Subject Index
Bubble formation, femtolaser surgery 77 Capsule rupture, phacoemulsification surgery management anterior capsule rupture 22 posterior capsule rupture 22–25, 77, 78 Chop setting hard cataract phacoemulsification surgery horizontal chop 13, 14 manual chop 14, 16 vertical chop 14 OZil sound 7 CIBA PRL 92 Collamer, intraocular lenses 43, 44 Corneal collagen crosslinking, see Keratoconus Crystalens HD intraocular lens 33, 34 Endothelial cell, loss with phakic intraocular lenses 86, 90, 94 Epinephrine, intraoperative floppy iris syndrome management 18 Femtolaser surgery, see also LASIK advantages and limitations 63 capsulotomy 64, 69 complications capsular blockage syndrome 59 gas bubble formation 77 incision difficulty 75, 76 incomplete capsulotomy 76 incomplete nuclear fragmentation 77
posterior capsule rupture and nucleus dislocation 77, 78 pupillary constriction 58, 76 redness and hemorrhage 58 contraindications 60, 74, 75 corneal incision 59, 60, 63, 64 ergonomics 60 FLEx 117, 119, 121–124, 127 indications 60 laser phase docking 67–69 imaging 69 pre-docking programming 67 LenSx system optical coherence tomography 66, 69 technical aspects 57, 58 nuclear fragmentation 64–66, 77 overview 56, 57, 62, 63 series of procedures 60, 61 surgery phase anterior capsule removal 70, 71 hydrodissection 71, 72, 77 I/A tip 73 incision opening 69, 70 phacoemulsification 72, 73 Floppy iris syndrome, see Intraoperative floppy iris syndrome Fluid dynamics, phacoemulsification surgery air aspiration effects 4 aspiration flow 3 chop setting 7 inflow 1 intraoperative floppy iris syndrome management 18, 19 outflow 2, 3 pump systems 2
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Acri.LISA intraocular lens 27, 28 Acrysof Cachet lens 84 Artiflex foldable lens 89, 107 Aspheric intraocular lens, see Intraocular lens
Glaucoma, phakic intraocular lens complication 87, 90, 93, 94 Hard cataract, phacoemulsification surgery chop techniques horizontal chop 13, 14 manual chop 14, 16 vertical chop 14 dispersive viscoelastic protection 11 torsional ultrasound tip choice flared tip design and prolonged occlusion 12 MiniTip 12 overview 11, 12 Hydrodissection, phacoemulsification surgery 8 Hypermature white intumescent cataract, phacoemulsification surgery 17, 18 I/A tip, femtolaser surgery 73 I-Care lens 84 IFIS, see Intraoperative floppy iris syndrome Intraocular lens (IOL), see also Phakic intraocular lens anterior chamber lenses 52, 53 aspheric lens design 47, 48 effect on spherical aberration 48 limitations 49, 50 haptics single-piece lens 52 three-piece lens 51, 52 historical perspective 38, 39 light scattering assessment 50, 51 materials Collamer 43, 44 hydrophilic foldable acrylic 42, 43 hydrophobic foldable acrylic 41, 42 physical properties 44 polymethylmethacrylate 39, 40 silicone 40, 41 multifocal intraocular lens contrast sensitivity improvement 27–30 design 50 Fresnel principle 26, 27 image confusion 27–30 implantation 31, 32
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intermediate vision 31 optical quality 32 toric multifocal intraocular lenses 30 visual outcomes and patient satisfaction 32, 33 optics 44, 45 overview of characteristics 39 posterior chamber lenses 53 power calculation 45, 46 pseudoaccomodative intraocular lens dual-optic lenses 34, 35 prospects 35, 36 single-optic lenses 33, 34 spherical lens design 47, 48 telescope implantation 53 toric lens design 50 Intraoperative floppy iris syndrome (IFIS), management 18, 19 IOL, see Intraocular lens KC, see Keratoconus Keratoconus (KC) corneal collagen crosslinking treatment corneal refractive surgery combination 101, 102 overview 101 phakic intraocular lens combination outcomes 102–104, 110–113 patient selection 104, 105 surgical technique 105–110 epidemiology 100 Laser surgery, see Femtolaser surgery; LASIK; Small incision lenticule extraction LASIK indications 80, 96 keratoconus contraindication 100 principles 116, 117 reLASIK 124 Lens, see Intraocular lens; Phakic intraocular lens LenSx system, see Femtolaser surgery Malyugin ring, intraoperative floppy iris syndrome management 18 Mature cataract, phacoemulsification surgery 16 Multifocal intraocular lens, see Intraocular lens Narrow pupil, phacoemulsification surgery 15, 16 Nu-Lens accommodative intraocular lens 35
Subject Index
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surge flow 3, 4 vacuum 3 FluidVision intraocular lens 35
Peristaltic pump, phacoemulsification surgery 2 Phakic intraocular lens (pIOL) angle-supported lens complications cataractogenesis 86 endothelial cell loss 86 glaucoma 87 pupil ovalization 85 retinal detachment 87 rotation of lens 85, 86 design 83, 84 implantation 85 visual outcomes 87 corneal collagen crosslinking combination for keratoconus outcomes 102–104, 110–113 patient selection 104, 105 surgical technique 105–110 historical perspective 81 iris-fixated lens complications anterior chamber inflammation 89 endothelial cell loss 90 glaucoma 90 iris atrophy/dislocation 90 pigment dispersion/lens deposits 89 design 87, 88 implantation 88, 89 visual outcomes 90, 91 overview 80 patient selection 81, 82, 96 posterior chamber lens complications cataractogenesis 94, 95 endothelial cell loss 94 glaucoma 93, 94 design 91, 92 implantation 92, 93 visual outcomes 95 preoperative assessment 82, 83 PhysIOL 28, 30 pIOL, see Phakic intraocular lens
Subject Index
Posterior pole cataract, phacoemulsification surgery 10 Power calculation for intraocular lens 45, 46 ultrasound in phacoemulsification surgery 4, 5 Pseudoaccommodative intraocular lens, see Intraocular lens Refractive lenticule extraction (ReLEx) 117, 119, 120 ReLEx, see Refractive lenticule extraction ReSTOR intraocular lens 28, 30 Retinal detachment, phakic intraocular lens complication 87 ReZoom IOL 27, 29 See Lens MF intraocular lens 28 Small incision lenticule extraction (SMILE) overview 117, 119 surgical technique 119–127 VisuMax system 117–121 SMILE, see Small incision lenticule extraction Soft lens, management in phacoemulsification surgery 9, 10 Spherical intraocular lens, see Intraocular lens STAAR Surgical ICL 91, 92 Synchrony pseudoaccommodative intraocular lens 34 Tecnis MF intraocular lens 27, 29, 48 Tetraflex pseudoaccommodative intraocular lens 34 Ultrasound, phacoemulsification surgery chop setting 7 heat production 5 modulation 5 power 4, 5 torsional ultrasound 5–8, 11, 12 transversal ultrasound 6 viscoelastic clearing 8 Venturi pump, phacoemulsification surgery 2 VisuMax system 117–121 Weak zonules, detection and management 19–21 ZB5M lens 83, 84 Zonules, see Weak zonules Zonulolysis, phacoemulsification surgery 21, 22
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OCT, see Optical coherence tomography Optical coherence tomography (OCT) anterior chamber diameter measurement 83 LenSx system 66, 69 OZil sound, achieving in phacoemulsification surgery 6–8
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