The Scrub's Bible: How to Assist at Cataract and Corneal Surgery with a Primer on the Anatomy of the Human Eye and Self Assessment

Contents
Chapter 1: Introduction
Chapter 2: The Evolution of Eye Surgery
	A Bit of History
Chapter 3: The Advent of Ambulatory Eye Surgery
Chapter 4: The Eye and Its Anatomical Considerations
	Orbit, Lids, and Extraocular Muscles
	Conjunctiva, Sclera, and Tear Film
	Cornea
	Anterior Chamber, Aqueous, and Iris
	Posterior Chamber and Crystalline Lens
	Vitreous Body
	Retina, Choroid, and Optic Nerve
Chapter 5: How We See
Chapter 6: Contemplating Cataract Surgery
	Why a Patient Undergoes Cataract Surgery
Chapter 7: How the Patient Gets from the Front Door of the ASC to Your OR Suite
	The Necessary Bureaucracy
	Preoperative Area Procedures
Chapter 8: Decorum in the OR
Chapter 9: Infection Control
	Instrument Cleaning
	Sterilization
Chapter 10: Setting Up Your OR Suite
	Scrubbing
	Anesthesia
	Patient Prep
	Draping
	Instrumentation
	Basic Instrument Table
	How to Hand Instruments to Your Surgeon
Chapter 11: The Phaco Machine
	The Components
	How Fluid Gets in and out of the Eye During Phaco Surgery
		Balancing Fluid Infusion with Aspiration: Maintaining a Desirable IOP
Chapter 12: Setting up the Phaco Machine
	Generic Menu Options
Chapter 13: Troubleshooting the Phaco Machine
Chapter 14: Cataract Surgery: More than One Way to Skin a Cat
	Variations on Classic Extracapsular Cataract Extraction
	Intracapsular Cataract Extraction
		ICCE: Anterior Approach
		ICCE: Pars Plana Approach
Chapter 15: Femto Laser-Assisted Cataract Surgery (FLACS)
Chapter 16: Performing Phaco
	The Operation: Details
	Positioning the Patient on the OR Table
	Positioning the Operating Microscope
	Entry into the Eye
	Intraocular Anesthetics and Dilating Adjuncts
	Viscoelastic
	Performing a Capsulotomy
	Hydrodissection and Hydrodelineation: Achieving Nuclear/Cortical Separation
	Phaco Chop: An Alternative to Carousel Cracking
	Concluding the Procedure
Chapter 17: Lens Implants and Implantation: Determining Lens Power and Design
	Understanding Farsighted and Nearsighted Eyes and How Your Surgeon Makes an Implant Choice
		Biometry: Assuring that the Correct Power Lens Implant Is Chosen
	Lens Implant Design and Placement
	Lens Implantation with Loss of Capsule Support:
	Premium Lens Implants
		Multifocal, Extended Range and Toric Lens Implants
		Insertion of a Posterior Chamber Lens
		Insertion of an Anterior Chamber Lens
Chapter 18: Glaucoma Treatment as an Adjunct to Cataract Surgery
	The Advent of MIGS
Chapter 19: Complications Encountered, Instruments at the Ready: Here Is a List of “What-Ifs” and “What to Do’s”
Chapter 20: The Surgical Tray for Cataract Surgery (Example)
Chapter 21: Surgeon-Specific Instruments
Chapter 22: Self-Assessment Test Cataract Surgery
Chapter 23: Surgical Checklist
Chapter 24: Secondary IOLs
	Background-Secondary IOLs
	Anesthesia and Patient Preparation
	General Principles and IOL Exchange
	Secondary Implantation
		ACIOL Placement
	Surgical Tray IOL Exchange with ACIOL
	Secondary Iris Fixation General Principles
	Surgical Tray IOL Exchange with Iris Fixation
	Scleral Fixation Techniques
		Surgical Tray Scleral Fixation with Sutures
	Scleral Fixation Sutureless Techniques
		Agarwal Technique: Glue-Assisted Scleral Fixation with Scleral Flaps
Chapter 25: Corneal Surgery: The Cornea – How It Works
	Surgery of the Cornea
	Patient Preparation and Anesthesia
	Contemplating Corneal Transplant
Chapter 26: Corneal Transplantation: Penetrating Keratoplasty
	The Operation
	Stabilizing the Eye
	Marking the Eye for Suture Placement and Trephine Centration
	Determining Transplant Size
	Preparing the Donor Cornea
	Trephinating the Patient Cornea
	Suturing the Cornea
	Concluding the Case
Chapter 27: Corneal Transplantation: Keratoprosthesis
	The Operation
	Preparing the Donor Cornea and Assembling the Keratoprosthesis
	Trephinating the Patient’s Cornea and Removing Intraocular Lens
	Suturing the Keratoprosthesis
	Concluding the Case
Chapter 28: Corneal Transplantation: Endothelial Keratoplasty/DSAEK
	Background
	DSAEK
		The Operation
		Donor Tissue Preparation
	Removing the patient’s Descemet’s Membrane
	Inserting the Donor Cornea
	Attaching the Donor Cornea
	Concluding the Case
Chapter 29: Corneal Transplantation: Endothelial Keratoplasty/DMEK
	Background
Chapter 30: Pterygium Surgery
	The Operation
	Removing the Pterygium
	Covering the Defect: Using Conjunctival Autograft
	Covering the Defect: Using Amniotic Membrane Graft
	Use of Mitomycin-C
	Concluding the Case
	Pterygium Instruments/Supplies
Chapter 31: Band Keratopathy Removal
	The Operation
	Instruments/supplies
Chapter 32: Complications Encountered, Instruments at the Ready: Here Is a List of “What Ifs” and “What to Do’s”
Chapter 33: Surgical Tray: Penetrating Keratoplasty
Chapter 34: Surgical Tray: Keratoprosthesis
Chapter 35: Surgical Tray: DSAEK
Chapter 36: Surgical Tray: DMEK
Chapter 37: Surgical Tray Pterygium
Chapter 38: Self-Assessment Test for Corneal Surgery
Chapter 39: Resource Materials
	Web Portals
	Additional Clinical Education Resources
		Books
Chapter 40: Glossary of Terms
Chapter 41: Medications List
Appendix A: Surgeon Instrument Preferences Note Cataract Surgery
Appendix B: Patient Identification Wall Note
Index