Complications in phacoemulsification : avoidance, by William J. Fishkind

By William J. Fishkind

Fishkind (Fishkind & Bakewell Eye Care and surgical procedure heart) provides 31 contributions that study nearly all issues of phacoemulsification surgical procedure. The experts and educators commence via discussing right approaches, after which assessment strength problems and the way to expect them, the place they ensue, tips on how to deal with them, and what recommendations and coverings can be found for either easy and complex Read more...

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this can be a priceless textual content for ophthalmologists appearing cataract surgical procedure no matter if in energetic perform, college education, or residency education. It discusses predisposition, avoidance and administration of Read more...

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26. Assia EI, Pras E, Yehezkel M, et al. Topical anesthesia using lidocaine gel for cataract surgery. J Cataract Refract Surg 1999;25:635–639. 27. Barequet IS, Soriano ES, Green WR, O’Brien TP. Provision of anesthesia with single application of lidocaine 2% gel. J Cataract Refract Surg 1999;25:626–631. 28. Koch PS. Efficacy of lidocaine 2% jelly as a topical agent in cataract surgery. J Cataract Refract Surg 1999;25:632–634. 29. Dinsmore SC. Drop, then decide approach to topical anesthesia [see comments].

75 mm. This wound construction was difficult to make entirely watertight. Sporadic reports of endophthalmitis gave credence to the issue of inadequate wound seal allowing backward flow of tear into the anterior chamber with commensurate bacterial contamination. Cadaver studies of this wound architecture by Ernest7 revealed that square corneal wound construction, regardless of incision size, was as stable as sclerocorneal tunnel incisions with the corneal lip. The stable incision was thought to be more watertight and would therefore prevent endophthalmitis.

This resulted in even greater wound stability, with resultant enhanced visual restoration of stable vision. SUTURELESS CATARACT SURGERY THE SCLEROCORNEAL INCISION In January 1990, theorizing that the suture closure of the incision caused hyphema, Michael McFarland4 introduced the concept of sutureless incision construction. 0 mm. He created vertical cuts in the floor of the incision near the external aspect to allow passage of the folded silicone IOL. Paul Ernest5 shortened the length of the scleral aspect of the tunnel and modified the internal aspect of the incision to lengthen it, thus creating an internal corneal lip.

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