Steep Trendelenburg Positioning Case Studies

The guidelines of the European Glaucoma Society (EGS) for the management of glaucoma due to corticosteroid treatment are; (1) discontinuation of corticosteroid therapy or switch to weaker steroid (2) administration of topical or systemic IOP lowering medications (3) laser trabeculoplasty and (4) glaucoma surgery in intractable cases. These recommendations are, however, not specific for intravitreal administration of

Did you know that 9-12% of people are diagnosed with glaucoma. Glaucoma is a disease of the optic nerve, which is usually associated with high pressure inside the eye. Glaucoma has been labelled the “sneak thief of sight”, because people remain undiagnosed until irreversible vision loss occurs. About 1 out of every 10,000 babies born in the United States are diagnosed with glaucoma. Over 3 million Americans have glaucoma, but only half of them realize they have glaucoma. In this essay, it will discuss about the different types of glaucoma, different causes of glaucoma, and different treatments for glaucoma.

Post-cataract endophthalmitis is a rare but serious complication.1 Recent studies show a rate of postoperative endophthalmitis after cataract surgery of 0.04% to 0.29%.2-4 However, it remains the most important concern for surgeons, because it can have devastating consequences on vision.5 It is recently reported that 9% of patients with endophthalmitis have a poor ocular prognosis (visual acuity <20/100).6

It is essential, during anaesthesia, to prevent any mechanical pressure to the globes and to maintain mean arterial pressure. Horseshoe headrests should not be used for prone patients as they have been implicated in nearly all cases of direct eye pressure damage in the prone position. All patients complaining of postoperative visual disturbance require urgent review by an ophthalmologist. Although vision rarely returns after ischaemic optic neuropathy, treatment may improve the visual field defect following central retinal artery

IOP was ound to be increased in two eyes (8%), both in the same patient with rapid control by beta blocker only and shif rom steroid to non-steroidal anti-inflammatory drops which suggesting it was steroid sensitive patient.In one eye one year later the iris tissue between one o haptics show atrophy with impending dislocation o the IOL and another surgery under local anaesthesia was done with refixation o the IOL. Glare and halos were observed in 2 eyes (8%) o. Glare and halos were explained by poor centration o the phakic IOL in one eye and a large scotopic pupil size in the other eye however adaptation with clinical improvement in ew post-operative months. One eye (4%) show postoperative iritis rapidly reserved in ew days however another attack o iritis within three months occurred affecting the vision however resolution occurred with requent steroids but non pigmented precipitate persist decreasing the vision. pigmented deposits were ound in our eyes (16%). Tese eyes were treated with topical corticosteroid agents, but pigment precipitates persisted in these eyes. Tese eyes, however, did not have a loss o visual acuity. Complications are summarized

This case study follows a 63-year-old Caucasian man with a 55-year history of long-standing retinal detachment after trauma. He came into their facility and presented pain and redness, a total hyphema, no light perception vision and an intraocular pressure of 60 mmHg (right eye). He disclosed that he has a history of diabetes and coronary artery disease. He also stated he was hit in the eye with a stone 55 years ago. Following anterior chamber washout, he was found to have neovascular glaucoma. After washout and intraocular pressure control, his visual acuity improved to light perception. He underwent vitrectomy, membrane peeling, endolaser and silicone oil placement to reattach his retina, and then a second retinal reattachment procedure Following

Intraocular pressure test (tonoapplantation) wasn’t performed due to the risks of touching the injured eyes; an irregular

It has gained momentum in modern era among retinal specialists as a well-accepted alternative surgical approach to vitrectomy and scleral bucking for selected cases. (3) Qualified candidates must meet well-defined inclusion criteria in order to achieve the best outcome. The indications for PR include: (4)

Surgical intervention involves Posterior sclerostomy and injection of balanced salt solution or viscoelastic into the anterior chamber. Sclerostomies are usually made inferiorly 4 mm behind the limbus and over the pars plana. Alternatively, 1-mm trephination through the sclera, anterior to the inferior rectus muscle may be done. It remains open for several days and allows suprachoroidal fluid to drain subconjunctivally.17

It is usually bilateral in predisposition and it is often worsened by conventional glaucoma surgery. This rare potentially devastating form of glaucoma usually presents following ocular surgery in patients with a history of angle closure or PAS. Sometimes it occurs spontaneously in eyes with an open angle after cataract surgery or laser procedures. The disease presents with uniform flattening of central and peripheral anterior chamber.

In this article, “Three surgeon-innovators share their LenSx[R] Laser Pearls". Dr. LaBorwit et. al restates "Rudimentary cataract surgery is centuries old, primarily taking the form of couching, then evolving with early attempts with intraocular lens (IOL) implantation starting in the mid-1700s"(pS1). It discusses how the technical advances of the last few years have propelled surgical procedures into a bright new era. It provides practices that have embraced this new approach to cataract surgery and the errors how best to incorporate it by laser technology into their patient flows. This source is a benefit for my source because it contains how laser eyes optimized both their technique and the reproduction of their outcomes. It gives agreeable

This includes a decrease in your vision, an increase in the after-surgery pain, increased redness, increased swelling and discharge coming from your eye. Further signs to be aware of includes more floating or new floaters appearing to impair your vision.

In order for sight to be restored, the cataract does not have to be fully mature, however, when the cataract begins to interfere with daily activities, it is necessary to have surgery. Cataract surgery is performed in most countries by an ophthalmologist and is a relatively painless procedure to regain vision. It involves removing the cloudy lens tissue from the eye, which is replaced with an implant called an intraocular lens (IOL). The power of the implant is calculated individually for each eye so that the image for distance is brought to focus on the eye’s retina. After surgery a person is able to see clearly within a few hours and until the eye is completely healed, medication and care is required for a few

After the surgery, the optometrist will probably require your loved one to use medicated eye drops to speed healing and reduce the likelihood of infection. If your loved one needs to use these, assist your loved one with putting the eye drops in—especially if they have shaky

The medical world is a place full of constant change and evolution. One area of medicine that has changed a lot over the last ten years is surgery. Instead of traditional open surgery, surgeons can now use a method called laparoscopic surgery. As defined, laparoscopic surgery is an “operative procedure performed using minimally invasive surgical technique for exposure that avoids traditional incision. Visualization is achieved using a fibre optic instrument, usually attached to a video camera” (Medical-Dictionary.com). Laparoscopic surgery is remarkable from how it works to the many different procedures that can be performed through laparoscopic surgery, and how much less trauma it causes the body than open surgery.