General Surgical Techniques for Anterior Segment Surgery

  • Ulrich Spandau
  • Gabor Scharioth


The usual anaesthesia nowadays for phacoemulsification is drop anaesthesia (e.g. tetracaine drops) and in addition intracameral anaesthesia (e.g. Xylocaine 1 %). For a secondary implantation of an iris-claw IOL or an intrascleral IOL, we recommend a peribulbar anaesthesia. We use a blunt cannula which has a low risk for a globe perforation (BD, 25G retrobulbar cannula, Atkinson).


Anterior Chamber Posterior Capsule Lens Capsule Small Pupil Intracameral Cefuroxime 
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Supplementary material

Video 4.1

Easy cataract: divide and conquer (MP4 58818 kb)

Video 4.2

Easy cataract: chop technique (MP4 53113 kb)

Video 4.3

Implantation of a Malyugin ring (MP4 24527 kb)

Video 4.4

Sphincterectomy (MP4 16649 kb)

Video 4.5

Hard nucleus and small pupil (MP4 76462 kb)

Video 4.6

IOL complication during wound-assisted implantation 1 (MP4 2978 kb)

Video 4.7

IOL complication during wound-assisted implantation 2 (MP4 15550 kb)

Video 4.8

Special techniques for anterior chamber and 3x traumatic cataract (MP4 14696 kb)

Video 4.9

Traumatic cataract after paint ball trauma (MP4 98120 kb)

Video 4.10

Traumatic cataract after blunt globe trauma 1 (MP4 127729 kb)

Video 4.11

Traumatic cataract after blunt globe trauma 2 (MP4 79307 kb)

Video 4.12

SICS technique (MP4 77958 kb)

Video 4.13

SICS and inferior zonular lysis (MP4 82256 kb)

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Ulrich Spandau
    • 1
  • Gabor Scharioth
    • 2
    • 3
  1. 1.Department of OphthalmologyUppsala University HospitalUppsalaSweden
  2. 2.Aurelios AugenzentrumRecklinghausenGermany
  3. 3.Department of OphthalmologyUniversity of SzegedKorányiGermany

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