Read e-book online Complications in phacoemulsification : avoidance, PDF

By William J. Fishkind

ISBN-10: 0865779597

ISBN-13: 9780865779594

ISBN-10: 1604060670

ISBN-13: 9781604060676

ISBN-10: 3131246812

ISBN-13: 9783131246813

Fishkind (Fishkind & Bakewell Eye Care and surgical procedure middle) provides 31 contributions that research almost all issues of phacoemulsification surgical procedure. The experts and educators start by means of discussing right systems, after which assessment capability issues and the way to expect them, the place they happen, find out how to deal with them, and what options and coverings can be found for either uncomplicated and complex Read more...


it is a valuable textual content for ophthalmologists acting cataract surgical procedure even if in energetic perform, collage education, or residency education. It discusses predisposition, avoidance and administration of Read more...

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Extra info for Complications in phacoemulsification : avoidance, recognition, and management

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Although the block is more uncomfortable than painful, it produces anxiety in awake patients. This anxiety and discomfort increase the patient’s heart rate and blood pressure, resulting in a potentially higher incidence of cardiac complications. Alternatively, the block can be safely performed under a brief general anesthetic to eliminate patient awareness and decrease the incidence of cardiac problems. A short anesthetic, lasting only 2 or 3 minutes, is ideal for administration of the block. The anesthetic should maintain cardiovascular stability and spontaneous respiration.

The remedy for this problem is simple but demands early detection. At the first sign of conjunctival hydration, the phaco tip should be withdrawn, the pyritomy should be enlarged, and a conjunctival incision should be created with Westcott scissors 1 to 2 mm posteriorally to allow fluid egress. This must 34 • COMPLICATIONS IN PHACOEMULSIFICATION be done before irreversible conjunctival hydration occurs. DESCEMET’S DETACHMENT This is a potentially serious complication, which is often related to wound construction.

57. Rosenthal KJ. Presumed hyaluronidase (Wydase) toxicity following cataract surgery with Rosenthal deep topical anesthesia. Video J Cataract Refract Surg 1999;15. 1 Even under topical anesthesia, the proper preoperative evaluation of the patient, sedation before and during the procedure, and intraoperative monitoring all contribute to the prevention of systemic complications from ocular anesthesia. A full discussion of anesthesia is beyond the scope of this chapter, but a brief overview of systemic complications will be presented.

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Complications in phacoemulsification : avoidance, recognition, and management by William J. Fishkind

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