Essentials of Cataract Surgery / Edition 1

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Overview

Have you ever wished that the experts were sitting next to you or standing by your side during surgery? Essentials of Cataract Surgery is a straightforward, concise, and easy to read reference manual that is equivalent to having the best instructor guiding you on what to do next and how to avoid potential complications. Essentials of Cataract Surgery comprehensively covers the basics of every step of modern cataract surgery from preoperative evaluation to postoperative care. Detailed instructions and pearls are provided for each specific step. Each chapter contains a summary box which highlights the key points from each topic discussed. Additionally, images, diagrams, photographs, and tables are included to enhance understanding of specific topics. Inside Essentials of Cataract Surgery, Dr. Bonnie An Henderson brings together the advice and teaching techniques from the Harvard Intensive Cataract Surgical Training Conference to provide both beginning and practicing surgeons with the personal tips and expert advice of the leading cataract mentors from around the country. Some topics covered include: *Preoperative evaluation *Lens removal techniques *Phaco technology *Fluidics of current phaco machines *Chopping techniques *IOLs *Postoperative complications With detailed information, expert pearls, and a user-friendly format, Essentials of Cataract Surgery is perfect for residents, fellows, medical students, and practicing ophthalmologists looking to improve their surgical techniques.

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Editorial Reviews

From The Critics
Reviewer: Husam Ansari, M.D., Ph.D.(University of Pennsylvania School of Medicine)
Description: This is an excellent primer for both beginner and experienced cataract surgeons.
Purpose: It is intended as a resource for those learning cataract surgery, which the book correctly points out is "arduous and arguably the most difficult surgery to learn during residency," and then to remain a reference for the surgeon once competence has been achieved. It absolutely meets these worthy goals.
Audience: The Harvard Medical School Intensive Cataract Surgical Training Course, an annual course exclusively for second year ophthalmology residents is the basis for the book. The authors, who are the course instructors, are not only expert cataract surgeons, but also are known to be excellent instructors of cataract surgery. This gives the book a highly credible voice and assures that it never loses sight of its audience: the beginner cataract surgeon.
Features: The book dissects cataract surgery into its individual steps and devotes a short and clear chapter to each of these steps. There are the expected chapters on the preoperative evaluation, the incision, the capsulorrhexis, and post-operative complications. However, one of the best aspects of the book is that it devotes entire chapters to less glamorous but nevertheless important parts of cataract surgery, topics for which good summaries of evidence-based and experience-based rationales are often hard to find, such as preoperative eye drops, intraoperative and postoperative medications, anesthesia, hydrodissection, and intraocular lens calculations. The chapters are written in a style and language that is accessible to beginning surgeons, yet remains interesting to experienced surgeons. The chapters are also sufficiently short and well indexed so that specifics of a particular step can be easily identified and reviewed.
Assessment: I highly recommend this as an outstanding adjunct to any surgical curriculum. I had the good fortune of attending the first Harvard Medical School Intensive Cataract Surgical Training Course in 2005, and I remember thinking, "These guys should make this into a book!" I am glad to see that they have.
Doody's Review Service
Reviewer: Husam Ansari, M.D., Ph.D.(University of Pennsylvania School of Medicine)
Description: This is an excellent primer for both beginner and experienced cataract surgeons.
Purpose: It is intended as a resource for those learning cataract surgery, which the book correctly points out is "arduous and arguably the most difficult surgery to learn during residency," and then to remain a reference for the surgeon once competence has been achieved. It absolutely meets these worthy goals.
Audience: The Harvard Medical School Intensive Cataract Surgical Training Course, an annual course exclusively for second year ophthalmology residents is the basis for the book. The authors, who are the course instructors, are not only expert cataract surgeons, but also are known to be excellent instructors of cataract surgery. This gives the book a highly credible voice and assures that it never loses sight of its audience: the beginner cataract surgeon.
Features: The book dissects cataract surgery into its individual steps and devotes a short and clear chapter to each of these steps. There are the expected chapters on the preoperative evaluation, the incision, the capsulorrhexis, and post-operative complications. However, one of the best aspects of the book is that it devotes entire chapters to less glamorous but nevertheless important parts of cataract surgery, topics for which good summaries of evidence-based and experience-based rationales are often hard to find, such as preoperative eye drops, intraoperative and postoperative medications, anesthesia, hydrodissection, and intraocular lens calculations. The chapters are written in a style and language that is accessible to beginning surgeons, yet remains interesting to experienced surgeons. The chapters are also sufficiently short and well indexed so that specifics of a particular step can be easily identified and reviewed.
Assessment: I highly recommend this as an outstanding adjunct to any surgical curriculum. I had the good fortune of attending the first Harvard Medical School Intensive Cataract Surgical Training Course in 2005, and I remember thinking, "These guys should make this into a book!" I am glad to see that they have.
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Product Details

  • ISBN-13: 9781556428029
  • Publisher: Slack, Inc.
  • Publication date: 5/1/2007
  • Edition number: 1
  • Pages: 306
  • Product dimensions: 5.50 (w) x 8.50 (h) x 0.80 (d)

Meet the Author


Bonnie An Henderson, MD is a partner at Ophthalmic Consultants of Boston and a Clinical Professor at Tufts University School of Medicine. Her career focus has been on education. She created and organized the annual Harvard Intensive Cataract Surgical Training Course, which focuses on teaching surgery to US residents. She was the lead investigator for the development of a computer software program that simulates surgery for training purposes. She has been the recipient of the “Teacher of the Year” award by the Harvard Medical School Department of Ophthalmology and nominated for Harvard’s Excellence in Teaching Award.

The former Director of Comprehensive Ophthalmology and Cataract Consultation at the Massachusetts Eye and Ear Infirmary, Dr. Henderson has authored over 100 articles, papers, book chapters, and abstracts and has delivered over 250 invited lectures worldwide. Dr. Henderson is the Associate Editor for the Journal of Refractive Surgery and Associate Editor for Eyeworld for the American Society of Cataract and Refractive Surgery. She serves on the editorial advisory board of Eyenet Magazine of the American Academy of Ophthalmology, and serves on the editorial boards of 3 other journals. She serves on a number of committees for the American Academy of Ophthalmology and the American Society of Cataract and Refractive Society. She is a reviewer for eight ophthalmic journals.

Dr. Henderson has been awarded an Achievement Award and Secretariat Award by the American Academy of Ophthalmology, and “Best of” awards from the American Society of Cataract and Refractive Surgery for her research and films. Dr. Henderson completed her ophthalmology residency at Harvard Medical School, Massachusetts Eye and Ear Infirmary. She graduated from Dartmouth College and from Dartmouth Medical School with high honors. She serves on the Board of Overseers at the Geisel School of Medicine at Dartmouth, the Executive Committee of American Society of Cataract and Refractive Surgery, the Executive Board of the Massachusetts Society of Eye Physicians and Surgeons, the Executive Board of Women In Ophthalmology, and has served on the Physician Board of Directors at the Massachusetts Eye and Ear Infirmary. Married with three children, her interests include culinary arts and competing in triathlons.

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Table of Contents


Dedication     iii
Acknowledgments     vii
About the Editor     viii
About the Associate Editors     ix
Contributing Authors     x
Preface     xiv
Appropriateness of Cataract Surgery   Susannah Rowe, MD, MPH     1
Cataract Surgery: Preoperative Evaluation   John P. Berdahl, MD   Robin R. Vann, MD     9
Preoperative Eyedrops and Other Medications   James P. Dunn, MD     19
Anesthesia for Cataract Surgery   Joseph Bayes, MD   Gabriele F. Troll, MD     25
Intracameral Anesthesia: Considerations on Effectiveness, Toxicities, and Complications   Tamiesha A. Frempong, MD, MPH   Michael E. Sulewski, MD     35
Wound Construction   Brett L. Shapiro, MD   Diamond Y. Tam, MD   Ayman Naseri, MD     39
Astigmatic Considerations in Cataract Surgery   Lynda Z. Kleiman, MD   Yuri S. Oleynikov, MD, PhD   B. David Gorman, MD     53
Ophthalmic Viscosurgical Devices   Kathryn Bollinger, MD, PhD   Scott D. Smith, MD, MPH     63
Capsulorrhexis   Kevin M. Miller, MD     69
Hydrodissection and Hydrodelineation   Eydie Miller-Ellis,MD     79
Fluidics/Pumps   Roger H. S. Langston, MD, CM, FACS     83
Maximizing Efficiency With Phacoemulsification Settings   Saraswathy Ramanathan, MD     91
Phacoemulsification: Nonchopping Techniques   Mario A. Meallet, MD   Talia Kolin, MD     97
Phaco Chop Techniques   David F. Chang, MD     105
Irrigation and Aspiration   Wuqaas M. Munir, MD   Carol L. Karp, MD     117
Intraocular Lens Calculations   Lisa Park, MD   Laurence Sperber, MD     125
Intraocular Lens Design, Material, and Delivery   Thomas A. Oetting, MS, MD   Hilary A. Beaver, MD   A. Timothy Johnson, MD, PhD     133
Surgical Blade Design, Geometry, and Tissue Considerations   Christine Ament, MD   Bonnie An Henderson, MD   Roberto Pineda II, MD     147
Suturing in Cataract Surgery   Chi-Wah (Rudy) Yung, MD, FACS   Clark Springs, MD     157
Sutured Intraocular Lenses   Bryan D. Edgington, MD   Michael H. Goldstein, MD, MM     165
Perioperative and Postoperative Medications   John J. DeStafeno, MD   Terry Kim, MD     175
Extracapsular Cataract Extraction   Maria Aaron, MD, FACS   Geoffrey Broocker, MD, FACS     187
The Small Pupil   Sherleen H. Chen, MD, FACS   Roberto Pineda II, MD     197
The Mature Cataract and Capsule Dyes   Steven S. T. Ching, MD   Gregory J. McCormick, MD     207
Zonular Instability and Endocapsular Tension Rings   John C. Hart, Jr, MD, FACS     215
Capsular Complications and Management   Evan Waxman, MD, PhD     225
Cystoid Macular Edema   Shahzad I. Mian, MD   Roshni Aggarwal, BS     235
Endophthalmitis   Francis S. Mah, MD     245
Cataract in the Glaucoma Patient: Surgical Considerations   R. Todd Morason, MD     257
Presbyopia and Future Intraocular Lenses   Michael Smith-Wheelock, MD   Jeffrey J. Caspar, MD     263
Cataract Surgery After Refractive Surgery   Mark D. Mifflin, MD   Darcy H. Wolsey, MD, MPH     271
Advanced Phacoemulsification Techniques: Bimanual Microincision Cataract Surgery   Kenneth L. Cohen, MD     283
Advanced and Future Phaco Technology   Mary K. Daly, MD   Anjali Pathak, MD     293
Index     299
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