Preface

viii

Contributors

ix

Dedication

xiv

Acknowledgments

xv

PART I

EVALUATION

Chapter 1

The Pathology of Cataracts   Terrenes S. Spencer, MD and Nick Mamalis, MD

3

Chapter 2

Surgical Anatomy, Biochemistry, Pathogenesis, and Classification of Cataracts   Leo T. Chylack, Jr., MD

11

Chapter 3

Preopcrativc Evaluation of the Patient with Visually Significant Cataract   Samuel Masket, MD and Shaken Belani, MD

21

Chapter 4

Intraocular Lens Power Calculation   Kenneth J. Hoffer, MD, FACS

33

Chapter 5

Intraocular Lens Power Calculations After Refractive Surgery   Li Wang, MD, PhD and Douglas D. Koch, MD

55

PART II

PREPARATION

Chapter 6

Ophthalmic Viscosurgical Devices: Physical Characteristics, Clinical Applications, and Complications   Stephen S. Lane, MD and Richard L. Lindstrom, MD

65

Chapter 7

The Phaco Machine: The Physical Principles Guiding its Operation   William J. Fishkind, MD, FACS, Thomas F. Neuhann, MD and Roger F. Steinert, MD

75

Chapter 8

Retrobulbar and Peribulbar Anesthesia for Cataract Surgery   Robert C. (Ray) Hamilton, MB, BCh, FRCPC

93

Chapter 9

Topical Intracameral Anesthesia   Alan S. Crandall, MD

105

PART III

EXTRACAPSULAR CATARACT EXTRACTION

Chapter 10

Extracapsular Cataract Surgery: Indications and Techniques   Jared Emery, MD and Roger F. Steinert, MD

113

Chapter 11

Small Incision Cataract Surgery in Underdeveloped Countries   Geoffrey Tabin, MA, MD

125

PART IV

PHACOEMULSIFICATION

Chapter 12

Prophylactic Preoperative Preparation and Operative Measures for Control of Infection, Inflammation and Intraocular Pressure   Shaleen Belani, MD and Samuel Masket, MD

135

Chapter 13

Incision Construction   I. Howard Fine, MD, Richard S. Hoffman, MD and Mark Packer, MD, FACS

141

Chapter 14

Capsulorrhexis   Thomas F. Neuhann, MD and Roger F. Steinert, MD

163

Chapter 15

Hydrodissection and Hydrodelincation   I. Howard Fine, MD, Richard S. Hoffman, MD and Murk Packer, MD, FACS

173

Chapter 16

Principles of Nuclear Phacoemulsification   Howard V. Gimbel, MD, MPH

179

Chapter 17

Phaco Chop   Roger F. Steinert, MD

205

Chapter 18

Tilt and Tumble Phacoemulsification: Coaxial and Bimanual   Elizabeth A. Davis, MD, FACS, Dennis C. Lu, MD, David R. Hardten, MD, FACS and Richard L. Lindstrom, MD

215

Chapter 19

Biaxial Phacoemulsification   H. Burkhard Dick, MD, PhD

225

Chapter 20

Microcoaxial Phacoemulsification with Torsional Ultrasound   Robert H. Osher, M.D.

237

PART V

SPECIAL TECHNIQUES FOR CATARACT EXTRACTION

Chapter 21

Phacoemulsification in the Presence of a Small Pupil   I. Howard Fine, MD, Mark Packer, MD, FACS and Richard S. Hoffman, MD

245

Chapter 22

Combined Cataract Implant and Filtering Surgery   Anup K. Khatana, MD, John S. Cohen, MD and Robert H. Osher, MD

259

Chapter 23

Combined Cataract Extraction and Corneal Transplantation   Roger F. Steinert, MD

283

Chapter 24

Control of Astigmatism in the Cataract Patient   Richard L. Lindstrom, MD, Douglas D. Koch, MD, Robert H. Osher, MD, Li Wang, MD, PhD and Mitchell P. Weikert, MD

289

Chapter 25

Cataract Surgery in Uveitis Patients   Michael B. Raizman, MD

305

Chapter 26

Surgical Management of Pediatric Cataracts and Aphakia   Howard V. Gimbel, MD, MPH, Brian M. DeBroff, MD, Jennifer A. Dunbar, MD and Bharti R. Nihalani, MD

311

Chapter 27

The Intumcscent Cataract   Roger F. Steinert, MD

333

Chapter 28

Dense Brunescent Cataract   Roger F. Steinert, MD

339

Chapter 29

Capsule Tension Rings and Segments   Robert J. Cionni, MD

343

Chapter 30

Techniques and Principles of Surgical Management for the Traumatic Cataract   Michael E. Snyder, MD and Robert H. Osher, MD

351

Chapter 31

Iris Repair   Michael E. Snyder, MD, Roger F. Steinert, MD, Christopher Khng, MD and Scott E. Burk, MD, PhD

369

Chapter 32

High Myopia   Roger F. Steinert, MD

395

Chapter 33

Nanophthalmos, Relative Anterior Microphthalmos, and Axial Hyperopia   Richard K. Parrish, II, MD, Kendall Donaldson, MD, MS, Marianne B. Mellem Kairala, MD and Richard J. Simmons, MD

399

Chapter 34

Cataract Surgery in the Presence of Other Ocular Comorbidities   Hiroko Bissen-Miyajima, MD, PhD

411

PART VI

INTRAOCULAR LENSES

Chapter 35

The Evolution of the Intraocular Lens   Kenneth J. Hoffer, MD, FACS

419

Chapter 33

Polymethylmethacrylate Intraocular Lenses   Richard L. Lindstrom, MD

439

Chapter 37

Foldable Intraocular Lenses, Edge Design, and Aspheric Optics   Roger F. Steinert, MD

449

Chapter 38

Presbyopia Correcting Intraocular Lenses   Roger F. Steinert, MD, Richard L. Lindstrom, MD and David F. Chang, MD

457

Chapter 39

The Correction of Astigmatism During Cataract Surgery with Toric Intraocular Lenses   Stephen S. Lane, MD and David F. Chang, MD

469

Chapter 40

Intraocular Lens Spectral Filtering   Martin A. Mainster, PhD, MD, FRCOphth and Patricia L. Turner, MD

477

Chapter 41

Secondary Intraocular Lens Implantation and Stabilization   Roger F. Steinert, MD and Martin S. Arkin, MD, PhD

487

Chapter 42

Pathology of Cataract Surgery and Intraocular Lenses   Liliana Werner, MD, PhD, David J. Apple, MD and Nick Mamalis, MD

501

PART VII

MANAGEMENT OF COMPLICATIONS

Chapter 43

Risk Management in Cataract Surgery   Anthony Agadzi, MD, Anne M. Menke, RN, PhD and Richard L. Abbott, MD

533

Chapter 44

Intraoperative Complications of Phacoemulsification Surgery   Robert H. Osher, MD, Robert J. Cionni, MD, Scott E. Burk, MD, PhD and David F. Chang, MD

541

Chapter 45

Anterior Vitrectomy Techniques for the Cataract Surgeon   David F. Chang, MD

563

Chapter 46

Surgical Repositioning and Explantation of the Intraocular Lens   Robert H. Osher, MD, Robert J. Cionni, MD, Michael E. Snyder, MD, Christopher D. Riemann, MD and Andrea P. Da Mata, MD

569

Chapter 47

Issues in Wound Management   Douglas D. Koch, MD, Randall E. Nacke, MD, Li Wang, MD, PhD and Kenneth D. Novak, MD

581

Chapter 48

Toxic Anterior Segment Syndrome   Nick Mamalis, MD

589

Chapter 49

Corneal Edema after Cataract Surgery   Roger F. Steinert, MD

595

Chapter 50

Glaucoma After Cataract Surgery   James W. Hung, MD and Bradford J. Shingleton, MD

603

Chapter 51

Neodymium:Yttrium-Aluminum-Garnet Laser Posterior Capsulotomy   Roger F. Steinert, MD

617

Chapter 52

Neodymium:Yttrium-Aluminum-Garnet Laser in the Management of Postoperative Complications of Cataract Surgery   Roger F. Steinert, MD

631

Chapter 53

Ingrowths   Alex P. Hunyor, MB, BS, FRANZCO, FRACS and C. Davis Belcher, III, MD

645

Chapter 54

Macular Causes of Poor Postoperative Vision: Cystoid Macular Edema, Epiretinal Fibrosis, and Age-Related Macular Degeneration   Raja Narayanan, MD and Baruch D. Kuppermann, MD, PhD

661

Chapter 55

Postoperative Endophthalmitis   David A. Eichenbaum, MD, Robert I. Park, MD and Trader M. Topping, MD

671

Chapter 56

Management of Postoperative Complications: Retinal Detachment   Jay S. Duker, MD

681

Chapter 57

Prolonged Intraocular Inflammation   Michael B. Raizman, MD

687

PART VIII

INNOVATIONS AND FUTURE TRENDS FOR CATARACT SURGERY

Chapter 58

Cataract Surgery: Future Predictions   Robert H. Osher, MD

695

Index

697