Modern Ophthalmic Viscoelastic Devices (OVD), also called viscoelastics, form a central part of ocular surgery. Starting off as a replacement for vitreous in its early development, viscoelastics became the gate opener for modern cataract surgery in the 1980s and 1990s. Without OVDs the advancement of modern cataract surgery as we know it would not have been possible. Indirectly, advanced intraocular lenses, such as multifocal intraocular lens (IOL) technology, toric IOLs or even accommodative IOLs could not have been developed. OVDs have opened up new fields of surgery, such as visco-glaucoma surgery, and are used in all kinds of eye surgery today. This book combines basic knowledge about the physical and chemical abilities of OVDs. Its clinical use in different situations, starting from cataract surgery through to all kinds of ophthalmo-surgical procedures as well as intravitreal interventions tries to cover almost all clinical situations where OVDs could be applied. It gives the reader "tips and tricks" from the expert for their use and so this book not only helps the young resident starting in ophthalmic surgery, but also holds some interesting "pearls" for the experienced surgeon.



Inhalt
1.Introduction81.1.Historical development of modern intraocular lens surgery81.2.Historical development of viscosurgery231.3.Significance of viscoelastics in modern ophthalmic surgery242.Rheological and physico-chemical characteristics of viscoelastic substances282.1.Terminology282.2.Basic substances for manufacturing viscoelastics312.3.Product Specifications333.Using viscoelastics in ophthalmic surgery423.1.General profile and functions of viscoelastics423.2.Specific use in cataract surgery443.2.1.Filling of the anterior chamber453.2.2.Management of IFIS during cataract surgery473.2.3.Capsulorhexis483.2.4.Intracapsular cataract extraction (ICCE)483.2.5.Extracapsular cataract extraction (ECCE)493.2.6.Phacoemulsification503.2.7.Special phacoemulsification techniques513.2.8.Special combination techniques of viscoelastics523.2.9."Soft Shell" technique533.2.10."Best of Both Worlds" technique533.2.11.Retention and endothelial coating of various viscoelastics: experimental laboratory studies543.2.12.Filling the capsular bag / IOL implantation573.2.13.Folding procedure of intraocular lenses573.2.14.Techniques for the removal of viscoelastics593.3.Managing complications in cataract surgery633.4.Difficult outset situations in cataract surgery643.4.1.Pediatric cataract643.4.2.Pseudoexfoliation syndrome (PEX)653.4.3.Relative anterior microphthalmus (RAM)653.4.4.Intraocular lens explantation / extraction673.5.Viscoelastics in corneal surgery683.5.1.Perforating keratoplasty (PKP)683.5.2.Triple procedure693.5.3.Keratoplasty in aphakia703.5.4.Keratoplasty and sutured intraocular lenses703.6.Viscoelastics in glaucoma surgery703.7.Viscoelastics in trauma surgery723.8.Viscoelastics in vitreoretinal surgery763.9.Complications when using viscoelastics763.10.Viscoadaptive substances773.11.One for All or All in One: New developments in OVDs783.11.1.TwinVisc®: 2 OVDs in one syringe783.11.2.Visthesia: Combination of hyaluronic acid and lidocaine793.11.3.Healon EndoCoat OVD (Abbott Medical Optics)814.References84Index94
Titel
Ophthalmic Viscoelastic Devices (OVD) in Ocular Surgery
EAN
9783837452815
ISBN
978-3-8374-5281-5
Format
E-Book (pdf)
Herausgeber
Veröffentlichung
19.10.2012
Digitaler Kopierschutz
Wasserzeichen
Dateigrösse
66.19 MB
Anzahl Seiten
96
Untertitel
Englisch