Minimizing Incisions and Maximizing Outcomes in Cataract Surgery

Authors : I. Howard Fine, Jorge Alio, Mark Packer (auth.)
Edition : 1
Year : 2010
Description :

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 : Front Matter....Pages i-xv
Introduction....Pages 1-4
The Transition Towards Smaller and Smaller Incisions....Pages 5-11
Transitioning to Bimanual MICS....Pages 11-13
0.7 mm Microincision Cataract Surgery....Pages 13-23
MICS Instrumentation....Pages 25-36
Evolution of Ultrasound Pumps and Fluidics and Ultrasound Power: From Standard Coaxial Towards the Minimal Incision Possible in Cataract Surgery....Pages 37-49
Coaxial Microincision Cataract Surgery Utilizing Non-Linear Ultrasonic Power: An Alternative to Bimanual Microincision Cataract Surgery....Pages 51-56
Technology Available....Pages 57-68
How to Use Power Modulation in MICS....Pages 69-75
MICS with Different Platforms....Pages 75-83
Using the Alcon Infiniti and AMO Signature for MICS....Pages 84-89
MICS with Different Platforms: Stellaris Vision Enhancement System....Pages 89-94
Surgical Technique — How to Perform a Smooth Transition....Pages 95-99
Pupil Dilation and Preoperative Preparation....Pages 99-108
Incisions....Pages 108-116
Thermodynamics....Pages 117-124
Using Ophthalmic Viscosurgical Devices with Smaller Incisions....Pages 124-132
Capsulorhexis....Pages 133-135
Hydrodissection and Hydrodelineation....Pages 135-139
Biaxial Microincision Cataract Surgery: Techniques and Sample Surgical Parameters....Pages 140-143
Biaxial Microincision Phacoemulsification: Transition, Techniques, and Advantages....Pages 144-149
BiMICS vs. CoMICS: Our Actual Technique (Bimanual Micro Cataract Surgery vs. Coaxial Micro Cataract Surgery)....Pages 149-155
Endophthalmitis Prevention....Pages 156-162
Biaxial Microincision Phacoemulsification for Difficult and Challenging Cases....Pages 163-174
MICS in Special Cases: Incomplete Capsulorhexis....Pages 175-187
MICS in Special Cases (on CD): Vitreous Loss....Pages 187-195
How to Deal with Very Hard and Intumescent Cataracts....Pages 195-205
IOL Types and Implantation Techniques....Pages 209-220
Implantation Techniques....Pages 220-235
Special Lenses....Pages 235-243
Special Lenses: MF....Pages 244-248
Special Lenses: Aspheric....Pages 249-256
Intraocular Lenses to Restore and Preserve Vision Following Cataract Surgery....Pages 257-262
Microincision Intraocular Lenses: Others....Pages 263-276
Outcomes....Pages 277-285
Control of Corneal Astigmatism and Aberrations....Pages 286-291
Corneal Endothelium and Other Safety Issues....Pages 292-296
Incision Quality in MICS....Pages 297-312
Back Matter....Pages 313-319


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