By Patricio A. Pacheco

ISBN-10: 9535122495

ISBN-13: 9789535122494

It is a accomplished, functional guidebook that gives a transparent evaluate and replace of present smooth suggestions of ocular surgical procedure. The chapters might be of curiosity to a large viewers. The chapters are written by way of specialists with distinct curiosity and wide scientific adventure within the subject matters.

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Sample text

Socket contracture The patient will complain that the prosthesis keeps falling out of the socket. Acquired socket contraction is the consequence of shrinkage and shortening of some or all of the tissues of the anophthalmic orbit; thus, the fornices are not able to retain the prosthesis. In order to prevent it, it is mandatory to carry out a straightforward enucleation or evisceration surgery that is, taking care to keep trauma to the conjunctiva, connective tissue, and orbital at minimum levels.

If this is not visible, some Tenon tissue may be present. Remove it with blunt forceps, pulling it away from the muscle insertion (Figure 3). Figure 3. Muscle insertion isolation 10. Pass a 5/0 absorbable suture in a whiplock fashion on either side of the muscles insertion. Cauterize with a monopolar (Colorado needle) or bipolar cautery to avoid bleeding and 29 30 Advances in Eye Surgery then cut the insertion of the muscle with a scissor leaving 1 or 2 mm of insertion on the globe (this stump will be useful in the future to pull the eye out of the orbit).

Penetrating trauma: one of the most common indications of evisceration in cases when sclera is largely intact. Classically, it was thought that surgery should be performed within 14 days of injury. In cases with extensive disruption of the globe’s tissues, the removal of all uveal tissue is difficult via an evisceration; therefore, enucleation may be a better option [6]. 2. Blind eyes: removal of a blind eye is generally the last possibility. We attempt to control pain with a retrobulbar injection of alcohol or chlorpromazine.

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Advances in Eye Surgery by Patricio A. Pacheco


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