By Wan Soo Kim, Kyeong Hwan Kim
This e-book offers the rules and pearls for winning surgical administration of hard occasions encountered in the course of cataract surgical procedure. quite a lot of settings are thought of, together with cataract surgical procedure in sufferers with uveitis, demanding cataract, dislocation of an intraocular lens, intumescent cataract, brunescent cataract, mixed cataract and corneal affliction, mixed cataract and glaucoma, pediatric cataract, and refractive cataract surgical procedure. furthermore, preoperative elements conducive to a positive surgical end result are pointed out and acceptable administration of postoperative problems, defined. As sturdiness raises, cataract is changing into an excellent higher public well-being factor world wide. using cataract surgical procedure, already essentially the most often played surgical procedures, is as a result expanding nonetheless extra – a development strengthened by way of advancements in instrumentation and know-how and enhancements in entry to surgical procedure. despite the fact that, comorbidities and demanding situations in the course of surgical procedure are quite common. demanding situations in Cataract surgical procedure might be a precious reference for all citizens, fellows, and practising ophthalmologists who desire to enhance their surgical thoughts and outcomes.
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Additional resources for Challenges in Cataract Surgery: Principles and Techniques for Successful Management
3 Capsulorhexis is performed with capsulorhexis forceps. (Left) Coaxial and bimanual I&A is used to removed lens nucleus and cortex. (Middle, Right) 44 7 Pediatric Cataract Fig. 4 Anterior chamber is filled with viscoelastics, capsular bag should not be distended with viscoelastics. (Top Left) Too much or too less viscoelastics can cause capsular tensions. 5–4 mm in diameter. (Top Right, Middle Left) Vitrectomy is performed until the continuity of the capsulorhexis margin to the anterior vitreous is lost.
Avoid any external pressure that can increase IOP before and during the surgical procedure (eg. Honan application, Peribulbar injection). Cataract Surgery in the Presence of Glaucoma Filtering Bleb 25 Intraoperative Considerations Pupils are not fully dilated in many occasions, dilation performed by author is described in Chapter 4. In glaucoma patients, manipulation of the iris including stretching of the iris (iris retractor, Malyugin ring …) should be minimized in order not to induce serious postoperative inflammation and bleb failure.
However, pars plana vitrectomy is the only definitive treatment in many occasions. BLEBITIS can occur in patients with chronic blepharitis, poor hygiene, a thin-walled bleb, an avascular bleb, and a bleb leak. Patients should be alerted to the signs and symptoms such as redness, discharge, pain, photophobia, and vision disturbance. They are treated with susceptible antibiotics. References 1. Vu MT, Shields MB. The early postoperative pressure course in glaucoma patients following cataract surgery.