By Patricio A. Pacheco
It is a entire, sensible guidebook that offers a transparent assessment and replace of present smooth ideas of ocular surgical procedure. The chapters can be of curiosity to a large viewers. The chapters are written by way of specialists with designated curiosity and huge medical adventure within the issues.
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Extra info for Advances in Eye Surgery
Due to its origin, there is a small possibility of infection transmission, including human immunodeficiency virus, hepatitis B or C virus, and Creutzfeldt-Jakob disease. These risks have made many surgeons abandon this wrapping material. 2. Autologous tissue This type of tissue includes temporalis fascia, dermis, human donor pericardium, fascia lata, or posterior auricular muscle complex . Their autologous origin prevents an immune host versus graft reaction. Nevertheless, they require an extra surgical procedure to harvest them and prepare them to cover the implant, which increases surgical time, and there is always the risk of donor site morbidity.
Isolate the inferior oblique muscle in the inferotemporal quadrant with a muscle hook sweeping it from posterior to anterior toward where the inferior rectus was located. As with the rectus muscles, cauterize and cut. Some surgeons like to reinsert the inferior oblique muscle in the orbital implant. In our experience, it is not necessary to achieve a correct implant motility (Figure 6). 5772/61030 Figure 6. Inferior oblique exposure 12. Isolate the superior oblique muscle in the superonasal quadrant by sweeping the muscle hook from anterior to posterior toward the insertion of the superior rectus muscle.
Choroid is dissected from sclera 8. Wipe the internal scleral surface with cotton-tipped applicators soaked in absolute alcohol and remove retained uveal tissue with gauze. 9. Upon this point of the surgery, there are different options to prepare the sclera to accom‐ modate the orbital implant. Some authors prefer to make 10-15 mm radial scleral incisions in the four oblique quadrants, avoiding the insertions of the rectus muscles . Others prefer a complete posterior sclerotomy, transecting the sclera from the superior nasal and inferior temporal limbus to the optic nerve.