Bimanual Phaco: Mastering the Phakonit/MICS Technique

293 Pages·2004·12.44 MB·English

by  Amar Agarwal

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A A , MS, FRCS, FRCO
MAR GARWAL PHTH
DIRECTOR
DR. AGARWAL’S GROUP OF EYE HOSPITALS
CHENNAI, INDIA
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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.
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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
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D
EDICATION
This book is dedicated to my parents,Dr. J Agarwal and Dr. T.Agarwal, who creat-
ed Dr. Agarwal’s Group of Eye Hospitals.
And to all the Indian ophthalmologists—Phakonit is India’s gift to the world.
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C
ONTENTS
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 ControlStudies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Randall J.Olson,MD and Suresh K.Pandey,MD
Chapter 3: Thermal Burn Studies in AnimalEyes . . . . . . . . . . . . . . . . . . . . . . 17
Hiroshi Tsuneoka,MD
Chapter 4: Fluidics in Bimanual Phaco . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
L.Felipe Vejarano,MD and Alejandro Tello,MD
Chapter 5: Corneal Topography inCataractSurgery . . . . . . . . . . . . . . . . . . . . 31
AthiyaAgarwal,MD,DO
SectionTwo: Instrumentation and Machines
Chapter 6: Instruments for Bimanual Phaco. . . . . . . . . . . . . . . . . . . . . . . . . . 43
Amar Agarwal,MS,FRCS,FRCOphth
Chapter 7: Air Pump. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
SunitaAgarwal,MS,DO
Chapter 8: Gas Forced Internal Infusion for Bimanual Phaco . . . . . . . . . . . . . 61
ArturoPérez-Arteaga,MD
Chapter 9: Cruise Controlfor BimanualPhaco. . . . . . . . . . . . . . . . . . . . . . . . 71
David F.Chang,MD
Chapter 10: Machines and Modalities for Bimanual Phaco. . . . . . . . . . . . . . . . 77
I.Howard Fine,MD;MarkPacker,MD;and RichardS.Hoffman,MD
Chapter 11: WhiteStar “ColdPhaco” Technology. . . . . . . . . . . . . . . . . . . . . . . 85
DavidF.Chang,MD
Section Three: SurgicalTechniques and Complications
Chapter 12: Bimanual Phaco:Surgical Technique . . . . . . . . . . . . . . . . . . . . . . 97
AmarAgarwal,MS,FRCS,FRCOphth
Chapter 13: MICS:MicroincisionCataract Surgery. . . . . . . . . . . . . . . . . . . . . 113
Jorge L.Alió,MD,PhD;AhmedGalal,MD,PhD;
and José Luis Rodriguez-Prats,MD
Chapter 14: Safe Chopping inBimanualPhaco . . . . . . . . . . . . . . . . . . . . . . . 127
L.Felipe Vejarano,MD and Alberto Vejarano,MD
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viii Contents
Chapter 15: NICBimanual Phaco. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Arturo Pérez-Arteaga,MD
Chapter 16: BimanualMicroincision Refractive Lens Exchange. . . . . . . . . . . . 143
Richard S.Hoffman,MD;I.Howard Fine,MD;and Mark Packer,MD
Chapter 17: Three-PortBimanualSleeveless Microphacoemulsification. . . . . . 159
Using the “Tilt and Tumble”Technique
Dennis C.Lu,MD;ElizabethA.Davis,MD;DavidR.Hardten,MD;
and Richard L.Lindstrom,MD
Chapter 18: Challenges and Complications inMicrophacoemulsification . . . . 173
Robert H.Osher,MD and Christopher Khng,MD,FRCS
Chapter 19: Complications of Bimanual Phaco . . . . . . . . . . . . . . . . . . . . . . . 179
Amar Agarwal,MS,FRCS,FRCOphth;ClementK.Chan,MD,FACS;
and Mahipal Singh Sachdev,MD
Chapter 20: ManagingDislocated Lens Fragments. . . . . . . . . . . . . . . . . . . . . 197
Clement K.Chan,MD,FACS
Section Four: Ultrasmall Incision IOLs
Chapter 21: The Acri.SmartIOL(Acri.Tec GmbH) . . . . . . . . . . . . . . . . . . . . . 215
Christine Kreiner,PhD
Chapter 22: Bimanual Phaco With the Acri.TecGmbH IOL . . . . . . . . . . . . . . 223
SunitaAgarwal,MS,DO
Chapter 23: Bimanual Phaco With the ThinOptX RollableIOL. . . . . . . . . . . . 229
VirgilioCenturion,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
AmarAgarwal,MS,FRCS,FRCOphth
Chapter 25: Bimanual Phaco SurgeryWith an AcrySof IOL. . . . . . . . . . . . . . . 245
Through a 2.2-mm Opening
Hiroshi Tsuneoka,MD
Chapter 26: Ultrasmall IncisionIOLs:Experimental Studies . . . . . . . . . . . . . . 251
and ClinicalApplications
Suresh K.Pandey,MD;Liliana Werner,MD,PhD;Nick Mamalis,MD;
Randall J.Olson,MD
Chapter 27: Sealed Capsule IrrigationDevice . . . . . . . . . . . . . . . . . . . . . . . . 257
Amar Agarwal,MS,FRCS,FRCOphth
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263