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Medicine - Ophthalmology | The Scrub's Bible - How to Assist at Cataract and Corneal Surgery with a Primer on the Anatomy

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

Koplin, R.S., Wu, E.I., Ritterband, D.C., Seedor, J.A.

2013, IX, 166 p. 87 illus., 67 illus. in color.

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  • Accessible guide for self assessment and education directed at understanding cataract and corneal/refractive surgery
  • Written by leaders in the field for ophthalmologists/surgeons who own surgery centers, as well as administrative directors of Ambulatory Surgery​ Centers and hospitals, as well as office and surgical technicians, and scrub nurses
  • A comprehensive yet easy-to-read tool that is broken down into discreet and understandable elements

​Directed at the growing number of untutored personnel aspiring to enter the disciplines of ophthalmic technicianry and surgical assisting, ​The Scrub's Bible represents an entry level guide to understanding the human eye, its basic anatomy, and physiology.  Absorbing this information serves as the foundation for the authors, who are all skilled and respected eye surgeons, educators, and surgery center owners, to draw the reader through the fundamentals of the two most common areas of ophthalmic surgery: cataract and corneal/refractive surgery. 

The Scrub's Bible​ is a comprehensive yet easy-to-read tool that is broken down into discreet and understandable elements, meant to avoid the intimidating rhetoric of a standard reference. 

Content Level » Professional/practitioner

Keywords » eye surgery - ophthalmology - surgical assistance

Related subjects » Medicine - Ophthalmology - Surgery

Table of contents 

Chapter 1: Introduction

            Key Words

Chapter 2: The Evolution of Eye Surgery

Chapter 3: The Advent of Ambulatory Eye Surgery

Chapter 4: Anatomical Considerations

Orbit, lids, and extraocular muscles

Conjunctiva, sclera, and tear film


Anterior chamber, aqueous, and iris

Posterior chamber and crystalline lens


Retina, choroid, and optic nerve

Chapter 5: Infection Control

Instrument cleaning


Chapter 6: How the patient gets from the front door of the ASC to your OR suite

The necessary bureaucracy

Pre-operative area procedures

Chapter 7: Decorum in the OR

Chapter 8: Setting up in the OR



Patient prep



            Basic instrument table

            How to hand instruments to your surgeon

Chapter 9: Contemplating Cataract Surgery

Why a patient undergoes cataract surgery

            What is a cataract operation

Chapter 10: Cataract Surgery

The Operation

Entry into the eye

Intraocular anesthetic


Performing a capsulotomy

Hydrodissection and hydrodelineation


            The phaco machine

                        The components

                        Setting up the phaco machine

What you will typically find on the phaco system’s menu options

Trouble-shooting the phaco machine

Principles of phaco surgery

                        Phaco fragmentation techniques

                        Phaco machine settings

            Irrigation and aspiration

            Capsule polish

            The lens implant and implantation

                        Refractive or premium IOL

Understanding IOL power selection

Insertion of a posterior chamber lens implant

            Closing the wounds

            Concluding the procedure

Chapter 11: Complications encountered, instruments at the ready: here is a list of “what ifs” and “what to do’s”

Chapter 12: The surgical tray for cataract surgery

Chapter 13: Surgeon specific instruments

Chapter 14: Ocular biometry

Chapter 15: Self assessment test cataract surgery

Chapter 16: Surgical checklist

Chapter 17: Corneal Surgery

The cornea; how it works

Surgery of the cornea

Patient prep and anesthesia

Contemplating corneal surgery

Chapter 18: Corneal transplantation: penetrating keratoplasty

Chapter 19: Corneal transplantation: keratoprosthesis

Chapter 20: Corneal transplantation: endothelial keratoplasty

Chapter 21: Pterygium surgery

Chapter 22: Band keratopathy removal

Chapter 23: Complications encountered, instruments at the ready: here is a list of “what ifs” and “what to do’s”

Chapter 24: The surgical tray for penetrating keratoplasty

Chapter 25: The surgical tray for endothelial keratoplasty

Chapter 26: Self assessment test corneal surgery

Chapter 27: Resource materials

Chapter 28: Medications list

Appendix A: Surgeon instrument preferences note cataract surgery

Appendix B: Patient identification wall note

Glossary of terms

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