Do’s and Don’ts in Phaco Surgery: Text and Atlas Navneet Toshniwal
INDEX
ABCDEFHIKLMNOPRSTVWZ
A
Air bubble 56, 147, 166
removal of 57
Anterior chamber 148, 149, 178
B
Bimanual irrigation-aspiration cannulas 145
Blunt instrument, use of 4
C
Cannula 49
aspiration port of 150
distal end of 46
hitting iris 17
tip of 16
Capsular bag 145, 163
Capsule 31
anterior 23, 32
center 33
edge of 30, 40
important 23
injury to 2
open 30
touching of 23
Capsulorhexis 15, 23, 33, 37, 38, 39, 43
Capsulorhexis 5
controlled 43
feel of 15
in one case 41
needle and forcep 24
preparation for 15
procedure 28
through main port 35
through side port 28
Toshniwal microcapsulorhexis forcep 26
Utrata forcep 23
Cartridge 164
Chop near left side port incision 107
Chopper
acute angulation of 119
and dialer 72
correlation of 98
direction of 69, 108, 109, 161
free movement of 119
handling of 98
placement of 132
pressure of 141
round surface of 162
side port incision 71
to phaco tip 111
Cornea 2, 3, 32, 62, 74, 76, 132, 134
burn 56, 58, 61
chances of injury 108
folds on 165
injury to 37, 7, 13, 122
Corneal lamellae with cannula 15
Corneal touch 6
Cortex, remove 148
Crescent 10
D
Descemet's membrane 6, 16, 36, 52, 165, 167, 159
Dialer 173, 178
and chopper 84, 89, 94
division by 68
movement of 69
superficial 76
E
Energy 181
Epinucleus 152, 158
and cortex, remove 162
near incision 148
Eye ball 140, 150
distorted 119
hypotony of 6
F
Fibers, stretching of 151
Fluid, irrigation of 53
Foldable intraocular lens 163
H
Haptic of IOL 169
Hardness of nucleus 52
Hold and chop 183
case series of 114
different situations 118
Hydrodelamination 44, 49
Hydrodelineation procedure 49
Hydrodissection cannula 44
Hydroprocedures 44, 50
Hyphema 14
I
Incision 1
edge of 44
long length of 8
plane of 163
quality of 1
side port 12
Injector system on incision 163
Intraocular lens 8, 168, 172, 173
implantation 163, 179
procedure for 163, 177
manipulation of 178
Iridodialysis 14, 40
Iris 74, 164
and cornea 74
hitting of 145
injury to 14, 18, 40, 109, 164
prolapse 51
stucked 143
Irrigating fluid 57
Irrigation-aspiration cannula 147–149
plane of 159
K
Keratome 1
direction of 8
entry visualization of 1
instruments used 1
size 167
L
Lens, hard part of 145
Limbal incision 10
M
Mass
bulk of 106
vicinity of 117
McPherson forcep 173
Micro lens holding forcep 173
Micro scissors 15
Microcapsulorhexis forcep 33
help of 43
N
Nuclear mass 133
Nucleus 183
big mass of 121, 125
bulk of 142
central trench of 67
chop small piece of 122
deeper plane of 73
division of 68
edge of 102
management 5
steps of 98, 180
mass 107, 123, 133
pulling of 114
rubbing of 134
piece 120
lifting of 102
orientation of 138
proper plane of 119
removal of 131
round mass of 114, 117
size of 137
small pieces of 186
soft part of 64, 133
vicinity of 101
O
Onquer technique in nucleus management 52
P
Periphery, minimum energy for 181
Phaco
fluidics 131, 140, 144
important for 1
procedure 44
surgery 5, 10
crucial step in 68
important steps in 15
step of 1
Phaco tip 8, 9, 52, 53, 100, 130, 139
and chopper 128
anteroposterior 108
division by 83
angulation 98
degree of 167
directed downward 133
direction of 127, 135
entry of 54
in hold and chop 98, 104
part of 56
pressure of 140
superficial 100
use of straight 61
Phacoemulsification surgery, final step of 163
Posterior capsule 153
design of 155
rupture 63, 99, 136, 140, 145, 147, 155
Prechopper 78
blade, placement of 80
dividing nucleus 79
Pupil 18, 142
constriction of 47, 55, 145
triangular shape of 136
R
Refraction, change in 173
S
Segal optiks 15
Shallow anterior chamber 77
Shallow trench, case series of 89
Soft cataract 103
Soft tissue 147, 157
fibers of 150
Sticky soft tissue, removal of 162
Subincisional cortex, removal of 155
Sunayana surgicals 15
Surgical media center 180
T
Toshniwal microcapsulorhexis forcep 26
Trench 52, 180
correlate, graphs of 181
effective shape of 181
superficial 80
V
Vacuum 180, 183
and flow rate, understanding of 98
Vannas scissors 15
Visco cannula 38, 145, 178
force of 171
position of 171
Viscoelastic 5, 19, 30
aspiration of 147
mix with trypan blue 19
solution 166
W
Wound, leakage of 140
Z
Zonular dialysis 75, 140, 145, 162, 172, 174
Zonular pull, chances of 158
Zonules pressure on 60, 72, 75, 80
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