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This book provides an excellent basic guide of modern cataract surgery for the ophthalmologist in training. It considers management of the patient starting with his first visit to the ophthalmologist. It stresses the importance of setting realistic goals in the context of the lifestyle of the patient. It describes pre-assessment and biometry and mentions the available lens formulas. It does not go into detailed discussion of phacoemulsification systems. With the aid of clear diagrams it describes the surgery step by step. In these diagrams the instruments are not always at the same scale as the eye. Inevitably it shows an American slant on procedures and techniques. Local anaesthesia intravenous sedation is detailed, whereas there are only brief notes on general anaesthesia and no mention of positive pressure ventilation to help control intraocular pressure. The use of a blunt sub-Tenon cannula for placement of local anaesthetic is not mentioned. Intracameral vancomycin is not used routinely in the UK whereas 5% aqueous povidone-iodine is instilled into the conjunctival sac 5 minutes before surgery commences. As in most textbooks a few sections may seem a little dated. The use of commercially available capsular dyes probably makes the can opener capsulotomy obsolete even with the white cataract. Brief notes on paediatric cases, uveitis, and glaucoma add to the scope of the book.
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