Ординатура / Офтальмология / Английские материалы / Bimanual Phaco Mastering the Phakonit MICS Technique_Agarwal_2004

Cover illustrations courtesy of Larry Laks, Microsurgical Technologies.

Copyright © 2005 by SLACK Incorporated

ISBN 10: 1-55642-717-4

ISBN 13: 9781556427176

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Bimanual phaco : mastering the phakonit/mics technique / [edited by] Amar Agarwal. p. ; cm.

Includes bibliographical references and index. ISBN 1-55642-717-4 (hardcover)

1. Phacoemulsification. 2. Cataract--Surgery.

[DNLM: 1. Phacoemulsification--methods. 2. Phacoemulsification--instrumentation. WW 260 B611 2004] I. Agarwal, Amar.

RE451.B48 2004 617.7'42059--dc22

2004016689

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DEDICATION

This book is dedicated to my parents, Dr. J Agarwal and Dr. T. Agarwal, who created Dr. Agarwal’s Group of Eye Hospitals.

And to all the Indian ophthalmologists—Phakonit is India’s gift to the world.

CONTENTS

Dedication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix

About the Editor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi

Contributing Authors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii

Section One: Introduction and Basics

Chapter 1: Evolution of Phakonit and Bimanual Phaco. . . . . . . . . . . . . . . . . . . 3

Amar Agarwal, MS, FRCS, FRCOphth

Chapter 2: Temperature Control Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Randall J. Olson, MD and Suresh K. Pandey, MD

Chapter 3: Thermal Burn Studies in Animal Eyes . . . . . . . . . . . . . . . . . . . . . . 17

Hiroshi Tsuneoka, MD

Chapter 4: Fluidics in Bimanual Phaco . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

L. Felipe Vejarano, MD and Alejandro Tello, MD

Chapter 5: Corneal Topography in Cataract Surgery . . . . . . . . . . . . . . . . . . . . 31

Athiya Agarwal, MD, DO

Section Two: Instrumentation and Machines

Chapter 6: Instruments for Bimanual Phaco . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Amar Agarwal, MS, FRCS, FRCOphth

Chapter 7: Air Pump. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

Sunita Agarwal, MS, DO

Chapter 8: Gas Forced Internal Infusion for Bimanual Phaco . . . . . . . . . . . . . 61

Arturo Pérez-Arteaga, MD

Chapter 9: Cruise Control for Bimanual Phaco . . . . . . . . . . . . . . . . . . . . . . . . 71

David F. Chang, MD

Chapter 10: Machines and Modalities for Bimanual Phaco. . . . . . . . . . . . . . . . 77

I. Howard Fine, MD; Mark Packer, MD; and Richard S. Hoffman, MD

Chapter 11: WhiteStar “Cold Phaco” Technology. . . . . . . . . . . . . . . . . . . . . . . 85

David F. Chang, MD

Section Three: Surgical Techniques and Complications

Chapter 12: Bimanual Phaco: Surgical Technique . . . . . . . . . . . . . . . . . . . . . . 97

Amar Agarwal, MS, FRCS, FRCOphth

Chapter 13: MICS: Microincision Cataract Surgery . . . . . . . . . . . . . . . . . . . . . 113

Jorge L. Alió, MD, PhD; Ahmed Galal, MD, PhD; and José Luis Rodriguez-Prats, MD

Chapter 14: Safe Chopping in Bimanual Phaco . . . . . . . . . . . . . . . . . . . . . . . 127

L. Felipe Vejarano, MD and Alberto Vejarano, MD

viii Contents

Chapter 15: NIC Bimanual Phaco . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Arturo Pérez-Arteaga, MD

Chapter 16: Bimanual Microincision Refractive Lens Exchange. . . . . . . . . . . . 143

Richard S. Hoffman, MD; I. Howard Fine, MD; and Mark Packer, MD

Chapter 17: Three-Port Bimanual Sleeveless Microphacoemulsification. . . . . . 159 Using the “Tilt and Tumble” Technique

Dennis C. Lu, MD; Elizabeth A. Davis, MD; David R. Hardten, MD; and Richard L. Lindstrom, MD

Chapter 18: Challenges and Complications in Microphacoemulsification . . . . 173

Robert H. Osher, MD and Christopher Khng, MD, FRCS

Chapter 19: Complications of Bimanual Phaco . . . . . . . . . . . . . . . . . . . . . . . 179

Amar Agarwal, MS, FRCS, FRCOphth; Clement K. Chan, MD, FACS; and Mahipal Singh Sachdev, MD

Chapter 20: Managing Dislocated Lens Fragments . . . . . . . . . . . . . . . . . . . . . 197

Clement K. Chan, MD, FACS

Section Four: Ultrasmall Incision IOLs

Chapter 21: The Acri.Smart IOL (Acri.Tec GmbH) . . . . . . . . . . . . . . . . . . . . . 215

Christine Kreiner, PhD

Chapter 22: Bimanual Phaco With the Acri.Tec GmbH IOL . . . . . . . . . . . . . . 223

Sunita Agarwal, MS, DO

Chapter 23: Bimanual Phaco With the ThinOptX Rollable IOL . . . . . . . . . . . . 229

Virgilio Centurion, MD; Augusto Cezar Lacava, MD; and Juan Carlos Caballero, MD

Chapter 24: Corneal Topography After Bimanual Phaco With a 5.0-mm . . . . . 239 Optic Rollable IOL

Amar Agarwal, MS, FRCS, FRCOphth

Chapter 25: Bimanual Phaco Surgery With an AcrySof IOL. . . . . . . . . . . . . . . 245 Through a 2.2-mm Opening

Hiroshi Tsuneoka, MD

Chapter 26: Ultrasmall Incision IOLs: Experimental Studies . . . . . . . . . . . . . . 251 and Clinical Applications

Suresh K. Pandey, MD; Liliana Werner, MD, PhD; Nick Mamalis, MD;

Randall J. Olson, MD

Chapter 27: Sealed Capsule Irrigation Device . . . . . . . . . . . . . . . . . . . . . . . . 257

Amar Agarwal, MS, FRCS, FRCOphth

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263