Download PDF by Patricio A. Pacheco: Advances in Eye Surgery

By Patricio A. Pacheco

ISBN-10: 9535122495

ISBN-13: 9789535122494

It is a complete, useful guidebook that gives a transparent evaluate and replace of present glossy options of ocular surgical procedure. The chapters may be of curiosity to a large viewers. The chapters are written via specialists with detailed curiosity and wide scientific event within the themes.

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A histopathological examination showed the presence of a chronic inflammatory infiltrate in 22 implants (88%) and significantly reduced fibrovascular ingrowth of the implant in all patients. They consid‐ ered a good surgical option the implantation of a dermis-fat graft in the socket once explanted the implant in order to address the volume deficit following implant removal. There are many surgical options to treat exposed implants: scleral patch grafts [62], mucous membrane grafts [63], temporalis fascia grafts [64], conjunctival pedicle grafts [65], and dermisfat grafts [66].

In 1583, George Bartisch first described the extirpation of an eye. In 1817, Bear introduced evisceration in an eye with an expulsive hemorrhage when performing an iridectomy for an acute glaucoma [2]. It was in 1874 when Noyes reported the routine evisceration of the ocular contents when there was severe intraocular infection [3]. Later, in 1884, Mules reported for the first time the use of an orbital glass sphere implant in an eviscerated cavity, this becoming the bedrock of volume loss restoration and improving dramatically cosmetic results of this surgery [2,4].

It is very common that artificial eyes need to be adapted several times after the initial fitting before the patient feels comfortable with them. The patient will be followed at the ocularist once or twice a year to check if the prosthesis fits correctly in the socket, if it is affecting the lower eyelid (the weight of the prosthesis is a key factor) or if its surface needs polishing. , when the patient visits the clinic. Exenterated orbits are more difficult to deal with. Orbital prostheses are made by experienced anaplastologists or ocularists.

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Advances in Eye Surgery by Patricio A. Pacheco

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