Main description:

Abnormal or deficient capsular anatomy creates numerous surgical challenges and predisposes eyes to IOL complications. Literally dozens of different approaches have been devised to implant IOLs in the face of compromised capsular support. However, a comprehensive compendium of the most important surgical strategies has not existed, until now.

Advanced IOL Fixation Techniques: Strategies for Compromised or Missing Capsular Support provides this much-needed resource with more than 70 different chapters that cover the wide array of surgical approaches. Among the contributors are many of the original innovators of the most important technologies and methodologies. In addition to teaching a specific surgical technique, these authors cover its history, rationale, and clinical results.

Editor Dr. David F. Chang is well known and acclaimed for 2 best-selling cataract textbooks-Mastering Refractive IOLs and Phaco Chop and Advanced Phaco Techniques. Along with associate editors Drs. Bryan S. Lee and Amar Agarwal, Dr. Chang has now tackled this new major subject area-how to best fixate IOLs when capsular support is compromised or absent.

Part One covers capsular fixation with either zonulopathy or following posterior capsule rupture. Topics include using conventional and modified capsular tension rings, capsular tension segments or capsular anchors, standard and reverse optic capture with anterior capsulorrhexis, sulcus fixation, posterior capsulorrhexis, and capsular membrane suture fixation.
Part Two covers noncapsular fixation. Topics include anterior chamber IOLs, iris claw IOLs, iris and transscleral suture fixation of posterior chamber IOLs, and intrascleral haptic fixation using the Yamane double-needle or glued IOL methods.
Part Three covers miscellaneous topics such as anterior vitrectomy, IOL power calculation for noncapsular IOLs, and sliding slip knots and suture pupilloplasty.

To facilitate skills transfer, most chapters present detailed, step-by-step descriptions of the different techniques. The maneuvers are illustrated by over 1,100 diagrams and high-resolution surgical images. Finally, nearly every chapter is accompanied by narrated instructional videos. Combining over 150 videos, schematic diagrams, surgical images, and detailed written descriptions, Advanced IOL Fixation Techniques provides the most effective way to learn advanced surgical techniques.

With its comprehensive and practical approach to covering the gamut of strategies and devices, Advanced IOL Fixation Techniques: Strategies for Compromised or Missing Capsular Support will be an indispensable resource for cataract surgeons at all levels of experience.

Contents:

Dedication
Acknowledgments
About the Editor
About the Associate Editors
Contributing Authors
Preface
Foreword by Howard V. Gimbel, MD, MPH
Part One Capsular Fixation
Section I Zonulopathy With Intact Capsular Bag
Chapter 1 Phaco Strategies With Zonulopathy
David F. Chang, MD
Chapter 2 Capsular Tension Ring Implantation and Rationale
Lisa Brothers Arbisser, MD
Chapter 3 Suture-Guided Capsular Tension Ring Insertion
Timothy P. Page, MD
Chapter 4 Capsular Tension Ring Insertion-Pearls and Pitfalls
Brian Little, BSc, MA, FRCS, FRCOphth, FHEA
Chapter 5 Henderson Capsular Tension Ring
Brett P. Bielory, MD and Bonnie An Henderson, MD
Chapter 6 Cionni Modified Capsular Tension Ring
Robert J. Cionni, MD
Chapter 7 Malyugin Modified Capsular Tension Ring
Boris Malyugin, MD, PhD
Chapter 8 Capsular Tension Segments
Patrick Gooi, MD, FRCSC and Ike K. Ahmed, MD, FRCSC
Chapter 9 Capsular Tension Segment Technique for IOL Fixation and Centration
Seng-Ei Ti, FRCS(Ed), MMed(S'pore) and Soon-Phaik Chee, FRCOphth, FRCS(G), FRCS(Ed), MMed(S'pore)
Chapter 10 Capsular Anchor for Surgical Management of Subluxated Lenses
Ehud I. Assia, MD and Michael E. Snyder, MD
Chapter 11 Bean-Shaped Ring Segments and Bag-in-the-Lens IOL Implantation
Marie-Jose Tassignon, MD, PhD, FEBO, FEBOS-CR and Sorcha Ni Dhubhghaill, MD, PhD, FEBO, FEBOS-CR
Chapter 12 Jacob Paperclip Capsule Stabilizer (Glued Capsular Hook)
Soosan Jacob, MS, FRCS, DNB
Chapter 13 Stepwise IOL Fixation Strategies for Varying Severity of Zonulopathy
David F. Chang, MD
Chapter 14 Fixation for Delayed Bag-IOL Subluxation-When and How
Tyler Q. Kirk, MD; Michael J. Siegel, MD; and Garry P. Condon, MD
Chapter 15 Scleral Fixation for Delayed Bag-IOL Dislocation
Alan S. Crandall, MD

Section II Posterior Capsule Rupture
Chapter 16 IOL Placement Following Anterior or Posterior Capsule Tears
David F. Chang, MD
Chapter 17 IOL Selection for Sulcus Fixation
Liliana Werner, MD, PhD and Nick Mamalis, MD
Chapter 18 Sulcus IOL Fixation-My Technique
Kevin M. Miller, MD
Chapter 19 Sulcoflex IOLs
Allon Barsam, MA, FRCOphth and Soyang Ella Kim, MBBS, MA (Oxon), PG Cert
Chapter 20 Posterior Capsulorrhexis to Prevent or Manage IOL Complications
Howard V. Gimbel, MD, MPH and Hala Marzouk, MD
Chapter 21 Advanced Posterior Capsulotomy Techniques
Lisa Brothers Arbisser, MD
Chapter 22 Reverse Optic Capture in Eyes With Posterior Capsule Rupture
Jason Jones, MD
Chapter 23 Haptic Tuck for Reverse Optic Capture
Howard V. Gimbel, MD, MPH and Hala Marzouk, MD
Chapter 24 Reverse Optic Capture
Thomas A. Oetting, MS, MD
Chapter 25 Capsular Membrane Suture Fixation of IOLs
Howard V. Gimbel, MD, MPH and Hala Marzouk, MD
Part Two Noncapsular Fixation
Section I Iris Suture Fixation
Chapter 26 Peripheral Iris IOL Fixation-Rationale and Results
Garry P. Condon, MD
Chapter 27 Iris Suture IOL Fixation
Nicole Fram, MD; Samuel Masket, MD; and Steven Naids, MD
Chapter 28 Double-Needle Iris Suture Fixation for Dislocated IOLs
John C. Hart Jr, MD
Chapter 29 Complications of Iris-Sutured IOLs
Brandon D. Ayres, MD
Section II Transscleral Suture Fixation
Chapter 30 Corneoscleral Pocket Technique
Richard S. Hoffman, MD; I. Howard Fine, MD; Annette Chang Sims, MD; and Janet M. Lim, MD, MBA
Chapter 31 Transscleral Gore-Tex Fixation of Akreos AO60 IOL
Brandon D. Ayres, MD
Chapter 32 Transscleral Gore-Tex Fixation of enVista IOL
Matthew S. Ward, MD
Chapter 33 Gore-Tex Scleral Fixation-Vitreoretinal Perspective
Ehsan Rahimy, MD
Chapter 34 Modified Cow-Hitch Suture Fixation
Alison Fraenkel, BBiomedSc, MBBS, MScMed(OphthSc) and Lawrence Lee, MBBS, FRANZCO, FRACS
Chapter 35 No-Tilt, Four-Point Transscleral Fixation of PMMA Posterior Chamber IOLs
Michael E. Snyder, MD and Gregory S. H. Ogawa, MD
Chapter 36 Techniques for Sulcus Fixation of Single-Piece Acrylate IOLs
Kenneth J. Rosenthal, MD, FACS and Nandini Venkateswaran, MD
Chapter 37 Complications of Transscleral-Sutured Posterior Chamber IOLs
Andrew McAllister, FRANZCO and Peter Beckingsale, MBBS, FRANZCO
Section III Intrascleral Haptic Fixation
Chapter 38 Sutureless Intrascleral Haptic Fixation
Gabor B. Scharioth, MD, PhD
Chapter 39 T-Fixation Intrascleral Haptic Fixation Technique
Toshihiko Ohta, MD, PhD
Chapter 40 Glued IOL-Rationale and Results
Dhivya Ashok Kumar, MD(AIIMS), FICO, FAICO, FRCS and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 41 Glued IOL-Our Technique
Soosan Jacob, MS, FRCS, DNB and Amar Agarwal, MS, FRCS, FRCOphth
Chapter 42 Glued Intrascleral Haptic Fixation IOL-My Technique
George H. H. Beiko, BM, BCh (Oxon), FRCSC
Chapter 43 Supracapsular Glued IOL Technique for Progressive Zonulopathy
Soosan Jacob, MS, FRCS, DNB
Chapter 44 Complications of Glued IOL
Ashvin Agarwal, MD and Priya Narang, MS
Chapter 45 Yamane Double-Needle Technique-Rationale and Results
Shin Yamane, MD, PhD
Chapter 46 Yamane Double-Needle Intrascleral Haptic Fixation-My Technique
Melina I. Morkin, MD and Naveen K. Rao, MD
Chapter 47 Yamane Double-Needle Intrascleral Haptic Fixation-My Technique
Steven G. Safran, MD
Chapter 48 Yamane Double-Needle Technique-Kim Modification
D. Brian Kim, MD
Chapter 49 Learning the Yamane Technique-Pearls and Pitfalls
Kourtney Houser, MD; Joshua Duncan, DO; Mitchell P. Weikert, MD; and Zaina Al-Mohtaseb, MD
Chapter 50 Complications of Double-Needle Flanged Intrascleral Haptic Fixation
Jason Jones, MD
Chapter 51 New Techniques for Gore-Tex Suture Fixation of IOLs
Yuri McKee, MD, MS
Chapter 52 Case Selection for Intrascleral Haptic Fixation
Priya Narang, MS and Ashvin Agarwal, MD
Section IV Anterior Chamber IOL
Chapter 53 Anterior Chamber IOL-Rationale and Results
Neel Dave Pasricha, MD and Ayman Naseri, MD
Chapter 54 Anterior Chamber IOL-My Technique
Bryan S. Lee, MD, JD
Chapter 55 Anterior Chamber IOL Complications and Management
Marjan Farid, MD and Allison R. Jarstad, DO
Section V Iris Claw IOL Fixation
Chapter 56 Iris Claw IOL Fixation-Rationale and Results
Jose L. Guell, MD, PhD; Paula Verdaguer, MD, PhD; Daniel Elies, MD; Felicidad Manero, MD;
Oscar Gris, MD, PhD; and Merce Morral, MD, PhD
Chapter 57 The Artisan Iris Claw Lens for Anterior Iris Fixation
Kenneth J. Rosenthal, MD, FACS and Nandini Venkateswaran, MD
Chapter 58 Iris Claw IOL Following Subluxated IOL Exchange
Thomas Kohnen, MD, PhD, FEBO
Chapter 59 Iris Claw IOL Fixation-Our Technique
Ravijit Singh, MS; Kiranjit Singh, MS; Harmit Kaur, MS; Indu Singh, MS; and Daljit Singh, MS, DSc
Part Three Miscellaneous
Chapter 60 IOL Power Calculation With Sulcus or Noncapsular Fixation
Warren E. Hill, MD, FACS
Chapter 61 Corneal Considerations for Noncapsular IOL Fixation
Sadeer B. Hannush, MD
Chapter 62 Strategies for Managing Posterior Capsule Rupture
David F. Chang, MD
Chapter 63 Pars Plana Anterior Vitrectomy for the Anterior Segment Surgeon
Lisa Brothers Arbisser, MD
Chapter 64 Anterior Vitrectomy Pearls
D. Brian Kim, MD
Chapter 65 Anterior Vitrectomy Concepts
Steve Charles, MD
Chapter 66 Trocar Anterior Chamber Maintainer
Dhivya Ashok Kumar, MD(AIIMS), FICO, FAICO, FRCS; Athiya Agarwal, MD, DO; and
Amar Agarwal, MS, FRCS, FRCOphth
Chapter 67 Siepser Sliding Slip Knot
Steven B. Siepser, MD, FACS
Chapter 68 Single-Pass Four-Throw Pupilloplasty
Priya Narang, MS; Ashar Agarwal, MS, FRCS; Ashvin Agarwal, MD; and
Amar Agarwal, MS, FRCS, FRCOphth
Chapter 69 Ultrasound Biomicroscopy Evaluation of Optimal Ciliary Sulcus IOL Suture Fixation Site
Takeshi Sugiura, MD
Chapter 70 New Guide Needles for Yamane Intrascleral Haptic Fixation Technique
Brandon D. Ayres, MD
Chapter 71 Yamane Double-Needle Stabilizer
Shin Yamane, MD, PhD

Financial Disclosures
Index