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Scleral Reinforcement Surgery
Scleral reinforcement is a surgical procedure used to reduce or stop further macular damage caused by high myopia, which can be degenerative. High myopia Myopia is one of the leading causes of blindness in the world.Grossniklaus, H.E. and W.R. Green, Pathologic findings in pathologic myopia. Retina, 1992. 12(2): p. 127-33.Bores, L.D., Scleral Reinforcement, in Refractive Eye Surgery. 2001, Blackwell Science, Inc.: USA. p. 466-491. It is caused by both genetic Curtin, B.J., The nature of pathological myopia, in The Myopias. 1985, Harper & Row: Philadelphia. p. 237-239. and environmental factors,Saw, S., et al., Myopia: gene-environment interaction. Annals of the Academy of Medicine, Singapore, 2000. 29(3): p. 290. such as mechanical stretching, excessive eye work and accommodation, as well as an elevated intraocular pressure. It affects both children and adults. In many cases, myopia will stabilize once the growth process has been completed, but in more severe chronic cases, ...
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Sclera
The sclera, also known as the white of the eye or, in older literature, as the tunica albuginea oculi, is the opaque, fibrous, protective, outer layer of the human eye containing mainly collagen and some crucial elastic fiber. In humans, and some other vertebrates, the whole sclera is white, contrasting with the coloured iris, but in most mammals, the visible part of the sclera matches the colour of the iris, so the white part does not normally show while other vertebrates have distinct colors for both of them. In the development of the embryo, the sclera is derived from the neural crest. In children, it is thinner and shows some of the underlying pigment, appearing slightly blue. In the elderly, fatty deposits on the sclera can make it appear slightly yellow. People with dark skin can have naturally darkened sclerae, the result of melanin pigmentation. The human eye is relatively rare for having a pale sclera (relative to the iris). This makes it easier for one individual t ...
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Cataracts
A cataract is a cloudy area in the lens of the eye that leads to a decrease in vision. Cataracts often develop slowly and can affect one or both eyes. Symptoms may include faded colors, blurry or double vision, halos around light, trouble with bright lights, and trouble seeing at night. This may result in trouble driving, reading, or recognizing faces. Poor vision caused by cataracts may also result in an increased risk of falling and depression. Cataracts cause 51% of all cases of blindness and 33% of visual impairment worldwide. Cataracts are most commonly due to aging but may also occur due to trauma or radiation exposure, be present from birth, or occur following eye surgery for other problems. Risk factors include diabetes, longstanding use of corticosteroid medication, smoking tobacco, prolonged exposure to sunlight, and alcohol. The underlying mechanism involves accumulation of clumps of protein or yellow-brown pigment in the lens that reduces transmission ...
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Hemorrhage
Bleeding, hemorrhage, haemorrhage or blood loss, is blood escaping from the circulatory system from damaged blood vessels. Bleeding can occur internally, or externally either through a natural opening such as the mouth, nose, ear, urethra, vagina or anus, or through a puncture in the skin. Hypovolemia is a massive decrease in blood volume, and death by excessive loss of blood is referred to as exsanguination. Typically, a healthy person can endure a loss of 10–15% of the total blood volume without serious medical difficulties (by comparison, blood donation typically takes 8–10% of the donor's blood volume). The stopping or controlling of bleeding is called hemostasis and is an important part of both first aid and surgery. Types * Upper head ** Intracranial hemorrhage – bleeding in the skull. ** Cerebral hemorrhage – a type of intracranial hemorrhage, bleeding within the brain tissue itself. ** Intracerebral hemorrhage – bleeding in the brain caused by the rup ...
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Edema
Edema, also spelled oedema, and also known as fluid retention, dropsy, hydropsy and swelling, is the build-up of fluid in the body's tissue. Most commonly, the legs or arms are affected. Symptoms may include skin which feels tight, the area may feel heavy, and joint stiffness. Other symptoms depend on the underlying cause. Causes may include venous insufficiency, heart failure, kidney problems, low protein levels, liver problems, deep vein thrombosis, infections, angioedema, certain medications, and lymphedema. It may also occur after prolonged sitting or standing and during menstruation or pregnancy. The condition is more concerning if it starts suddenly, or pain or shortness of breath is present. Treatment depends on the underlying cause. If the underlying mechanism involves sodium retention, decreased salt intake and a diuretic may be used. Elevating the legs and support stockings may be useful for edema of the legs. Older people are more commonly affected. The ...
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Chemosis
Chemosis is the swelling (or edema) of the conjunctiva. The term derives from the Greek ''chem-'' meaning chemical and ''-osis'' meaning denoting action. A chemical reaction, or in this case, a chemical reaction of the conjunctiva which is due to the oozing of exudate from abnormally permeable capillaries. In general, chemosis is a nonspecific sign of eye irritation. The outer surface covering appears to have fluid in it. The conjunctiva becomes swollen and gelatinous in appearance. Often, the eye area swells so much that the eyes become difficult or impossible to close fully. Sometimes, it may also appear as if the eyeball has moved slightly backwards from the white part of the eye due to the fluid filled in the conjunctiva all over the eyes except the iris. The iris is not covered by this fluid and so it appears to be moved slightly inwards. Causes It is usually caused by allergies or viral infections, often inciting excessive eye rubbing. Chemosis is also included in t ...
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Strabismus Hook
This is a list of instruments used in ophthalmology.Ophthalmology Oral & Practical 3rd edition, by Dr. Danesh Instrument list A complete list of ophthalmic instruments can be found below: Image gallery File:ASICO Akahoshi Combo II Prechopper.jpg, Akahoshi Combo II Prechopper File:Briller2.JPG, Glasses File:ColorContactLens.JPG, Contact lenses File:Medical Instrument Eye Plain dissecting forceps.jpg, Plain dissecting forceps Forceps (plural forceps or considered a plural noun without a singular, often a pair of forceps; the Latin plural ''forcipes'' is no longer recorded in most dictionaries) are a handheld, hinged instrument used for grasping and holding objects. Fo ... File:Medical instrument Artery forceps or Haemostat.jpg, Artery forceps or Haemostat File:Medical Instrument Mosquito forceps.jpg, Mosquito forceps File:Medical Instrument Linen holding forceps.jpg, Linen holding forceps File:Medical Instrument Bowman's lacrimal probe.jpg, Bowman's lacrimal probe File:Medic ...
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Inferior Rectus Muscle
The inferior rectus muscle is a muscle in the orbit near the eye. It is one of the four recti muscles in the group of extraocular muscles. It originates from the common tendinous ring, and inserts into the anteroinferior surface of the eye. It depresses the eye (downwards). Structure The inferior rectus muscle originates from the common tendinous ring (annulus of Zinn). It inserts into the anteroinferior surface of the eye. This insertion has a width of around 10.5 mm. It is around 7 mm from the corneal limbus. Blood supply The inferior rectus muscle is supplied by an inferior muscular branch of the ophthalmic artery. It may also be supplied by a branch of the infraorbital artery. It is drained by the corresponding veins: the inferior muscular branch of the ophthalmic vein, and sometimes a branch of the infraorbital vein. Nerve supply The inferior rectus muscle is supplied by the inferior division of the oculomotor nerve (III). Development The inferior rectus muscle d ...
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Superior Rectus Muscle
The superior rectus muscle is a muscle in the orbit. It is one of the extraocular muscles. It is innervated by the superior division of the oculomotor nerve (III). In the primary position (looking straight ahead), its primary function is elevation, although it also contributes to intorsion and adduction. It is associated with a number of medical conditions, and may be weak, paralysed, overreactive, or even congenitally absent in some people. Structure The superior rectus muscle originates from the annulus of Zinn. It inserts into the anterosuperior surface of the eye. This insertion has a width of around 11 mm. It is around 8 mm from the corneal limbus. Nerve supply The superior rectus muscle is supplied by the superior division of the oculomotor nerve (III). Relations The superior rectus muscle is related to the other extraocular muscles, particularly to the medial rectus muscle and the lateral rectus muscle. The insertion of the superior rectus muscle is around 7. ...
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Lateral Rectus Muscle
Lateral is a geometric term of location which may refer to: Healthcare *Lateral (anatomy), an anatomical direction * Lateral cricoarytenoid muscle * Lateral release (surgery), a surgical procedure on the side of a kneecap Phonetics *Lateral consonant, an l-like consonant in which air flows along the sides of the tongue ** Lateral release (phonetics), the release of a plosive consonant into a lateral consonant Other uses *''Lateral'', journal of the Cultural Studies Association *Lateral canal, a canal built beside another stream * Lateral hiring, recruiting that targets employees of another organization *Lateral mark, a sea mark used in maritime pilotage to indicate the edge of a channel * Lateral stability of aircraft during flight *Lateral pass, a type of pass in American and Canadian football * Lateral support (other), various meanings * Lateral thinking, the solution of problems through an indirect and creative approach * Lateral number, a proposed alternate term f ...
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Corneal Limbus
The corneal limbus (''Latin'': corneal border) is the border between the cornea and the sclera (the white of the eye). It contains stem cells in its palisades of Vogt. It may be affected by cancer or by aniridia (a developmental problem), among other issues. Structure The corneal limbus is the border between the cornea and the sclera. It is highly vascularised. Its stratified squamous epithelium is continuous with the epithelium covering the cornea. The corneal limbus contains radially-oriented fibrovascular ridges known as the palisades of Vogt that contain stem cells. The palisades of Vogt are more common in the superior and inferior quadrants around the eye. Clinical significance Cancer The corneal limbus is a common site for the occurrence of corneal epithelial neoplasm. Aniridia Aniridia, a developmental anomaly of the iris, disrupts the normal barrier of the cornea to the conjunctival epithelial cells at the limbus. Glaucoma The corneal limbus may be cut ...
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Tenon's Capsule
Tenon's capsule (), also known as the Tenon capsule, fascial sheath of the eyeball () or the fascia bulbi, is a thin membrane which envelops the eyeball from the optic nerve to the corneal limbus, separating it from the orbital fat and forming a socket in which it moves. The inner surface of Tenon's capsule is smooth and is separated from the outer surface of the sclera by the periscleral lymph space. This lymph space is continuous with the subdural and subarachnoid cavities and is traversed by delicate bands of connective tissue which extend between the capsule and the sclera. The capsule is perforated behind by the ciliary vessels and nerves and fuses with the sheath of the optic nerve and with the sclera around the entrance of the optic nerve. In front it adheres to the conjunctiva, and both structures are attached to the ciliary region of the eyeball. The structure was named after Jacques-René Tenon (1724–1816), a French surgeon and pathologist. Structure Relations ...
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Conjunctiva
The conjunctiva is a thin mucous membrane that lines the inside of the eyelids and covers the sclera (the white of the eye). It is composed of non-keratinized, stratified squamous epithelium with goblet cells, stratified columnar epithelium and stratified cuboidal epithelium (depending on the zone). The conjunctiva is highly vascularised, with many microvessels easily accessible for imaging studies. Structure The conjunctiva is typically divided into three parts: Blood supply Blood to the bulbar conjunctiva is primarily derived from the ophthalmic artery. The blood supply to the palpebral conjunctiva (the eyelid) is derived from the external carotid artery. However, the circulations of the bulbar conjunctiva and palpebral conjunctiva are linked, so both bulbar conjunctival and palpebral conjunctival vessels are supplied by both the ophthalmic artery and the external carotid artery, to varying extents. Nerve supply Sensory innervation of the conjunctiva is divided int ...
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