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Eye Surgery from Wikipedia
Eye surgery From Wikipedia, the free encyclopedia
Eye surgery in the middle ages.Eye surgery, also known as ophthalmic surgery or ocular surgery, is surgery performed on the eye or its adnexa, typically by an ophthalmologist.[1] Although most eye surgery can be performed by an experienced general ophthalmologist, more complex procedures are usually done by one who is fellowship trained.
Contents
1 Preparation and precautions 2 Laser eye surgery 3 Cataract surgery 4 Glaucoma surgery 4.1 Canaloplasty 5 Refractive surgery 6 Corneal surgery 7 Vitreo-retinal surgery 8 Eye muscle surgery 9 Oculoplastic surgery 9.1 Eyelid surgery [7] 9.2 Surgery involving the lacrimal apparatus 9.3 Eye removal 9.4 Orbital surgery 9.5 Other oculoplastic surgery 10 Other surgery 11 See also 12 References 13 External links
Preparation and precautions The eye is a delicate organ, requiring extreme care before, during and after a surgical procedure. An expert ophthalmologist must identify the need for specific procedure and be responsible for conducting the procedure safely. Many university programs allow patients to specify if they want to be operated upon by the consultant or the resident / fellow.
Proper anesthesia is a must for any eye surgery. Local anesthesia is most commonly used. Retrobulbar and peribulbar techniques for infiltrating the local area surrounding the eye muscle cone are used to immobilize the extraocular muscles and eliminate pain sensation. Topical anesthesia using lidocaine topical gel is preferred for quick procedures. In topical anesthesia, patient cooperation is a must for a smooth procedure. General anesthesia is recommended for children, traumatic eye injuries, major orbitotomies and for apprehensive patients. Cardiovascular monitoring is preferable in local anesthesia and is mandatory in general anesthesia. Proper sterile precautions are taken to prepare the area for surgery, including use of antiseptics like povidone-iodine. Sterile drapes, gowns and gloves are a must. A plastic sheet with a receptacle helps collect the fluids during phacoemulsification. An eye speculum is inserted to keep the eyes wide open. For anxious patients, supplementation with a facial nerve block using lidocaine and bupivacaine is recommended.
Laser eye surgery Although the terms Laser Eye Surgery and Refractive surgery are commonly used as if they were interchangeable, this is not the case. Lasers may be used to treat nonrefractive conditions (e.g. to seal a retinal tear), while radial keratotomy is an example of refractive surgery without the use of a laser.
Cataract surgery Main article: Cataract surgery
Cataract surgery, using a temporal approach phacoemulsification probe (in right hand) and "chopper"(in left hand) being done under operating microscope at a Navy medical centerA cataract is an opacification or cloudiness of the eye's crystalline lens due to aging, disease, or trauma that typically prevents light from forming a clear image on the retina. If visual loss is significant, surgical removal of the lens may be warranted, with lost optical power usually replaced with a plastic intraocular lens (IOL). Due to the high prevalence of cataracts, cataract extraction is the most common eye surgery.[2]
Glaucoma surgery Main article: Glaucoma surgery Glaucoma is a group of diseases affecting the optic nerve that results in vision loss and is frequently characterized by raised intraocular pressure (IOP). There are many types of glaucoma surgery, and variations or combinations of those types, that facilitate the escape of excess aqueous humor from the eye to lower intraocular pressure, and a few that lower IOP by decreasing the production of aqueous.
Canaloplasty Canaloplasty is an advanced, nonpenetrating procedure designed to enhance and restore the eyes natural drainage system to provide sustained reduction of IOP. Canaloplasty utilizes breakthrough microcatheter technology in a simple and minimally invasive procedure. To perform a canaloplasty, a doctor will create a tiny incision to gain access to a canal in the eye. A microcatheter will circumnavigate the canal around the iris, enlarging the main drainage channel and its smaller collector channels through the injection of a sterile, gel-like material called viscoelastic. The catheter is then removed and a suture is placed within the canal and tightened. By opening the canal, the pressure inside the eye will be relieved.
Refractive surgery Main article: Refractive surgery Refractive surgery aims to correct errors of refraction in the eye, reducing or eliminating the need for corrective lenses Keratomilleusis is method of reshaping the cornea surface to change its optical power. A disc of cornea is shaved off, quickly frozen, lathe-ground, then returned to its original power. Automated lamellar keratoplasty (ALK) Laser assisted in-situ keratomileusis (LASIK)[3] IntraLASIK Laser assisted sub-epithelial keratomileusis (LASEK), aka Epi-LASIK Photorefractive keratectomy (PRK)[4] Laser thermal keratoplasty (LTK) Conductive keratoplasty (CK) uses radio frequency waves to shrink corneal collagen. It is used to treat mild to moderate hyperopia.[3] Limbal relaxing incisions (LRI) Astigmatic keratotomy (AK), aka Arcuate keratotomy or Transverse keratotomy Radial keratotomy (RK) Hexagonal keratotomy (HK) Epikeratophakia is the removal of the corneal epithelium and replacement with a lathe cut corneal button.[5] Intracorneal rings (ICRs), or corneal ring segments (Intacs) [6] Implantable contact lenses Presbyopia reversal Anterior ciliary sclerotomy (ACS) Laser reversal of presbyopia (LRP) Scleral expansion bands
Corneal surgery Corneal surgery includes most refractive surgery as well as the following: Corneal transplant surgery, is used to remove a cloudy/diseased cornea and replace it with a clear donor cornea.[5] Penetrating keratoplasty (PK) Boston Keratoprosthesis(KPro) Phototherapeutic keratectomy (PTK)[7] Pterygium excision[8] Corneal tattooing
Vitreo-retinal surgery
Vitrectomy.Vitreo-retinal surgery includes the following Vitrectomy[9] Anterior vitrectomy is the removal of the front portio of vitreous tissue. It is used for preventing or treating vitreous loss during cataract or corneal surgery, or to remove misplaced vitreous in conditions such as aphakia pupillary block glaucoma. Pars plana vitrectomy (PPV), or trans pars plana vitrectomy (TPPV), is a procedure to remove vitreous opacities and membranes through a pars plana incision. It is frequently combined with other intraocular procedures for the treatment of giant retinal tears, tractional retinal detachments, and posterior vitreous detachments [1]. Pan retinal photocoagulation (PRP) is a type of photocoagulation therapy used in the treatment of diabetic retinopathy.[10] Retinal detachment repair Ignipuncture is an obsolete procedure that involves cauterization of the retina with a very hot pointed instrument.[11] A scleral buckle is used in the repair of a retinal detachment to indent or "buckle" the sclera inward, usually by sewing a piece of preserved sclera or silicone rubber to its surface.[12] Laser photocoagulation, or photocoagulation therapy, is the use of a laser to seal a retinal tear.[10] Pneumatic retinopexy Retinal cryopexy, or retinal cryotherapy, is a procedure that uses intense cold to induce a chorioretinal scar and to destroy retinal or choroidal tissue.[13] Macular hole repair Partial lamellar sclerouvectomy[14] Partial lamellar sclerocyclochoroidectomy Partial lamellar sclerochoroidectomy Posterior sclerotomy is an opening made into the vitreous through the sclera, as for detached retina or the removal of a foreign body [2]. Radial optic neurotomy macular translocation surgery through 360 degree retinotomy through scleral imbrication technique
Eye muscle surgery
Isolating the inferior rectus muscle Disinserting the medial rectus muscle, after pre-placing vicryl sutureMain article: Strabismus surgery With approximately 1.2 million procedures each year, extraocular muscle surgery is the third most common eye surgery in the United States [3].
Eye muscle surgery typically corrects strabismus and includes the following[15] [4]: Loosening / weakening procedures Recession involves moving the insertion of a muscle posteriorly towards its origin. Myectomy Myotomy Tenectomy Tenotomy Tightening / strengthening procedures Resection Tucking Advancement is the movement of an eye muscle from its original place of attachment on the eyeball to a more forward position. Transposition / repositioning procedures Adjustable suture surgery is a method of reattaching an extraocular muscle by means of a stitch that can be shortened or lengthened within the first post-operative day, to obtain better ocular alignment [5].
Oculoplastic surgery Main article: Oculoplastics Oculoplastic surgery, or oculoplastics, is the subspecialty of ophthalmology that deals with the reconstruction of the eye and associated structures. Oculoplastic surgeons perform procedures such as the repair of droopy eyelids (blepharoplasty)[6], repair of tear duct obstructions, orbital fracture repairs, removal of tumors in and around the eyes, and facial rejuvenation procedures including laser skin resurfacing, eye lifts, brow lifts, and even facelifts. Common procedures are:
Eyelid surgery [7]
Blepharoplasty (Eyelift) Blepharoplasty is plastic surgery of the eyelids to remove excessive skin or subcutaneous fat.[16] Asian blepharoplasty Ptosis repair for droopy eyelid Ectropion repair[8] Entropion repair Canthal resection A canthectomy is the surgical removal of tissue at the junction of the upper and lower eyelids.[17] Cantholysis is the surgical division of the canthus.[17] Canthopexy A canthoplasty is plastic surgery at the canthus.[17] A canthorrhaphy is suturing of the outer canthus to shorten the palpebral fissure.[17] A canthotomy is the surgical division of the canthus, usually the outer canthus.[17] A lateral canthotomy is the surgical division of the outer canthus. Epicanthoplasty Tarsorrhaphy is a procedure in which the eyelids are partially sewn together to narrow the opening (i.e. palpebral fissure).
Surgery involving the lacrimal apparatus
A dacryocystorhinostomy (DCR) or dacryocystorhinotomy is a procedure to restore the flow of tears into the nose from the lacrimal sac when the nasolacrimal duct does not function.[17][18] Canaliculodacryocystostomy is a surgical correction for a congenitally blocked tear duct in which the closed segment is excised and the open end is joined to the lacrimal sac.[17][19] Canaliculotomy involves slitting of the lacrimal punctum and canaliculus for the relief of epiphora[17] A dacryoadenectomy is the surgical removal of a lacrimal gland.[17] A dacryocystectomy is the surgical removal of a part of the lacrimal sac.[17] A dacryocystostomy is an incision into the lacrimal sac, usually to promote drainage.[17] A dacryocystotomy is an incision into the lacrimal sac.[17]
Eye removal
An enucleation is the removal of the eye leaving the eye muscles and remaining orbital contents intact.[20] An evisceration is the removal of the eye's contents, leaving the scleral shell intact. Usually performed to reduce pain in a blind eye.[21] An exenteration is the removal of the entire orbital contents, including the eye, extraocular muscles, fat, and connective tissues; usually for malignant orbital tumors.[22]
Orbital surgery Orbital reconstruction / Ocular prosthetics (False Eyes) Orbital decompression for Grave's Disease
Other oculoplastic surgery Botox injections Ultrapeel Microdermabrasion Endoscopic forehead and browlift Face lift (Rhytidectomy) Liposuction of the face and neck Browplasty [9]
Other surgery A ciliarotomy is a surgical division of the ciliary zone in the treatment of glaucoma.[17] A ciliectomy is 1) the surgical removal of part of the ciliary body, or 2) the surgical removal of part of a margin of an eyelid containing the roots of the eyelashes.[17] A ciliotomy is a surgical section of the ciliary nerves.[17] A conjunctivoanstrostomy is an opening made form the inferior conjuctival cul-de-sac into the maxillary sinus for the treatment of epiphora.[17] Conjuctivoplasty is plastic surgery of the conjunctiva.[17] A conjunctivorhinostomy is a surgical correction of the total obstruction of a lacrimal canaliculus by which the conjuctiva is anastomosed with the nasal cavity to improve tear flow.[17] A corectomedialysis, or coretomedialysis, is an excision of a small portion of the iris at its junction with the ciliary body to form an artificial pupil.[17] A corectomy, or coretomy, is any surgical cutting operation on the iris at the pupil.[17] A corelysis is a surgical detachment of adhesions of the iris to the capsule of the crystalline lens or cornea.[17] A coremorphosis is the surgical formation of an artificial pupil.[17] A coreplasty, or coreoplasty, is plastic surgery of the iris, usually for the formation of an artificial pupil.[17] A coreoplasy, or laser pupillomydriasis, is any procedure that changes the size or shape of the pupil.[21] A cyclectomy is an excision of portion of the ciliary body.[17] A cyclotomy, or cyclicotomy, is a surgical incision of the ciliary body, usually for the relief of glaucoma.[17] A cycloanemization is a surgical obliteration of the long ciliary arteries in the treatment of glaucoma.[17] An iridectomesodialsys is the formation of an artificial pupil by detaching and excising a portion of the iris at its periphery.[17] An iridodialysis, sometimes known as a coredialysis, is a localized separation or tearing away of the iris from its attachment to the ciliary body.[17][21] An iridencleisis, or corenclisis, is a surgical procedure for glaucoma in which a portion of the iris is incised and incarcerated in a limbal incision.[17] (Subdivided into basal iridencleisis and total iridencleisis.[23]) An iridesis is a surgical procedure in which a portion of the iris is brought through and incarcerated in a corneal incision in order to reposition the pupil.[17][10] An iridocorneosclerectomy is the surgical removal of a portion of the iris, the cornea, and the sclera.[17] An iridocyclectomy is the surgical removal of the iris and the ciliary body.[17] An iridocystectomy is the surgical removal of a portion of the iris to form an artificial pupil.[17] An iridosclerectomy is the surgical removal of a portion of the sclera and a portion of the iris in the region of the limbus for the treatment of glaucoma.[17] An iridosclerotomy is the surgical puncture of the sclera and the margin of the iris for the treatment of glaucoma.[17] A rhinommectomy is the surgical removal of a portion of the internal canthus.[17] A trepanotrabeculectomy is used in the treatment of chronic open and chronic closed angle glaucoma.[23]
See also LASIK Ophthalmology Topical anesthetic SEE-KID-Computer-assisted Simulation and Treatment of Eye Motility Disorders
Derived from Wikipedia article Eye surgery
Pics
Eye Surgery - Many people have refractive keratotomy because they want to see well without the physical dependence on spectacles or contact lenses (source) Eye Surgery - Dr. Vryghem Brussels - Prelex eye surgery by Dr. Vryghem in Brussels. Prelex eye surgery for people from Belgium / Antwerp - Germany / Köln - The Netherlands / Holland and Luxembourg. (source) Laser Eye Surgery - Lasik Eyes is the leading laser eye surgery clinic in the UK. They provide services for laser eye, vision correction and more. Lasik Eyes is the first choice for laser surgery in the UK (source) Laser Eye Surgery - A teaching initiative by a University of Ulster duo is setting new training standards in refractive surgery more commonly known as laser eye treatment. (source) Corrective Eye Surgery - Corrective Eye Surgery for Refractive Errors (source) Corrective Eye Surgery - Informational web site about vision correction in the McAllen area. LASIK, LASEK, PRK, CK, Clear Lens Extraction, Presbyoptia Treatments and Phakic IOL/Implantable Contact Lenses. Click here to find out more (source) Cosmetic Eye Surgery - Auckland Eye is New Zealand's largest and most highly specialized eye centre. We specialize in laser surgery, glaucoma and cataract surgery. (source) Cataract Eye Surgery -. Welcome to beautiful eyes.com! New York cosmetic and reconstructive surgeon, dr. Jeffrey schiller, md, specializes in facial cosmetic & reconstructive surgery of the eyelids, lacrimal system, orbit and face. He uses the most advanced laser and endoscopic techniques to correct the changes of aging and perform reconstructive surgery after injuries & cancer (source) Eye Lift Surgery - A center for Cosmetic Surgery featuring an experienced and dedicated staff performing highest quality facial, eyelid, and forehead rejuvenation surgery and ancillary procedures (source) Eye Lift Surgery - Complete info on Forehead Lift Surgery, Brow Lift Surgery, Forehead Lift Surgery in India, Forehead Lift Surgery in Apollo Hospital, Brow Lift Surgery in Apollo, Side Effects of Forehead Lift Surgery, Brow Lift Surgery in India, Online Booking for Hotels near Hospitals in India (source) Eye Plastic Surgery - Man Marked for Plastic Surgery (source) Eye Plastic Surgery - Eau Claire LASIK Wisconsin Menomonie Rice Lake LASIK Wisconsin (source) Lazy Eye Surgery - Read Parents' and Patients' Stories about Personal Experiences with Lazy Eye Surgery, Strabismus Surgery (source) Lazy Eye Surgery - Before and After Strabismus Repair - Eye Muscle Repair (Lazy Eye Repair, Repair of Cross-Eye, Resection and Recession, Strabismus Repair) pictures and images. (source) Refractive Eye Surgery - Services provided by Dr. Costello include Comprehensive Eye Exams, State-of-the-art Cataract Surgery, Diabetes Medical Eye Disease, Glaucoma, and Laser Surgery, Eyelid Surgery, and vision correction treatments (source) Refractive Eye Surgery - A source for articles related to LASIK, contact lenses, reading glasses, safety glasses (source) Eye Lid Surgery - Cosmetic surgery can change the way you look and the way you feel about yourself giving you improved self confidence. Dr Mark Vucak and his staff provide the latest technology in all aspects of cosmetic surgery including breast augmentation, breast reduction, liposuction, blepharoplasty and laser resurfacing, together with a range of skin care management and cosmetic tattooing. (source) Eye Lid Surgery - Dr. Miller recommended performing a revision rhinoplasty, upper eyelid surgery to remove the excess skin and lip augmentation - (source) Eye Muscle Surgery - This operation will allow the eye to slip away from the muscle towards a straighter position. (source) Eye Muscle Surgery - Strabismus is a condition in which the eyes do not align in the same direction. It is also called crossed eyes or squint. (source) Under Eye Surgery - Young Woman with Adhesive Bandage under Eye (source) Under Eye Surgery - Real Under eye lift at Plastic Surgery Clinic (source)
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