Read e-book online Bimanual Phaco: Mastering the Phakonit/MICS Technique PDF

By Amar Agarwal MS FRCS FRCOphth

ISBN-10: 1556427174

ISBN-13: 9781556427176

One of the most popular issues in ophthalmology and cataract surgical procedure at the present time is bimanual phaco. Take your surgical talents to new heights with Bimanual Phaco: learning the Phakonit/MICS Technique.

Technological advances have introduced this microincisional surgical procedure (MICS) to the vanguard of the sector in protection and accuracy. Written through the pioneer of bimanual phaco, Dr. Amar Agarwal, this break-through textual content covers all facets of bimanual phaco and the way you can still grasp the method. Bimanual Phaco will clarify the best way to deal with problems and the implantation of varied ultrasmall incision IOLs.

With world-renowned contributions from 25 of the world's specialists in cataract surgical procedure, key issues on the finish of every bankruptcy, and over 2 hundred colour images and illustrations, Bimanual Phaco will release brand new health practitioner into the longer term and the hot period of one mm cataract surgical procedure.

Dr. Amar Agarwal is the celebrated winner of the 4th Kelman Award offered through the Hellenic Society of Intra Ocular Implant and Refractive surgical procedure

Dr. Amar Agarwal is the celebrated winner of the Barraquer Award awarded by means of the Keratomileusis learn Group

Inside you are going to Find:

  • The evolution of bimanual phaco.
  • The significance of temperature in bimanual phaco.
  • Use of the air pump.
  • Topography and significance of fluidics in bimanual phaco.
  • The tools and machines for bimanual phaco.
  • Various surgical strategies resembling 3 port bimanual phaco and refractive lens trade.
  • Ultrasmall incision IOLs and their implantation.

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Additional info for Bimanual Phaco: Mastering the Phakonit/MICS Technique

Example text

In a normal cornea, the nasal cornea is flatter than the temporal cornea. ✔ The smaller the size of the incision lesser the astigmatism and earlier stability of the astigmatism will occur. 6-mm phaco incision. ✔ Wherever you make an incision that area will flatten and wherever you apply sutures that area will steepen. ✔ The most important refractive surgery is cataract surgery, and not LASIK or PRK. 40 Chapter 5 R EFERENCES 1. Gills JP, et al. Corneal Topography: The State-of-the Art. New Delhi, India: Jaypee Brothers; 1996.

This information is analyzed by computer software and the data is then displayed in a variety of formats. To simplify the results to an ophthalmologist, Klyce, in 1988, created the corneal color maps. The corneal color maps display the estimate of corneal shape in a fashion that is understandable to the ophthalmologist. Each color on the map is assigned a defined range of measurement. The placido type topographic machines do not assess the posterior surface of the cornea. The details of the corneal assessment can be performed only with the Orbscan (Bausch & Lomb, Rochester, NY), which assesses both anterior and posterior surface of the cornea.

You can see the picture on the left is the preoperative photo and the picture on the right is postoperative day 1 photo. Corneal Topography in Cataract Surgery 35 Figure 5-5. Topography showing an astigmatic cornea. Figure 5-6. Topography after extracapsular cataract extraction (ECCE). 1 D at 12 degrees preoperatively. 8 D, as seen in the figure on the right. 8 D at 93 degrees. In the immediate postoperative period, the astigmatism is high, but will reduce with time. The predictability of astigmatism is poor, which is why smaller incision cataract surgery is more successful.

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Bimanual Phaco: Mastering the Phakonit/MICS Technique by Amar Agarwal MS FRCS FRCOphth


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