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Evidence-based Approach in Cataract

Surgery

Evidence-based Approach in

Cataract Surgery

Jay Bhopi

MS (Ophthalmology)

Ex-Fellow, Sankara Nethralaya, Chennai

Ex-Consultant, Shri Ganapati Nethralaya, Jalna

LONDON AND NEW YORK

A MARTIN DUNITZ BOOK

© 2004 Jay Bhopi

First published in India in 2004 by Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India. EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi 110 002, India Phones:

23272143, 23272703, 23282021, 23245672 m\, Fax: +91–011–23276490 e-mail: jpmedpub@del2.vsnl.net.in, Visit our website: http://www.jaypeebrothers.com/ This edition published in the Taylor & Francis e-Library, 2005.

To purchase your own copy of this or any of Taylor & Francis or Routledge’s collection of thousands of eBooks please go to http://www.ebookstore.tandf.co.uk/.

First published in the United Kingdom by Taylor & Francis, a member of the Taylor & Francis Group in 2004. Exclusively distributed worldwide (excluding the Indian Subcontinent) by Martin Dunitz, a member of the Taylor & Francis Group.

Tel.: +44 (0) 20 7583 9855 Fax.: +44 (0) 20 7842 2298 E-mail: info@dunitz.co.uk Website: http://www.dunitz.co.uk/

This edition published in the Taylor & Francis e-Library, 2005.

To purchase your own copy of this or any of Taylor & Francis or Routledge’s collection of thousands of eBooks please go to http://www.ebookstore.tandf.co.uk/.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of the publisher or in accordance with the provisions of the Copyright, Designs and Patents Act 1988 or under the terms of any licence permitting limited copying issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London W1P OLP.

Although every effort has been made to ensure that all owners of copyright material have been acknowledged in this publication, we would be glad to acknowledge in subsequent reprints or editions any omissions brought to our attention.

Although every effort has been made to ensure that drug doses and other information are pre sented accurately in this publication, the ultimate responsibility rests with the prescribing physi cian.

Neither the publishers nor the authors can be held responsible for errors or for any conse quences arising from the use of information contained herein. For detailed prescribing informa tion or instructions on the use of any product or procedure discussed herein, please consult the prescribing information or instructional material issued by the manufacturer.

A CIP record for this book is available from the British Library.

ISBN 0-203-32029-8 Master e-book ISBN

ISBN 1 84184 465 9 (Print Edition)

Distributed in North and South America by Taylor & Francis 2000 NW Corporate Blvd Boca Raton, FL 33431, USA

Within Continental USA Tel.: 800 272 7737; Fax.: 800 374 3401 Outside Continental USA Tel.: 561 994 0555; Fax.: 561 361 6018 E-mail: orders@crcpress.com

Distributed in the rest of the world (excluding the Indian Subcontinent) by Thomson Publishing Services Cheriton House North Way Andover, Hampshire SP10 5BE, UK Tel.: +44 (0)1264 332424 E-mail: salesorder.tandf@thomsonpublishingservices.co.uk

This book is dedicated to my wife Suhasini who always encouraged me in writing this book and also my son Shreyas who allowed me to work on this book daily for long hours.

Preface

There have been rapid advances relating to technology and clinical management in the practice of ophthalmology. Who would have imagined our present abilities to remove cataracts using topical anesthesia, through a small self-sealing incision and correcting vision by implantation of a foldable intraocular lens?

Scientific knowledge and literature is growing exponentially and now time has come to spread this knowledge. This book would be beneficial not only to the practicing ophthalmologists for improving their surgical skills but also to resident doctors who are interested in updating their knowledge. This is a book that should remain in an ophthalmologist’s shelf for many years.

Jay Bhopi

Contents

1.

Newer Anesthesia Modalities for Cataract Surgery

1

2.

Newer Incision Techniques in Cataract Surgery

6

3.

New Phacoemulsification Technologies

14

4.

Recent Advances in Intraocular Lens Material and Design

23

5.

Phacoemulsification in Difficult Situations

35

6.

Recent Trends in Management of Cataract Surgery Complications

50

7.

IOL Power Calculation in Special Situations

60

8.

Posterior Capsule Opacification

68

9.

Prophylaxis for Postoperative Endophthalmitis

77

 

Index

92