Thursday, October 1, 2015

OPHTHALMIC OPERATION 3 stabismus correction


Strabismus Operations
Objective
Shortening or lengthening of the ocular muscles to correct squint.
Position
Supine.
Anesthesia
General.
Procedure
1.  An eye speculum is inserted.
2.  Traction sutures are placed into the sclera.
3.  And a curved incision made in the conjunctiva.
4.  The conjunctiva is freed from the underlying fascia.
5.  Insertion of the ocular muscle on the sclera isolated.
6.  Sutures inserted at the point chosen for division of the muscle to replace it into the new insertion.
7.  For resection the amount of muscle selected for resection is removed and shortened stump of muscle sutured to the sclera at the muscle insertion.
8.  The conjunctiva is closed with continuous synthetic non-absorbable or silk sutures.
Instruments
•   General ophthalmoplasty set
•   Strabismus set
•   Rule, stainless steel 15 cm (6 in)
•   Diathermy forceps, electrodes, cable and cable forceps
•   Towel clips (Backhaus), 4 
•   2 (4/0) Synthetic non-absorbable or silk on small curved cutting needle for traction suture
•   1.5 (5/0) Synthetic absorbable or 0.5 (8/0) synthetic non-absorbable or silk on small curved cutting needle for conjunc­tiva
•   Eyelid speculum guarded (Lang)
•   Graefe strabismus hooks (Fig. 14.34)
•   Fine dissecting forceps (Fig. 14.43)
•   Scissors (Westcott) (Fig. 14.44)
•   Muscle forceps (Fig. 14.45)
•   Needle holder (Barraquer) (Fig. 14.4).

Any questions be sent to drmmkapur@gmal.com
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