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Book and Software Review
October 2002

Complications in Phacoemulsification: Avoidance, Recognition and Management

Author Affiliations


Arch Ophthalmol. 2002;120(10):1412. doi:

The editor's goal in this textbook, as stated in the preface, is to put an organized face on the presentation of data regarding the prevention and management of complications with cataract surgery. His goal is to "help to lessen the impact or improve the surgical outcome in a potentially challenging program." This book succeeds in meeting that goal.

There are 31 chapters and an admirably talented and experienced group of contributing authors. The goal of organizing the information is evident from the topic list. Working from the beginning of each case to the end of each case, the chapters include injectible and topical anesthetic techniques, systemic complications of ocular anesthesia, wound construction, capsulorrhexis and iris management problems, complications of the "hydrosteps," and positive posterior pressure problems. Several chapters discuss various phacoemulsification techniques and complications unique to each technique, from 4-quadrant divide and conquer to management of the soft nucleus and the mature cataract. Management of compromised zonular support and torn posterior capsule are followed by chapters on vitrectomy following vitreous loss and calculating intraocular lens powers after vitrectomy. Complications of intraocular lens implantation and transscleral fixation techniques are discussed, and an excellent chapter on corneal problems associated with phacoemulsification is particularly well illustrated. Viscoelastics, phacodynamics, phacotrabeculectomy, and nonpenetrating glaucoma drainage surgery complications are discussed. The chapter on posterior segment complications is particularly well written, well referenced, and is the strongest area of the book. Four surgeons then list their thoughts on preventing problems as well as "damage control" in their personal styles.

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