Advances in Eye Surgery by Patricio A. Pacheco

By Patricio A. Pacheco

It is a finished, functional guidebook that offers a transparent evaluate and replace of present glossy ideas of ocular surgical procedure. The chapters can be of curiosity to a large viewers. The chapters are written by means of specialists with designated curiosity and wide scientific adventure within the themes.

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Place a large curved hemostat behind the globe; thus, you can safely cut the optic nerve with scissors without danger for the integrity of the globe. When you cut the nerve, you will find it harder than you would expect. To get as much optic nerve stump as possible, try to direct the scissors posteriorly while pulling the globe out of the orbit with your traction sutures (Figures 7 and 8). Figure 7. Hemostat placed on optic nerve which is cut with scissors 31 32 Advances in Eye Surgery Figure 8.

Globe removed from the orbit. Optic nerve stump compressed by hemostat 16. Place the globe in an auxiliary table and prepare it to send to the pathologist. 17. Release the hemostat around the stump of the optic nerve. Apply pressure in the socket and coagulate the optic nerve with the monopolar or bipolar cautery if there is generous bleeding. Avoid excessive cauterization in the socket as it may predispose to future complications of the cavity such as its contraction or implant displacement. Sometimes gentle pressure with gauze soaked in thrombin, saline, or hydrogen peroxide for a few minutes is enough to stop small hemorrhages.

Optic nerve stump compressed by hemostat 16. Place the globe in an auxiliary table and prepare it to send to the pathologist. 17. Release the hemostat around the stump of the optic nerve. Apply pressure in the socket and coagulate the optic nerve with the monopolar or bipolar cautery if there is generous bleeding. Avoid excessive cauterization in the socket as it may predispose to future complications of the cavity such as its contraction or implant displacement. Sometimes gentle pressure with gauze soaked in thrombin, saline, or hydrogen peroxide for a few minutes is enough to stop small hemorrhages.

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