Ophthalmic Surgical Instruments
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Ophthalmic Surgical Instruments Rajesh Sinha MD DNB FIACLE FRCS Professor Cornea, Lens and Refractive Surgery Services Dr Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medial Sciences New Delhi, India Jeewan S Titiyal MD Padma Shri Awardee Professor and Head Cornea, Cataract and Refractive Surgery Services Dr Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences New Delhi,Brothers India Vijay Kumar Sharma MS Consultant Advanced Centre for Ophthalmic and Visual Sciences Army Hospital Research and Referral New Delhi, India Foreword JaypeeAmar Agarwal The Health Sciences Publisher New Delhi | London | Panama Prlimes-Rajesh Sinha.indd 3 18-Feb-17 3:35:43 PM Jaypee Brothers Medical Publishers (P) Ltd Headquarters Jaypee Brothers Medical Publishers (P) Ltd 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 Email: [email protected] Overseas Offices J.P. 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Inquiries for bulk sales may be solicited at: [email protected] Ophthalmic Surgical Instruments First Edition: 2017 ISBN 978-93-86322-97-5 Printed at Prlimes-Rajesh Sinha.indd 4 18-Feb-17 3:35:43 PM Dedicated to The three special women in my life, My mother, Malti, for her care and blessings, My wife, Renu, for her support and My daughter, Suhani, for her loving smile — Rajesh Sinha My wife, Mrs Basanti Titiyal, My children, Dr Hemant Titiyal and Dr Renuka Titiyal — Jeewan S Titiyal My wife, Dr ManishaBrothers My daughter, Naisha —Vijay Kumar Sharma Jaypee Prlimes-Rajesh Sinha.indd 5 18-Feb-17 3:35:43 PM Contributors Chintan J Dedhia Neha Kamble Fellow Senior Resident Vitreoretinal Services Dr Rajendra Prasad Centre for LV Prasad Eye Institute Ophthalmic Sciences Hyderabad, Telangana, India All India Institute of Medial Sciences New Delhi, India Dewang Angmo Assistant Professor Nitin Vichare Dr Rajendra Prasad Centre for Classified Specialist Ophthalmic Sciences Command Hospital (Central All India Institute of Medical Command) Sciences Lucknow, Uttar Pradesh, India New Delhi, India Rajesh Sinha Digvijay Singh Professor Consultant Cornea, Lens and Refractive Surgery Medanta – The Medicity ServicesBrothers Gurugram, Haryana, India Dr Rajendra Prasad Centre for Ophthalmic Sciences Jeewan S Titiyal All India Institute of Medial Padma Shri Awardee Sciences Professor and Head New Delhi, India Cornea, Cataract and Refractive Surgery Services Ravi Bypareddy Dr Rajendra Prasad Centre for Assistant Professor Ophthalmic Sciences Minto Ophthalmic Hospital All India Institute of Medical Bangalore Medical College and Sciences Research Institute NewJaypee Delhi, India Bengaluru, Karnataka, India Manpreet Kaur Reena K Singh Senior Resident Senior Resident Dr Rajendra Prasad Centre for Dr Rajendra Prasad Centre for Ophthalmic Sciences Ophthalmic Sciences All India Institute of Medical All India Institute of Medial Sciences Sciences New Delhi, India New Delhi, India Prlimes-Rajesh Sinha.indd 7 18-Feb-17 3:35:43 PM viii Ophthalmic Surgical Instruments Rohan Chawla Supriya Arora Assistant Professor Consultant Vitreoretinal Services Eye Care Centre Dr Rajendra Prasad Centre for Princess Margaret Hospital Ophthalmic Sciences Nassau, New Providence, Bahamas All India Institute of Medial Sciences New Delhi, India Tarun Arora Consultant Rohit Saxena Eye Care Centre Professor Princess Margaret Hospital Dr Rajendra Prasad Centre for Nassau, New Providence, Bahamas Ophthalmic Sciences All India Institute of Medial Sciences Vijay Kumar Sharma New Delhi, India Consultant Advanced Centre for Ophthalmic Roshan T and Visual Sciences Fellow Army Hospital Research and Narayana Nethralaya Referral Bengaluru, Karnataka, India New Delhi, India Sandeep Gupta Reader Armed Forces Medical College Pune, Maharashtra, India Brothers Jaypee Prlimes-Rajesh Sinha.indd 8 18-Feb-17 3:35:43 PM Foreword Dr Rajesh Sinha, Professor of Ophthalmology in Cornea, Lens and Refractive Surgery Services at Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India; Dr Jeewan S Titiyal, Professor and Head of the Cornea, Cataract and Refractive Surgery Services at Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, and Dr (Lt Col) Vijay Kumar Sharma, an alumnus of the prestigious Armed Forces Medical College (AFMC), Pune, Maharashtra, India are to be congratulated for attempting and accomplishing the almost impossible task of assembling in one place the various surgical instruments used in modern ophthalmic surgery with the help of systematically arranged photographs. Making the information correct and complete is winning only half the battle; the other half is using a format that helps students assimilate and apply it. The book with the help of a broad range of photographs laid out in a rational and effectiveBrothers fashion, resulting in a creative and unique atlas, is suitable for all levels of eye-care professionals, students in training, residents in ophthalmology as well as budding practitioners. It is an honor for me to be invited to write the foreword for this book, which was compiled by my esteemed colleague, Dr Rajesh Sinha, has 324 publications to his name; 127 are in indexed journals; 77 chapters in various textbooks and two textbooks and 4 educational books and manuals. He has received various awards and orations and when I saw him doing live surgery once I was just gasping at his surgical skill. Dr Jeewan S Titiyal is the first Indian to perform live surgery demonstration in ASCRS, USA. Dr (Lt Col) Vijay Kumar Sharma is ConsultantJaypee at Army Hospital Research and Referral, New Delhi and is involved in teaching postgraduate and undergraduate students. They have my congratulations and admiration for a thoughtful and handsome job well done. Amar Agarwal MS FRCS FRCOphthal Chairman Dr Agarwal’s Group of Eye Hospitals Dr Agarwal’s Eye Hospital and Eye Research Centre Chennai, Tamil Nadu, India Email: [email protected] Prlimes-Rajesh Sinha.indd 9 18-Feb-17 3:35:43 PM Preface Ophthalmic surgery is evolving at a rapid pace with the introduction of newer techniques and technology. Various newer surgical instruments are being added to the ever-expanding kit of the ophthalmologists. Most of the postgraduate and undergraduate students do not have access to the newer surgical instruments and find it difficult to answer the questions related to these newer instruments in the examinations. There is no dedicated book on the surgical instruments at present, and this topic is simply discussed in the last few pages of some of the ophthalmology textbooks with inadequate photographs and description about the instruments. We felt that there is need of a book which exclusively deals with the instruments used in ophthalmic surgery with description about their specifications and uses so that postgraduates, fellows and general ophthalmologists can learn about the finer aspects and uses of these