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Title Posterior capsular rent : genesis and management / Arup Chakrabarti editor
Published New Delhi, India : Springer, 2017


Description 1 online resource : color illustrations
Contents Foreword I ; Foreword II ; Preface; Contents; About the Editor; Part I: Introduction; 1: Incidence and€Significance of€Posterior Capsule Rupture in€Cataract Surgery; 1.1 Introduction; 1.2 Landmarks in€the€Management of€Posterior Capsule Rupture; 1.3 Incidence; 1.4 Significance of€Posterior Capsular Rupture; 1.5 Complications of€Posterior Capsule Rupture; References; Part II: Basic Anatomy; 2: Anatomy of€the€Human Crystalline Lens; 2.1 Location and€Attachments; 2.2 Development; 2.3 Structure; 2.3.1 Capsule; 2.3.2 Anterior Subcapsular Epithelium; 2.3.3 Lens Substance; References
3: Anatomy of€Vitreous3.1 Macroanatomy of€Vitreous; 3.1.1 Central Zone; 3.1.2 Outer Zone of€Vitreous; 3.2 Vitreous Adhesion; 3.3 Biochemical Composition of€the€Vitreous; 3.4 Hyalocytes or Vitreous Cells; 3.4.1 Age-Related Changes in€Vitreous; References; Part III: Prophylaxis of Posterior Capsular Rent; 4: Predisposing Factors for€Posterior Capsular Rent; 4.1 Introduction; 4.2 Predisposing Factors for€Posterior Capsular Rent; 4.2.1 Patient-Related Factors; General Factors; Extraocular Factors; Deep Set Eye; Exaggerated Bell's Phenomenon
Corneal Opacities with€Visibility Issues (Fig.€4.3) Intraocular; Reduced Work Space; Small Pupil/Intraoperative Miosis (Fig.€4.4); Shallow Anterior Chamber (AC); Excessive Anterior Chamber Depth; Cataract Type; Pseudoexfoliation (Fig.€4.10a, b); 4.2.2 Surgeon-Related Factors; 4.2.3 Intraoperative Factors; Corneal Epithelial Toxicity of€Topical Anesthesia (TA); Small Capsulorhexis with€Capsulorhexis Block; Capsulorhexis-Radial Tear; Fluidics-Fluid Imbalance; 4.2.4 Machine/Devices-Related Factors; References; Suggested Reading
5: Surgical Pearls to€Minimize the€Incidence of€Posterior Capsule Rent5.1 Surgical Pearls to€Minimize€PCR; 5.1.1 Comprehensive Preoperative Evaluation; History and€Examination; Identification of€High-Risk Cases; Systemic Risk Factors; Ocular Risk Factors; Documentation and€Counseling; 5.1.2 Preoperative Preparation; Anesthesia; Pupillary Dilation; 5.1.3 Intraoperative Surgical Tips; Surgical Drape and€Speculum; Proper Wound Creation; Proper Selection of€Phacoemulsification Tip/Sleeve Good operating microscope with€depth and€coaxiality5.1.3.5 Intraoperative Maintenance of€Visibility; Management of€Nondilating Pupil; Anterior Capsular Management; Cortical Cleaving Hydrodissection; Hydrodelineation; Trenching; Chopping for€Harder Nuclei; Subluxated Lenses; Slow-Motion Phacoemulsification; Irrigation-Aspiration (I/A); IOL Insertion; PCR in€Patient Planned for€Premium IOL; References; 6: Management Strategies for€Cataracts with€Preexisting Posterior Capsular Rent
Summary This book deals with a potentially sight threatening complication - rupture of the posterior capsule? during cataract surgery. This handbook covers the management of this problem from 3 perspectives: 1. Identifying patients at higher risk and measures to manage such patients by surgical discipline 2. Intraoperative management of posterior capsular rupture (PCR) to minimize long-term complications 3. Post-operative care for a patient who has a PCR Cataract surgery is the most commonly performed surgical procedure in ophthalmology and despite tremendous technical and technological advancements, PCR still occurs. PCR occurs both in the hands of experienced senior surgeons and the neophyte surgeons, although with a higher frequency in the latter group. Additionally, certain types of cataracts are prone to this development. If managed properly in a timely manner the eventual outcome may be no different from that of an uncomplicated case. However, improper management may lead on to serious complications with a higher incidence of permanent visual disability. Written for experienced and not-so-experienced eye surgeons alike to understand and manage PCR
Bibliography Includes bibliographical references and index
Notes Online resource; title from PDF title page (EBSCO, viewed March 1, 2017)
Subject Cataract -- Surgery -- Complications.
Cataract Extraction -- adverse effects
Posterior Capsular Rupture, Ocular -- etiology
Intraoperative Complications
Lens Implantation, Intraocular -- methods
Posterior Capsular Rupture, Ocular -- surgery
Clinical & internal medicine.
MEDICAL -- Surgery -- General.
Cataract -- Surgery -- Complications.
Genre/Form portraits.
Form Electronic book
Author Chakrabarti, Arup, editor.
ISBN 9788132235866