By William J. Fishkind
Fishkind (Fishkind & Bakewell Eye Care and surgical procedure middle) offers 31 contributions that learn nearly all problems of phacoemulsification surgical procedure. The experts and educators commence by way of discussing right approaches, after which review capability problems and the way to expect them, the place they take place, the right way to deal with them, and what suggestions and coverings can be found for either easy and complex difficulties. contains approximately three hundred particular colour illustrations. �Read more...
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Extra info for Complications in phacoemulsification : avoidance, recognition, and management
Scleral spur (thin white line) Schwalbe's line Trabecular meshwock Schlemm's canal Conjunctiva Tenon's fascia Scleral spur The external incision of the clear or near-clear corneal incision can be created with or without a hinge (Table 4–1). A direct entry through the cornea has the benefit of ease of construction and speed. This may be of benefit during topical anesthesia. The lip of this incision, however, is thin and fragile. It should not be manipulated directly with instruments, as tearing is likely.
Anderson NJ, Nath R, Anderson CJ, Edelhauser HF. Comparison of preservative-free bupivacaine vs. lidocaine for intracameral anesthesia: a randomized clinical trial and in vitro analysis. Am J Ophthalmol 1999;127:393–402. 53. Judge AJ, Najafi K, Lee DA, Miller KM. Corneal endothelial toxicity of topical anesthesia [see comments]. Ophthalmology 1997;104:1373–1379. 54. Hoffman RS, Fine IH. Transient no light perception visual acuity after intracameral lidocaine injection. J Cataract Refract Surg 1997;23:957–958.
This incision began approximately 2 mm posterior to the limbus. A tunnel was created through sclera to the cornea, where the plane of the incision was adjusted and intraocular entry occurred near the iris root. 5 to 7 mm depending on the style of polymethylmethacrylate (PMMA) intraocular lens (IOL) selected. This incision was closed with an interrupted or running suture of different materials. The benefit of the long tunnel was that it was easier to create a watertight closure. 1,2 All scleral incisions shared the potential problems of difficulty manipulating the phaco tip within the incision, hemorrhage within the wound creating hyphema, and wound leaks with subsequent filtering blebs.
Complications in phacoemulsification : avoidance, recognition, and management by William J. Fishkind