Mini-Invasive Glaucoma Surgery (MIGS)

Dec 19, 2017 by in OPHTHALMOLOGY Comments Off on Mini-Invasive Glaucoma Surgery (MIGS)

Fig. 8.1 iStent. This is a very small L-shaped device in non-ferromagnetic titanium, coated in heparin to assist self-priming. The most recent model is 1 mm long, 0.33 mm thick…

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Schlemm Canal Device

Dec 19, 2017 by in OPHTHALMOLOGY Comments Off on Schlemm Canal Device

Fig. 10.1 The Hydrus Microstent. The material used in the production of this microstent is nitinol, an extremely elastic and biocompatible metal used for cardiovascular and orthopaedic implants. Nitinol also…

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Anatomy

Dec 19, 2017 by in OPHTHALMOLOGY Comments Off on Anatomy

Fig. 1.1 Anatomy of the limbus (in section). – the red lines define the block of tissue known as the limbus; – the broken blue line indicates the transition zone between the…

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Surgical Iridectomy

Dec 19, 2017 by in OPHTHALMOLOGY Comments Off on Surgical Iridectomy

Fig. 6.1 Mechanism of Action of the iridectomy. The iridectomy is visible in the superior portion of the peripheral iris. The new pathway for the aqueous humor through the iris…

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Pediatric Glaucoma

Dec 19, 2017 by in OPHTHALMOLOGY Comments Off on Pediatric Glaucoma

Fig. 7.1 Creation of the radial incision of the limbus for the identification of the Schlemm Canal. (a) Surgeon’s view. On the bed of the scleral pouch, the surgeon creates…

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The Choice of Glaucoma Treatment

Dec 19, 2017 by in OPHTHALMOLOGY Comments Off on The Choice of Glaucoma Treatment

© Springer International Publishing AG 2018Luigi Caretti and Lucio Buratto (eds.)Glaucoma Surgery https://doi.org/10.1007/978-3-319-64855-2_15 15. The Choice of Glaucoma Treatment Silvia Babighian1   (1) Head of Glaucoma Service, Ospedale Sant’Antonio, Padova, Italy     Silvia Babighian Email: s.babighian@gmail.com Introduction…

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Trabectome (Trabeculectomy Ab Interno)

Dec 19, 2017 by in OPHTHALMOLOGY Comments Off on Trabectome (Trabeculectomy Ab Interno)

Fig. 9.1 The trabectome probe . The probe is mono-use (disposable) and has a 19.5G tip connected to a console that allows the irrigation, the aspiration and electrocauterization (Fig.9.1). The…

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Medical Antiglaucomatous Therapy

Dec 19, 2017 by in OPHTHALMOLOGY Comments Off on Medical Antiglaucomatous Therapy

Class Active principle Brand name Mechanism of action Beta blockers Betaxolol Carteolol Levobunolol Timolol Betoptic Carteol Vistagan Timoptol, Timogel Decrease of aqueous production Carbonic anhydrase inhibitor Brinzolamide Dozolamide Acetazolamide Azopt…

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Anesthesia

Dec 19, 2017 by in OPHTHALMOLOGY Comments Off on Anesthesia

Fig. 2.1 Retrobulbar anesthesia used in glaucoma surgery Retrobulbar Anesthesia in Glaucoma Surgery Generally-speaking, a blunt 25G needle is used (Atkinson retrobulbar needle Eagle Labs, Rancho Cucamonga, California). The technique…

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Corneal Diseases in Children: Allergic Diseases

Dec 19, 2017 by in OPHTHALMOLOGY Comments Off on Corneal Diseases in Children: Allergic Diseases

Fig. 4.1 Epithelial keratopathy in atopic keratoconjunctivitis Complications can be severe and vision-threatening including corneal epithelial defects, keratitis, corneal scarring, and keratoconus. Atopic cataracts that are typically anterior and shield-like, but…

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