By William J. Fishkind
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 difficulties. comprises approximately three hundred designated colour illustrations. �Read more...
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Extra info for Complications in phacoemulsification : avoidance, recognition, and management
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 At the first sign of conjunctival hydration, the phaco tip should be withdrawn, the pyritomy should be enlarged, and a conjunctival incision should be created with Westcott scissors 1 to 2 mm posteriorally to allow fluid egress.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.
Complications in phacoemulsification : avoidance, recognition, and management by William J. Fishkind