Phacodynamics

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Phacodynamics

Author : Barry S. Seibel
Publisher : CRC Press
ISBN 13 : 1040141501
Total Pages : 395 pages
Book Rating : 4.0/5 (41 download)

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Book Synopsis Phacodynamics by : Barry S. Seibel

Download or read book Phacodynamics written by Barry S. Seibel and published by CRC Press. This book was released on 2024-06-01 with total page 395 pages. Available in PDF, EPUB and Kindle. Book excerpt: What surgical advancements have spawned from the evolution of phaco technology? Join the thousands of surgeons who have utilized Phacodynamics: Mastering the Tools and Techniques of Phacoemulsification Surgery to understand and benefit from the advantages of phaco technology. The revised, expanded, and updated Fourth Edition of this classic text includes over 300 simple, yet elegant, figures and illustrations detailing the latest machine technologies and surgical techniques. Visual learners... In addition to examining the intricate relationship between the surgeon and the phaco machine, Dr. Barry Seibel profiles how the most recent advancements in machine technology can enhance your surgical procedures and optimize your results. With schematic figures and illustrations to accompany the detailed descriptions, surgeons can readily identify and distinguish between various flow pumps, vacuum pumps, and ultrasound power modulations. Surgery can then be customized moment by moment for each individual patient to maximize safety and efficacy. Phacodynamics, Fourth Edition utilizes a simplified approach to explain all the latest advancements in phaco technology and surgery and should be in the hands of all surgeons practicing in this specialized area. New topics included that are unique to this Fourth Edition: Bimanual Microincision Phaco Ultrasound Power Modulations including Burst and Pulse Modes AquaLase and Laser Surgical Technologies Expanded Horizontal Chopping Techniques including PreChop Vertical Chopping Techniques and Instrumentation Bimanual Irrigation and Aspiration Phacodynamic Complications Phacodynamics of Surgical Instrument Design

Phacodynamics

Author : Barry S. Seibel
Publisher :
ISBN 13 :
Total Pages : 230 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Phacodynamics by : Barry S. Seibel

Download or read book Phacodynamics written by Barry S. Seibel and published by . This book was released on 1995 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Phacoemulsification Surgery

Author : Rasik B. Vajpayee
Publisher : Anshan Pub
ISBN 13 :
Total Pages : 384 pages
Book Rating : 4.7/5 (612 download)

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Book Synopsis Phacoemulsification Surgery by : Rasik B. Vajpayee

Download or read book Phacoemulsification Surgery written by Rasik B. Vajpayee and published by Anshan Pub. This book was released on 2006 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides comprehensive knowledge and information about the various aspects of Phacoemulsification Surgery. World-renowned phacoemulsification surgeons from developed and developing countries have come together to address the complex issues of phacoemulsification surgery in a simple and effective manner. These contributors enlighten the reader with their knowledge and vast experience in both basic and advanced surgical skills in a lucid and practical style. Topics Include Preoperative Evaluation for Phacoemulsification Surgery Adjucts in Phacoemulsification The Surgical Technique of Phacoemulsification Anesthesia Techniques Wound Construction Capsulorhexis Hydromaneuvers Basic and Advanced techniques of Nuclear Emulsification Phacodynamics, Machines and Ancillary Instruments Microincision Cataract Surgery Irrigation and Aspiration Phaco Profile Intraocular Lenses including the technique of Intraocular Lens Implantion, Intraocular Lens Explanation and Exchange Phacoemulsification for Residents Conversion of Phacoemulsification to Extracapsular Cataract Extraction Complications of Phacoemulsification: Prevention and Management.

Phaco Chop and Advanced Phaco Techniques

Author : David F. Chang
Publisher : CRC Press
ISBN 13 : 1040135919
Total Pages : 702 pages
Book Rating : 4.0/5 (41 download)

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Book Synopsis Phaco Chop and Advanced Phaco Techniques by : David F. Chang

Download or read book Phaco Chop and Advanced Phaco Techniques written by David F. Chang and published by CRC Press. This book was released on 2024-06-01 with total page 702 pages. Available in PDF, EPUB and Kindle. Book excerpt: While chopping techniques are particularly advantageous for complicated cataracts, they must be integrated with other devices and strategies. Phaco Chop, the best-selling cataract surgery book, has been revised and updated into a Second Edition to reflect the many advances over the past few years. More than half of the 30 total chapters are new. These detail strategies for complicated cases and introduce femtosecond laser nuclear fragmentation techniques. Dr. David F. Chang is widely acknowledged as one of the best cataract surgical teachers. His video instruction courses for phaco chop and complicated cataracts have consistently ranked among the best attended and top rated at the American Academy of Ophthalmology and American Society of Cataract and Refractive Surgeons meetings for over a decade. The Four Main Sections inside the Second Edition: Phaco Chop Techniques Phacodynamics of Chopping Femtosecond Laser Nuclear Pre-Chopping Complicated Cases and Complications – Strategies and Management Section One is a detailed guide for learning phaco chop. The faculty from Dr. Chang’s popular phaco chop course outlines their pearls based upon extensive experience teaching residents and transitioning surgeons. Section Two provides the general principles of instrumentation and configuring machine parameters. Separate chapters specifically address optimizing the Infiniti, Signature, and Stellaris platforms for chopping. Section Three introduces femtosecond laser nuclear pre chopping with separate chapters on the LenSx, LensAR, and Optimedica platforms. Section Four covers small pupils and IFIS, rock hard and white mature cataracts, weak zonules, and extremely long and short eyes with an emphasis on managing posterior capsule rupture, advanced IOL fixation strategies, and avoiding and managing capsulorrhexis complications. Bonus Video Material! Phaco Chop and Advanced Phaco Techniques, Second Edition includes instructional video that complements and supplements the content of the book. With your book purchase, you will receive a DVD that contains 26 surgical videos in high definition 3D format. With the enclosed 3D glasses—learning intraocular surgical techniques is taken to a new level. Additionally, you will receive access to a website that includes additional companion surgical videos narrated by Dr. Chang in 2D format—watch, listen, view repeatedly, and learn the techniques! The narrated videos produced by Dr. Chang illustrate advanced surgical techniques and technologies. Together with over 400 high-resolution operative photographs, this paired format overcomes the limitations of learning new and advanced surgical techniques from written text alone. With its comprehensive and integrated emphasis on advanced surgical techniques, optimizing phaco technology, and complication management, Phaco Chop and Advanced Phaco Techniques: Strategies for Complicated Cataracts, Second Edition will appeal to residents and transitioning surgeons as well as high volume surgeons interested in honing their most advanced phaco skills.

Phacoemulsification

Author : Lucio Buratto
Publisher : SLACK Incorporated
ISBN 13 : 9781556426049
Total Pages : 778 pages
Book Rating : 4.4/5 (26 download)

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Book Synopsis Phacoemulsification by : Lucio Buratto

Download or read book Phacoemulsification written by Lucio Buratto and published by SLACK Incorporated. This book was released on 2003 with total page 778 pages. Available in PDF, EPUB and Kindle. Book excerpt: Phacoemulsification: Principles and Techniques, Second Edition is perfect for the surgeon interested in learning the concepts, developing skills, and preparing for the actual surgical procedure. This completely revised and updated resource contains a detailed description of the basic technique of phacoemulsification and the special techniques devised by Dr. Buratto and a group of highly acclaimed international surgeons when encountering unusual circumstances. Expert surgeons interested in updating their knowledge and enhancing their operating skills will also benefit from this state-of-the-art tool. This definitive resource couples both the authors’ and 84 contributors’ diverse experience and knowledge to produce a complete vision of cataract surgery. Included within this completely revised second edition are 768 pages of updated material and more than 962 figures to illustrate this procedure. Modern cataract surgery has continually changed since its inception. The evolution of this procedure has been aided by technological advancements, increased knowledge of the anatomy of the eye, and the improvement of IOLs. Phacoemulsification: Principles and Techniques is a necessary text for all surgeons aspiring to improve their surgical results using the latest techniques available.

Phacoemulsification Made Easy

Author : Aasheet H. Desai
Publisher : Anshan Pub
ISBN 13 : 9781904798651
Total Pages : 0 pages
Book Rating : 4.7/5 (986 download)

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Book Synopsis Phacoemulsification Made Easy by : Aasheet H. Desai

Download or read book Phacoemulsification Made Easy written by Aasheet H. Desai and published by Anshan Pub. This book was released on 2005-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A cataract is the most common cause of blindness worldwide, and phacoemulsification is the most common method of cataract surgery. Specific techniques of phacoemulsification are constantly updated and improved, thanks to the equipment now available to the ophthalmic surgeon, and the skills required to use it. There are a number of large recently published books on the market which deal with phacoemulsification surgery in great detail, but until now there has been no single title available which condenses the required information into a smaller, more accessible format. Phacoemulsification Made Easy has been written by Dr Aasheet Desai and Dr Jack Kanski, the latter being the world s best selling author of ophthalmology books. It is aimed primarily at trainee ophthalmologists, but will also be of interest to anyone involved in ophthalmology, from students to practising ophthalmic surgeons.

The Scrub's Bible

Author : Richard S. Koplin
Publisher : Springer Nature
ISBN 13 : 3030443450
Total Pages : 215 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis The Scrub's Bible by : Richard S. Koplin

Download or read book The Scrub's Bible written by Richard S. Koplin and published by Springer Nature. This book was released on 2020-06-27 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of The Scrub's Bible is a timely, comprehensive resource, which will include extensive chapter and content updates, along with 50 new images and drawings. Updated sections will delve into subjects of endothelial transplantation, as well as cataract surgery and new medical and technological developments: femtosecond lasers, innovations in premium lens implant technologies, optiwave refractive analysis, and combined glaucoma and cataract surgery. Additional extensive chapter updates in the surgical tray, self-assessment, and corneal transplantation will be described in great detail as well. Directed at the growing number of untutored personnel aspiring to enter the disciplines of ophthalmic technicianry and surgical assisting, The Scrub's Bible, 2nd edition remains a key entry level guide to understanding the human eye, its basic anatomy, and physiology. Absorbing this information serves as the foundation for the authors, who are all skilled and respected eye surgeons, educators, and surgery center owners, to draw the reader through the fundamentals of the two most common areas of ophthalmic surgery: cataract and corneal/refractive surgery. The Scrub's Bible 2nd edition will build upon the first edition--remaining an easy-to-read tool that is broken down into discreet and understandable elements, meant to avoid the intimidating rhetoric of a standard reference.

Mastering Refractive IOLs

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Author : David F. Chang
Publisher : SLACK Incorporated
ISBN 13 : 9781556428593
Total Pages : 964 pages
Book Rating : 4.4/5 (285 download)

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Book Synopsis Mastering Refractive IOLs by : David F. Chang

Download or read book Mastering Refractive IOLs written by David F. Chang and published by SLACK Incorporated. This book was released on 2008 with total page 964 pages. Available in PDF, EPUB and Kindle. Book excerpt: The IOL technical specifications, the clinical data, and the necessary clinical and surgical skills comprise the scientific foundation for achieving a "premium" refractive outcome. To consistently achieve patient satisfaction, however, requires mastering the art of patient and IOL selection, communicating and counseling effectively, and providing a "premium" patient experience. This is a nontraditional book in which multiple experts are separately asked to discuss controversial subjects in a reader-friendly format. There is balanced coverage of all of the available refractive IOLs, as well as those that may become available in the near future. A major emphasis is placed on avoiding and managing complications or potentially dissatisfied patients. There are more than 200 chapters that are organized into 14 major sections, over 300 images, 100 tables, and 12 sidebars that cover every aspect of refractive IOL clinical practice. This is a comprehensive educational resource addressing the most demanding and rapidly evolving area in cataract and refractive surgery today and the first book to cover both the clinical and nonclinical aspects of offering refractive IOL services.

Phaco Chop

Author : David F. Chang
Publisher : Slack Incorporated
ISBN 13 : 9781556426797
Total Pages : 262 pages
Book Rating : 4.4/5 (267 download)

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Book Synopsis Phaco Chop by : David F. Chang

Download or read book Phaco Chop written by David F. Chang and published by Slack Incorporated. This book was released on 2004 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Phaco Chop: Mastering Techniques, Optimizing Technology, and Avoiding Complications covers everything from step-by-step instruction for the beginner to advanced chopping for complicated cases or bimanual phaco. As the first text completely devoted to this popular topic, it is equally relevant to transitioning surgeons and to those already experienced with chopping. Phaco Chop has four major sections, beginning with a detailed guide for learning phaco chop and its main variations. David F. Chang, MD along with contributing authors Randall J. Olson, MD; Louis D. "Skip" Nichamin, MD; and Barry S. Seibel, MD outline their pearls based upon years of experience in teaching residents and transitioning surgeons. The second section is devoted to the phacodynamics of chopping-the general principles of instrumentation and configuring machine parameters. As a unique feature, four separate chapters are specifically devoted to optimizing the Legacy, Infiniti, Sovereign, and Millennium machines for chopping. Strategies for managing complicated cases and complications comprise the primary focus for the third section. While chopping techniques are particularly advantageous for complicated cataracts, they must be integrated with other devices and strategies. Newer strategies for posterior capsule rupture include the Viscoat PAL, Viscoat Trap, and the pars plana anterior vitrectomy. These options are relevant for any phaco surgeon, regardless of technique or experience. The last section explores a topic that is generating growing interest - bimanual phaco. This is a promising and advanced application that combines phaco chop with the latest innovations in micro-incisional phaco technology. Additionally, a DVD is included containing 2 hours of instructional video that complement and supplement the text. Together with the many high-resolution operative photographs, this paired format overcomes the limitations of learning new and advanced surgical techniques from a text alone. With its comprehensive and integrated emphasis on advanced surgical techniques, optimizing phaco technology, and complication management, Phaco Chop appeals equally to beginning surgeons and residents, as well as high volume surgeons eager to improve their skills. Four Main Sections: Techniques for performing and transitioning to phaco chop Optimizing machine settings for chopping techniques Strategies for complicated cataracts, and for managing complications Applications for bimanual phaco

Manual Small Incision Cataract Surgery

Author : Bonnie An Henderson
Publisher : Springer
ISBN 13 : 3319246666
Total Pages : 188 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Manual Small Incision Cataract Surgery by : Bonnie An Henderson

Download or read book Manual Small Incision Cataract Surgery written by Bonnie An Henderson and published by Springer. This book was released on 2016-01-11 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, in a concise format, explains how to perform manual small incision cataract surgery. The procedure is broken down into the chief elements and described in a step by step manner. Besides the description of the procedure, the book covers indications, necessary supplies, preparation, complication management, and postoperative care. The authors are experts from around the world, and the book will be of value both for surgeons new to this technique and for experienced surgeons who need a review of the procedure. While phacoemulsification surgery has now become the standard of care, understanding how to perform manual extracapsular cataract extractions competently is crucial when faced with complications during phacoemulsification surgery, when operating in a region of the world without access to phacoemulsification or femtosecond lasers, or when a manual approach may be a better choice for the patient.

Step by Step Phacoemulsification

Author : Sunita Agarwal
Publisher : CRC Press
ISBN 13 : 9781841845494
Total Pages : 212 pages
Book Rating : 4.8/5 (454 download)

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Book Synopsis Step by Step Phacoemulsification by : Sunita Agarwal

Download or read book Step by Step Phacoemulsification written by Sunita Agarwal and published by CRC Press. This book was released on 2005-01-13 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since phacoemulsification is the norm for cataract surgery today, it is essential that the basic steps for this established procedure are mastered by all. In this concise text, the illustrious Drs. Agarwal - Sunita, Athiya and Amar - teach the reader step by step techniques and procedures that make it possible to extract a cataract and implant a lens through the smallest of incisions. In addition to the basics, the authors cover no-anesthesia cataract surgery and the management of complications like dropped nuclei. Clearly presented and easy to follow, Step by Step Phaco is prescribed reading for all involved in the routine of cataract surgery.

Minimizing Incisions and Maximizing Outcomes in Cataract Surgery

Author : Jorge L. Alió y Sanz
Publisher : Springer Science & Business Media
ISBN 13 : 3642028624
Total Pages : 319 pages
Book Rating : 4.6/5 (42 download)

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Book Synopsis Minimizing Incisions and Maximizing Outcomes in Cataract Surgery by : Jorge L. Alió y Sanz

Download or read book Minimizing Incisions and Maximizing Outcomes in Cataract Surgery written by Jorge L. Alió y Sanz and published by Springer Science & Business Media. This book was released on 2010-01-13 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many ophthalmologists are in the transition from the traditional cataract surgery technique to the new minimally incision cataract surgery (MICS) technique. They are in the need of updated information on how to make this transition smoothly. In this book, world-renowned opinion leaders present up-to-date information on the new and fast-developing trends in cataract surgery. It reflects the state of the art of microincisional cataract surgery with the concept of minimizing incision. It offers all necessary information on the new technology as well as on the surgical technique. Further, it demonstrates how to handle difficult cataract cases as well as new intraocular lenses.

Essentials of Cataract Surgery

Author : Bonnie Henderson
Publisher : CRC Press
ISBN 13 : 104013730X
Total Pages : 403 pages
Book Rating : 4.0/5 (41 download)

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Book Synopsis Essentials of Cataract Surgery by : Bonnie Henderson

Download or read book Essentials of Cataract Surgery written by Bonnie Henderson and published by CRC Press. This book was released on 2024-06-01 with total page 403 pages. Available in PDF, EPUB and Kindle. Book excerpt: The straightforward, concise, and easy-to-read reference manual which is equivalent to having the best instructor offering guidance on what to do next and how to avoid potential complications is now available in an updated Second Edition. Essentials of Cataract Surgery, Second Edition comprehensively details every step of phacoemulsification cataract extraction surgery, from preoperative evaluation to intraoperative instruction to postoperative care. The basic elements of cataract surgery are presented in a clear and easy-to-read format. Dr. Bonnie An Henderson brings together advice and teaching techniques from the Harvard Intensive Cataract Surgical Training Conference at the Massachusetts Eye and Ear Infirmary. The book provides both beginning and practicing surgeons with personal tips and expert advice from leading cataract mentors of top US ophthalmology residency programs. Inside Essentials of Cataract Surgery, Second Edition are detailed chapters covering fluidics, IOL calculations and design, capsular complications and management, and the latest phaco technology, including femtosecond cataract surgery. Each chapter contains a summary box, highlighting the key points of each topic discussed. Additionally, the included images, diagrams, photographs, and tables enhance understanding of specific topics. With detailed information and expert pearls in a user-friendly format, Essentials of Cataract Surgery, Second Edition is perfect for residents, fellows, medical students, and practicing ophthalmologists looking to improve their surgical techniques.

Insect Histology

Author : Pedro Barbosa
Publisher : John Wiley & Sons
ISBN 13 : 1118875001
Total Pages : 368 pages
Book Rating : 4.1/5 (188 download)

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Book Synopsis Insect Histology by : Pedro Barbosa

Download or read book Insect Histology written by Pedro Barbosa and published by John Wiley & Sons. This book was released on 2014-10-03 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title is a much needed update of Barbosa's self-published Manual of Basic Techniques in Insect Histology. It is a laboratory manual of 'traditional' and 'modern' insect histology techniques, completely revised using cutting-edge methodology carried out today and includes new immunohistochemical techniques not previously looked at. Insect Histology is designed as a resource for student and professional researchers, in academia and industry, who require basic information on the procedures that are essential for the histological display of the tissues of insects and related organisms.

Cataract Surgery

Author : Sumit Garg
Publisher : Elsevier Health Sciences
ISBN 13 : 0323568106
Total Pages : 592 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Cataract Surgery by : Sumit Garg

Download or read book Cataract Surgery written by Sumit Garg and published by Elsevier Health Sciences. This book was released on 2022-09-09 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering authoritative coverage, Steinert's Cataract Surgery, 4th Edition, takes you step by step from preoperative evaluation and preparation through the full range of surgical techniques and the mitigation and management of complications. New editors, Drs. Sumit (Sam) Garg and Douglas D. Koch, along with a who’s who list of top international experts, provide practical technical guidance on all aspects of cataract surgery in a newly streamlined, easy-to-read format. From IOL calculations to glaucoma and astigmatism considerations, perioperative drug delivery to methods of iris repair, this up-to-date 4th Edition delivers essential clinical information, core foundational knowledge, and advanced techniques from cover to cover. Features expert tips on common pitfalls in cataract surgery, including advanced surgical pearls to maximize patient outcomes. Contains 10 new chapters covering Modular Intraocular Lenses (IOLs), Femtosecond-Laser-Assisted Cataract Surgery, Preoperative Evaluation and Considerations of Astigmatism, Toric Intraocular Lenses (IOLs), Managing Residual Postoperative Astigmatism, Retinal Considerations in Cataract Surgery, Management of Dysphotopsia, Refractive Enhancements after Cataract Surgery, and more. Provides rich visual guidance with more than 1,200 diagnostic, clinical, and surgical photos and illustrations with clear explanations. Includes more than 50 videos of narrated surgical footage performed by the authors, offering real-time guidance on the full range of the latest cataract surgery techniques.

Master Techniques in Rhinoplasty

Author : Babak Azizzadeh
Publisher : Saunders
ISBN 13 : 9781416062622
Total Pages : 0 pages
Book Rating : 4.0/5 (626 download)

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Book Synopsis Master Techniques in Rhinoplasty by : Babak Azizzadeh

Download or read book Master Techniques in Rhinoplasty written by Babak Azizzadeh and published by Saunders. This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master Techniques in Rhinoplasty is a concise yet comprehensive, multi-authored, multi-specialty surgical text and video atlas that provides all the guidance you need to get the best outcomes in rhinoplasty. Babak Azizzadeh, MD, FACS and other leading experts guide you through both open and endonasal primary and secondary rhinoplasty techniques with the use of step-by-step procedures, color line drawings, intraoperative photographs, and narrated videos on DVD. Expertly perform the latest open and endonasal techniques for both primary and revision rhinoplasty and give your patients the outstanding results they demand. Choose the most promising approach based on multiple expert viewpoints on the advantages and disadvantages of each approach. Review history, personal philosophy, anatomy, preoperative analysis, technique, and postoperative care, and complication avoidance for each procedure - all the information you need to get the best outcomes. Master the nuances of each new technique through step-by-step instructions and beautiful, detailed line drawings and intraoperative photographs. Watch master surgeons perform techniques in narrated videos on the included DVD. Tap into the experience and expertise of leading reconstructive and cosmetic plastic surgeons.

Modern Cataract Surgery

Author : Thomas Kohnen
Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805573642
Total Pages : 253 pages
Book Rating : 4.8/5 (55 download)

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Book Synopsis Modern Cataract Surgery by : Thomas Kohnen

Download or read book Modern Cataract Surgery written by Thomas Kohnen and published by Karger Medical and Scientific Publishers. This book was released on 2002-01-01 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: New cataract removal techniques, anesthesia and viscoelastic substances, and the implantation of modern intraocular lenses are essential topics in the fast developing field of ophthalmic surgery. This publication provides a comprehensive update discussing these items thoroughly. Special emphasis is given to the management of mature cataract and phacoemulsification in the vitreous cavity. Intraocular lens calculation is highlighted by optical coherence biometry, in particular, the measurements to increase the predictability of intraocular lens implantation. Implantation techniques, incision architecture and wound construction as well as Scheimpflug-photography of foldable intraocular lenses and the prevention of PCO (posterior capsular opacification) are covered. The last two articles emphasize the implantation of special intraocular lenses including piggyback intraocular lens and multifocal intraocular lens implantation. Anterior eye segment surgeons looking for an update on modern cataract surgery will find a wealth of timely information on new techniques and results in small incision cataract surgery in this publication.