura	LWW
Format	Paperback
ISBN	9781975150006
Limba	Engleza
Nr pag	248
Versiune digitala	DA