This book presents the principles and pearls for successful surgical management of challenging situations encountered during cataract surgery. A wide range of settings are considered, including cataract surgery in patients with uveitis, traumatic cataract, dislocation of an intraocular lens, intumescent cataract, brunescent cataract, combined cataract and corneal disease, combined cataract and glaucoma, pediatric cataract, and refractive cataract surgery. In addition, preoperative factors conducive to a favorable surgical result are identified and appropriate management of postoperative complications, described. As longevity increases, cataract is becoming an even greater public health issue worldwide. The use of cataract surgery, already one of the most frequently performed surgeries, is consequently increasing still further – a trend reinforced by developments in instrumentation and technology and improvements in access to surgery. However, comorbidities and challenges during surgery are very common. Challenges in Cataract Surgery will be a valuable reference for all residents, fellows, and practicing ophthalmologists who wish to improve their surgical techniques and outcomes.

This volume presents the latest trends in the management of pediatric cataract. It covers everything from the role of genetic and systemic work-up to the state of the art in surgery. Discussions include ocular modifications after surgery, the incidence and risk factors of post-surgery complications, and the management of complex cases. There is a chapter dedicated to post-aphakic glaucoma, a new insight to visual rehabilitation, and a summary of a recently published Delphi project. Pediatric ophthalmologists looking for the latest research in the management of cataract will find this publication to be invaluable reading. It will also be useful to general ophthalmologists, residents, and fellows, as well as to medical students and pediatricians who seek an update for daily clinical practice.

The ability to see deeply affects how human beings perceive and interpret the world around them. For most people, eyesight is part of everyday communication, social activities, educational and professional pursuits, the care of others, and the maintenance of personal health, independence, and mobility. Functioning eyes and vision system can reduce an adult's risk of chronic health conditions, death, falls and injuries, social isolation, depression, and other psychological problems. In children, properly maintained eye and vision health contributes to a child's social development, academic achievement, and better health across the lifespan. The public generally recognizes its reliance on sight and fears its loss, but emphasis on eye and vision health, in general, has not been integrated into daily life to the same extent as other health promotion activities, such as teeth brushing; hand washing; physical and mental exercise; and various injury prevention behaviors. A larger population health approach is needed to engage a wide range of stakeholders in coordinated efforts that can sustain the scope of behavior change. The shaping of socioeconomic environments can eventually lead to new social norms that promote eye and vision health. Making Eye Health a Population Health Imperative: Vision for Tomorrow proposes a new population-centered framework to guide action and coordination among various, and sometimes competing, stakeholders in pursuit of improved eye and vision health and health equity in the United States. Building on the momentum of previous public health efforts, this report also introduces a model for action that highlights different levels of prevention activities across a range of stakeholders and provides specific examples of how population health strategies can be translated into cohesive areas for action at federal, state, and local levels.

Immediately Sequential Bilateral Cataract Surgery (ISBCS): Global History and Methodology is a comprehensive guide for the safe and efficient performance of ISBCS. It provides an overview of the history, recommended protocols, necessary precautions, exclusion criteria, benefits and risks associated with this procedure, organizational standards, and more. Written by the most prominent ISBCS surgeons in the world, chapters recount the arguments for and against bilateral surgery that have been made throughout the ages, up to the present, and deliver achieved and proposed resolutions to all problems discussed. Topics such as ethics and medico-legal issues surrounding ISBCS are also discussed, and a chapter on the global evolution of bilateral cataract surgery provides readers with a complete overview of the development of ISBCS practices in countries from all continents. - Provides a comprehensive history and current status of ISBCS globally - Provides step-by-step recommendations and precautions necessary to perform ISBCS safely, including detailed discussion of surgical infection prophylaxis with antibiotics delivered into the eye at surgery - Reviews and explains the patient benefits associated with ISBCS - Covers development of ISBCS practices worldwide

Although uncommon, the occurrence of cataracts in very young patients can result in significant impairment—and can lead to blindness. This practical guide delivers need-to-know information to help clinicians treat pediatric patients with cataracts with a range of therapies and essential guidance on the management of complications. Explore the only reference devoted exclusively to pediatric cataract management! • 13 new chapters highlight the latest advances in bilateral cataract surgery, intraocular heparin treatment, treatment of traumatic cataracts, pre- and postoperative management, and techniques appropriate for patients in developing nations. • 4 hours of online procedural video accompany the text—giving readers a clinician’s view of essential procedures. A great way to refine technique, improve outcomes, avoid pitfalls, and manage potential complications. • Quick-reference format helps readers locate vital information at a glance.

This book will focus for the first time on how to avoid complications of uveitis, or how to deal with them either surgically or medically. Its uniqueness lies in the fact that all other books available on the subject of uveitis concentrate on pathogenesis, natural course, diagnosis and treatment of the uveitic entity itself, barely touching complications arising from inflammation. This book will be divided in chapters, each of them concentrating on a particular portion of the eye, from front to back, and how it can get affected by complications from inflammation. Inflammatory diseases causing these complications will be just superficially touched, the main focus will be the pathogenesis of the actual complication, prevention and treatment. Every chapter will be introduced by a section by a uveitis specialist on how inflammation can cause that particular complication, and how we can avoid it. Then a specialist in the sector (cornea surgeon, glaucoma surgeon, etc) will describe management of the complication. This multi-disciplinary approach to complications of uveitis will provide to the readers the tools to prevent them, or to correctly manage the. It will be a book mainly directed to uveitis specialist but that could also interest other specialists.

Renowned master surgeons share best practices for effectively performing cataract surgery and avoiding complications Phacoemulsification, the gold standard for cataract extraction, is highly successful. However, the procedure is not without risks and complications. Poor visual outcome, retinal detachment, infection, diplopia, and cornea and iris problems may pose considerable challenges. Additional potential problems arise from implanting the intraocular lens (IOL). Edited by a renowned master surgeon and educator in the field, and authored by a remarkable cast of cataract experts, this is the definitive text on managing cataract surgery, with practical guidance on recognizing and managing complications, should they arise. Experts demonstrate the right way to perform phacoemulsification and diverse surgical and intraocular lens implantation procedures in order to reduce risk and improve patient outcome. This second edition is greatly expanded in size and scope to accommodate the latest state-of-the-art methodologies and refinements in surgical strategies. Since the first edition was published, new techniques for refractive cataract surgery, vitrectomy, IOL exchange, and management of IOL implantation without capsular bag support have been improved. Additionally, new technologies have been introduced such as optical coherence tomography, FLACS (femtosecond laser surgery), and implantation of toric and multifocal refractive IOLs, as well as methods to improve IOL power calculation and decision making. Highlights A stellar group of national and internationally renowned eye surgeons provide invaluable clinical pearls gleaned from years of refining procedures Surgical videos further elucidate the most optimal surgical strategies More than 600 superb illustrations Management of challenges including small pupils, IFIS, zonular weakness, inadequate capsular support, vitrectomy, corneal burns, high astigmatism, dysphotopsias, and endophthalmitis This invaluable reference will help ophthalmologists refine their expertise, resulting in fewer risks and more efficacious outcomes. It is a must-have resource for ophthalmology residents and proficient surgeons alike.