By Garg A., Fry L.L., Tabin G.

Cataract is at the moment the most explanation for avoidable blindness within the constructing international and debts for approximately seventy five% of circumstances world wide. Small incision guide innovations for cataract surgical procedure, as defined during this booklet, may be within the armamentarium of each cataract healthcare professional, even if or not it's within the usa or much less prosperous nations. Phacoemulsification has turn into the first approach to appearing extracapsular cataract surgical procedure, but it's not consistently acceptable both from a price point of view or the density of the cataracts involved.Small incision handbook extracapsular recommendations, the 1st selection substitute to phacoemulsification, provide visible effects such as phacoemulsification at lower price. Surgeons utilizing this method despite what the newest expertise to seem is, are appearing cutting-edge surgical procedure for his or her patients.Fifty-seven chapters conceal all points of small incision cataract surgical procedure from lens anatomy to numerous operative concepts, problems, administration and up to date advances. it's the first replacement option to phacoemulsification. additionally integrated are CD-ROMs to accompany the booklet.

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Extra info for Clinical Practice in Small Incision Cataract Surgery

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Int Ophthalmol Clin 2001; 41(3):1–15. Anatomy of human crystalline lens, capsular bag, zonules and its relevance to cataract surgery 17 14. Werner L, Apple DJ, Pandey SK. Postoperative proliferation of anterior and equatorial lens epithelial cells: A comparison between various foldable IOL designs. In: Buratto L, Osher R, Masket S, Eds, Cataract surgery in complicated cases. Thorofare, NJ: Slack. 2000; 399–17. 15. Werner L, Pandey SK, Escobar-Gomez M, Apple DJ, et al. Anterior capsule opacification: A histopathological study comparing different IOL styles.

In general glucose concentration in the aqueous is similar to concentrations in the plasma. From the Biochemistry of the lens 31 Fig. 8: Oxidative damage of lens (by free radicals) aqueous glucose diffuses rapidly into the lens. The lens metabolizes glucose through the four main pathways as already mentioned in this chamber. In diabetes excessive glucose in the lens (more than 200 mg/100 ml) saturates hexokinase. Excessive glycosylation of lens proteins takes place and glucose is converted to sorbitol by auto-oxidation and protein binding (aldose reductase).

Proper vision is achieved by a series of eye tissues working harmoniously in concert. Most eye debilities involve dysfunction in the lens or retina, and hence this chapter will focus on and elucidate etiological factors which may affect the proper function of the lens as target organ. The lens is an elegantly simple tissue. It is made up of only two types of cells. • Epithelial cells, which have not yet completely differentiated and not yet elaborated the major gene products, and • Fiber cells, in which these processes have been initiated or even completed.

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