Product Description
Even the most experienced cataract surgeon can encounter stressful situations in the operating room. Be prepared to manage unavoidable complications with Phaco Nightmares: Conquering Cataract Catastrophes.
Dr. Amar Agarwal, along with over 35 of today’s cataract surgery leaders, explains all there is to know about phacoemulsification in Phaco Nightmares to help the cataract surgeon stay in control when facing unique and complicated surgical challenges.
- Subluxated cataracts
- Managing dislocated lens fragments
- Suprahard cataracts
- Posterior polar cataracts
- Intraoperative floppy iris syndrome
- Posterior capsular rupture
- Intraocular lens opacification
- Infectious endophthalmitis
- Miotic pupils
Sample Video

Click Here For Sample Video Clip in Windows Media Player
Click Here For Sample Video Clip in REAL Player
Additionally, cutting edge information is included inside Phaco Nightmares on how to remove dropped endocapsular rings, nuclei or IOL's. This distinctive book and video CD-ROM will make its mark with everyone involved in cataract surgery, from the resident to the experienced phaco surgeon.
More than 300 illustrations and photographs supplement the important information presented, providing visual as well as textual references. Additional material and visual learning is achieved with an accompanying video CD-ROM with over 45 minutes of instructional video that demonstrates many of the techniques discussed inside the pages of Phaco Nightmares.
Techniques on Video CD-ROM Include:
- Sub 1 mm Cataract Surgery
- Dropped IOLs
- Posterior Polar Cataract
- Subluxated Cataract
- Small Pupil
- Dislocated Lens Fragments
Feel competent and comfortable in the operating room, no matter what challenge comes your way with Phaco Nightmares: Conquering Cataract Catastrophes by your side.
Winner!
Phaco Nightmares Video CD-ROM presented by Dr. Athiya Agarwal, received the #1 award for best video presentation on Cliff hanger during the 2006 American Society for Cataract and Refractive Surgeons Annual Meeting.
Phaco Nightmares Video CD-ROM presented by Dr. Amar Agarwal, received a first place award for the video in the Education Category, Tunnel Vision No More, presented during the 2006 European Society of Cataract and Refractive Surgeons Annual Meeting.
Phaco Nightmares Video CD-ROM presented by Dr. Athiya Agarwal, received a second place award for the video in the Special cases Category, Cliff hanger presented during the 2006 European Society of Cataract and Refractive Surgeons Annual Meeting.
top
Contents
Dedication
Acknowledgments
About the Editor
About the Contributors
Preface
Foreword by Stephen S. Lane, MD
Section I: Phacoemulsification: Machine and Technique
| Chapter 1: | Avoiding Problems With the Phacoemulsification Machine William J. Fishkind, MD, FACS |
| Chapter 2: | Gas-Forced Infusion: The Solution for Surge Sunita Agarwal, MS, FSVH, DO |
| Chapter 3: | Mastering the Transition to Phacoemulsification: Avoiding Nightmares Samuel Boyd, MD; Benjamin F. Boyd, MD, FACS; Cristela F. Aleman, MD |
| Chapter 4: | Preventing Complications Using No Anesthesia Cataract Surgery With the Karate Chop Technique Amar Agarwal, MS, FRCS, FRCOphth |
| Chapter 5: | Using Safe Horizontal Chopping to Prevent Ruptures L. Felipe Vejarano, MD; Alejandro Tello, MD |
Section II: Difficult Cases
| Chapter 6: | Principles and Paradigms of Pediatric Cataract Surgery and Intraocular Lens Implantation Suresh K. Pandey, MD; M. Edward Wilson, MD |
| Chapter 7: | Subluxated Cataracts and Endocapsular Rings Athiya Agarwal, MD, FRSH, DO |
| Chapter 8: | Mature Cataracts and Dyes Amar Agarwal, MS, FRCS, FRCOphth |
| Chapter 9: | Small Pupil Phacoemulsification Amar Agarwal, MS, FRCS, FRCOphth; Soosan Jacob, MS, DNB, FRCS, MNAMS, FERC |
| Chapter 10: | Intraoperative Floppy Iris Syndrome David F. Chang, MD |
| Chapter 11: | Surgical Approach to Iris Reconstruction for Iris Diaphragm Deficiency or Dysfunction Christopher Khng, MD; Robert H. Osher, MD; Michael E. Snyder, MD; Scott E. Burk, MD, PhD |
| Chapter 12: | Posterior Polar Cataracts Abhay R. Vasavada, MS, FRCS; Shetal M. Raj, MS |
| Chapter 13: | Combined Cataract and Glaucoma Surgery Amar Agarwal, MS, FRCS, FRCOphth; Soosan Jacob, MS, DNB, FRCS, MNAMS, FERC |
| Chapter 14: | Phacoemulsification and Keratoplasty Javier Mendicute, MD; Yolanda Gallego, MD; Aritz Bidaguren, MD; Marta Ubeda, MD; Cristina Irigoyen, MD |
| Chapter 15: | Phacoemulsification for Hyperopia and Nanophthalmos Amar Agarwal, MS, FRCS, FRCOphth; R. Sujatha, DO, FERC |
| Chapter 16: | Cataract Surgery in Dry Eye Suresh K. Pandey, MD; Brighu Swamy, MBBS (Hons), M Med (Clin Epi); Amar Agarwal, MS, FRCS, FRCOphth |
| Chapter 17: | Phacoemulsification in Patients With Uveitis Jorge L. Alio, MD, PhD; Herminio Negri, MD |
| Chapter 18: | Refractive Cataract Surgery Pandelis A. Papadopoulos, MD, PhD, FEBO |
Section III: Anterior Segment—Worst Case Scenarios | Chapter 19: | Complications in Phacoemulsification L. Felipe Vejarano, MD; Alejandro Tello, MD |
| Chapter 20: | Iatrogenic Descemetorhexis as a Complication of Phacoemulsification Amar Agarwal, MS, FRCS, FRCOphth; Soosan Jacob, MS, DNB, FRCS, MNAMS, FERC; Ashok Kumar, MD, DO, FERC; Athiya Agarwal, MD, FRSH, DO; Sunita Agarwal, MS, FSVH, DO |
| Chapter 21: | Posterior Capsular Rupture L. Felipe Vejarano, MD; Alejandro Tello, MD |
| Chapter 22: | Intraocular Lens Power Calculation in Complex Cases Benjamin F. Boyd, MD, FACS; Samuel Boyd, MD; Luis W. Lu, MD, FACS |
| Chapter 23: | Posterior Capsule Opacification Suresh K. Pandey, MD; David J. Apple, MD; Liliana Werner, MD, PhD; John W. McAvoy, PhD; Anthony J. Maloof, MBBS, MBiomedE, FRANZCO, FRACS; E. John Milverton, MBBS, DO, FRANZCO, FRCOphth |
| Chapter 24: | Intraocular Lens Opacification Suresh K. Pandey, MD; Liliana Werner, MD, PhD; David J. Apple, MD |
Section IV: Posterior Segment—Worst Case Scenarios | Chapter 25: | Managing Dislocated Lens Fragments Clement K. Chan, MD, FACS |
| Chapter 26: | Surgical Management of the Malpositioned Intraocular Implant Clement K. Chan, MD, FACS; Amar Agarwal, MS, FRCS, FRCOphth; Athiya Agarwal, MD, FRSH, DO; Sunita Agarwal, MS, FSVH, DO |
| Chapter 27: | Infectious Endophthalmitis Clement K. Chan, MD, FACS; Steven G. Lin, MD |
| Chapter 28: | Cystoid Macular Edema Soosan Jacob, MS, DNB, FRCS, MNAMS, FERC; Amar Agarwal, MS, FRCS, FRCOphth |
Section V: Bimanual Phacoemulsification | Chapter 29: | Bimanual Phacoemulsification: Surgical Technique Amar Agarwal, MS, FRCS, FRCOphth |
| Chapter 30: | Microphakonit Amar Agarwal, MS, FRCS, FRCOphth |
| Chapter 31: | Complications of Bimanual Phacoemulsification Amar Agarwal, MS, FRCS, FRCOphth; Mahipal Singh Sachdev, MBBS(AIIMS), MD Ophthal(AIIMS); Clement K. Chan, MD, FACS |
Index
top
Reviews
"Reading this book can lead to a more restful night’s sleep . . . The contributors to this book are world-renowned surgeons and the information that they provide will be useful to everyone who deals with cataracts, whether routine or complex. The contributors are experienced in their topic and provide state of the art information to manage nearly any situation. . . This video is very descriptive, but can make your heart skip a beat as you watch a lens float to the retina. Fortunately, each complication is managed efficiently and the viewer can pick up many important tips to use on their own complex cases. In summary, "Phaco Nightmares – Conquering Cataract Catastrophes" can be useful to phacomulsification surgeons of all experience levels."
— David T. Vroman, MD, American Journal of Ophthalmology
"This is a well organized book on the various complications of phacoemulsification cataract surgery. Each chapter follows the same format and is concise, to the point and with a very practical approach which lends itself to easy reading and quick access to any topic that the reader might be interested in learning more about. . . The objectives are clearly met and the book is a tremendous resource for beginning and even experienced cataract surgeons. . . The uniqueness of this book is that it is written at a level that any surgeon, no matter at what stage of their career they might be, can obtain valuable information from the experienced authors. . . The book is richly illustrated and has excellent tables and key point summaries at the end of each chapter that help highlight the salient features. . . It will be a tremendous asset to training residents and a reference source for experienced practitioners who might need a few tips on an anticipated complicated case."
— Stephen E. Orlin, MD, Doody's Review
"In this book, Dr. Agarwal has assembled a world class group of surgeons to discuss a wide variety of difficult and challenging cases in phacoemulsification. Phaco Nightmares is a comprehensive text that will guide beginning and experienced Phaco surgeons alike. [Dr. Agarwal] has produced a text herein that will help give this generation of ophthalmic surgeons the experience and knowledge to meet the challenges of difficult and challenging surgery into the 21st century. I applaud his dedication to our profession."
— From the Foreword, Stephen S. Lane, MD, University of Minnesota, Stillwater, MN
top
About the Editor
Dr. Amar Agarwal is the pioneer of phakonit, which is phako with a needle incision technology. This technique became popularized as bimanual phaco, microincision cataract surgery (MICS), or microphaco. He is the first to remove cataracts through a 0.7 mm tip with the technique called microphakonit. He has also discovered no anesthesia cataract surgery and FAVIT, a new technique to remove dropped nuclei. The air pump, which was a simple idea of using an aquarium fish pump to increase the fluid into the eye in bimanual phaco and co-axial phaco, has helped prevent surge. This built the basis of various techniques of forced infusion for small incision cataract surgery. He was also the first to use trypan blue for staining epiretinal membranes and publishing the details in his four-volume Textbook of Ophthalmology. His latest discovery is a new refractive error called aberropia.
Dr. Agarwal has received many awards for his work in ophthalmology, most significantly the Barraquer Award and the Kelman Award. He has also written more than 33 books, which have been published in various languages—English, Spanish, and Polish. He also trains doctors from all over the world in his center on phaco, bimanual phaco, LASIK, and retina. The website for Dr. Agarwal’s Eye Hospital is http://www.dragarwal.com.
top