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Sutureless Cataract Surgery. An Evolution Toward Minimally Invasive Technique
Vol. 113, No. 5
niques, which elaborates principles of equip ment operation. However, the surgeon with even a modicum of experience will find this book a good compilation of sound options. The section on basic phacoemulsification em phasizes different approaches to posterior chamber phacoemulsification techniques. Con tinuous circular capsulorrhexis is taught, and principles of horizontal wound closure are clar ified. Small-incision, narrow-profile lenses and foldable lenses are covered, as are the newer lens materials such as acrylic, hydrogel, and silicone. Special topics include transciliary sulcus fixa tion of posterior chamber intraocular lenses, hydrosonics, multifocal lens implantation, and endocapsular phacoemulsification through very small anterior capsular openings. The edi tor has bravely included a chapter on anterior chamber intraocular lens implantation in se verely myopic phakic eyes, with the notation that this is clearly experimental. All other chap ters contain material of more proven efficacy and safety. Both novice and experienced cataract sur geons will benefit from the information in this volume.
Sutureless Cataract Surgery. An Evolution To ward Minimally Invasive Technique. Edited by James P. Gills, Robert G. Martin, and Donald R. Sanders. Thorofare, New Jersey, Slack, Inc., 1992. 201 pages, index, illustrated. $100 Reviewed by ROBERT C. DREWS
St. Louis, Missouri Sutureless cataract surgery is certainly a topic of great current interest, and this volume con tains current information in a rapidly evolving area. The book is divided into two parts. Sec tion I (117 pages) covers sutureless intraocular lens surgery. Section II (81 pages) concerns the management of pre-existing astigmatism. It contains two chapters on corneal relaxing inci sions at the time of cataract surgery, as well as a chapter on the proposed development of a toric intraocular lens, a development that is still speculative. This book presents the opinions of leading phacoemulsification cataract surgeons who per form sutureless procedures. The combination of photographs and drawings enhance the sur gical descriptions. Particularly useful are the
607
Obituary
admonitions, which should draw the attention of even the skilled cataract surgeon when con verting to new techniques such as the use of a keratome at the end of a long tunnel incision. Graphics are used liberally. The data are presented clearly enough so that readers can reach their own conclusions. The two chapters on corneal relaxing inci sions suffer from overstated claims and scat tered results. Considering the difficulty of pre dicting postoperative astigmatism after cataract surgery, the assumption that the techniques described in this book are better requires signif icant optimism on the part of the surgeon. This book is recommended especially for those converting to use of these new surgical techniques.
Books Received Manual of Cataract and Intraocular Lens Sur gery. By R. B. S. Packard and F. Kinnear. Naperville, Illinois, Churchill Livingstone, Inc., 1991. 127 pages, index, illustrated. $76.95
In this slim volume, the authors describe various methods of cataract surgery and lens implantation on the basis of their own experi ence with intracapsular and extracapsular cata ract extraction, phacoemulsification, and lensectomy. Additionally, the book deals with general surgical considerations, surgery in combination with other ophthalmic problems, control of astigmatism, and postoperative com plications. The text is accompanied by numer ous superb quality color photographs as well as diagrams that augment the verbal descriptions beautifully.
niques, which elaborates principles of equip ment operation. However, the surgeon with even a modicum of experience will find this book a good compilation of sound options. The section on basic phacoemulsification em phasizes different approaches to posterior chamber phacoemulsification techniques. Con tinuous circular capsulorrhexis is taught, and principles of horizontal wound closure are clar ified. Small-incision, narrow-profile lenses and foldable lenses are covered, as are the newer lens materials such as acrylic, hydrogel, and silicone. Special topics include transciliary sulcus fixa tion of posterior chamber intraocular lenses, hydrosonics, multifocal lens implantation, and endocapsular phacoemulsification through very small anterior capsular openings. The edi tor has bravely included a chapter on anterior chamber intraocular lens implantation in se verely myopic phakic eyes, with the notation that this is clearly experimental. All other chap ters contain material of more proven efficacy and safety. Both novice and experienced cataract sur geons will benefit from the information in this volume.
Sutureless Cataract Surgery. An Evolution To ward Minimally Invasive Technique. Edited by James P. Gills, Robert G. Martin, and Donald R. Sanders. Thorofare, New Jersey, Slack, Inc., 1992. 201 pages, index, illustrated. $100 Reviewed by ROBERT C. DREWS
St. Louis, Missouri Sutureless cataract surgery is certainly a topic of great current interest, and this volume con tains current information in a rapidly evolving area. The book is divided into two parts. Sec tion I (117 pages) covers sutureless intraocular lens surgery. Section II (81 pages) concerns the management of pre-existing astigmatism. It contains two chapters on corneal relaxing inci sions at the time of cataract surgery, as well as a chapter on the proposed development of a toric intraocular lens, a development that is still speculative. This book presents the opinions of leading phacoemulsification cataract surgeons who per form sutureless procedures. The combination of photographs and drawings enhance the sur gical descriptions. Particularly useful are the
607
Obituary
admonitions, which should draw the attention of even the skilled cataract surgeon when con verting to new techniques such as the use of a keratome at the end of a long tunnel incision. Graphics are used liberally. The data are presented clearly enough so that readers can reach their own conclusions. The two chapters on corneal relaxing inci sions suffer from overstated claims and scat tered results. Considering the difficulty of pre dicting postoperative astigmatism after cataract surgery, the assumption that the techniques described in this book are better requires signif icant optimism on the part of the surgeon. This book is recommended especially for those converting to use of these new surgical techniques.
Books Received Manual of Cataract and Intraocular Lens Sur gery. By R. B. S. Packard and F. Kinnear. Naperville, Illinois, Churchill Livingstone, Inc., 1991. 127 pages, index, illustrated. $76.95
In this slim volume, the authors describe various methods of cataract surgery and lens implantation on the basis of their own experi ence with intracapsular and extracapsular cata ract extraction, phacoemulsification, and lensectomy. Additionally, the book deals with general surgical considerations, surgery in combination with other ophthalmic problems, control of astigmatism, and postoperative com plications. The text is accompanied by numer ous superb quality color photographs as well as diagrams that augment the verbal descriptions beautifully.