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Book review

The preoperative work-up further details techniques for ultrasound, measuring pupil diameter for Holladay calculations, and the rule of corneal topography with intraocular lens calculations. The section outlining topical anesthesia and intraocular lidocaine presents a nice review of the studies available for the safety and efficacy of lidocaine intraoperatively. In a chapter entitled “Pharmacodynamics of Cataract Surgery,” Dr Gills himself discusses his preoperative, intraoperative, and recovery room medications. Another chapter on advanced corneal incisions describes different techniques for developing corneal, near-clear cornea, and scleral-tunnel incisions. The illustrations, diagrams, tables, and kodachromes are excellent throughout the book. The chapter related to capsulorrhexis techniques and a subsequent chapter relating to complications associated with capsulorrhexis are both superbly written. Management of capsule contraction syndromes and techniques of posterior capsulotomies, including plate lens designs, are presented quite nicely. The diagrams outlining different current phacoemulsification techniques are nicely presented. Information relating to multifocal intraocular lenses, new intraocular lens designs, toric intraocular lenses, and piggybacking intraocular lenses (multi-intraocular lens implantation) are all very thoroughly covered. In summary, this book is a compilation of current phacoemulsification techniques and management of complications. It is not geared as much to people learning phacoemulsification and thus may not be particularly useful to residents in training or ophthalmologists who are just beginning to perform the procedure, but it should be of special interest to those physicians who commonly perform phacoemulsifications and who are interested in updatng their techniques. ● Phacoemulsification. Principles and Techniques. Edited by Lucio Buratto. Thorofare, New Jersey, SLACK, Inc, 1995. 544 pages index, illustrated. $195 REVIEWED BY KERRY SOLOMON, MD Charleston, South Carolina HACOEMULSIFICATION IS A WELL-FOCUSED BOOK that broadly covers all aspects of phacoemulsification. The book is divided into two sections. Section 1 AMERICAN JOURNAL OF details the principles on which phacoemulsification is based and reviews state-of-the-art phacoemulsification techniques. There are 12 chapters, all of which are authored by the editor, Dr Buratto. Dr Buratto very thoroughly covers every aspect of phacoemulsification, from a detailed discussion of the different instruments available for phacoemulsification to the different techniques used by various physicians. Special attention is given to incisions (scleral tunnel, clear cornea and near-clear cornea), and intraocular lenses (including foldable lenses). The techniques are truly current, the illustrations are superb, and the photographs are very well detailed. Dr Buratto’s second-to-last chapter of this section, “Complications,” has wonderful illustrations and tables summarizing the various common complications associated with modern phacoemulsification. He has broken the complications down into each of the different steps associated with modern techniques (complications of hydrodissection, complications of capsulorrhexis, and so on). Additionally, he discusses interrogative ways to manage complications of the posterior capsule. Once again, his illustrations are superb. The last chapter in this section deals specifically with the use of viscoelastics substances. This chapter contains a thorough discussion of the different viscoelastic substances and their use with modern phacoemulsification. Section 2 deals with different phacoemulsification techniques used by specific surgeons around the world. The authors of the chapters in this section are well known and respected cataract surgeons, including Drs Brent, Sheppard and Gimbell, Fine, Gravevow, Cook, Noyhen, and Kelman. The techniques described in these chapters are all current and well detailed, although the illustrations vary somewhat in quality. In conclusion, this book is truly thorough, encompassing the entire state of phacoemulsification technologies and techniques through 1998. The illustrations in general are superb, and the chapters are generally well written and well outlined. Dividing the discussion of techniques and complications by specific sets makes this very easy for the reader to follow. I would recommend Phacoemulsification for residents learning phacoemulsification and ophthalmologists who are interested in learning more or reading about or updating their own phacoemulsification techniques. OPHTHALMOLOGY AUGUST 1998 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Ophthalmology Elsevier
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