9 Stop-and-Chop Phacoemulsification Paul S. Koch Technique Overview The stop-and-chop phacoemulsification technique entails several simple steps and is a very efficient method for emulsifying the nucleus of any density. Thorough hydrodissection…
10 Vacuum Hemi-Flip Phacoemulsification R. Bruce Wallace III Background Over 30 years ago, surgeons like myself were excited about the evolution of the anterior capsulotomy from the can-opener capsulotomy to the…
25 Strategies for Weak Zonules David F. Chang Weak zonules complicate every step of the cataract procedure and challenge surgeons to anticipate, recognize, and manage intraoperative zonulopathy.1–9 If the capsular…
15 Dense Brunescent Cataract Stephen S. Lane Phacoemulsification of the extremely dense cataract poses challenges for even the most experienced cataract surgeon. The absence of a protective epinuclear layer, the paucity…
4 Small Pupil Recognition and Management Fani Segev, Yokrat Ton, and Ehud I. Assia The prevalence of visual impairment secondary to cataract increases with age and is expected to grow dramatically…
Fig. 12.1 Fulminant gram-negative neonatal endogenous endophthalmitis. Note periorbital edema (top left), conjunctival chemosis, corneal edema, and exudates in anterior chamber (top right). Ultrasonography shows vitreous echoes, choroidal thickening, and…
Fig. 7.1 Presumed non-infective endophthalmitis presented with corneal oedema, hypopyon and fibrin with normal ultrasonography and no adnexal inflammation. It needs close observation over the next 6–8 h with topical corticosteroids…
Fig. 26.1 Staphylococcus aureus. Left—culture smear showing gram-positive cocci in pairs, short chains, and clusters (S. aureus, Gram stain, ×1000); right—blood agar showing heavy growth of opaque, golden yellow colonies…
