Asunto(s)
Evisceración del Ojo/métodos , Procedimientos Quirúrgicos Oftalmológicos/métodos , Procedimientos de Cirugía Plástica/métodos , Ajuste de Prótesis/métodos , Implantación de Prótesis/métodos , Evisceración del Ojo/instrumentación , Humanos , Masculino , Persona de Mediana Edad , Procedimientos Quirúrgicos Oftalmológicos/instrumentación , Ajuste de Prótesis/instrumentación , Implantación de Prótesis/instrumentación , Procedimientos de Cirugía Plástica/instrumentación , Resultado del TratamientoRESUMEN
The efficacy of hemostasis achievement during conduction of a retrobulbar vascular-nervous bunch ligation (RVNBL), using titanic clips while evisceroenucleation performance, was studied up. A comparative analysis of clinical and functional results of surgical treatment of 36 patients, suffering terminal dolorous glaucoma and disaster of a sympathetic ophthalmia complication after an eye penetrating wounding occurrence. In 16 patients (the first group) a standard method of a hemostasis achievement was used while doing evisceroenucleation - a deep orbital tamponade for 5 minutes. In 20 patients (the second group) a procedure of RVNBL was conducted, using titanic clips before the bunch transsection doing. There was established, that while doing a RVNPL using titanic clips, a hemorrhage never occurs, a retrobulbar hematoma do not formated, the soft tissues reaction in the early postoperative period is less pronounced, and the patients postoperative rehabilitation period shortens.
Asunto(s)
Enucleación del Ojo , Evisceración del Ojo , Ojo , Hemostasis Quirúrgica , Hemorragia Retrobulbar/prevención & control , Instrumentos Quirúrgicos , Adulto , Anciano , Ojo/irrigación sanguínea , Ojo/inervación , Enucleación del Ojo/instrumentación , Enucleación del Ojo/métodos , Evisceración del Ojo/instrumentación , Evisceración del Ojo/métodos , Lesiones Oculares Penetrantes/cirugía , Femenino , Glaucoma/cirugía , Hemostasis Quirúrgica/instrumentación , Hemostasis Quirúrgica/métodos , Humanos , Ligadura , Masculino , Persona de Mediana Edad , Nervio Óptico/cirugía , Titanio , Adulto JovenRESUMEN
This article reviews orbital implants used to replace an eye after enucleation or evisceration. Advantages of implant placement are described, with discussion of implant and wrap material, and design features that affect clinical outcomes. Implants may be porous or nonporous, pegged for linkage with a cosmetic shell or unpegged, and may be wrapped with a covering material or tissue or unwrapped. Device shape, volume and material qualities affect tissue tolerance and the risk of exposure or extrusion. Limitations of currently available devices are discussed, with factors affecting surgeon and patient choice. Ideally, a device should be easy to insert, avoid the need for wrapping or adjunctive tissues, be light, biointegratable, comfortable after implantation and provide satisfactory orbital volume replacement, movement and cosmesis without requiring further surgery or pegging. This review briefly discusses developments in implant design and aspects of design that affect function, but is not a detailed clinical review; rather, it aims to stimulate thought on optimal design and discusses recent developments. Novel technology in the form of a prototype device with a soft, biointegratable anterior surface is described as an example of newer approaches.
Asunto(s)
Enucleación del Ojo/instrumentación , Evisceración del Ojo/instrumentación , Implantes Orbitales , Diseño de Prótesis , Humanos , Porosidad , Complicaciones Posoperatorias/etiologíaRESUMEN
Conformers and symblepharon rings are routinely used to keep fornices formed after socket surgery or in the presence of conjunctival cicatricial disease. However, there is no accepted standard size or shape of conformers or symblepharon rings. We measured the ideal conformer and symblepharon sizes in patients undergoing socket surgery and designed six conformer and symblepharon sizes. The full set of six conformers and symblepharon rings is available to the surgeon at the end of surgery. We have successfully used these conformers and symblepharon rings in over 600 cases during the last 7 years. These standardized sizes allow more accurate fitting of conformers and symblepharon rings.