Complications in Ocular Surgery: A Guide to Managing the Most Common Challenges

Amar Agarwal, MS FRCS FRCOphth

  • $149.95
  • ISBN 10 1-61711-054-x
  • ISBN 13 978-1-61711-054-2
  • 368 pp Hard Cover
  • Pub. Date: 2013
  • Order# 60542

In Complications in Ocular Surgery: A Guide to Managing the Most Common Challenges, Dr. Amar Agarwal presents 30 chapters dedicated to surgery in all specialties and the potential complications that can arise.  Each chapter provides extensive knowledge and a firm grasp of potential issues to prepare the surgeon for complications to expect and strategies to avoid them.

Reputed international ophthalmic surgeons with extensive experience will offer their expertise to the reader in the prevention, identification, and management of complicated cases.  Chapters are presented in an easy-to-comprehend format, are written in user-friendly language, and abundantly illustrated with more than 375 high-quality images. 

Complications in Ocular Surgery: A Guide to Managing the Most Common Challenges advances the reader’s understanding to a new level by including an interactive Web site of top quality videos on the most usual complications in cataract, refractive, retina, glaucoma, oculoplastics, and cornea surgeries.

Unique Features:

  • Access to an interactive video Web site
  • Coverage of all specialties and their potential complications
  • Experience and knowledge of worldwide experts in ophthalmic surgery

Practicing ophthalmologists, sub-specialists, as well as ophthalmic residents and medical students will benefit from this compact, yet widely comprehensive guide.  Complications in Ocular Surgery: A Guide to Managing the Most Common Challenges and access to the video Web site will provide a new level of knowledge in surgical complications.

Dedication 
Acknowledgment 
About the Editors 
Contributing Authors 
Preface 
Foreword by Anthony J. Aldave, MD 

 
Section I Preliminary Preparations 
Chapter 1 Proper Sterilization Techniques to Avoid Complications 
Dhivya Ashok Kumar, MBBS, MD (AIIMS) and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 2 Complications of Anesthesia in Ocular Surgery 
Guillermo Simón-Castellví, MD; José María Simón-Castellví, MD; Sarabel Simón-Castellví, MD; Cristina Simón-Castellví, MD; and José María Simón-Tor, MD

Section II Complications in Oculoplastics: Avoidance and Management 
Chapter 3 Complications in Eyelid Surgery 
Kimberly Cockerham, MD, FACS; Anne P. Rowland, MD; and Asa Dan Morton, MD
Chapter 4 Complications in Orbital Surgery 
William R. Vickers, MD and Marc J. Hirschbein, MD, FACS
Chapter 5 Complications in Lacrimal Surgery 
Soosan Jacob, MS, FRCS, DNB, MNAMS; Archana Nair, MS; and Amar Agarwal, MS, FRCS, FRCOphth

Section III Complications in Refractive Surgery: Avoidance and Management
Chapter 6 Topography and Imaging to Avoid Disaster 
Ryan S. Vida, OD and Ming Wang, MD, PhD
Chapter 7 Complications in Refractive Surgery: Avoidance and Management 
Bryan S. Lee, MD, JD and David R. Hardten, MD, FACS
Chapter 8 Excimer Laser Phototherapeutic Keratectomy Complications 
Christopher J. Rapuano, MD
Chapter 9 Turnaround Technique for Overcoming False Channel Dissection During Intrastromal Segment Implantation 
Soosan Jacob, MS, FRCS, DNB, MNAMS and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 10 Complications With the Use of Collagen Cross-Linking 
Anastasios John Kanellopoulos, MD and Michelle Y. Cho, MD

Section IV Complications in Cornea, Conjunctiva, and Glaucoma: Avoidance and Management 
Chapter 11 Complications in Conjunctival Surgery 
Sara Akbari, MD, PharmD and John A. Hovanesian, MD, FACS
Chapter 12 Complications in Corneal Surgery 
Massimo Busin, MD and Vincenzo Scorcia, MD
Chapter 13 Amniotic Membrane Transplantation 
Soosan Jacob, MS, FRCS, DNB, MNAMS and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 14 Complications in Glaucoma Surgery 
Alan S. Crandall, MD Section V Complications in Cataract Surgery: Avoidance and Management 
Chapter 15 Complications in Manual Small-Incision Cataract Surgery 
Matthew C. Bujak, MD, FRCSC; Reeta Gurung, MD; Emilia DeMarchis, BA; Sanduk Ruit, MD, FRACO; and Geoffrey Tabin, MD
Chapter 16 Complications in Phaco Steps 
R. Duncan Johnson, MD and Uday Devgan, MD, FACS, FRCS
Chapter 17 Intraoperative Complications During Cataract Surgery 
Divya Srikumaran, MD and Bonnie An Henderson, MD
Chapter 18 Challenging Cataract Cases 
Soosan Jacob, MS, FRCS, DNB, MNAMS and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 19 Iris Prosthesis for Aniridia 
Athiya Agarwal, MD, DO, FRSH and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 20 Intraocular Lens as a Scaffold to Prevent Nucleus Drop 
Dhivya Ashok Kumar, MBBS, MD (AIIMS); Soosan Jacob, MS, FRCS, DNB, MNAMS; and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 21 Intraocular Lens Implantation in Eyes With Limited Capsular Support
Thomas A. Oetting, MS, MD
Chapter 22 Glued Intrascleral Fixation of a Posterior Chamber Intraocular Lens (Glued Intraocular Lens) in Eyes With Deficient Capsule 
Dhivya Ashok Kumar, MBBS, MD (AIIMS); Soosan Jacob, MS, FRCS, DNB, MNAMS; and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 23 Endophthalmitis and Toxic Anterior Segment Syndrome 
Zachary M. Bodnar, MD and Nick Mamalis, MD
Chapter 24 Opacification of Intraocular Lenses 
Liliana Werner, MD, PhD
Chapter 25 Expulsive Hemorrhage 
Soosan Jacob, MS, FRCS, DNB, MNAMS and Amar Agarwal, MS, FRCS, FRCOphth

Section VI Complications in Vitreoretinal Surgery: Avoidance and Management 
Chapter 26 Complications in Vitreoretinal Surgery 
Manish Nagpal, MS, DO, FRCS and Sharang Wartikar, MS, FRF
Chapter 27 Posterior Segment Complications in Cataract Surgery 
Carlos F. Fernandez, MD and Fernando J. Arevalo, MD, FACS

Section VII Miscellaneous 
Chapter 28 Optic Nerve Sheath Fenestration 
Soosan Jacob, MS, FRCS, DNB, MNAMS and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 29 Strabismus Surgery Complications 
Federico G. Velez, MD
Chapter 30 Cosmetic Procedures and Complications 
Soosan Jacob, MS, FRCS, DNB, MNAMS; Archana Nair, MS; and Amar Agarwal, MS, FRCS, FRCOphth

Financial Disclosures 
Index 

Amar Agarwal, MS, FRCS, FRCOphth is the pioneer of Phakonit, which is Phako with a needle incision technology. This technique became popularized as bimanual phaco, microincision cataract surgery (MICS), or microphaco. Dr. Agarwal was the first to remove cataracts through a 0.7-mm tip with the technique called microphakonit. He has also discovered no-anesthesia cataract surgery and FAVIT, a new technique to remove dropped nuclei. The air pump, which was a simple idea of using an aquarium fish pump to increase the fluid into the eye in bimanual phaco and coaxial phaco, has helped prevent surge. This built the basis of various techniques of forced infusion for small-incision cataract surgery. He has also discovered a new refractive error called aberropia. He has also been the first to do a combined surgery of microphakonit (700-micrometer cataract surgery) with a 25-gauge vitrectomy in the same patient, thus having the smallest incisions possible for cataract and vitrectomy. He is also the first surgeon to implant a new mirror telescopic IOL (LMI) for patients suffering from age-related macular degeneration. He has also been the first in the world to implant a glued IOL. In this, a PC IOL is fixed in an eye without any capsules using fibrin glue. The Malyugin ring for small pupil cataract surgery was also modified by him as the Agarwal modification of the Malyugin ring for miotic pupil cataract surgeries with posterior capsular defects. Dr. Agarwal’s Eye Hospital has also done an anterior segment transplantation in a 4-month-old child with anterior staphyloma for the first time. He also has brought out the technique of IOL scaffold in which a 3-piece IOL is injected into an eye between the iris and the nucleus to prevent the nucleus from falling down in posterior capsular ruptures. Dr. Agarwal’s Eye Hospital has also done for the first time a glued endocapsular ring in cases of subluxated cataract.
Dr. Agarwal has received many awards for his work done in ophthalmology, most significant being the Casebeer Award, the Barraquer Award, and the Kelman Award. His videos have won many awards at the film festivals of ASCRS, AAO, and ESCRS. He has also written more than 50 books that have been published in various languages, including English, Spanish, and Polish. He also trains doctors from all over the world in his center on phaco, bimanual phaco, lasik, and retina. He is the Chairman and Managing Director of Dr. Agarwal’s Group of Eye Hospitals, which has 50 eye hospitals. He is also Professor of Ophthalmology at Ramachandra Medical College in Chennai, India. He can be contacted at bookspublishing@slackinc.com.

Soosan Jacob, MS, FRCS, DNB, MNAMS is a Senior Consultant Ophthalmologist in Dr. Agarwal’s Eye Hospital, Chennai, India. She is a gold medalist in ophthalmology. She has won many international awards for video films and challenging cases at prestigious international conferences such as ASCRS, AAO, WOC, and ESCRS; she has received the Special Gold Medal of the Indian Intraocular Implant and Refractive Society (IIRSI) and is the only winner of the prestigious Golden Apple Award for the Challenging Cases Symposium in Cataract Surgery at the ASCRS twice. She has also won the prestigious John Henahan Award for Young Ophthalmologist given by EuroTimes at the European Society of Cataract and Refractive Surgery in 2011. She is a noted speaker and has been invited to conduct courses and deliver lectures in numerous national and international conferences. She has special interest in cutting-edge surgical techniques for cataract, cornea, glaucoma, and refractive surgery, including intrastromal ring segments, ocular surface reconstruction, subluxated cataracts, new refractive solutions, and so on. Dr. Jacob was the first to bring out the concept of anterior segment transplantation where the cornea, sclera, and an artificial iris, pupil, and IOL are transplanted en bloc in patients with anterior staphyloma. She also devised a new technique—the Jacob–Agarwal technique of suprabrow single-stab incision ptosis surgery—where the sling surgery can be done with primarily a one-stab incision rather than three, thus improving the postoperative cosmetic appearance of the patient as compared to previous techniques. She has devised 2 new techniques, the turnaround technique and the double-pass turnaround technique, for successful completion of femtosecond laser-assisted Intacs implantation in eyes with false channel dissection for both symmetric and asymmetric Intacs segments. This technique won an award at the Australian Society of Cataract and Refractive Surgery in 2010. She has also described a new technique of relaxing descemetotomy for taut Descemet membrane detachment in the cornea and has proposed a new classification system and treatment algorithm for Descemet membrane detachments. She has also designed a new intraocular device, the glued endocapsular ring for fibrin glue-assisted sutureless transscleral fixation of the capsular bag, which makes safe phacoemulsification in subluxated cataracts possible and provides good intraoperative and postoperative safety and stability. She has also won an award for the same at the prestigious American Society of Cataract and Refractive Surgery Film Festival in 2012. She has authored many articles and numerous chapters in 27 textbooks for international and national publishers, and is also the Editor of 10 textbooks on ophthalmology. She is a Senior Faculty Member of the Diplomate of National Board (DNB) postgraduate training program, and phacoemulsification and LASIK training program for overseas doctors. She is an Editorial Board Member of the ISRS/AAO Multimedia Library and the Ocular Surgery News–Asia Pacific Edition. She is also an Executive Committee Member of the Indian Intraocular Implant and Refractive Society. Her life and work has been featured on the cover page of Ocular Surgery News in the article titled “Ophthalmic Innovator Balances Love of Surgery, Research and Teaching.” She can be contacted at bookspublishing@slackinc.com.