Illustrated Advanced Anterior Segment Surgery: A Step-by-Step Guide for Challenging Cases

For general ophthalmologists looking to expand their surgical skillsets, anterior segment surgery specialists wishing to learn new techniques, and residents looking to separate themselves from the pack, Illustrated Advanced Anterior Segment Surgery: A Step-by-Step Guide for Challenging Cases is a must-have resource.

The book provides a wide range of advanced anterior segment surgery techniques, presented in a highly designed graphic style.

Editors Iqbal “Ike” Ahmed, Xavier Campos-Möller, Manjool Shah, and Arsham Sheybani have created a dynamic visual guide that emphasizes images and diagrams and includes step-by-step illustrations to help readers understand the optimal hand positions for certain surgical maneuvers.

Each chapter focuses on an individual technique, allowing readers to consult specific chapters as needed. There is significant emphasis on both foundational concepts and advanced surgical techniques, including:

• Ergonomics, hand positioning, and instrument grips
• How to insert and remove iris hooks
• Capsulorhexis in the setting of weak zonules 
• How to perform intrascleral haptic fixation of a three-piece IOL
• How to repair an iridodialysis cleft

With its unique graphic approach and easily digestible format, Illustrated Advanced Anterior Segment Surgery: A Step-by-Step Guide for Challenging Cases will help surgeons take their skills to the next level and tackle some of the most challenging cases in anterior segment surgery.

Contents

Dedication
About the Authors
Foreword by Barry Seibel, MD

Chapter 1     Introduction—How to Use This Book and Plotting Out a Flight Plan
Chapter 2     Ergonomics, Hand Positioning, and Instrument Grips
Chapter 3     Incisions
Chapter 4     How to Perform a Capsulorrhexis Through a Small Pupil
Chapter 5     How to Insert and Remove Iris Hooks
Chapter 6     How to Insert and Remove Malyugin Rings
Chapter 7     Capsulorrhexis in the Setting of Weak Zonules
Chapter 8     Other Challenging Capsulorrhexis Situations
Chapter 9     How to Use Capsule Retractors
Chapter 10     How to Insert a Capsular Tension Ring
Chapter 11     How to Implant Capsular Tension Segments
Chapter 12     How to Implant a Modified Capsular Tension Ring
Chapter 13     Vitrectomy Pearls
Chapter 14     How to Optic Capture an Intraocular Lens
Chapter 15     How to Posterior Optic Capture
Chapter 16     How to Reverse Optic Capture a Single-Piece Intraocular Lens
Chapter 17     How to Insert an Angle-Supported Anterior Chamber Intraocular Lens
Chapter 18     How to Implant an Iris Claw Artisan Intraocular Lens
Chapter 19     How to Suture an Intraocular Lens to Iris
Chapter 20     How to Perform Intrascleral Haptic Fixation of a Three-Piece IOL
Chapter 21    How to Fixate an IOL to Sclera With the Yamane Double-Needle Flanged Haptic Technique
Chapter 22     How to Suture an Intraocular Lens to Sclera
Chapter 23     How to Implant a Piggyback Intraocular Lens
Chapter 24     How to Explant an Intraocular Lens From the Capsular Bag
Chapter 25     How to Reposition an Intraocular Lens by Scleral Suturing
Chapter 26     How to Suture Iris
Chapter 27     How to Perform Goniosynechialysis
Chapter 28     How to Perform Pupilloplasty in Corectopia
Chapter 29     How to Perform an Iris Cerclage
Chapter 30     How to Insert Aniridia Implants
Chapter 31     HumanOptics and Intrascleral Haptic Fixation of a Three-Piece IOL
Chapter 32     How to Repair an Iridodialysis
Chapter 33     How to Repair a Cyclodialysis Cleft
Chapter 34     How to Prevent and Treat Malignant Glaucoma—Irido-Zonulo-Hyaloido-Vitrectomy

References
Financial Disclosures
Index

About the Editors

Iqbal K. Ahmed, MD is Professor, Department of Ophthalmology and Vision Sciences at the University of Utah in Salt Lake City, and Assistant Professor at the Department of Ophthalmology and Vision Science at the University of Toronto, Ontario, Canada, where he is Director of Research at the Kensington Eye Institute, Head of Ophthalmology at Trillium Health Partners, and Medical Director at Prism Eye Institute. Dr. Ahmed has become world renowned for his skills and ground-breaking work in the diagnosis and surgical treatment of highly complex eye diseases including glaucoma and surgical complications. He is recognized as being one of the most experienced complex eye surgeons in the world and has trained numerous surgeons in innovative surgical techniques. Furthermore, he has been at the leading edge of novel treatments for glaucoma, cataract, and lens implant surgery. Patients are referred to him locally, nationally, and from around the world. He has been invited to perform surgery in 4 continents across the globe. Dr. Ahmed has a keen interest in the development of advanced microsurgical devices and techniques in glaucoma surgery and complicated cataract extraction, and is actively involved in research and medical education at a national and international level. He has received research grants to study glaucoma medications, glaucoma laser and surgical devices/techniques, angle closure glaucoma, anterior segment and retinal/optic nerve imaging in glaucoma, cataract surgical techniques and devices, and intraocular lens designs. Dr. Ahmed has designed innovative glaucoma diamond scalpels for surgery, microsurgical instrumentation, and devices, implants, and techniques for the management of the dislocated cataract, iris reconstruction, and glaucoma implant devices. He has done pioneering work in innovative glaucoma surgery, developing and coining the term “Micro-Invasive Glaucoma Surgery (MIGS)” as a new genre of surgical approaches and devices. He also performed the first laser cataract surgery in Canada. As a result of his innovative expertise, Dr. Ahmed has been asked to consult for a variety of companies and manufacturers, especially pertaining to the development of new devices and technologies.

Xavier Campos-Möller, MD is head of the Glaucoma and Advanced Anterior Segment Surgery division of the Department of Ophthalmology at Western Memorial Regional Hospital in Corner Brook, Newfoundland, Canada. Dr. Campos-Möller completed his ophthalmology residency at the Asociación para Evitar la Ceguera in Mexico and a fellowship in Anterior Segment Surgery at the Instituto Nacional de Rehabilitación, in Mexico City. He later completed a Glaucoma and Advanced Anterior Segment Surgery fellowship with Ike Ahmed at the University of Toronto in Ontario, Canada. He currently runs a busy surgical practice in Corner Brook, Newfoundland, focusing mostly on cataract, complex anterior segment, microinvasive, and traditional glaucoma surgery. He is committed to the eradication of blindness and frequently travels overseas for humanitarian surgery missions.

Manjool Shah, MD serves as a clinical assistant professor of Ophthalmology and Visual Sciences at the Kellogg Eye Center, University of Michigan in Ann Arbor. Additionally, he is the Medical Director of the Division of Glaucoma, Cataract, and Anterior Segment Disease as well as the Director of the glaucoma fellowship program. Dr. Shah completed his residency training at the Casey Eye Institute in Portland, Oregon, and fellowship training in Glaucoma and Advanced Anterior Segment Surgery at the University of Toronto, Ontario, Canada. He is active in teaching residents and fellows at his own institution, participates in surgical education missions around the world, and is an active participant of various national and international societies dedicated to sharing knowledge. His specialized interests include performing and teaching novel and traditional glaucoma surgeries, as well as the management of complex anterior segment challenges.

Arsham Sheybani, MD is an avid teacher but balances his life working with residents and fellows by chasing adventure and spending time with his wife and children.