Surgery performed on the eye or any of its parts.
Diseases affecting the eye.
Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)
A surgical specialty concerned with the structure and function of the eye and the medical and surgical treatment of its defects and diseases.
Retinal diseases refer to a diverse group of vision-threatening disorders that affect the retina's structure and function, including age-related macular degeneration, diabetic retinopathy, retinal detachment, retinitis pigmentosa, and macular edema, among others.
Autosomal dominant hereditary maculopathy with childhood-onset accumulation of LIPOFUSION in RETINAL PIGMENT EPITHELIUM. Affected individuals develop progressive central acuity loss, and distorted vision (METAMORPHOPSIA). It is associated with mutations in bestrophin, a chloride channel.
A rare genetic disorder characterized by partial or complete absence of the CORPUS CALLOSUM, resulting in infantile spasms, MENTAL RETARDATION, and lesions of the RETINA or OPTIC NERVE.
A syndrome of congenital facial paralysis, frequently associated with abducens palsy and other congenital abnormalities including lingual palsy, clubfeet, brachial disorders, cognitive deficits, and pectoral muscle defects. Pathologic findings are variable and include brain stem nuclear aplasia, facial nerve aplasia, and facial muscle aplasia, consistent with a multifactorial etiology. (Adams et al., Principles of Neurology, 6th ed, p1020)
Congenital absence of or defects in structures of the eye; may also be hereditary.
Clarity or sharpness of OCULAR VISION or the ability of the eye to see fine details. Visual acuity depends on the functions of RETINA, neuronal transmission, and the interpretative ability of the brain. Normal visual acuity is expressed as 20/20 indicating that one can see at 20 feet what should normally be seen at that distance. Visual acuity can also be influenced by brightness, color, and contrast.
Visual impairments limiting one or more of the basic functions of the eye: visual acuity, dark adaptation, color vision, or peripheral vision. These may result from EYE DISEASES; OPTIC NERVE DISEASES; VISUAL PATHWAY diseases; OCCIPITAL LOBE diseases; OCULAR MOTILITY DISORDERS; and other conditions (From Newell, Ophthalmology: Principles and Concepts, 7th ed, p132).
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Damage or trauma inflicted to the eye by external means. The concept includes both surface injuries and intraocular injuries.
Bleeding from the vessels of the retina.
Infection of the retina by cytomegalovirus characterized by retinal necrosis, hemorrhage, vessel sheathing, and retinal edema. Cytomegalovirus retinitis is a major opportunistic infection in AIDS patients and can cause blindness.
Methods and procedures for the diagnosis of diseases of the eye or of vision disorders.
Surgery restricted to the management of minor problems and injuries; surgical procedures of relatively slight extent and not in itself hazardous to life. (Dorland, 28th ed & Stedman, 25th ed)
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Visualization of a vascular system after intravenous injection of a fluorescein solution. The images may be photographed or televised. It is used especially in studying the retinal and uveal vasculature.
Partial or complete opacity on or in the lens or capsule of one or both eyes, impairing vision or causing blindness. The many kinds of cataract are classified by their morphology (size, shape, location) or etiology (cause and time of occurrence). (Dorland, 27th ed)
The concave interior of the eye, consisting of the retina, the choroid, the sclera, the optic disk, and blood vessels, seen by means of the ophthalmoscope. (Cline et al., Dictionary of Visual Science, 4th ed)
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Diseases of the lacrimal apparatus.
Examination of the interior of the eye with an ophthalmoscope.
Inflammation of part or all of the uvea, the middle (vascular) tunic of the eye, and commonly involving the other tunics (sclera and cornea, and the retina). (Dorland, 27th ed)
A clinical condition resulting from repeated physical and psychological injuries inflicted on a child by the parents or caregivers.
The record of descent or ancestry, particularly of a particular condition or trait, indicating individual family members, their relationships, and their status with respect to the trait or condition.
A bilateral retinopathy occurring in premature infants treated with excessively high concentrations of oxygen, characterized by vascular dilatation, proliferation, and tortuosity, edema, and retinal detachment, with ultimate conversion of the retina into a fibrous mass that can be seen as a dense retrolental membrane. Usually growth of the eye is arrested and may result in microophthalmia, and blindness may occur. (Dorland, 27th ed)
A congenital abnormality in which there is only a rudimentary iris. This is due to the failure of the optic cup to grow. Aniridia also occurs in a hereditary form, usually autosomal dominant.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
Recording of electric potentials in the retina after stimulation by light.
Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.
Surgical procedures used to treat disease, injuries, and defects of the oral and maxillofacial region.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
'Eye proteins' are structural or functional proteins, such as crystallins, opsins, and collagens, located in various parts of the eye, including the cornea, lens, retina, and aqueous humor, that contribute to maintaining transparency, refractive power, phototransduction, and overall integrity of the visual system.
Operative procedures for the treatment of vascular disorders.
Drooping of the upper lid due to deficient development or paralysis of the levator palpebrae muscle.
Severe irritant and vesicant of skin, eyes, and lungs. It may cause blindness and lethal lung edema and was formerly used as a war gas. The substance has been proposed as a cytostatic and for treatment of psoriasis. It has been listed as a known carcinogen in the Fourth Annual Report on Carcinogens (NTP-85-002, 1985) (Merck, 11th ed).
Tumors or cancer of the EYE.
Interference with the secretion of tears by the lacrimal glands. Obstruction of the LACRIMAL SAC or NASOLACRIMAL DUCT causing acute or chronic inflammation of the lacrimal sac (DACRYOCYSTITIS). It is caused also in infants by failure of the nasolacrimal duct to open into the inferior meatus and occurs about the third week of life. In adults occlusion may occur spontaneously or after injury or nasal disease. (Newell, Ophthalmology: Principles and Concepts, 7th ed, p250)
An imaging method using LASERS that is used for mapping subsurface structure. When a reflective site in the sample is at the same optical path length (coherence) as the reference mirror, the detector observes interference fringes.
Surgery performed on the heart.
Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.
The inability to see or the loss or absence of perception of visual stimuli. This condition may be the result of EYE DISEASES; OPTIC NERVE DISEASES; OPTIC CHIASM diseases; or BRAIN DISEASES affecting the VISUAL PATHWAYS or OCCIPITAL LOBE.
The organ of sight constituting a pair of globular organs made up of a three-layered roughly spherical structure specialized for receiving and responding to light.
A group of inherited metabolic diseases characterized by the accumulation of excessive amounts of acid mucopolysaccharides, sphingolipids, and/or glycolipids in visceral and mesenchymal cells. Abnormal amounts of sphingolipids or glycolipids are present in neural tissue. INTELLECTUAL DISABILITY and skeletal changes, most notably dysostosis multiplex, occur frequently. (From Joynt, Clinical Neurology, 1992, Ch56, pp36-7)
Surgery performed on the female genitalia.
Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.
A series of tests used to assess various functions of the eyes.
Surgery performed on the digestive system or its parts.
Hereditary, progressive degeneration of the neuroepithelium of the retina characterized by night blindness and progressive contraction of the visual field.
Neoplasms of the bony orbit and contents except the eyeball.
Surgery performed on the ear and its parts, the nose and nasal cavity, or the throat, including surgery of the adenoids, tonsils, pharynx, and trachea.
Surgery performed on the urinary tract or its parts in the male or female. For surgery of the male genitalia, UROLOGIC SURGICAL PROCEDURES, MALE is available.
Surgery performed on the pregnant woman for conditions associated with pregnancy, labor, or the puerperium. It does not include surgery of the newborn infant.
The removal of a cataractous CRYSTALLINE LENS from the eye.
Bilateral hereditary disorders of the cornea, usually autosomal dominant, which may be present at birth but more frequently develop during adolescence and progress slowly throughout life. Central macular dystrophy is transmitted as an autosomal recessive defect.
The magnitude of INBREEDING in humans.
Conditions which produce injury or dysfunction of the second cranial or optic nerve, which is generally considered a component of the central nervous system. Damage to optic nerve fibers may occur at or near their origin in the retina, at the optic disk, or in the nerve, optic chiasm, optic tract, or lateral geniculate nuclei. Clinical manifestations may include decreased visual acuity and contrast sensitivity, impaired color vision, and an afferent pupillary defect.
Biochemical identification of mutational changes in a nucleotide sequence.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
Surgery performed on the thoracic organs, most commonly the lungs and the heart.
Elements of limited time intervals, contributing to particular results or situations.
The total area or space visible in a person's peripheral vision with the eye looking straightforward.
Surgery performed on the heart or blood vessels.
An infant during the first month after birth.
A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities.
Disease of the RETINA as a complication of DIABETES MELLITUS. It is characterized by the progressive microvascular complications, such as ANEURYSM, interretinal EDEMA, and intraocular PATHOLOGIC NEOVASCULARIZATION.
Deviations from the average or standard indices of refraction of the eye through its dioptric or refractive apparatus.
Genes that influence the PHENOTYPE only in the homozygous state.
A characteristic symptom complex.
Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)
Method of making images on a sensitized surface by exposure to light or other radiant energy.
Glaucoma in which the angle of the anterior chamber is open and the trabecular meshwork does not encroach on the base of the iris.

Inadvertent inhalation anaesthesia during surgery under retrobulbar eye block. (1/491)

I describe a case of inadvertent inhalation anaesthesia during surgery under retrobulbar anaesthesia and its management. Some of the hazards of supplementary oxygen delivery during monitored anaesthetic care and the actions taken to prevent this mishap recurring are discussed.  (+info)

The effect of propranolol versus placebo on resident surgical performance. (2/491)

PURPOSE: To determine whether propranolol can decrease surgical tremor and anxiety in residents performing ocular microsurgery without impairing patient or physician safety. METHODS: In this randomized, double-masked, crossover study, 5 third-year ophthalmology residents ingested a capsule containing either propranolol, 40 mg, or placebo 1 hour prior to performing ophthalmic microsurgery. All residents were healthy men under age 30 years. Prior to commencement of the study, all participants had successfully been administered a test dose of propranolol without side effects. The study took place over a 10-week period. At the conclusion of each case, both the resident and attending surgeon observer independently completed a form grading, on a sliding scale: (1) amount of overall tremor; (2) amount of tremor during placement of the first 3 sutures after lens or nucleus extraction; (3) anticipated difficulty of the case; (4) actual difficulty with the case; and (5) anxiety (surgeon only). In addition, the type of procedure performed, complications encountered, and surgeon side effects were recorded. The data were analyzed with a 2-way analysis of variance for unbalanced data. RESULTS: A total of 73 surgical cases were performed; the surgeons were administered propranolol for 40 cases and placebo for 33. As judged by the resident surgeon, there was a highly significant effect of propranolol in decreasing anxiety (P = .0058), reducing surgical tremor overall (P < .0001), and reducing tremor while placing the first 3 sutures following lens extraction (P < .0001). There was no treatment-by-surgeon interaction for any of the measures. Complications and difficulty of the case, as judged by both the resident and attending surgeons, were not significantly different in the propranolol versus placebo groups (P > .05). There were no side effects reported or observed in any of the surgeons. CONCLUSIONS: Propranolol, 40 mg, administered 1 hour prior to surgery, significantly decreases tremor and anxiety in the surgeon without untoward effects to the surgeon and the patient. However, it is unknown whether decreased tremor and anxiety improved surgical outcome.  (+info)

Trends in vitreoretinal surgery at a tertiary referral centre: 1987 to 1996. (3/491)

AIM: To identify trends in vitreoretinal surgery at a tertiary referral centre from 1987 to 1996. METHODS: A retrospective study of patients who had undergone vitreoretinal surgery at St Paul's Eye Unit over two 6 month periods in 1987 and 1996. Preoperative ocular status, surgery details, and outcome were collected. chi 2 and Mann-Whitney U tests were used to analyse the data. RESULTS: The two periods under study were July to December 1987 and January to June 1996. 110 operations performed during 1987 (96 patients) and 330 operations during 1996 (289 patients) were analysed. There was a fourfold rise in the number of tertiary referrals and a seven-fold rise in the number of operations performed for conditions other than rhegmatogenous retinal detachment (RRD). Increasing indications for surgery included diabetic eye disease, macular hole, dropped nucleus, endophthalmitis, and subretinal neovascular membrane. There was a rise in the proportion of patients with RRD following cataract surgery (from 19.5% to 29.5%). For both primary repair and reoperation, vitrectomy with internal tamponade was more commonly used in 1996. The anatomical success rate for primary repair changed from 76.6% to 84.7% after one operation and from 89.1% to 94.3% following additional surgery. CONCLUSIONS: This study points to a trend towards subspecialisation and tertiary referral in vitreoretinal surgery. Vitrectomy techniques are more commonly used for the primary repair of RRD and are applied to a wider spectrum of diseases.  (+info)

Erbium: YAG laser ablation of retinal tissue under perfluorodecaline: determination of laser-tissue interaction in pig eyes. (4/491)

PURPOSE: To evaluate the effect of Er;YAG laser on pig retina using a perfluorodecaline/retina interphase with the goal of precisely determining the extent of retinal tissue ablation. METHODS: Free running (tau = 250 microsec) Er:YAG laser pulses were transmitted through a zirconium fluoride (ZrF4) fiber guarded by quartz rod (d = 1000 microm). Laser pulses were applied to the retinal surface of enucleated pig eyes. Eyes were mounted in a specially designed rotating sample holder. The fiber probe was elevated 1.0 +/- 0.3 mm above the retinal surface with perfluorodecaline serving as transmitting medium. The laser energy was applied in a circular pattern with a radius of 3.0 mm. Radiant exposures were set to 1, 3, 5, and 10 J/cm2. RESULTS: Tissue ablation linearly increased with radiant exposure from 3.2 +/- 3.7 microm at 1 J/cm2 up to 40.9 +/- 12.9 microm at 10 J/cm2. Thermal tissue changes extended 70 +/- 10 microm vertically into the retina and 25 +/- 5 microm horizontally. Distortion of outer photoreceptor segments was noticed when the retina was exposed to radiant exposures of 3 J/cm2 or higher. CONCLUSIONS: The Er:YAG laser in combination with perfluorodecaline produced precise ablation of the pig retina, which suggests the feasibility of this technique for safe ablation of epiretinal membranes.  (+info)

Combined nevi of the conjunctiva. (5/491)

PURPOSE: To report the clinical and histologic features of combined nevi of the conjunctiva, a type of nevus that is not uncommon in the skin but has rarely been reported in the conjunctiva. METHODS: Conjunctival nevi and melanomas from the files of the University of California, San Francisco, eye pathology laboratory were reviewed from 1984 to 1999 for the presence of features of both standard nevocytic nevi and blue nevi. Clinical histories and, when available, clinical photographs were obtained. RESULTS: Thirty-one combined nevi were discovered during the 15-year period between 1984 and 1999. One case before 1984 had been incorrectly diagnosed as a junctional nevus. The dendritic and spindle-shaped blue nevus cells had been overlooked because they were not recognized as distinct from the standard nevocytic nevus cells. The recognition of a blue as well as a brown color, a deep as well as a superficial component in the lesion, or a history of pigmentation since birth may help to establish the correct clinical diagnosis and prevent an unnecessarily deep surgical resection. Although growth of the lesion or "satellites" in some patients may favor a clinical diagnosis of melanoma, none of the lesions in this series were malignant. CONCLUSION: Despite a paucity of reports of combined nevi of the conjunctiva in the medical literature, this type of nevus--a combination of a nevocytic and a blue nevus--is common and has been overlooked in the past.  (+info)

Achieving success with the silicone expander for overacting superior obliques. (6/491)

PURPOSE: To report the results of and complications with silicone expander surgery for the overacting superior oblique. METHODS: A total of 26 patients with bilateral overaction of the superior oblique and A-pattern strabismus and 5 patients with unilateral overacting superior oblique secondary to inferior oblique palsy were treated with a 7 mm silicone expander. Care was taken not to enter the sub-Tenon's space. RESULTS: The group that underwent bilateral superior oblique surgery had an average preoperative pattern of 37.42 diopters (D) and an average correction of 35.37 D. Three patients had a severe unilateral postoperative inflammatory incident that was successfully treated with oral and topical corticosteroids. One of these patient developed Brown's syndrome. Another patient, who had no postoperative inflammatory incident, also developed Brown's syndrome. In these 4 patients, the sub-Tenon's space was inadvertently entered during surgery. CONCLUSION: The silicone expander surgery has a very high success rate in treating the A-pattern associated with the bilateral overacting superior oblique. This procedure also works well for the unilateral superior oblique that overacts owing to an inferior oblique palsy. No cyclotorsion symptoms occurred after this surgery. However, 4 patients had complications because the sub-Tenon's space was exposed during surgery. With this procedure, there is a learning curve to obtain the skill not to enter the sub-Tenon's space.  (+info)

Scar remodeling after strabismus surgery. (7/491)

PURPOSE: Patients with overcorrected strabismus (and several patients with undercorrection after extraocular muscle resection) underwent exploration of previously operated muscles, with the intention of advancing their tendons to prevent the need for surgery on additional muscles. Unexpectedly, it was found that, in many cases, an elongated scar segment of variable length was interposed between the muscle and its insertion site on the sclera. Laboratory investigations were carried out to elucidate the underlying mechanism(s) and to create an animal model of the disorder. METHODS: Lengthened scars were repaired on 198 muscles during 134 procedures performed on 123 patients. The scars consisted of amorphous connective tissue interposed between the globe and normal tendon. Repair was accomplished by excision of the scar and reattachment of the muscle to sclera, using absorbable sutures in 64 cases and nonabsorbable sutures in 70 cases. Histopathologic examination was performed on 82 clinical specimens, and tissue culture studies were performed on 7 specimens. To develop an animal model, 10 New Zealand white rabbits underwent bilateral superior rectus resection. Half of the eyes received sub-Tenon's injections of collagenase over the operative site during weeks 2, 3, 5, and 6 postoperatively; the other half received saline solution injections on the same schedule. At 10 weeks, half the sites were studied histologically, and the other half underwent collagen creep analysis. In a second study, the use of absorbable versus nonabsorbable sutures was compared in the rabbit model. RESULTS: In the clinical cases, the mean length of the elongated scar segments was 4.2 mm. A total of 105 of the 134 repair procedures were judged successful. Thirty-one procedures resulted in recurrence of the original overcorrection; 7 of these had documented restretches. Factors that distinguished patients with stretched scars from patients with classic slipped muscles included minimal or no limitation of versions, less separation of the tendons from sclera, and thicker appearance of the scar segments. The use of nonabsorbable sutures in the repair procedure reduced the recurrence rate. Histologic examination of the clinical stretched scar specimens showed dense connective tissue that was less well organized compared with normal tendon. In the tissue culture studies, cells cultured from the stretched scar specimens grew rapidly and were irregularly shaped. A high-molecular-weight protein was identified in the culture medium. By contrast, cells cultured from normal tendon (controls) grew more slowly and regularly, stopped growing at 4 days, and produced less total protein than cultured stretched scar specimens. In the animal model studies, the collagenase-treated sites showed elongated scars with increased collagen between the muscle and the sclera, as well as increased collagen creep rates, compared with the saline-treated controls. The use of nonabsorbable sutures in collagenase-treated animal model surgery sites was associated with shorter, thicker scars compared with similar sites sutured with absorbable sutures. CONCLUSIONS: A lengthened or stretched, remodeled scar between an operated muscle tendon and sclera is a common occurrence and is a factor contributing to the variability of outcome after strabismus repair, even years later. This abnormality may be revealed by careful exploration of previously operated muscles. Definitive repair requires firm reattachment of tendon to sclera with nonabsorbable suture support.  (+info)

Brown's syndrome: diagnosis and management. (8/491)

PURPOSE: To better understand the various etiologies of Brown's syndrome, define specific clinical characteristics of Brown's syndrome, describe the natural history of Brown's syndrome, and evaluate the longterm outcome of a novel surgical procedure: the silicone tendon expander. Also, to utilize a computer model to simulate the pattern of strabismus seen clinically with Brown's syndrome and manipulate the model to show potential surgical outcomes of the silicone tendon expander. METHODS: Charts were reviewed on patients with the diagnosis of Brown's syndrome seen at a children's hospital ophthalmology clinic from 1982 to 1997, or seen in the author's private practice. Objective fundus torsion was assessed in up gaze, down gaze, and primary position in 7 Brown's syndrome patients and in 4 patients with primary superior oblique overaction. A fax survey was taken of members of the American Association of Ophthalmology and Strabismus (AAPOS) listed in the 1997-1998 directory regarding their results using the silicone tendon expander procedure for the treatment of Brown's syndrome. A computer model of Brown's syndrome was created using the Orbit 1.8 program by simulating a shortened superior oblique tendon or by changing stretch sensitivity to create an inelastic muscle. RESULTS: A total of 96 patients were studied: 85 with Brown's syndrome (38 with congenital and 47 with acquired disease), 6 with masquerade syndromes, 1 with Brown's syndrome operated on elsewhere, and 4 with primary superior oblique overaction in the torsion study. Three original clinical observations were made: 1. Significant limitation of elevation in abduction occurs in 70% of Brown's syndrome cases surgically verified as caused by a tight superior oblique tendon. Contralateral pseudo-inferior oblique overaction is associated with limited elevation in abduction. 2. Traumatic Brown's syndrome cases have larger hypotropias than nontraumatic cases (P < .001). There was no significant hypotropia in primary position in 56 (76%) of 74 congenital and nontraumatic acquired cases despite severe limitation of elevation. 3. Of 7 patients with Brown's syndrome, 6 had no significant fundus torsion in primary position, but had significant (+2 to +3) intorsion in up gaze. Spontaneous resolution occurred in approximately 16% of acquired nontraumatic Brown's syndrome patients. The silicone tendon expander was used on 15 patients, 13 (87%) were corrected with 1 surgery and 14 (93%) with 2 surgeries. The only failure was a Brown's syndrome not caused by superior oblique pathology. Five of the silicone tendon expander patients had at least 5 years follow-up (range, 5 to 11 years). Four (80%) of the 5 patients had an excellent outcome with 1 surgery, final results graded between 9 and 10 (on a scale of 1-10, 10 is best). The fifth patient had a consecutive superior oblique paresis and a good outcome after a recession of the ipsilateral inferior oblique muscle. The AAPOS survey had a mean outcome score of 7.3, with 65% between 8 and 10. There were 9 (6%) complications reported: 4 related to scarring and 5 extrusions of the implant. Three of the 5 extrusions were reported from the same surgeon. The computer model of an inelastic superior oblique muscle-tendon complex best simulated the motility pattern of Brown's syndrome with severe limitation of elevation in adduction, mild limitation of elevation in abduction, minimal hypotropia in primary position, no superior oblique overaction, and intorsion in up gaze. CONCLUSIONS: The presence of mild to moderate limitation of elevation in abduction is common, and its presence does not eliminate the diagnosis of Brown's syndrome. The majority of Brown's syndrome patients have a pattern of strabismus consistent with an inelastic superior oblique muscle-tendon complex that does not extend, but can contract normally; not the presence of a short tendon. The presence of inelastic or tethered superior oblique muscle-tendon can be diagnosed without forced duction testing by observing the pattern of strabismus including torsion. Because of the chance for spontaneous resolution, conservative management, not surgery, should be the first line of treatment for acquired Brown's syndrome. If surgery is indicated, a novel procedure, the silicone tendon expander, is an effective option with excellent long-term outcomes.  (+info)

Ophthalmologic surgical procedures refer to various types of surgeries performed on the eye and its surrounding structures by trained medical professionals called ophthalmologists. These procedures aim to correct or improve vision, diagnose and treat eye diseases or injuries, and enhance the overall health and functionality of the eye. Some common examples of ophthalmologic surgical procedures include:

1. Cataract Surgery: This procedure involves removing a cloudy lens (cataract) from the eye and replacing it with an artificial intraocular lens (IOL).
2. LASIK (Laser-Assisted In Situ Keratomileusis): A type of refractive surgery that uses a laser to reshape the cornea, correcting nearsightedness, farsightedness, and astigmatism.
3. Glaucoma Surgery: Several surgical options are available for treating glaucoma, including laser trabeculoplasty, traditional trabeculectomy, and various drainage device implantations. These procedures aim to reduce intraocular pressure (IOP) and prevent further optic nerve damage.
4. Corneal Transplant: This procedure involves replacing a damaged or diseased cornea with a healthy donor cornea to restore vision and improve the eye's appearance.
5. Vitreoretinal Surgery: These procedures focus on treating issues within the vitreous humor (gel-like substance filling the eye) and the retina, such as retinal detachment, macular holes, or diabetic retinopathy.
6. Strabismus Surgery: This procedure aims to correct misalignment of the eyes (strabismus) by adjusting the muscles responsible for eye movement.
7. Oculoplastic Surgery: These procedures involve reconstructive, cosmetic, and functional surgeries around the eye, such as eyelid repair, removal of tumors, or orbital fracture repairs.
8. Pediatric Ophthalmologic Procedures: Various surgical interventions are performed on children to treat conditions like congenital cataracts, amblyopia (lazy eye), or blocked tear ducts.

These are just a few examples of ophthalmic surgical procedures. The specific treatment plan will depend on the individual's condition and overall health.

Eye diseases are a range of conditions that affect the eye or visual system, causing damage to vision and, in some cases, leading to blindness. These diseases can be categorized into various types, including:

1. Refractive errors: These include myopia (nearsightedness), hyperopia (farsightedness), astigmatism, and presbyopia, which affect the way light is focused on the retina and can usually be corrected with glasses or contact lenses.
2. Cataracts: A clouding of the lens inside the eye that leads to blurry vision, glare, and decreased contrast sensitivity. Cataract surgery is the most common treatment for this condition.
3. Glaucoma: A group of diseases characterized by increased pressure in the eye, leading to damage to the optic nerve and potential blindness if left untreated. Treatment includes medications, laser therapy, or surgery.
4. Age-related macular degeneration (AMD): A progressive condition that affects the central part of the retina called the macula, causing blurry vision and, in advanced stages, loss of central vision. Treatment may include anti-VEGF injections, laser therapy, or nutritional supplements.
5. Diabetic retinopathy: A complication of diabetes that affects the blood vessels in the retina, leading to bleeding, leakage, and potential blindness if left untreated. Treatment includes laser therapy, anti-VEGF injections, or surgery.
6. Retinal detachment: A separation of the retina from its underlying tissue, which can lead to vision loss if not treated promptly with surgery.
7. Amblyopia (lazy eye): A condition where one eye does not develop normal vision, often due to a misalignment or refractive error in childhood. Treatment includes correcting the underlying problem and encouraging the use of the weaker eye through patching or other methods.
8. Strabismus (crossed eyes): A misalignment of the eyes that can lead to amblyopia if not treated promptly with surgery, glasses, or other methods.
9. Corneal diseases: Conditions that affect the transparent outer layer of the eye, such as keratoconus, Fuchs' dystrophy, and infectious keratitis, which can lead to vision loss if not treated promptly.
10. Uveitis: Inflammation of the middle layer of the eye, which can cause vision loss if not treated promptly with anti-inflammatory medications or surgery.

Operative surgical procedures refer to medical interventions that involve manual manipulation of tissues, structures, or organs in the body, typically performed in an operating room setting under sterile conditions. These procedures are carried out with the use of specialized instruments, such as scalpels, forceps, and scissors, and may require regional or general anesthesia to ensure patient comfort and safety.

Operative surgical procedures can range from relatively minor interventions, such as a biopsy or the removal of a small lesion, to more complex and extensive surgeries, such as open heart surgery or total joint replacement. The specific goals of operative surgical procedures may include the diagnosis and treatment of medical conditions, the repair or reconstruction of damaged tissues or organs, or the prevention of further disease progression.

Regardless of the type or complexity of the procedure, all operative surgical procedures require careful planning, execution, and postoperative management to ensure the best possible outcomes for patients.

Ophthalmology is a branch of medicine that deals with the diagnosis, treatment, and prevention of diseases and disorders of the eye and visual system. It is a surgical specialty, and ophthalmologists are medical doctors who complete additional years of training to become experts in eye care. They are qualified to perform eye exams, diagnose and treat eye diseases, prescribe glasses and contact lenses, and perform eye surgery. Some subspecialties within ophthalmology include cornea and external disease, glaucoma, neuro-ophthalmology, pediatric ophthalmology, retina and vitreous, and oculoplastics.

Retinal diseases refer to a group of conditions that affect the retina, which is the light-sensitive tissue located at the back of the eye. The retina is responsible for converting light into electrical signals that are sent to the brain and interpreted as visual images. Retinal diseases can cause vision loss or even blindness, depending on their severity and location in the retina.

Some common retinal diseases include:

1. Age-related macular degeneration (AMD): A progressive disease that affects the central part of the retina called the macula, causing blurred or distorted vision.
2. Diabetic retinopathy: A complication of diabetes that can damage the blood vessels in the retina, leading to vision loss.
3. Retinal detachment: A serious condition where the retina becomes separated from its underlying tissue, requiring immediate medical attention.
4. Macular edema: Swelling or thickening of the macula due to fluid accumulation, which can cause blurred vision.
5. Retinitis pigmentosa: A group of inherited eye disorders that affect the retina's ability to respond to light, causing progressive vision loss.
6. Macular hole: A small break in the macula that can cause distorted or blurry vision.
7. Retinal vein occlusion: Blockage of the retinal veins that can lead to bleeding, swelling, and potential vision loss.

Treatment for retinal diseases varies depending on the specific condition and its severity. Some treatments include medication, laser therapy, surgery, or a combination of these options. Regular eye exams are essential for early detection and treatment of retinal diseases.

Vitelliform Macular Dystrophy is a genetic eye condition that affects the macula, which is the central part of the retina responsible for sharp, detailed vision. This disorder is characterized by the formation of yellowish deposits or lesions beneath the retina at the macula, giving it an appearance similar to an egg yolk (hence the name "vitelliform"). These deposits can disturb vision and may lead to progressive vision loss over time.

There are different types of Vitelliform Macular Dystrophy, with the most common being Best's Disease or Vitelliform Macular Dystrophy type 1 (VMD1). This form is caused by mutations in the BEST1 gene and typically manifests in childhood or early adulthood. The condition can progress through various stages, including the appearance of a yellowish lesion, followed by atrophy and scarring of the retina, which can result in significant vision loss.

Another form is Vitelliform Macular Dystrophy type 2 (VMD2), caused by mutations in the PRPH2 gene. This condition tends to progress more slowly than VMD1 and may not lead to severe vision loss.

Early diagnosis, monitoring, and low-vision rehabilitation can help manage the symptoms of Vitelliform Macular Dystrophy and maintain visual function as much as possible.

Aicardi syndrome is a rare genetic disorder that primarily affects girls and women. It is characterized by the absence or underdevelopment of a part of the brain called the corpus callosum, which connects the two hemispheres of the brain. This results in various neurological symptoms such as seizures, developmental delays, and intellectual disabilities.

Individuals with Aicardi syndrome may also have other distinctive features, including abnormalities of the eyes (such as retinal lacunae or colobomas), agenesis of the corpus callosum, and characteristic skin abnormalities called chorioretinal lacunae. The disorder is usually sporadic, meaning that it occurs randomly and is not inherited from parents.

The exact cause of Aicardi syndrome is unknown, but it is believed to be related to genetic mutations or deletions on the X chromosome. Because the disorder primarily affects girls and women, it is thought that the absence of a second X chromosome in males may lead to more severe symptoms or early lethality.

There is no cure for Aicardi syndrome, and treatment is focused on managing the symptoms and improving quality of life. This may include anti-seizure medications, physical therapy, occupational therapy, and special education services. The prognosis for individuals with Aicardi syndrome varies widely depending on the severity of their symptoms and the effectiveness of treatment.

Möbius syndrome is a rare neurological disorder characterized by congenital facial palsy and abducens palsy, which are paralyses of the muscles that control lateral movement of the eye and facial expression. The condition is present at birth and is thought to be caused by underdevelopment of the cranial nerves (VI and VII) during embryonic development.

Individuals with Möbius syndrome may have a variety of symptoms, including:

* Inability to move the eyes from side to side
* Absent or weak facial expressions
* Difficulty with sucking, swallowing, and speaking
* Dental abnormalities
* Hearing loss
* Limb abnormalities

Möbius syndrome is typically diagnosed based on physical examination and medical history. There is no cure for the condition, but treatment may include physical therapy, speech therapy, and surgical interventions to improve function and appearance. The exact cause of Möbius syndrome is not known, but it is believed to be related to genetic or environmental factors during fetal development.

Eye abnormalities refer to any structural or functional anomalies that affect the eye or its surrounding tissues. These abnormalities can be present at birth (congenital) or acquired later in life due to various factors such as injury, disease, or aging. Some examples of eye abnormalities include:

1. Strabismus: Also known as crossed eyes, strabismus is a condition where the eyes are misaligned and point in different directions.
2. Nystagmus: This is an involuntary movement of the eyes that can be horizontal, vertical, or rotatory.
3. Cataracts: A cataract is a clouding of the lens inside the eye that can cause vision loss.
4. Glaucoma: This is a group of eye conditions that damage the optic nerve and can lead to vision loss.
5. Retinal disorders: These include conditions such as retinal detachment, macular degeneration, and diabetic retinopathy.
6. Corneal abnormalities: These include conditions such as keratoconus, corneal ulcers, and Fuchs' dystrophy.
7. Orbital abnormalities: These include conditions such as orbital tumors, thyroid eye disease, and Graves' ophthalmopathy.
8. Ptosis: This is a condition where the upper eyelid droops over the eye.
9. Color blindness: A condition where a person has difficulty distinguishing between certain colors.
10. Microphthalmia: A condition where one or both eyes are abnormally small.

These are just a few examples of eye abnormalities, and there are many others that can affect the eye and its functioning. If you suspect that you have an eye abnormality, it is important to consult with an ophthalmologist for proper diagnosis and treatment.

Visual acuity is a measure of the sharpness or clarity of vision. It is usually tested by reading an eye chart from a specific distance, such as 20 feet (6 meters). The standard eye chart used for this purpose is called the Snellen chart, which contains rows of letters that decrease in size as you read down the chart.

Visual acuity is typically expressed as a fraction, with the numerator representing the testing distance and the denominator indicating the smallest line of type that can be read clearly. For example, if a person can read the line on the eye chart that corresponds to a visual acuity of 20/20, it means they have normal vision at 20 feet. If their visual acuity is 20/40, it means they must be as close as 20 feet to see what someone with normal vision can see at 40 feet.

It's important to note that visual acuity is just one aspect of overall vision and does not necessarily reflect other important factors such as peripheral vision, depth perception, color vision, or contrast sensitivity.

Vision disorders refer to a wide range of conditions that affect the visual system and result in various symptoms, such as blurry vision, double vision, distorted vision, impaired depth perception, and difficulty with visual tracking or focusing. These disorders can be categorized into several types, including:

1. Refractive errors: These occur when the shape of the eye prevents light from focusing directly on the retina, resulting in blurry vision. Examples include myopia (nearsightedness), hyperopia (farsightedness), astigmatism, and presbyopia (age-related loss of near vision).
2. Strabismus: Also known as crossed eyes or walleye, strabismus is a misalignment of the eyes where they point in different directions, which can lead to double vision or loss of depth perception.
3. Amblyopia: Often called lazy eye, amblyopia is a condition where one eye has reduced vision due to lack of proper visual development during childhood. It may be caused by strabismus, refractive errors, or other factors that interfere with normal visual development.
4. Accommodative disorders: These involve problems with the focusing ability of the eyes, such as convergence insufficiency (difficulty focusing on close objects) and accommodative dysfunction (inability to maintain clear vision at different distances).
5. Binocular vision disorders: These affect how the eyes work together as a team, leading to issues like poor depth perception, eye strain, and headaches. Examples include convergence insufficiency, divergence excess, and suppression.
6. Ocular motility disorders: These involve problems with eye movement, such as nystagmus (involuntary eye movements), strabismus, or restricted extraocular muscle function.
7. Visual processing disorders: These affect the brain's ability to interpret and make sense of visual information, even when the eyes themselves are healthy. Symptoms may include difficulty with reading, recognizing shapes and objects, and understanding spatial relationships.
8. Low vision: This term refers to significant visual impairment that cannot be fully corrected with glasses, contact lenses, medication, or surgery. It includes conditions like macular degeneration, diabetic retinopathy, glaucoma, and cataracts.
9. Blindness: Complete loss of sight in both eyes, which can be caused by various factors such as injury, disease, or genetic conditions.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Eye injuries refer to any damage or trauma caused to the eye or its surrounding structures. These injuries can vary in severity and may include:

1. Corneal abrasions: A scratch or scrape on the clear surface of the eye (cornea).
2. Chemical burns: Occurs when chemicals come into contact with the eye, causing damage to the cornea and other structures.
3. Eyelid lacerations: Cuts or tears to the eyelid.
4. Subconjunctival hemorrhage: Bleeding under the conjunctiva, the clear membrane that covers the white part of the eye.
5. Hyphema: Accumulation of blood in the anterior chamber of the eye, which is the space between the cornea and iris.
6. Orbital fractures: Breaks in the bones surrounding the eye.
7. Retinal detachment: Separation of the retina from its underlying tissue, which can lead to vision loss if not treated promptly.
8. Traumatic uveitis: Inflammation of the uvea, the middle layer of the eye, caused by trauma.
9. Optic nerve damage: Damage to the optic nerve, which transmits visual information from the eye to the brain.

Eye injuries can result from a variety of causes, including accidents, sports-related injuries, violence, and chemical exposure. It is important to seek medical attention promptly for any suspected eye injury to prevent further damage and potential vision loss.

A retinal hemorrhage is a type of bleeding that occurs in the blood vessels of the retina, which is the light-sensitive tissue located at the back of the eye. This condition can result from various underlying causes, including diabetes, high blood pressure, age-related macular degeneration, or trauma to the eye. Retinal hemorrhages can be categorized into different types based on their location and appearance, such as dot and blot hemorrhages, flame-shaped hemorrhages, or subhyaloid hemorrhages. Depending on the severity and cause of the hemorrhage, treatment options may vary from monitoring to laser therapy, medication, or even surgery. It is essential to consult an ophthalmologist for a proper evaluation and management plan if you suspect a retinal hemorrhage.

Cytomegalovirus retinitis is a sight-threatening eye infection that affects the retina, which is the light-sensitive tissue at the back of the eye. It is caused by cytomegalovirus (CMV), a type of herpesvirus that can remain inactive in the body for years after initial infection.

In people with weakened immune systems, such as those with HIV/AIDS or those who have undergone organ transplantation, CMV can reactivate and cause serious complications. When it infects the retina, it can cause inflammation, hemorrhage, and necrosis (cell death), leading to vision loss.

Symptoms of CMV retinitis may include floaters, blurred vision, blind spots, or loss of peripheral vision. If left untreated, the infection can spread to other parts of the eye and cause further damage. Treatment typically involves antiviral medications that are given intravenously or in the form of eye drops. In some cases, laser surgery may be necessary to prevent the spread of the infection.

Diagnostic techniques in ophthalmology refer to the various methods and tests used by eye specialists (ophthalmologists) to examine, evaluate, and diagnose conditions related to the eyes and visual system. Here are some commonly used diagnostic techniques:

1. Visual Acuity Testing: This is a basic test to measure the sharpness of a person's vision. It typically involves reading letters or numbers from an eye chart at a specific distance.
2. Refraction Test: This test helps determine the correct lens prescription for glasses or contact lenses by measuring how light is bent as it passes through the cornea and lens.
3. Slit Lamp Examination: A slit lamp is a microscope that allows an ophthalmologist to examine the structures of the eye, including the cornea, iris, lens, and retina, in great detail.
4. Tonometry: This test measures the pressure inside the eye (intraocular pressure) to detect conditions like glaucoma. Common methods include applanation tonometry and non-contact tonometry.
5. Retinal Imaging: Several techniques are used to capture images of the retina, including fundus photography, fluorescein angiography, and optical coherence tomography (OCT). These tests help diagnose conditions like macular degeneration, diabetic retinopathy, and retinal detachments.
6. Color Vision Testing: This test evaluates a person's ability to distinguish between different colors, which can help detect color vision deficiencies or neurological disorders affecting the visual pathway.
7. Visual Field Testing: This test measures a person's peripheral (or side) vision and can help diagnose conditions like glaucoma, optic nerve damage, or brain injuries.
8. Pupillary Reactions Tests: These tests evaluate how the pupils respond to light and near objects, which can provide information about the condition of the eye's internal structures and the nervous system.
9. Ocular Motility Testing: This test assesses eye movements and alignment, helping diagnose conditions like strabismus (crossed eyes) or nystagmus (involuntary eye movement).
10. Corneal Topography: This non-invasive imaging technique maps the curvature of the cornea, which can help detect irregularities, assess the fit of contact lenses, and plan refractive surgery procedures.

Minor surgical procedures are defined as surgical interventions that are relatively simple, performed using local anesthesia or conscious sedation, and have minimal impact on the patient's overall health. These procedures typically involve a small incision, excision, or removal of tissue, and may be performed in a variety of settings, including physician offices, clinics, or ambulatory surgery centers. Examples of minor surgical procedures include:

1. Excision of skin lesions (e.g., moles, cysts, lipomas)
2. Incision and drainage of abscesses
3. Removal of foreign bodies from the skin or soft tissues
4. Repair of simple lacerations or wounds
5. Insertion of ear tubes for recurrent otitis media (ear infections)
6. Biopsy of superficial tissue or organs
7. Cauterization of bleeding vessels
8. Cryotherapy for the removal of warts or other benign growths
9. Injection of therapeutic agents into joints or soft tissues
10. Placement of peripheral intravenous catheters or central lines in certain cases.

While these procedures are considered minor, they still require careful planning, sterile technique, and postoperative care to minimize complications and ensure optimal outcomes for patients.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

Fluorescein angiography is a medical diagnostic procedure used in ophthalmology to examine the blood flow in the retina and choroid, which are the inner layers of the eye. This test involves injecting a fluorescent dye, Fluorescein, into a patient's arm vein. As the dye reaches the blood vessels in the eye, a specialized camera takes rapid sequences of photographs to capture the dye's circulation through the retina and choroid.

The images produced by fluorescein angiography can help doctors identify any damage to the blood vessels, leakage, or abnormal growth of new blood vessels. This information is crucial in diagnosing and managing various eye conditions such as age-related macular degeneration, diabetic retinopathy, retinal vein occlusions, and inflammatory eye diseases.

It's important to note that while fluorescein angiography is a valuable diagnostic tool, it does carry some risks, including temporary side effects like nausea, vomiting, or allergic reactions to the dye. In rare cases, severe adverse reactions can occur, so patients should discuss these potential risks with their healthcare provider before undergoing the procedure.

A cataract is a clouding of the natural lens in the eye that affects vision. This clouding can cause vision to become blurry, faded, or dim, making it difficult to see clearly. Cataracts are a common age-related condition, but they can also be caused by injury, disease, or medication use. In most cases, cataracts develop gradually over time and can be treated with surgery to remove the cloudy lens and replace it with an artificial one.

"Fundus Oculi" is a medical term that refers to the back part of the interior of the eye, including the optic disc, macula, fovea, retinal vasculature, and peripheral retina. It is the area where light is focused and then transmitted to the brain via the optic nerve, forming visual images. Examinations of the fundus oculi are crucial for detecting various eye conditions such as diabetic retinopathy, macular degeneration, glaucoma, and other retinal diseases. The examination is typically performed using an ophthalmoscope or a specialized camera called a retinal camera.

Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:

1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.

Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.

Lacrimal apparatus diseases refer to conditions that affect the structure and function of the lacrimal system, which is responsible for producing, storing, and draining tears. The lacrimal apparatus includes the lacrimal glands, lacrimal canaliculi, lacrimal sac, and nasolacrimal duct.

Diseases of the lacrimal apparatus can cause a range of symptoms, including watery eyes, redness, pain, swelling, and discharge. Some common conditions that affect the lacrimal apparatus include:

1. Dry eye syndrome: A condition in which the lacrimal glands do not produce enough tears or the tears are of poor quality, leading to dryness, irritation, and inflammation of the eyes.
2. Dacryocystitis: An infection of the lacrimal sac that can cause pain, swelling, redness, and discharge from the eye.
3. Nasolacrimal duct obstruction: A blockage in the nasolacrimal duct that can cause watery eyes, discharge, and recurrent infections.
4. Epiphora: Excessive tearing or watering of the eyes due to overflow of tears from the eye because of blocked tear ducts or increased production of tears.
5. Canaliculitis: An infection of the lacrimal canaliculi that can cause swelling, redness, and discharge from the eye.
6. Lacrimal gland tumors: Rare tumors that can affect the lacrimal glands and cause symptoms such as pain, swelling, and protrusion of the eyeball.

Treatment for lacrimal apparatus diseases depends on the specific condition and its severity. Treatment options may include medications, surgery, or a combination of both.

Ophthalmoscopy is a medical examination technique used by healthcare professionals to observe the interior structures of the eye, including the retina, optic disc, and vitreous humor. This procedure typically involves using an ophthalmoscope, a handheld device that consists of a light and magnifying lenses. The healthcare provider looks through the ophthalmoscope and directly observes the internal structures of the eye by illuminating them.

There are several types of ophthalmoscopy, including direct ophthalmoscopy, indirect ophthalmoscopy, and slit-lamp biomicroscopy. Each type has its own advantages and disadvantages, and they may be used in different situations depending on the specific clinical situation and the information needed.

Ophthalmoscopy is an important diagnostic tool for detecting and monitoring a wide range of eye conditions, including diabetic retinopathy, glaucoma, age-related macular degeneration, and other retinal disorders. It can also provide valuable information about the overall health of the individual, as changes in the appearance of the retina or optic nerve may indicate the presence of systemic diseases such as hypertension or diabetes.

Uveitis is the inflammation of the uvea, the middle layer of the eye between the retina and the white of the eye (sclera). The uvea consists of the iris, ciliary body, and choroid. Uveitis can cause redness, pain, and vision loss. It can be caused by various systemic diseases, infections, or trauma. Depending on the part of the uvea that's affected, uveitis can be classified as anterior (iritis), intermediate (cyclitis), posterior (choroiditis), or pan-uveitis (affecting all layers). Treatment typically includes corticosteroids and other immunosuppressive drugs to control inflammation.

Battered Child Syndrome is a medical condition in which a child has been physically abused and harmed, often over a period of time. It is also known as Non-accidental Injury (NAI) or Inflicted Traumatic Injury. The syndrome is characterized by a pattern of injuries, including bruises, fractures, burns, and internal injuries, which are not consistent with the history provided by the caregiver.

The symptoms of Battered Child Syndrome may include:

1. Unexplained or inconsistent explanations for injuries
2. Multiple injuries in various stages of healing
3. Injuries to different parts of the body, such as the ears, mouth, and genitals
4. Frequent visits to the emergency department or doctor's office for treatment of injuries
5. Delayed seeking of medical attention for serious injuries
6. Behavioral changes, such as fearfulness, regression, or aggression
7. Developmental delays or learning difficulties
8. Failure to thrive (poor growth and weight gain)

The diagnosis of Battered Child Syndrome is made by a healthcare professional based on the history, physical examination, and any diagnostic tests that may be necessary. The syndrome is a serious form of child abuse that requires immediate intervention and protection for the child. Treatment typically involves medical care for injuries, counseling and support for the child and family, and reporting the abuse to child protective services or law enforcement agencies.

I must clarify that the term "pedigree" is not typically used in medical definitions. Instead, it is often employed in genetics and breeding, where it refers to the recorded ancestry of an individual or a family, tracing the inheritance of specific traits or diseases. In human genetics, a pedigree can help illustrate the pattern of genetic inheritance in families over multiple generations. However, it is not a medical term with a specific clinical definition.

Retinopathy of Prematurity (ROP) is a potentially sight-threatening proliferative retinal vascular disorder that primarily affects prematurely born infants, particularly those with low birth weight and/or young gestational age. It is characterized by the abnormal growth and development of retinal blood vessels due to disturbances in the oxygen supply and metabolic demands during critical phases of fetal development.

The condition can be classified into various stages (1-5) based on its severity, with stages 4 and 5 being more severe forms that may lead to retinal detachment and blindness if left untreated. The pathogenesis of ROP involves an initial phase of vessel loss and regression in the central retina, followed by a secondary phase of abnormal neovascularization, which can cause fibrosis, traction, and ultimately, retinal detachment.

ROP is typically managed with a multidisciplinary approach involving ophthalmologists, neonatologists, and pediatricians. Treatment options include laser photocoagulation, cryotherapy, intravitreal anti-VEGF injections, or even surgical interventions to prevent retinal detachment and preserve vision. Regular screening examinations are crucial for early detection and timely management of ROP in at-risk infants.

Aniridia is a genetic condition that affects the development of the eye. The most notable feature of aniridia is the partial or complete absence of the colored part of the eye, called the iris. This gives the appearance of a larger than normal pupil and can lead to sensitivity to light (photophobia). Aniridia is usually present at birth and can affect one or both eyes.

The condition is caused by mutations in the PAX6 gene, which plays a crucial role in the early development of the eye. In addition to the iris abnormalities, people with aniridia may also have other eye problems such as cloudy corneas, cataracts, glaucoma, and degeneration of the retina. These complications can lead to decreased vision or blindness if not properly managed.

Aniridia is typically inherited in an autosomal dominant manner, meaning that a child has a 50% chance of inheriting the condition if one parent has it. However, approximately two-thirds of aniridia cases are sporadic, occurring due to new mutations in the PAX6 gene and not inherited from a parent.

It is essential to monitor and manage aniridia-related complications through regular eye examinations and appropriate treatments to preserve vision as much as possible. Some individuals with aniridia may also benefit from low-vision aids, such as magnifiers or telescopic lenses, to help maximize their remaining visual function.

Follow-up studies are a type of longitudinal research that involve repeated observations or measurements of the same variables over a period of time, in order to understand their long-term effects or outcomes. In medical context, follow-up studies are often used to evaluate the safety and efficacy of medical treatments, interventions, or procedures.

In a typical follow-up study, a group of individuals (called a cohort) who have received a particular treatment or intervention are identified and then followed over time through periodic assessments or data collection. The data collected may include information on clinical outcomes, adverse events, changes in symptoms or functional status, and other relevant measures.

The results of follow-up studies can provide important insights into the long-term benefits and risks of medical interventions, as well as help to identify factors that may influence treatment effectiveness or patient outcomes. However, it is important to note that follow-up studies can be subject to various biases and limitations, such as loss to follow-up, recall bias, and changes in clinical practice over time, which must be carefully considered when interpreting the results.

Ambulatory surgical procedures, also known as outpatient or same-day surgery, refer to medical operations that do not require an overnight hospital stay. These procedures are typically performed in a specialized ambulatory surgery center (ASC) or in a hospital-based outpatient department. Patients undergoing ambulatory surgical procedures receive anesthesia, undergo the operation, and recover enough to be discharged home on the same day of the procedure.

Examples of common ambulatory surgical procedures include:

1. Arthroscopy (joint scope examination and repair)
2. Cataract surgery
3. Colonoscopy and upper endoscopy
4. Dental surgery, such as wisdom tooth extraction
5. Gallbladder removal (cholecystectomy)
6. Hernia repair
7. Hysteroscopy (examination of the uterus)
8. Minor skin procedures, like biopsies and lesion removals
9. Orthopedic procedures, such as carpal tunnel release or joint injections
10. Pain management procedures, including epidural steroid injections and nerve blocks
11. Podiatric (foot and ankle) surgery
12. Tonsillectomy and adenoidectomy

Advancements in medical technology, minimally invasive surgical techniques, and improved anesthesia methods have contributed to the growth of ambulatory surgical procedures, offering patients a more convenient and cost-effective alternative to traditional inpatient surgeries.

Electroretinography (ERG) is a medical test used to evaluate the functioning of the retina, which is the light-sensitive tissue located at the back of the eye. The test measures the electrical responses of the retina to light stimulation.

During the procedure, a special contact lens or electrode is placed on the surface of the eye to record the electrical activity generated by the retina's light-sensitive cells (rods and cones) and other cells in the retina. The test typically involves presenting different levels of flashes of light to the eye while the electrical responses are recorded.

The resulting ERG waveform provides information about the overall health and function of the retina, including the condition of the photoreceptors, the integrity of the inner retinal layers, and the health of the retinal ganglion cells. This test is often used to diagnose and monitor various retinal disorders, such as retinitis pigmentosa, macular degeneration, and diabetic retinopathy.

Minimally invasive surgical procedures are a type of surgery that is performed with the assistance of specialized equipment and techniques to minimize trauma to the patient's body. This approach aims to reduce blood loss, pain, and recovery time as compared to traditional open surgeries. The most common minimally invasive surgical procedure is laparoscopy, which involves making small incisions (usually 0.5-1 cm) in the abdomen or chest and inserting a thin tube with a camera (laparoscope) to visualize the internal organs.

The surgeon then uses long, slender instruments inserted through separate incisions to perform the necessary surgical procedures, such as cutting, coagulation, or suturing. Other types of minimally invasive surgical procedures include arthroscopy (for joint surgery), thoracoscopy (for chest surgery), and hysteroscopy (for uterine surgery). The benefits of minimally invasive surgical procedures include reduced postoperative pain, shorter hospital stays, quicker return to normal activities, and improved cosmetic results. However, not all surgeries can be performed using minimally invasive techniques, and the suitability of a particular procedure depends on various factors, including the patient's overall health, the nature and extent of the surgical problem, and the surgeon's expertise.

Oral surgical procedures refer to various types of surgeries performed in the oral cavity and maxillofacial region, which includes the mouth, jaws, face, and skull. These procedures are typically performed by oral and maxillofacial surgeons, who are dental specialists with extensive training in surgical procedures involving the mouth, jaws, and face.

Some common examples of oral surgical procedures include:

1. Tooth extractions: This involves removing a tooth that is damaged beyond repair or causing problems for the surrounding teeth. Wisdom tooth removal is a common type of tooth extraction.
2. Dental implant placement: This procedure involves placing a small titanium post in the jawbone to serve as a replacement root for a missing tooth. A dental crown is then attached to the implant, creating a natural-looking and functional replacement tooth.
3. Jaw surgery: Also known as orthognathic surgery, this procedure involves repositioning the jaws to correct bite problems or facial asymmetry.
4. Biopsy: This procedure involves removing a small sample of tissue from the oral cavity for laboratory analysis, often to diagnose suspicious lesions or growths.
5. Lesion removal: This procedure involves removing benign or malignant growths from the oral cavity, such as tumors or cysts.
6. Temporomandibular joint (TMJ) surgery: This procedure involves treating disorders of the TMJ, which connects the jawbone to the skull and allows for movement when eating, speaking, and yawning.
7. Facial reconstruction: This procedure involves rebuilding or reshaping the facial bones after trauma, cancer surgery, or other conditions that affect the face.

Overall, oral surgical procedures are an important part of dental and medical care, helping to diagnose and treat a wide range of conditions affecting the mouth, jaws, and face.

Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.

Eye proteins, also known as ocular proteins, are specific proteins that are found within the eye and play crucial roles in maintaining proper eye function and health. These proteins can be found in various parts of the eye, including the cornea, iris, lens, retina, and other structures. They perform a wide range of functions, such as:

1. Structural support: Proteins like collagen and elastin provide strength and flexibility to the eye's tissues, enabling them to maintain their shape and withstand mechanical stress.
2. Light absorption and transmission: Proteins like opsins and crystallins are involved in capturing and transmitting light signals within the eye, which is essential for vision.
3. Protection against damage: Some eye proteins, such as antioxidant enzymes and heat shock proteins, help protect the eye from oxidative stress, UV radiation, and other environmental factors that can cause damage.
4. Regulation of eye growth and development: Various growth factors and signaling molecules, which are protein-based, contribute to the proper growth, differentiation, and maintenance of eye tissues during embryonic development and throughout adulthood.
5. Immune defense: Proteins involved in the immune response, such as complement components and immunoglobulins, help protect the eye from infection and inflammation.
6. Maintenance of transparency: Crystallin proteins in the lens maintain its transparency, allowing light to pass through unobstructed for clear vision.
7. Neuroprotection: Certain eye proteins, like brain-derived neurotrophic factor (BDNF), support the survival and function of neurons within the retina, helping to preserve vision.

Dysfunction or damage to these eye proteins can contribute to various eye disorders and diseases, such as cataracts, age-related macular degeneration, glaucoma, diabetic retinopathy, and others.

Vascular surgical procedures are operations that are performed to treat conditions and diseases related to the vascular system, which includes the arteries, veins, and capillaries. These procedures can be invasive or minimally invasive and are often used to treat conditions such as peripheral artery disease, carotid artery stenosis, aortic aneurysms, and venous insufficiency.

Some examples of vascular surgical procedures include:

* Endarterectomy: a procedure to remove plaque buildup from the inside of an artery
* Bypass surgery: creating a new path for blood to flow around a blocked or narrowed artery
* Angioplasty and stenting: using a balloon to open a narrowed artery and placing a stent to keep it open
* Aneurysm repair: surgically repairing an aneurysm, a weakened area in the wall of an artery that has bulged out and filled with blood
* Embolectomy: removing a blood clot from a blood vessel
* Thrombectomy: removing a blood clot from a vein

These procedures are typically performed by vascular surgeons, who are trained in the diagnosis and treatment of vascular diseases.

Blepharoptosis is a medical term that refers to the drooping or falling of the upper eyelid. It is usually caused by weakness or paralysis of the muscle that raises the eyelid, known as the levator palpebrae superioris. This condition can be present at birth or acquired later in life due to various factors such as aging, nerve damage, eye surgery complications, or certain medical conditions like myasthenia gravis or brain tumors. Blepharoptosis may obstruct vision and cause difficulty with daily activities, and treatment options include eyedrops, eye patches, or surgical correction.

Mustard gas, also known as sulfur mustard or HS, is a chemical warfare agent that has been used in military conflicts. It is a viscous, oily liquid at room temperature with a garlic-like odor. Its chemical formula is (ClCH2CH2)2S.

Mustard gas can cause severe burns and blistering of the skin, eyes, and respiratory tract upon contact or inhalation. It can also damage the immune system and lead to serious, potentially fatal, systemic effects. The onset of symptoms may be delayed for several hours after exposure, making it difficult to recognize and treat the injury promptly.

Mustard gas is classified as a vesicant, which means it causes blistering or tissue damage upon contact with the skin or mucous membranes. It can also have long-term effects, including an increased risk of cancer and other health problems. The use of mustard gas in warfare is banned by international law under the Chemical Weapons Convention.

Eye neoplasms, also known as ocular tumors or eye cancer, refer to abnormal growths of tissue in the eye. These growths can be benign (non-cancerous) or malignant (cancerous). Eye neoplasms can develop in various parts of the eye, including the eyelid, conjunctiva, cornea, iris, ciliary body, choroid, retina, and optic nerve.

Benign eye neoplasms are typically slow-growing and do not spread to other parts of the body. They may cause symptoms such as vision changes, eye pain, or a noticeable mass in the eye. Treatment options for benign eye neoplasms include monitoring, surgical removal, or radiation therapy.

Malignant eye neoplasms, on the other hand, can grow and spread rapidly to other parts of the body. They may cause symptoms such as vision changes, eye pain, floaters, or flashes of light. Treatment options for malignant eye neoplasms depend on the type and stage of cancer but may include surgery, radiation therapy, chemotherapy, or a combination of these treatments.

It is important to note that early detection and treatment of eye neoplasms can improve outcomes and prevent complications. Regular eye exams with an ophthalmologist are recommended for early detection and prevention of eye diseases, including eye neoplasms.

Lacrimal duct obstruction is a blockage in the lacrimal duct, which is the passageway that drains tears from the eye into the nose. This condition can cause excessive tearing, pain, and swelling in the affected eye. In some cases, it may also lead to recurrent eye infections or inflammation. The obstruction can be caused by various factors such as age-related changes, injury, infection, inflammation, or congenital abnormalities. Treatment options for lacrimal duct obstruction depend on the underlying cause and severity of the condition and may include medications, minor surgical procedures, or more invasive surgeries.

Optical coherence tomography (OCT) is a non-invasive imaging technique that uses low-coherence light to capture high-resolution cross-sectional images of biological tissues, particularly the retina and other ocular structures. OCT works by measuring the echo time delay of light scattered back from different depths within the tissue, creating a detailed map of the tissue's structure. This technique is widely used in ophthalmology to diagnose and monitor various eye conditions such as macular degeneration, diabetic retinopathy, and glaucoma.

Cardiac surgical procedures are operations that are performed on the heart or great vessels (the aorta and vena cava) by cardiothoracic surgeons. These surgeries are often complex and require a high level of skill and expertise. Some common reasons for cardiac surgical procedures include:

1. Coronary artery bypass grafting (CABG): This is a surgery to improve blood flow to the heart in patients with coronary artery disease. During the procedure, a healthy blood vessel from another part of the body is used to create a detour around the blocked or narrowed portion of the coronary artery.
2. Valve repair or replacement: The heart has four valves that control blood flow through and out of the heart. If one or more of these valves become damaged or diseased, they may need to be repaired or replaced. This can be done using artificial valves or valves from animal or human donors.
3. Aneurysm repair: An aneurysm is a weakened area in the wall of an artery that can bulge out and potentially rupture. If an aneurysm occurs in the aorta, it may require surgical repair to prevent rupture.
4. Heart transplantation: In some cases, heart failure may be so severe that a heart transplant is necessary. This involves removing the diseased heart and replacing it with a healthy donor heart.
5. Arrhythmia surgery: Certain types of abnormal heart rhythms (arrhythmias) may require surgical treatment. One such procedure is called the Maze procedure, which involves creating a pattern of scar tissue in the heart to disrupt the abnormal electrical signals that cause the arrhythmia.
6. Congenital heart defect repair: Some people are born with structural problems in their hearts that require surgical correction. These may include holes between the chambers of the heart or abnormal blood vessels.

Cardiac surgical procedures carry risks, including bleeding, infection, stroke, and death. However, for many patients, these surgeries can significantly improve their quality of life and longevity.

Elective surgical procedures are operations that are scheduled in advance because they do not involve a medical emergency. These surgeries are chosen or "elective" based on the patient's and doctor's decision to improve the patient's quality of life or to treat a non-life-threatening condition. Examples include but are not limited to:

1. Aesthetic or cosmetic surgery such as breast augmentation, rhinoplasty, etc.
2. Orthopedic surgeries like knee or hip replacements
3. Cataract surgery
4. Some types of cancer surgeries where the tumor is not spreading or causing severe symptoms
5. Gastric bypass for weight loss

It's important to note that while these procedures are planned, they still require thorough preoperative evaluation and preparation, and carry risks and benefits that need to be carefully considered by both the patient and the healthcare provider.

Blindness is a condition of complete or near-complete vision loss. It can be caused by various factors such as eye diseases, injuries, or birth defects. Total blindness means that a person cannot see anything at all, while near-complete blindness refers to having only light perception or the ability to perceive the direction of light, but not able to discern shapes or forms. Legal blindness is a term used to define a certain level of visual impairment that qualifies an individual for government assistance and benefits; it usually means best corrected visual acuity of 20/200 or worse in the better eye, or a visual field no greater than 20 degrees in diameter.

The eye is the organ of sight, primarily responsible for detecting and focusing on visual stimuli. It is a complex structure composed of various parts that work together to enable vision. Here are some of the main components of the eye:

1. Cornea: The clear front part of the eye that refracts light entering the eye and protects the eye from harmful particles and microorganisms.
2. Iris: The colored part of the eye that controls the amount of light reaching the retina by adjusting the size of the pupil.
3. Pupil: The opening in the center of the iris that allows light to enter the eye.
4. Lens: A biconvex structure located behind the iris that further refracts light and focuses it onto the retina.
5. Retina: A layer of light-sensitive cells (rods and cones) at the back of the eye that convert light into electrical signals, which are then transmitted to the brain via the optic nerve.
6. Optic Nerve: The nerve that carries visual information from the retina to the brain.
7. Vitreous: A clear, gel-like substance that fills the space between the lens and the retina, providing structural support to the eye.
8. Conjunctiva: A thin, transparent membrane that covers the front of the eye and the inner surface of the eyelids.
9. Extraocular Muscles: Six muscles that control the movement of the eye, allowing for proper alignment and focus.

The eye is a remarkable organ that allows us to perceive and interact with our surroundings. Various medical specialties, such as ophthalmology and optometry, are dedicated to the diagnosis, treatment, and management of various eye conditions and diseases.

Mucolipidoses are a group of inherited metabolic disorders characterized by the accumulation of complex carbohydrates (muco-) and fatty substances (lipids) in various tissues and cells (-oses). This is due to deficiency in enzymes that help break down these substances within lysosomes, which are organelles responsible for recycling and breaking down waste materials inside the cell.

There are four main types of mucolipidoses (I, II, III, and IV), each resulting from specific genetic mutations affecting different enzymes or proteins involved in the lysosomal degradation pathway. The symptoms, severity, and age of onset can vary widely among these types, ranging from mild to severe and including developmental delays, bone abnormalities, vision and hearing loss, heart problems, and coarse facial features.

Mucolipidoses are typically inherited in an autosomal recessive manner, meaning that an individual must inherit two copies of the mutated gene (one from each parent) to develop the condition. However, mucolipidosis II is caused by X-linked inheritance, where a single copy of the mutated gene on the X chromosome is enough to cause the disorder.

Early diagnosis and management of mucolipidoses can help improve quality of life and slow disease progression. Treatment options include physical therapy, occupational therapy, speech therapy, medications for symptom management, and in some cases, enzyme replacement therapy or bone marrow transplantation.

Gynecologic surgical procedures refer to the operations that are performed on the female reproductive system and related organs. These surgeries can be either minimally invasive or open procedures, depending on the condition and the patient's health status.

The indications for gynecologic surgical procedures may include but are not limited to:

1. Diagnosis and treatment of various benign and malignant conditions such as uterine fibroids, ovarian cysts, endometriosis, and cancers of the reproductive organs.
2. Management of abnormal uterine bleeding, pelvic pain, and infertility.
3. Treatment of ectopic pregnancies and miscarriages.
4. Pelvic organ prolapse repair.
5. Sterilization procedures such as tubal ligation.
6. Investigation and treatment of suspicious lesions or abnormal Pap smears.

Some common gynecologic surgical procedures include hysterectomy (removal of the uterus), oophorectomy (removal of the ovary), salpingectomy (removal of the fallopian tube), cystectomy (removal of a cyst), myomectomy (removal of fibroids while preserving the uterus), and endometrial ablation (destruction of the lining of the uterus).

Minimally invasive surgical techniques such as laparoscopy and hysteroscopy have gained popularity in recent years due to their advantages over traditional open surgeries, including smaller incisions, less postoperative pain, quicker recovery times, and reduced risk of complications.

Reconstructive surgical procedures are a type of surgery aimed at restoring the form and function of body parts that are defective or damaged due to various reasons such as congenital abnormalities, trauma, infection, tumors, or disease. These procedures can involve the transfer of tissue from one part of the body to another, manipulation of bones, muscles, and tendons, or use of prosthetic materials to reconstruct the affected area. The goal is to improve both the physical appearance and functionality of the body part, thereby enhancing the patient's quality of life. Examples include breast reconstruction after mastectomy, cleft lip and palate repair, and treatment of severe burns.

Vision tests are a series of procedures used to assess various aspects of the visual system, including visual acuity, accommodation, convergence, divergence, stereopsis, color vision, and peripheral vision. These tests help healthcare professionals diagnose and manage vision disorders, such as nearsightedness, farsightedness, astigmatism, amblyopia, strabismus, and eye diseases like glaucoma, cataracts, and macular degeneration. Common vision tests include:

1. Visual acuity test (Snellen chart or letter chart): Measures the sharpness of a person's vision at different distances.
2. Refraction test: Determines the correct lens prescription for glasses or contact lenses by assessing how light is bent as it passes through the eye.
3. Color vision test: Evaluates the ability to distinguish between different colors and color combinations, often using pseudoisochromatic plates or Ishihara tests.
4. Stereopsis test: Assesses depth perception and binocular vision by presenting separate images to each eye that, when combined, create a three-dimensional effect.
5. Cover test: Examines eye alignment and the presence of strabismus (crossed eyes or turned eyes) by covering and uncovering each eye while observing eye movements.
6. Ocular motility test: Assesses the ability to move the eyes in various directions and coordinate both eyes during tracking and convergence/divergence movements.
7. Accommodation test: Evaluates the ability to focus on objects at different distances by using lenses, prisms, or dynamic retinoscopy.
8. Pupillary response test: Examines the size and reaction of the pupils to light and near objects.
9. Visual field test: Measures the peripheral (side) vision using automated perimetry or manual confrontation techniques.
10. Slit-lamp examination: Inspects the structures of the front part of the eye, such as the cornea, iris, lens, and anterior chamber, using a specialized microscope.

These tests are typically performed by optometrists, ophthalmologists, or other vision care professionals during routine eye examinations or when visual symptoms are present.

The digestive system is a series of organs that work together to convert food into nutrients and energy. Digestive system surgical procedures involve operations on any part of the digestive system, including the esophagus, stomach, small intestine, large intestine, liver, pancreas, and gallbladder. These procedures can be performed for a variety of reasons, such as to treat diseases, repair damage, or remove cancerous growths.

Some common digestive system surgical procedures include:

1. Gastric bypass surgery: A procedure in which the stomach is divided into two parts and the smaller part is connected directly to the small intestine, bypassing a portion of the stomach and upper small intestine. This procedure is used to treat severe obesity.
2. Colonoscopy: A procedure in which a flexible tube with a camera on the end is inserted into the rectum and colon to examine the lining for polyps, cancer, or other abnormalities.
3. Colectomy: A procedure in which all or part of the colon is removed, often due to cancer, inflammatory bowel disease, or diverticulitis.
4. Gastrostomy: A procedure in which a hole is made through the abdominal wall and into the stomach to create an opening for feeding. This is often done for patients who have difficulty swallowing.
5. Esophagectomy: A procedure in which all or part of the esophagus is removed, often due to cancer. The remaining esophagus is then reconnected to the stomach or small intestine.
6. Liver resection: A procedure in which a portion of the liver is removed, often due to cancer or other diseases.
7. Pancreatectomy: A procedure in which all or part of the pancreas is removed, often due to cancer or chronic pancreatitis.
8. Cholecystectomy: A procedure in which the gallbladder is removed, often due to gallstones or inflammation.

These are just a few examples of digestive system surgical procedures. There are many other types of operations that can be performed on the digestive system depending on the specific needs and condition of each patient.

Retinitis pigmentosa (RP) is a group of rare, genetic disorders that involve a breakdown and loss of cells in the retina - a light-sensitive tissue located at the back of the eye. The retina converts light into electrical signals which are then sent to the brain and interpreted as visual images.

In RP, the cells that detect light (rods and cones) degenerate more slowly than other cells in the retina, leading to a progressive loss of vision. Symptoms typically begin in childhood with night blindness (difficulty seeing in low light), followed by a gradual narrowing of the visual field (tunnel vision). Over time, this can lead to significant vision loss and even blindness.

The condition is usually inherited and there are several different genes that have been associated with RP. The diagnosis is typically made based on a combination of genetic testing, family history, and clinical examination. Currently, there is no cure for RP, but researchers are actively working to develop new treatments that may help slow or stop the progression of the disease.

Orbital neoplasms refer to abnormal growths or tumors that develop in the orbit, which is the bony cavity that contains the eyeball, muscles, nerves, fat, and blood vessels. These neoplasms can be benign (non-cancerous) or malignant (cancerous), and they can arise from various types of cells within the orbit.

Orbital neoplasms can cause a variety of symptoms depending on their size, location, and rate of growth. Common symptoms include protrusion or displacement of the eyeball, double vision, limited eye movement, pain, swelling, and numbness in the face. In some cases, orbital neoplasms may not cause any noticeable symptoms, especially if they are small and slow-growing.

There are many different types of orbital neoplasms, including:

1. Optic nerve glioma: a rare tumor that arises from the optic nerve's supportive tissue.
2. Orbital meningioma: a tumor that originates from the membranes covering the brain and extends into the orbit.
3. Lacrimal gland tumors: benign or malignant growths that develop in the lacrimal gland, which produces tears.
4. Orbital lymphangioma: a non-cancerous tumor that arises from the lymphatic vessels in the orbit.
5. Rhabdomyosarcoma: a malignant tumor that develops from the skeletal muscle cells in the orbit.
6. Metastatic tumors: cancerous growths that spread to the orbit from other parts of the body, such as the breast, lung, or prostate.

The diagnosis and treatment of orbital neoplasms depend on several factors, including the type, size, location, and extent of the tumor. Imaging tests, such as CT scans and MRI, are often used to visualize the tumor and determine its extent. A biopsy may also be performed to confirm the diagnosis and determine the tumor's type and grade. Treatment options include surgery, radiation therapy, chemotherapy, or a combination of these approaches.

Otorhinolaryngologic surgical procedures are surgeries that are performed on the head and neck region, specifically involving the ear, nose, and throat (ENT) regions. This field is also known as otolaryngology-head and neck surgery. The procedures can range from relatively minor ones, such as removing a small nasal polyp or inserting ear tubes, to more complex surgeries like cochlear implantation, endoscopic sinus surgery, or removal of tumors in the head and neck region. These surgical procedures are typically performed by specialized physicians called otorhinolaryngologists (also known as ENT surgeons) who have completed extensive training in this area.

Urologic surgical procedures refer to various types of surgeries that are performed on the urinary system and male reproductive system. These surgeries can be invasive (requiring an incision) or minimally invasive (using small incisions or scopes). They may be performed to treat a range of conditions, including but not limited to:

1. Kidney stones: Procedures such as shock wave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy are used to remove or break up kidney stones.
2. Urinary tract obstructions: Surgeries like pyeloplasty and urethral dilation can be done to correct blockages in the urinary tract.
3. Prostate gland issues: Transurethral resection of the prostate (TURP), simple prostatectomy, and robotic-assisted laparoscopic radical prostatectomy are some procedures used for benign prostatic hyperplasia (BPH) or prostate cancer.
4. Bladder problems: Procedures such as cystectomy (removal of the bladder), bladder augmentation, and implantation of an artificial urinary sphincter can be done for conditions like bladder cancer or incontinence.
5. Kidney diseases: Nephrectomy (removal of a kidney) may be necessary for severe kidney damage or cancer.
6. Testicular issues: Orchiectomy (removal of one or both testicles) can be performed for testicular cancer.
7. Pelvic organ prolapse: Surgeries like sacrocolpopexy and vaginal vault suspension can help correct this condition in women.

These are just a few examples; there are many other urologic surgical procedures available to treat various conditions affecting the urinary and reproductive systems.

Obstetric surgical procedures are operations that are performed on the female reproductive system during pregnancy, labor, delivery, or after childbirth to address various medical conditions and complications. Some common obstetric surgical procedures include:

1. Cesarean section (C-section): A surgical delivery of a baby through incisions in the abdomen and uterus.
2. Induction of labor: The use of medication or other methods to stimulate labor.
3. Dilation and curettage (D&C): A procedure to remove tissue from the uterus using a thin, sharp instrument called a curette.
4. Hysterectomy: The surgical removal of the uterus.
5. Myomectomy: The surgical removal of fibroids, which are noncancerous growths in the muscular wall of the uterus.
6. Ovarian cystectomy: The surgical removal of a cyst from the ovary.
7. Tubal ligation: A permanent form of birth control in which the fallopian tubes are tied, cut, or sealed to prevent pregnancy.
8. Ectopic pregnancy surgery: Removal of an ectopic pregnancy, which is a pregnancy that develops outside of the uterus, usually in the fallopian tube.

These procedures may be necessary to save the life of the mother or baby, to treat medical conditions, or to prevent future complications. They should only be performed by trained medical professionals in a hospital setting.

Cataract extraction is a surgical procedure that involves removing the cloudy lens (cataract) from the eye. This procedure is typically performed to restore vision impairment caused by cataracts and improve overall quality of life. There are two primary methods for cataract extraction:

1. Phacoemulsification: This is the most common method used today. It involves making a small incision in the front part of the eye (cornea), inserting an ultrasonic probe to break up the cloudy lens into tiny pieces, and then removing those pieces with suction. After removing the cataract, an artificial intraocular lens (IOL) is inserted to replace the natural lens and help focus light onto the retina.

2. Extracapsular Cataract Extraction: In this method, a larger incision is made on the side of the cornea, allowing the surgeon to remove the cloudy lens in one piece without breaking it up. The back part of the lens capsule is left intact to support the IOL. This technique is less common and typically reserved for more advanced cataracts or when phacoemulsification cannot be performed.

Recovery from cataract extraction usually involves using eye drops to prevent infection and inflammation, as well as protecting the eye with a shield or glasses during sleep for a few weeks after surgery. Most people experience improved vision within a few days to a week following the procedure.

Corneal dystrophies, hereditary are a group of genetic disorders that affect the cornea, which is the clear, outermost layer at the front of the eye. These conditions are characterized by the buildup of abnormal material in the cornea, leading to decreased vision, pain, or cloudiness in the eye.

There are many different types of corneal dystrophies, each affecting a specific layer of the cornea and having its own pattern of inheritance. Some common types include:

1. Fuchs' endothelial dystrophy: This affects the inner lining of the cornea (endothelium) and causes swelling and cloudiness in the cornea. It is typically inherited in an autosomal dominant manner, meaning that a child has a 50% chance of inheriting the condition if one parent has it.
2. Granular dystrophy: This affects the stroma, which is the middle layer of the cornea. It causes the formation of opaque, grayish-white deposits in the cornea that can affect vision. It is typically inherited in an autosomal dominant or recessive manner.
3. Lattice dystrophy: This also affects the stroma and is characterized by the formation of a lattice-like pattern of fine, whitish lines in the cornea. It is typically inherited in an autosomal dominant manner.
4. Macular dystrophy: This affects the central part of the cornea (macula) and can cause cloudiness, leading to decreased vision. It is typically inherited in an autosomal recessive manner.

Treatment for corneal dystrophies may include eyedrops, medications, or surgery, depending on the severity of the condition and its impact on vision. In some cases, a corneal transplant may be necessary to restore vision.

Consanguinity is a medical and genetic term that refers to the degree of genetic relationship between two individuals who share common ancestors. Consanguineous relationships exist when people are related by blood, through a common ancestor or siblings who have children together. The closer the relationship between the two individuals, the higher the degree of consanguinity.

The degree of consanguinity is typically expressed as a percentage or fraction, with higher values indicating a closer genetic relationship. For example, first-degree relatives, such as parents and children or full siblings, share approximately 50% of their genes and have a consanguinity coefficient of 0.25 (or 25%).

Consanguinity can increase the risk of certain genetic disorders and birth defects in offspring due to the increased likelihood of sharing harmful recessive genes. The risks depend on the degree of consanguinity, with closer relationships carrying higher risks. It is important for individuals who are planning to have children and have a history of consanguinity to consider genetic counseling and testing to assess their risk of passing on genetic disorders.

Optic nerve diseases refer to a group of conditions that affect the optic nerve, which transmits visual information from the eye to the brain. These diseases can cause various symptoms such as vision loss, decreased visual acuity, changes in color vision, and visual field defects. Examples of optic nerve diseases include optic neuritis (inflammation of the optic nerve), glaucoma (damage to the optic nerve due to high eye pressure), optic nerve damage from trauma or injury, ischemic optic neuropathy (lack of blood flow to the optic nerve), and optic nerve tumors. Treatment for optic nerve diseases varies depending on the specific condition and may include medications, surgery, or lifestyle changes.

DNA Mutational Analysis is a laboratory test used to identify genetic variations or changes (mutations) in the DNA sequence of a gene. This type of analysis can be used to diagnose genetic disorders, predict the risk of developing certain diseases, determine the most effective treatment for cancer, or assess the likelihood of passing on an inherited condition to offspring.

The test involves extracting DNA from a patient's sample (such as blood, saliva, or tissue), amplifying specific regions of interest using polymerase chain reaction (PCR), and then sequencing those regions to determine the precise order of nucleotide bases in the DNA molecule. The resulting sequence is then compared to reference sequences to identify any variations or mutations that may be present.

DNA Mutational Analysis can detect a wide range of genetic changes, including single-nucleotide polymorphisms (SNPs), insertions, deletions, duplications, and rearrangements. The test is often used in conjunction with other diagnostic tests and clinical evaluations to provide a comprehensive assessment of a patient's genetic profile.

It is important to note that not all mutations are pathogenic or associated with disease, and the interpretation of DNA Mutational Analysis results requires careful consideration of the patient's medical history, family history, and other relevant factors.

X-ray computed tomography (CT or CAT scan) is a medical imaging method that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional (tomographic) images (virtual "slices") of the body. These cross-sectional images can then be used to display detailed internal views of organs, bones, and soft tissues in the body.

The term "computed tomography" is used instead of "CT scan" or "CAT scan" because the machines take a series of X-ray measurements from different angles around the body and then use a computer to process these data to create detailed images of internal structures within the body.

CT scanning is a noninvasive, painless medical test that helps physicians diagnose and treat medical conditions. CT imaging provides detailed information about many types of tissue including lung, bone, soft tissue and blood vessels. CT examinations can be performed on every part of the body for a variety of reasons including diagnosis, surgical planning, and monitoring of therapeutic responses.

In computed tomography (CT), an X-ray source and detector rotate around the patient, measuring the X-ray attenuation at many different angles. A computer uses this data to construct a cross-sectional image by the process of reconstruction. This technique is called "tomography". The term "computed" refers to the use of a computer to reconstruct the images.

CT has become an important tool in medical imaging and diagnosis, allowing radiologists and other physicians to view detailed internal images of the body. It can help identify many different medical conditions including cancer, heart disease, lung nodules, liver tumors, and internal injuries from trauma. CT is also commonly used for guiding biopsies and other minimally invasive procedures.

In summary, X-ray computed tomography (CT or CAT scan) is a medical imaging technique that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional images of the body. It provides detailed internal views of organs, bones, and soft tissues in the body, allowing physicians to diagnose and treat medical conditions.

Thoracic surgical procedures refer to the operations that are performed on the thorax, which is the part of the body that lies between the neck and the abdomen and includes the chest cage, lungs, heart, great blood vessels, esophagus, diaphragm, and other organs in the chest cavity. These surgical procedures can be either open or minimally invasive (using small incisions and specialized instruments) and are performed to diagnose, treat, or manage various medical conditions affecting the thoracic organs, such as:

1. Lung cancer: Thoracic surgeons perform lung resections (lobectomy, segmentectomy, wedge resection) to remove cancerous lung tissue. They may also perform mediastinal lymph node dissection to assess the spread of the disease.
2. Esophageal surgery: Surgeries like esophagectomy are performed to treat esophageal cancer or other conditions affecting the esophagus, such as severe GERD (gastroesophageal reflux disease).
3. Chest wall surgery: This includes procedures to repair or replace damaged ribs, sternum, or chest wall muscles and treat conditions like pectus excavatum or tumors in the chest wall.
4. Heart surgery: Thoracic surgeons collaborate with cardiac surgeons to perform surgeries on the heart, such as coronary artery bypass grafting (CABG), valve repair/replacement, and procedures for treating aneurysms or dissections of the aorta.
5. Diaphragm surgery: Procedures like diaphragm plication are performed to treat paralysis or weakness of the diaphragm that can lead to respiratory insufficiency.
6. Mediastinal surgery: This involves operating on the mediastinum, the area between the lungs, to remove tumors, cysts, or other abnormal growths.
7. Pleural surgery: Procedures like pleurodesis or decortication are performed to manage conditions affecting the pleura (the membrane surrounding the lungs), such as pleural effusions, pneumothorax, or empyema.
8. Lung surgery: Thoracic surgeons perform procedures on the lungs, including lobectomy, segmentectomy, or pneumonectomy to treat lung cancer, benign tumors, or other lung diseases.
9. Tracheal surgery: This includes procedures to repair or reconstruct damaged trachea or remove tumors and growths in the airway.
10. Esophageal surgery: Collaborating with general surgeons, thoracic surgeons perform esophagectomy and other procedures to treat esophageal cancer, benign tumors, or other conditions affecting the esophagus.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

Visual fields refer to the total area in which objects can be seen while keeping the eyes focused on a central point. It is the entire area that can be observed using peripheral (side) vision while the eye gazes at a fixed point. A visual field test is used to detect blind spots or gaps (scotomas) in a person's vision, which could indicate various medical conditions such as glaucoma, retinal damage, optic nerve disease, brain tumors, or strokes. The test measures both the central and peripheral vision and maps the entire area that can be seen when focusing on a single point.

Cardiovascular surgical procedures refer to a range of surgeries performed on the heart and blood vessels to treat or manage various cardiovascular conditions. These surgeries can be open or minimally invasive, and they aim to correct structural abnormalities, improve blood flow, or replace damaged or diseased parts of the cardiovascular system.

Some common types of cardiovascular surgical procedures include:

1. Coronary artery bypass grafting (CABG): This surgery involves taking a healthy blood vessel from another part of the body and using it to create a detour around a blocked or narrowed coronary artery, improving blood flow to the heart muscle.
2. Heart valve repair or replacement: When one or more heart valves become damaged or diseased, they may not open or close properly, leading to reduced blood flow or leakage of blood backward through the valve. In these cases, surgeons may repair or replace the affected valve with a mechanical or biological prosthetic valve.
3. Aneurysm repair: An aneurysm is a weakened area in the wall of an artery that can bulge and potentially rupture, causing severe bleeding. Surgeons can repair an aneurysm by reinforcing the weakened area with a graft or by replacing the affected section of the blood vessel.
4. Heart transplant: In cases where heart failure is irreversible and all other treatment options have been exhausted, a heart transplant may be necessary. This procedure involves removing the damaged heart and replacing it with a healthy donor heart.
5. Ventricular assist devices (VADs): These are mechanical pumps that can be implanted to help support heart function in patients with advanced heart failure who are not candidates for heart transplants. VADs can help improve blood flow, reduce symptoms, and increase the patient's quality of life.
6. Minimally invasive procedures: Advances in technology have led to the development of several minimally invasive cardiovascular surgical procedures, such as robotic-assisted heart surgery, video-assisted thoracoscopic surgery (VATS), and transcatheter aortic valve replacement (TAVR). These techniques typically involve smaller incisions, reduced blood loss, shorter hospital stays, and faster recovery times compared to traditional open-heart surgeries.

A newborn infant is a baby who is within the first 28 days of life. This period is also referred to as the neonatal period. Newborns require specialized care and attention due to their immature bodily systems and increased vulnerability to various health issues. They are closely monitored for signs of well-being, growth, and development during this critical time.

General surgery is a surgical specialty that focuses on the abdominal organs, including the esophagus, stomach, small intestine, large intestine, liver, pancreas, gallbladder and bile ducts, and often the thyroid gland. General surgeons may also deal with diseases involving the skin, breast, soft tissue, and hernias. They employ a wide range of surgical procedures, using both traditional and laparoscopic techniques.

This definition is consistent with the guidelines provided by professional medical organizations such as the American College of Surgeons and the Royal College of Surgeons. However, it's important to note that specific practices can vary based on factors like geographical location, training, and individual expertise.

Diabetic retinopathy is a diabetes complication that affects the eyes. It's caused by damage to the blood vessels of the light-sensitive tissue at the back of the eye (retina).

At first, diabetic retinopathy may cause no symptoms or only mild vision problems. Eventually, it can cause blindness. The condition usually affects both eyes.

There are two main stages of diabetic retinopathy:

1. Early diabetic retinopathy. This is when the blood vessels in the eye start to leak fluid or bleed. You might not notice any changes in your vision at this stage, but it's still important to get treatment because it can prevent the condition from getting worse.
2. Advanced diabetic retinopathy. This is when new, abnormal blood vessels grow on the surface of the retina. These vessels can leak fluid and cause severe vision problems, including blindness.

Diabetic retinopathy can be treated with laser surgery, injections of medication into the eye, or a vitrectomy (a surgical procedure to remove the gel-like substance that fills the center of the eye). It's important to get regular eye exams to detect diabetic retinopathy early and get treatment before it causes serious vision problems.

Refractive errors are a group of vision conditions that include nearsightedness (myopia), farsightedness (hyperopia), astigmatism, and presbyopia. These conditions occur when the shape of the eye prevents light from focusing directly on the retina, causing blurred or distorted vision.

Myopia is a condition where distant objects appear blurry while close-up objects are clear. This occurs when the eye is too long or the cornea is too curved, causing light to focus in front of the retina instead of directly on it.

Hyperopia, on the other hand, is a condition where close-up objects appear blurry while distant objects are clear. This happens when the eye is too short or the cornea is not curved enough, causing light to focus behind the retina.

Astigmatism is a condition that causes blurred vision at all distances due to an irregularly shaped cornea or lens.

Presbyopia is a natural aging process that affects everyone as they get older, usually around the age of 40. It causes difficulty focusing on close-up objects and can be corrected with reading glasses, bifocals, or progressive lenses.

Refractive errors can be diagnosed through a comprehensive eye exam and are typically corrected with eyeglasses, contact lenses, or refractive surgery such as LASIK.

Recessive genes refer to the alleles (versions of a gene) that will only be expressed when an individual has two copies of that particular allele, one inherited from each parent. If an individual inherits one recessive allele and one dominant allele for a particular gene, the dominant allele will be expressed and the recessive allele will have no effect on the individual's phenotype (observable traits).

Recessive genes can still play a role in determining an individual's genetic makeup and can be passed down through generations even if they are not expressed. If two carriers of a recessive gene have children, there is a 25% chance that their offspring will inherit two copies of the recessive allele and exhibit the associated recessive trait.

Examples of genetic disorders caused by recessive genes include cystic fibrosis, sickle cell anemia, and albinism.

A syndrome, in medical terms, is a set of symptoms that collectively indicate or characterize a disease, disorder, or underlying pathological process. It's essentially a collection of signs and/or symptoms that frequently occur together and can suggest a particular cause or condition, even though the exact physiological mechanisms might not be fully understood.

For example, Down syndrome is characterized by specific physical features, cognitive delays, and other developmental issues resulting from an extra copy of chromosome 21. Similarly, metabolic syndromes like diabetes mellitus type 2 involve a group of risk factors such as obesity, high blood pressure, high blood sugar, and abnormal cholesterol or triglyceride levels that collectively increase the risk of heart disease, stroke, and diabetes.

It's important to note that a syndrome is not a specific diagnosis; rather, it's a pattern of symptoms that can help guide further diagnostic evaluation and management.

Preoperative care refers to the series of procedures, interventions, and preparations that are conducted before a surgical operation. The primary goal of preoperative care is to ensure the patient's well-being, optimize their physical condition, reduce potential risks, and prepare them mentally and emotionally for the upcoming surgery.

Preoperative care typically includes:

1. Preoperative assessment: A thorough evaluation of the patient's overall health status, including medical history, physical examination, laboratory tests, and diagnostic imaging, to identify any potential risk factors or comorbidities that may impact the surgical procedure and postoperative recovery.
2. Informed consent: The process of ensuring the patient understands the nature of the surgery, its purpose, associated risks, benefits, and alternative treatment options. The patient signs a consent form indicating they have been informed and voluntarily agree to undergo the surgery.
3. Preoperative instructions: Guidelines provided to the patient regarding their diet, medication use, and other activities in the days leading up to the surgery. These instructions may include fasting guidelines, discontinuing certain medications, or arranging for transportation after the procedure.
4. Anesthesia consultation: A meeting with the anesthesiologist to discuss the type of anesthesia that will be used during the surgery and address any concerns related to anesthesia risks, side effects, or postoperative pain management.
5. Preparation of the surgical site: Cleaning and shaving the area where the incision will be made, as well as administering appropriate antimicrobial agents to minimize the risk of infection.
6. Medical optimization: Addressing any underlying medical conditions or correcting abnormalities that may negatively impact the surgical outcome. This may involve adjusting medications, treating infections, or managing chronic diseases such as diabetes.
7. Emotional and psychological support: Providing counseling, reassurance, and education to help alleviate anxiety, fear, or emotional distress related to the surgery.
8. Preoperative holding area: The patient is transferred to a designated area near the operating room where they are prepared for surgery by changing into a gown, having intravenous (IV) lines inserted, and receiving monitoring equipment.

By following these preoperative care guidelines, healthcare professionals aim to ensure that patients undergo safe and successful surgical procedures with optimal outcomes.

I'm sorry for any confusion, but "photography" is not a term typically used in medical definitions. Photography refers to the art, application, or process of creating images by recording light or other electromagnetic radiation, either electronically by means of an image sensor, or chemically by means of a light-sensitive material such as photographic film.

If you're looking for a medical term related to imaging, there are several terms that might be relevant, such as:

1. Radiography: This is a technique using X-rays to visualize the internal structures of the body.
2. Ultrasonography: Also known as ultrasound, this is a diagnostic imaging technique using high-frequency sound waves to create images of the inside of the body.
3. Computed Tomography (CT): A type of imaging that uses X-rays to create detailed cross-sectional images of the body.
4. Magnetic Resonance Imaging (MRI): A type of imaging that uses magnetic fields and radio waves to create detailed images of the organs and tissues within the body.
5. Nuclear Medicine: This is a branch of medical imaging that uses small amounts of radioactive material to diagnose and treat diseases.

If you have any questions related to medical definitions or topics, feel free to ask!

Open-angle glaucoma is a chronic, progressive type of glaucoma characterized by the gradual loss of optic nerve fibers and resulting in visual field defects. It is called "open-angle" because the angle where the iris meets the cornea (trabecular meshwork) appears to be normal and open on examination. The exact cause of this condition is not fully understood, but it is associated with increased resistance to the outflow of aqueous humor within the trabecular meshwork, leading to an increase in intraocular pressure (IOP). This elevated IOP can cause damage to the optic nerve and result in vision loss.

The onset of open-angle glaucoma is often asymptomatic, making regular comprehensive eye examinations crucial for early detection and management. Treatment typically involves lowering IOP using medications, laser therapy, or surgery to prevent further optic nerve damage and preserve vision.

Controversy has arisen regarding the selection and planning of surgical procedures, the timing of surgery and about what ... Furthermore, as accompaniment to ophthalmologic treatment, craniosacral therapy may be performed in order to relieve tension ( ... often involving multiple surgical episodes whereas others prefer to aim for full alignment of the eyes in one procedure and let ... Management thereafter will be surgical. As alternative to surgery, also botulinum toxin therapy has been used in children with ...
The eye is a fragile organ, and requires due care before, during, and after a surgical procedure to minimize or prevent further ... "Ophthalmologic Surgery - procedure, recovery, blood, pain, complications, time, infection, medication". www.surgeryencyclopedia ... An iridencleisis, or corenclisis, is a surgical procedure for glaucoma in which a portion of the iris is incised and ... An eye surgeon is responsible for selecting the appropriate surgical procedure for the patient, and for taking the necessary ...
... with a closed-circuit television camera which is used in providing training to local doctors in live surgical procedures. An ... Additionally, the train has an ophthalmologic testing room, a dental unit, a pharmacy, an X-ray unit and an auditorium with a ... Plastic surgical correction of cleft lip and post-burn contractures. Epilepsy - Screening and treatment clinic run by an ... Surgical interventions for conductive deformity of middle ear for restoration of hearing & audiometry for restoring hearing of ...
Various surgical techniques have been used: Harold Brown advocated that the superior oblique tendon be stripped. A procedure ... Diagnosis of Brown syndrome usually happens during a routine ophthalmologic appointment.[citation needed] If binocular vision ... A second procedure may be required.[citation needed] In Brown's original series there was a 3:2 predominance of women to men ... The results of such a procedure are frequently unsatisfactory because of reformation of scar tissue. Tenotomy of the superior ...
The CK Hui Heart Centre specializes in the non-surgical treatment of coronary artery disease, as well as interventional ... Each operating room is designed specifically for women's health procedures. The hospital is home to Canada's first da Vinci ... The Eye Institute of Alberta offers specialized care and treatment for a variety of ophthalmologic conditions. This institute ... The Centre for the Advancement of Minimally Invasive Surgery (CAMIS) is a teaching facility providing surgical training and ...
... or with a surgical procedure for other cases. The prognosis of a lesion in the visual neural pathways that causes a conjugate ... "Conjugate Gaze Palsies: Neuro-ophthalmologic and Cranial Nerve Disorders: Merck Manual Professional". Merckmanuals.com. ...
Surgical treatment is required. Presently-utilized surgical procedures include goniotomy, trabeculotomy, or trabeculectomy. ... On ophthalmologic exam, a doctor can detect increased intraocular pressure, distortion of the optic disc, and corneal edema, ... Trabeculotomy-trabeculectomy can also be done as a combined procedure or trabeculectomy alone when the other previously ... mentioned procedures are either contraindicated or fails. The name of the condition derives from the Greek βοῦς bous (ox or cow ...
He pioneered this procedure. The most significant contribution to ophthalmologic surgery being: "the demonstration of the ... Cibis, P. A. (1964). Recent methods in the surgical treatment of retinal detachment: intravitreal procedures. Transactions of ... The surgical techniques he pioneered and developed, involved directly operating on the vitreous to repair retinal detachments. ... Cibis, P. A., & Knobloch, W. H. (1968). Scleral buckling procedures with preserved human sclera. New and Controversial Aspects ...
Dimitri T., Azar (2007). "lenticular and scleralrefractive surgical procedures". Reractive surgery (2nd ed.). Mosby Elsevier. p ... The first proficient refractive surgery technique was developed in the Barraquer ophthalmologic clinic (Bogotá, Colombia), in ... In addition to corneal refractive procedures (LASIK, PRK and LASEK), intraocular refractive procedures (phakic intraocular ... These procedures do not require a partial thickness cut into the stroma. Surface ablation methods differ only in the way the ...
Holland contributed to ophthalmology in his research and development of surgical procedures. For example, Holland discovered ... For his ophthalmologic work, he became in charge of this hospital in Quetta in 1907. From there, the hospital grew steadily due ... and is the least traumatic procedure to the eye of any method. Holland retired in March 1948. In 1958, he published an ... and Baluchistan to provide ophthalmologic surgery and care. He is known for establishing hospitals in Quetta and North Sind and ...
Like most invasive surgical procedures, however, vitrectomy carries a risk of complications, including: retinal detachment, ... should seek more urgent ophthalmologic evaluation. While surgeries do exist to correct for severe cases of floaters, there are ... One of them, John Karickhoff, has performed the procedure more than 1,400 times and claims a 90 percent success rate. However, ... As of 2017[update], insufficient evidence is available to compare the safety and efficacy of surgical vitrectomy with laser ...
500,000 and like all surgical procedures there is a degree of risk. Within the cataract removal procedures which take place a ... An ophthalmologic examination is another procedure which must be conducted to effectively diagnose phacolytic glaucoma. This ... with the improvements in technology the LASIK procedure is the main procedure used to conduct cataract surgeries. This ... A variety of procedures can be used to physically diagnose phacolytic glaucoma as there are a variety of other types of ...
Ophthalmologic Procedures in the Emergency Department-Part I: Immediate Sight-saving Procedures. Academic Emergency Medicine, 1 ... Canthotomy (also called lateral canthotomy and canthotomy with cantholysis) is a surgical procedure where the lateral canthus, ... Canthotomy is a procedure performed to increase the orbital space by cutting the lateral canthus. This procedure reduces the ... Two incisions below and above the external canthus were made and surgical drains were put in place. In 1990 the first lateral ...
It is a surgical emergency. The retina is a thin layer of light-sensitive tissue on the back wall of the eye. The optical ... This procedure is always combined with cryopexy or laser photocoagulation. The one operation reattachment rate may be slightly ... Feltgen, Nicolas; Walter, Peter (2014). "Rhegmatogenous Retinal Detachment-an Ophthalmologic Emergency". Deutsches Ärzteblatt ... Often subretinal fluid is drained as part of the buckling procedure. The buckle remains in situ indefinitely unless a buckle ...
... proposed as a surgical treatment of a ruptured angiomyolipoma combining the advantages both of a kidney preservation procedure ... Screening for TSC includes a detailed physical exam, including dermatologic and ophthalmologic evaluations, by TSC expert ... The procedure can be very painful, so analgesics are used. The destroyed kidney tissue often causes postembolisation syndrome, ... and the benefits of a minimal invasive procedure without compromising the safety of the patient. It is suggested that no follow ...
... otolaryngologists and plastic surgeons with opportunities for hands-on experience in a variety of surgical procedures before ... ophthalmologic pathology, and pediatric ophthalmology and strabismus. Throughout the tristate area, complex ocular injuries are ... new surgical devices, and genetics and genomics of eye disease. Centers for research and clinical investigations include The ... New York Eye and Ear Infirmary of Mount Sinai provides comprehensive outpatient and state-of-the-art medical/surgical care in ...
cardiac and spine procedures), and sleep apnea. Rarely, amiodarone, interferon-alpha, and erectile dysfunction drugs have been ... Consumption can be fatal, or recovery can occur with permanent neurologic and ophthalmologic deficits. While the visual loss is ... While optic neuropathy cannot be outright cured, there are surgical options to alleviate pain and symptoms associated with such ...
Clinicians range from a variety of medical and surgical specialties and subspecialties, including audiology, allergy/immunology ... scientists conduct investigate novel therapies for ophthalmologic disorders affecting patients in general as well as those from ... founded the Institute for Translational Research with the goal of translating basic science into treatments and new procedures ... Driscoll Children's Hospital is a 191-bed pediatric tertiary care center with more than 30 medical and surgical specialties ...
Within a few years, spinal anesthesia became widely used for surgical anesthesia and was accepted as a safe and effective ... Surface anesthesia also facilitates some endoscopic procedures such as bronchoscopy (visualization of the lower airways) or ... school first started using cocaine as local anaesthesia in ophthalmology and it was later incorporated into ophthalmologic ... for routine restorative procedures. Injection methodology: The periodontal ligament space provides an accessible route to the ...
These surgical procedures may possibly introduce staphylococci, streptococci, and anaerobic bacteria via a compromised bony ... Fleishman JA, Beck RW, Hoffman RO (November 1984). "Orbital emphysema as an ophthalmologic emergency". Ophthalmology. 91 (11): ... It may also occur in other oral, nasal, and maxillofacial surgical interventions, in which the occurrence is unexpected. They ... Journal of Surgical Education. 65 (4): 302-308. doi:10.1016/j.jsurg.2008.06.006. PMID 18707665. Ariyoshi Y, Naito H, Yumoto T, ...
Other diagnostic procedures on lung and bronchus (33.3) Surgical collapse of lung (33.4) Repair and plastic operation on lung ... Extended ophthalmologic work-up (95.04) Eye examination under anesthesia (95.05) Visual field study (95.06) Color vision study ... 00) Procedures and interventions, not elsewhere classified (00.6) Procedures on blood vessels (00.61) Percutaneous angioplasty ... Limb shortening procedures (78.3) Limb lengthening procedures (78.4) Other repair or plastic operations on bone (78.5) Internal ...
This elaborate procedure, requiring the maintenance of pots of opium at just the right temperature for a globule to be scooped ... The renowned Andalusian ophthalmologic surgeon Abu al-Qasim al-Zahrawi ("Abulcasis", 936-1013 CE) relied on opium and mandrake ... Heroin was also found to be twice as potent as morphine in surgical anesthesia. Morphine is converted into heroin by a simple ... By 1100 BCE, opium was cultivated on Cyprus, where surgical-quality knives were used to score the poppy pods, and opium was ...
The surgical procedure in phacoemulsification for removal of cataract is typically performed under an operating microscope. ... Feltgen, N.; Walter, P. (January 2014). "Rhegmatogenous retinal detachment--an ophthalmologic emergency". Deutsches Ärzteblatt ... The removal of cataracts by couching was a common surgical procedure in Djenné and many other parts of Africa. Couching ... Couching is the earliest-documented form of cataract surgery, and one of the oldest surgical procedures ever performed. In this ...
  • To gather information about the ophthalmic surgery, we mailed questionnaires to the ophthalmologists who operated on these patients, requesting the following information: diagnosis of ophthalmologic diseases, surgical procedures performed, changes in the symptoms after the surgery, whether the instruments were reused, and methods of cleaning reused instruments. (cdc.gov)
  • OBJECTIVE: To determine postoperative surgical site infection (SSI) rates in three separate patient groups who underwent orbital surgery without prophylactic systemic antibiotics. (eyehospital.nl)
  • abstract = "OBJECTIVE: To determine postoperative surgical site infection (SSI) rates in three separate patient groups who underwent orbital surgery without prophylactic systemic antibiotics.STUDY DESIGN: Single-centre retrospective descriptive case series.STUDY POPULATION: We studied the notes of 639 consecutive patients who had undergone orbital surgery in our hospital from 2009 through 2013. (eyehospital.nl)
  • A procedure for removal of the crystalline lens in cataract surgery in which an anterior capsulectomy is performed by means of a needle inserted through a small incision at the temporal limbus, allowing the lens contents to fall through the dilated pupil into the anterior chamber where they are broken up by the use of ultrasound and aspirated out of the eye through the incision. (lookformedical.com)
  • It is estimated that nearly 28 million cataract surgery procedures are performed worldwide every year. (leica-microsystems.com)
  • Ophthalmic surgery requires high levels of accuracy and precision for optimal surgical maneuvers and tissue manipulation. (leica-microsystems.com)
  • In fact, Lasik eye surgery is often touted as completely painless, with many patients undergoing the procedure and going to sleep immediately afterwards. (ithageneia.org)
  • Laser eye surgery may sound glamorous, but the reality is this procedure is not necessarily pain-free. (ithageneia.org)
  • Laser eye surgery, or ophthalmologic surgery, is a surgical procedure that corrects vision. (ithageneia.org)
  • We believe the acceleration in elective procedures will benefit companies across orthopedic (Smith & Nephew and), cardiovascular (Abiomed, Edwards, Boston Scientific), ophthalmologic (Staar Surgical), spinal cord (Globus Medical), broader general surgery innovations (Integra - soft tissue reconstruction), and Robotic Surgery players such as Intuitive Surgical and Stryker. (etftrends.com)
  • Clinically Infantile esotropia must be distinguished from: VIth Cranial nerve or abducens palsy Nystagmus Blockage Syndrome Esotropia arising secondary to central nervous system abnormalities (in cerebral palsy for example) Primary Constant esotropia Duane's Syndrome According to a Cochrane review of 2023, controversies remain regarding type of surgery, non-surgical intervention and age of intervention and that more good studies are needed to guide clinical practice. (wikipedia.org)
  • Although open surgery has traditionally been used as a surgical treatment for insertional Achilles tendinopathy, there is a possibility of serious complications (avulsion, scarring, contracture, sensory changes, and infection) due to the anatomical characteristics of the area. (bvsalud.org)
  • Endoscopic surgery is an effective and minimally invasive procedure, showing fewer complications and similar satisfaction as the open procedure. (bvsalud.org)
  • Most trips last 8 to 10 days, and often the doctors treat as many as 100 children and screen scores more for possible treatment in the U.S. Specialties most often provided on HTC medical trips are plastic and maxillofacial surgery, dental services, ear, nose and throat services, cardiac and ophthalmologic, neurosurgical, urological, general surgical, and orthopedic procedures. (htcflorida.org)
  • 4. Acute major bleeding, defined as bleeding that is potentially life-threatening, that requires an emergent surgery or invasive procedure, or requires transfusion of =1 units of PRBCs or is associated with a decrease in Hg of >2.0 g/dL, or bleeding in a critical area or organ such as intraspinal, pericardial, or intracranial. (who.int)
  • A surgical specialty concerned with the structure and function of the eye and the medical and surgical treatment of its defects and diseases. (lookformedical.com)
  • The exact etiology of ED is still unidentified but several risk factors that have been noted to increase the predilection for emergence agitation such as preschool age, preoperative anxiety, certain surgical procedures like otolaryngologic or ophthalmologic surgeries, anesthesia technique (inhalational vs. intravenous agent or regional block), and postoperative pain (Kanaya, 2016 ). (springeropen.com)
  • Any surgical procedure for treatment of glaucoma by means of puncture or reshaping of the trabecular meshwork. (lookformedical.com)
  • This study presents a laser guidance system developed to enhance surgical accuracy and reduce radiation exposure in orthopedic surgeries. (bvsalud.org)
  • While it holds true that LASIK is a sort of laser eye surgical treatment, there are a variety of other laser treatments that can create equally successful results for individuals dealing with myopia (nearsightedness), hyperopia (farsightedness), and also astigmatism. (chilibsys.org)
  • Laser Vision Correction (LVC) is an elective, self-pay and safe surgical procedure to correct myopia and hyperopia. (researchgate.net)
  • These include clinical findings such as a decrease in the frequency of a positive pathergy reaction with surgical cleaning of the skin before the procedure, the acne-arthritis association carrying similar features to acne-associated reactive arthritis, a higher rate of tonsillectomy, cold sores, late birth order, higher number of siblings, history of travel to countries with a high incidence of Behçet syndrome, and earlier age at first sexual intercourse. (medscape.com)
  • Purpose To report clinical observations and surgical management in a large series of patients with orbitofacial neurofibromatosis type 1 (OFNF). (johnshopkins.edu)
  • Outcomes after surgical removal of anterior epi-capsular plaque associated with persistent pupillary membranes in children. (musc.edu)
  • Since FDA approval 25 years ago, there have been a progression of technological improvements leading to better outcomes and LVC is now one of the safest surgical procedures. (researchgate.net)
  • In addition, press misinformation and lack of optometrists participating in co-management have not helped grow LVC procedures despite the positive results of the FDA's Patient Reported Outcomes with LASIK studies known as PROWL. (researchgate.net)
  • Primary treatment consists of surgical excision. (duke.edu)
  • He described it as a procedure used for repairing defects after excision of eyelid carcinomas. (medscape.com)
  • Compared with penetrating keratoplasty (PK), deep anterior lamellar keratoplasty (DALK) presents several advantages that make it currently considered by many corneal surgeons as the first-choice surgical procedure in patients with keratoconus. (bmj.com)
  • Many ophthalmologic cosmetic surgeons are now supplied the next advancement in LASIK surgical procedure, which they called Custom-made LASIK. (chilibsys.org)
  • In addition, seasoned eye surgeons are able to improve their skills on new procedures. (uams.edu)
  • An analysis of injury surveillance data from 87 U.S. hospitals from 1993 to 2006 found 37.1% of surgical injuries occurred in surgical technicians, 30.3% in operating-room (OR) nurses, 17% in surgical residents and fellows, and 15.6% in surgeons. (myamericannurse.com)
  • Even though modern cosmetic blepharoplasty techniques have been around for 50 years, only in the last 2 decades has the number of blepharoplasty procedures increased worldwide. (medscape.com)
  • Conclusion Patients with OFNF often require multiple procedures to preserve vision, prevent additional disfigurement, and achieve cosmetic rehabilitation. (johnshopkins.edu)
  • Twice as many positive as negative comments were given by contact lens wearers, and 4 times as many positive comments were provided by patients who had undergone surgical correction. (nih.gov)
  • Laser vision correction is an outpatient procedure performed through a topical anaesthetic and usually takes less than an hour. (ithageneia.org)
  • Most laser vision correction procedures, including LASIK and PRK, are relatively painless. (ithageneia.org)
  • It is important to understand that laser vision correction is a medical procedure and comes with risks. (ithageneia.org)
  • Pathologic processes that affect patients after a surgical procedure. (lookformedical.com)
  • Some patients have reported the presence of black dots or floaters in the eye following surgical treatment. (ophtalmo-zwillinger.com)
  • Patients and methods Patients were identified and medical records reviewed for demographic data, ophthalmologic examinations, surgical interventions, and procedure outcome to create a retrospective, non-comparative case series of patients with OFNF seen at one medical centre over a 23-year period. (johnshopkins.edu)
  • They treat patients free of charge and share their expertise with host country health professionals during procedures and in-service sessions. (htcflorida.org)
  • Fortunately, the procedure is far less invasive than some might imagine. (ithageneia.org)
  • However, Dr. Stephanie Zwillinger's COP9 team would like to inform you about the potential risks that may occur following this procedure. (ophtalmo-zwillinger.com)
  • About 30% of sharps injuries occur in surgical settings. (myamericannurse.com)
  • Many of our students will subsequently provide expert ophthalmologic care throughout the state of Arkansas and surrounding areas. (uams.edu)
  • The agencies strongly encourage health-care professionals in surgical settings to use blunt-tip suture needles when appropriate. (myamericannurse.com)
  • Regarding surgical care, the Nissen-Hill fundoplication procedure is indicated for severe gastroesophageal reflux. (medscape.com)
  • Similar to LASIK, the substitute of the flap in LASEK quicken the all-natural healing procedure as well as serves to reduce pain arising from the treatment. (chilibsys.org)
  • The International Inbound Program brings children from different countries to the United States where they are matched with specialized medical and surgical treatment. (htcflorida.org)
  • Volunteer medical and surgical health professionals travel to different countries around the world. (htcflorida.org)
  • Volunteer medical and surgical health professionals travel overseas. (htcflorida.org)
  • Local anesthetics reduce pain, thereby facilitating surgical procedures. (medscape.com)
  • Kalt Needle Holder is used to hold and drive suturing needles through various tissues during microsurgical procedures. (omtaostores.com)
  • Performed by an ophthalmologist surgeon and their team, this procedure is quick and painless. (ophtalmo-zwillinger.com)
  • The surgical team at Retina Clinic in São Paulo, Brazil, has been using microscope-integrated intraoperative OCT for the past year. (leica-microsystems.com)
  • We hope that after reading this article on capsulotomy you will have found the answers to your questions about this ophthalmologic surgical procedure. (ophtalmo-zwillinger.com)
  • All ophthalmologists reused surgical instruments that had been incompletely sterilized to eliminate infectious prion protein. (cdc.gov)

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