Advances in Eye Surgery by Patricio A. Pacheco

By Patricio A. Pacheco

It is a complete, sensible guidebook that gives a transparent review and replace of present glossy strategies of ocular surgical procedure. The chapters could be of curiosity to a large viewers. The chapters are written via specialists with designated curiosity and broad medical event within the themes.

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27. Tight application of eye patches will finish our surgery. 5772/61030 Figure 13. 2. Evisceration surgical technique 1. See enucleation surgical technique (Figure 1). 2. Undermine the conjunctiva by approximately 5 mm, 360°. 3. Blunt dissect Tenon’s capsule from the globe. Introduce your dissection scissors beneath the conjunctiva and Tenon’s layer in the limbus in any of the four quadrants limited by the four rectus muscles and smoothly direct your dissection posteriorly and around the globe until you feel you are close to the optic nerve.

The four sclerotomies reach one another to form four separate scleral petals, each containing one rectus muscle insertion. This last option allows in our experience an easier insertion of the orbital implant in the intraconal space and secondarily makes complete cover of the implant very simple (Figure 16). Figure 16. Four sclerotomies performed with scissors 10. 9. Gently pull the four petals out of the socket so the implant can be placed as deep as possible using a Carter sphere introducer or your fingers.

Avoid overlapping of the muscles. Some authors recommend a 5-to-10mm distance between them. We believe that placing them next to each other helps preventing implant extrusion. ” You may want to suture the inferior oblique muscle just inferior to the lateral rectus muscle (Figures 10 and 11). Figure 10. Sagital view of the orbit showing four rectus muscles sutured to the implant 33 34 Advances in Eye Surgery Figure 11. Frontal view of the orbit showing four rectus muscles sutured to the implant 24.

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