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Ординатура / Офтальмология / Английские материалы / Master's Guide to Manual Small Incision Cataract Surgery (MSICS)_Garg_2009

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Contents i

Master’s Guide to

Manual Small Incision

Cataract Surgery (MSICS)

System requirement:

Windows XP or above

Power DVD player (Software)

Windows media player 10.0 version or above (Software)

Accompanying DVD ROM is playable only in Computer and not in DVD player.

Kindly wait for few seconds for DVD to autorun. If it does not autorun then please do the following:

Click on my computer

Click the drive labelled JAYPEE and after opening the drive, kindly double click the file Jaypee

DVD Contents

1.Small Incision Planned Extra

Luther L Fry (USA)

2.Caveats and Complications Avoidance

Luther L Fry (USA)

3.Manual Phacofragmentation – A New Technique in Cataract Surgery

Francisco J Gutiérrez-Carmona (Spain)

4.Manual Phacofragmentation – A Technique through 3.5 mm Scleral Tunnel Incision

Francisco J Gutiérrez-Carmona (Spain)

5.Manual Phacofragmentation by Nylon Sling

Carlos Infantes (Spain)

6.3 mm Temporal Topical SICS with Foldable IOL Implant

Amulya Sahu (India)

7.12 o’clock 3 mm MSICS with PMMA Lens Implant

Amulya Sahu (India)

8.SICS Using ACM

KPS Malik, Ruchi Goel (India)

9.Irrigating Vectis Technique

Debashish Bhattacharya (India)

10.Manual Phacocracking

Praputsaorn Kosakarn (Thailand)

11.Double Nylon Sling (Trisection)

Praputsaorn Kosakarn (Thailand)

12.MSICS Instructional Video

Kadil Jojo Jr Sinolinding (Philippines)

13.Sutureless ECCE with Kongsap Technique

Pipat Kongsap (Thailand)

14.Sutureless Cataract Surgery with Nucleus Extraction – Fishhook Technique

Albrecht Hennig (Nepal)

15.Phacosection Technique

MS Ravindra (India)

16.SICS with Sutureless Trabeculectomy in Cataract with Glaucoma

CS Dhull, Sumit Sachdeva (India)

17.Closed Chamber Manual Phacofragmentation

Jagannath Boramani (India)

18.Modified Snare and New Foldable IOL for SICS

Anil M Shah (India)

19.Pressure Parameters in MSICS

Santosh Kumar Nair (India)

20.Modifications in SICS for Large Volume Surgeries

Santosh Kumar Nair (India)

21.Bluementhal’s Technqiue in MSICS

Nikhilesh Trivedi (India)

22.Classical Way of doing SICS by Tumbling of Nucleus

Vaijayanti Deodhar, Ranjit S Dhaliwal (India)

23.Combined Procedure – Manual SICS, PCIOL and Trabeculectomy

Ranjit S Dhaliwal, Vaijayanti Deodhar (India)

24.SICS in Hypermature Cataract

Ranjit S Dhaliwal, Vaijayanti Deodhar (India)

25.Manual SICS in Posterior Polar Cataract

Ranjit S Dhaliwal, Vaijayanti Deodhar (India)

26.Phaco Sandwich Technique

Kamaljeet Singh (India)

27.Phacofracture Technique in SICS

Kamaljeet Singh (India)

28.Small Incision Suturless Temporal Approach Extra Capsular Cataract Surgery

Geoffrey Tabin (USA), Sanduk Ruit (Nepal)

29.MSICS Under Combined Topical and Pinpoint Anesthesia

Rajesh K Pawar (India)

Master’s Guide to Manual Small Incision Cataract Surgery (MSICS)

Editors

Ashok Garg

MS, PhD, FIAO (Bel), FRSM, ADM, FAIMS, FICA

International and National Gold Medalist

Medical Director

Garg Eye Institute and Research Centre

235-Model Town, Dabra Chowk

Hisar-125 005 (India)

Francisco J Gutiérrez-Carmona

MD, PhD

Associate Professor

Ophthalmologic Research Institute

Ramon Castroviejo, Zarracin 25-Urb La Berzosa

28240-Hoyo de Manzanares

Madrid (Spain)

Keiki R Mehta

MS

Medical Director

Mehta International Eye Institute

Colaba Eye Hospital, Seaside, 147 Colaba Road

Mumbai-400 005 (India)

MS Ravindra

MS

Director

Karthik Netralaya Ashok Nagar, 89, 7th Cross

NR Colony, Bengaluru-560 050 (India)

Amulya Sahu

MS

Director

Sahu Eye Hospital

A-1, Wimla Apartments

Marve Road, Malad (West)

Mumbai (India)

Carlos Infantes

MD

Medical Director

Clinica Oftalmologica Dr Infantes

Javea (Alicante) 037 30

(Spain)

CS Dhull

MS, PhD, FIAO

Senior Professor and Head

Regional Institute of Ophthalmology

Pt BD PGIMS

Rohtak-124 001 (India)

Ranjit S Dhaliwal

MS, DOMS

Medical Director

Eye Infirmary

Hira Mahal

Radha Soami Marg, Nabha-147 201 (India)

Foreword

Luther L Fry

Peter G Kansas

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Master’s Guide to Manual Small Incision Cataract Surgery (MSICS)

© 2009, Jaypee Brothers Medical Publishers

All rights reserved. No part of this publication and DVD should 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 written permission of the editors and the publisher.

This book has been published in good faith that the material provided by contributors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and editors will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only.

First Edition: 2009

ISBN 978-81-8448-516-5

Typeset at JPBMP typesetting unit

Printed at Ajanta Press

Dedicated to

My Respected Param Pujya Guru Sant Gurmeet Ram Rahim Singh Ji for his blessings and motivation

My Respected Parents, teachers, my wife Dr Aruna Garg, son Abhishek and daughter Anshul for their constant support and patience during all these days of hard work

My dear friend Dr Amar Agarwal, a leading International Ophthalmologist from India for his continued support and guidance

Ashok Garg

To my parents for their love, to my wife for her faith, to my sons Dr Chinmaya Sahu and Dr Aditya Sahu for their companionship, to Almighty for making life meaningfull

Amulya Sahu

My wife, Carmen and my daughters Marta, Laura for their love and support. All my teachers and particularly Prof Ramon Castroviejo who taught me the elegance and excellence in ocular surgery

Dr Amar Agarwal for his friendship

Francisco J Gutierrez Carmona

Zena, the light of my life

Keiki R Mehta

My dear wife Dr Indira Dhull and my children Tushar and Chirag

CS Dhull

My Gurus Prof LP Agarwal and Dr SS Badrinath whose originality, love for teaching, hard work and dedication created a new era in Indian Ophthalmology

MS Ravindra

To my three loves—my better half Abha, my daughter Mohini and Ophthalmology

Ranjit S Dhaliwal

Contributors

Albrecht Hennig MD

Lahan Eye Hospital

C/o UMN, PO Box 126

Kathmandu, Nepal

Amulya Sahu MS

Director

Sahu Eye Hospital

A-1, Wimla Apartments

Marve Road, Malad (W)

Mumbai, India

Anil M Shah MS

Director

Suryakanta Eye Hospital

Opposite Nagar Palika

Nandurbar, Pin-425 412

Maharashtra, India

Arif Adenwala MD

Consultant

Aditya Jyot Eye Hospital

Wadala

Mumbai-400 031, India

Arun Kshetrapal MS

Kshetrapal Eye Hospital and

Research Centre

Kutchery Road

Ajmer, India

Ashok Garg MS PhD ADM FRSM

Garg Eye Institute and

Research Centre

235, Model Town, Dabra Chowk

Hisar-125 005, India

Carlos Infantes MD

Medical Director

Clinica Oftalmologica Dr Infantes

Javea (Alicante) 037 30 (Spain)

Chinmaya Sahu MS

Sahu Eye Hospital

A-1, Wimla Apartments

Marve Road, Malad (W)

Mumbai, India

CS Dhull MS PhD FIAO

Senior Professor and Head

Regional Institute of Ophthalmology

PGIMS, Rohtak-124 001, India

Cyres K Mehta MS

Mehta International Eye Institute

Colaba Eye Hospital, Seaside

147-Colaba Road

Mumbai-400 005, India

Debashish Bhattacharya MS

Director

Disha Eye Hospitals

Barrackpore-700 120, Kolkata, India

Francisco J Gutiérrez-Carmona

MD PhD

Zarracin, 25-Urb, La Berzosa, 28240

Hoyo de Manzanares Madrid, Spain

Geoffrey C Tabin MD

Associate Professor of

Ophthalmology

University of Vermont

College of Medicine

Burlington, Vermont, USA

Jagannath Boramani MS

Surya Netralaya

51, 4th Floor, Shanti Centre Sector 17, Vashi

Navi Mumbai-400 703, India

Jorge Alvarez Marin MD PhD

Hospital Ntra. Sra. de La Candelaria

Ctra. del Rosario s/n

Santa Cruz de Tenerife, Spain

Kadil Jojo Jr Sinolinding MD DPBO

Sinolinding Eye Clinic/

Desert Ambulatory Referral Center

Cotabato Doctors Clinic Building

Sinsuat Avenue

Cotabato City 9600, Philippines

Kamaljeet Singh MS

Associate Professor

Ophthalmology

410, MLN Medical College

Allahabad, India

Keiki R Mehta MS

Medical Director

Mehta International Eye Institute

Colaba Eye Hospital

Seaside, 147, Colaba Road

Mumbai, India

KPS Malik MS

Additional Director General

Health Services

Professor and Head

Department of Ophthalmology

Vardhman Medical College

Safdarjung Hospital

New Delhi, India

Kunwar VS Dhaliwal DOMS

Eye Infirmary, Hira Mahal

Radha Soami Marg

Nabha-147 201, India

K Thiruvenkata Krishnan MS

Aravind Eye Hospital

Abhishekapakkam

Pondicherry-605 007, India

Luther L Fry MD

Fry Eye Associates

PA/Ophthalmology

310, East Walnut, Garden City

Kansas-67846-2562, USA

MS Ravindra MS

Director

Karthik Netralaya Ashok Nagar

89, 7th Cross, NR Colony Bengaluru-560 050, India

Nikhilesh Trivedi MS

Bhatera Road

Balaghat-481 001, India

viii Master’s Guide to Manual Small Incision Cataract Surgery (MSICS)

Pipat Kongsap MD

Assistant Professor of

Ophthalmology

Department of Ophthalmology

Prapokklao Hospital

Chanthaburi-220 00, Thailand

Peter G Kansas MD FACS

Clinical Professor of

Ophthalmology

Albany Medical College

Albany, New York

President

Kansas Eye Surgery Associates

PC 24 Century Hill Drive

Latham, New York, USA

Praputsaorn Kosakarn MD

Department of Ophthalmology

Prapokklao Hospital

Chanthaburi, Thailand

RD Ravindran MS

Aravind Eye Hospital

Abhishekapakkam

Pondicherry-605 007, India

Rajesh K Pawar MS

Dr Pawar Eye Hospital

272, Parth Complex

Navi Peth, Pune-411 030, India

Ramesh Kshetrapal MS

Santosh Kumar Nair MS

Kshetrapal Eye Hospital and

Director

Research Centre

Nair’s Eye Clinic

Kutchery Road

001, Kartik Dreamland

Ajmer-305 001, India

Plot No. 189/190, Sector 4

 

Near DAV Public School

Ranjit S Dhaliwal MS DOMS

New Panvel

Eye Infirmary, Hira Mahal

Mumbai-410 206, India

Radha Soami Marg

S Natarajan MS

Nabha-147 201, India

 

Chairman and Medical Director

Ruchi Goel MD

Aditya Jyot Eye Hospital Pvt Ltd

Associate Professor

Plot No. 153, Road No. 9

Maulana Azad Medical College

Major Parmeshwaran Road

Guru Nanak Eye Centre

Opposite SIWS College

New Delhi, India

Gate No. 3, Wadala

RM Shanbhag

Mumbai-400 031, India

 

Honorary Professor of

Vaijayanti Deodhar MS DOMS

Ophthalmology

Deodhar Eye Hospital

Grant Medical College

39/25, Erandawane

Mumbai, India

Karve Road

Sanduk Ruit MS

Pune-411 004, India

 

Consultant

Venkatesh Rengaraj MS

Tilganga Eye Centre

Aravind Eye Hospital

Gaushala, Kathmandu

Abhishekapakkam

Nepal

Pondicherry-605 007, India

Foreword

I am pleased that Dr Ashok Garg has written this Master’s Guide to Manual Small Incision Cataract Surgery (MSICS) book.

Manual small incision cataract surgery is becoming more and more popular in areas where the cost of phako cannot be supported, and where the dense cataracts encountered are more appropriate for small incision manual technique rather than phako. Manual small incision surgery is not only faster than phako in these dense cataracts, but kinder to the cornea, and gives results equal to phako, if not better. Even surgeons who do virtually 100% phako can benefit from having MSICS in their “bag of tricks”, for that occasional black cataract.

Congratulations to Dr Garg for completing this book. I anticipate it will be a valuable resource, and an important addition to his already monumental contributions to Ophthalmic Surgical Literature.

Luther L Fry

MD

Director, Fry Eye Associates PA/Ophthalmology 340, East Walnut, Kansas Garden City USA

Phone: 001 67846-2562 e-mail: lufry@fryeye.com