Advances in Eye Surgery by Patricio A. Pacheco

By Patricio A. Pacheco

This can be a entire, functional guidebook that offers a transparent review and replace of present sleek recommendations of ocular surgical procedure. The chapters should be of curiosity to a large viewers. The chapters are written by way of specialists with distinctive curiosity and large medical adventure within the subject matters.

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5772/61030 Fornices should not be undermined, and cauterization should be minimized by using gauzes soaked in freezing water and using the bipolar cautery with low energy levels. The conformer should be fit in the socket once the surgery is finished and kept in place until a nondefinite artificial eye is fitted [68]. The more surgeries a socket undergoes, the bigger the risk of developing a socket contracture. In order to simplify its management, we can classify it into the following: Mild socket contracture.

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. The further the implant enters the orbit, the easier it will be to bring the four petals anterior to the implant.

Meticulous closure of Tenon’s capsule is very important. We recommend interrupted buried 5/0 absorbable (polyglactyn) sutures, but some may prefer a running suture. It is extremely important to avoid tension when closing Tenon’s layer (Figure 12). Figure 12. Tenon´s capsule sutured beneath conjunctiva 25. A running 6/0 absorbable suture is used to close the conjunctiva, once again, avoiding not too close tissue under tension. Nerad [14] recommends local anesthetic injection into the retrobulbar space for postoperative pain relief (Figure 13).

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