BookMeena Chakrabarti, Arup Chakrabarti, editors.
Summary: Posterior segment complications of cataract surgery are encountered not only by the cataract and retinal surgeons but also by the general ophthalmologists in their daily practice. Yet, a definitive volume on this subject is not available. Written by experts in the field of cataract surgery and vitreoretinal surgery, this book is a comprehensive, updated practical guide on evaluation and management of patients with posterior segment complications following cataract surgery. This up-to-date reference covers all aspects of the field including evaluation of a patient, and all surgical procedures currently used in managing various complication in an organized systematic fashion. Necessary surgical modalities and approaches are thoroughly reviewed with ample illustrations for better understanding. Chapter dealing with surgical complications and failure has also been included in this book.
Contents:
Intro
Introduction
Contents
1: Risk Factors for Posterior Segment Complications of Cataract Surgery
1.1 Introduction
1.2 Conclusion
References
2: Needle Stick Globe Injuries
2.1 Introduction
2.2 Epidemiology and Risk Factors
2.3 Mechanism of Injury
2.4 Signs and Symptoms
2.5 Management
2.6 Prognosis
2.7 Prevention
References
3: The Dropping and Dropped Nucleus
3.1 Introduction
3.2 Intraoperative Management by the Cataract Surgeon
3.3 IOL Implantation Options for the Cataract Surgeon
3.4 Definitive Surgery 3.5 Management of Associated Complications
References
4: Pseudophakic Retinal Detachment
4.1 Epidemiology
4.2 Risk Factors
4.2.1 Preoperative
4.2.2 Intraoperative
4.2.3 Postoperative
4.3 After Nd:YAG Posterior Capsulotomy
4.4 Clinical Findings
4.5 Management
4.6 Prognostic Factors
4.7 Conclusion
References
5: Pseudophakic Cystoid Macular Oedema
5.1 Introduction
5.2 Definition
5.3 History
5.4 Incidence
5.5 Aetiopathogenesis
5.6 Histopathology
5.7 Classification of Pseudophakic CMO 5.8 Classification Based on the Time of Onset [28]
5.9 Risk Factors for Pseudophakic CMO
5.10 Diagnosis, Symptoms and Signs
5.11 Diagnostic Tests
5.12 Management
5.12.1 Medical Treatment
Conservative Management
NSAIDS
Steroids
Combination of Topical NSAIDS and Steroids
Carbonic Anhydrase Inhibitor (Acetazolamide)
Anti-VEGF Therapy
5.12.2 Surgical
5.12.3 Other Therapies
5.13 Prophylactic Treatment
5.14 Nepafenac 1 mg in 1 mL in Adults, Including the Elderly
References 6: Prophylaxis of Postoperative Endophthalmitis Following Cataract Surgery
6.1 Introduction
6.2 Perioperative Nonantibiotic Prophylactic Measures
6.2.1 Povidone-Iodine (PVP-I)
6.2.2 Incision Construction
6.3 The Role of Antibiotics
6.3.1 Preoperative Topical Antibiotics
6.3.2 Antibiotics in the Irrigating Solution
6.3.3 Intracameral Antibiotics
Vancomycin
Cefuroxime
Moxifloxacin
6.3.4 Post-operative Antibiotics
Appendix 1
References
7: Postoperative Endophthalmitis
7.1 Introduction
7.2 Incidence
7.3 Classification 7.4 Risk Factors
7.5 Pathogenesis
7.6 Etiology
7.7 Clinical Features
7.8 Prophylaxis
7.8.1 Topical Antibiotics
7.8.2 Systemic Antibiotics
7.9 Investigations
7.10 Treatment
7.10.1 Intravitreal Antibiotics
7.10.2 Systemic Antibiotics
7.11 Surgery
7.12 Prognosis
7.13 Conclusion
References
8: Toxic Anterior Segment Syndrome
8.1 Introduction
8.2 Clinical Presentation
8.2.1 Differential Diagnosis
8.3 Treatment and Clinical Course
8.4 Etiology and Recommendations
8.4.1 Recommendations
Enzymatic Detergents