By Patricio A. Pacheco
It is a entire, sensible guidebook that gives a transparent evaluate and replace of present smooth thoughts of ocular surgical procedure. The chapters may be of curiosity to a large viewers. The chapters are written through specialists with certain curiosity and wide scientific event within the themes.
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Isolate the inferior oblique muscle in the inferotemporal quadrant with a muscle hook sweeping it from posterior to anterior toward where the inferior rectus was located. As with the rectus muscles, cauterize and cut. Some surgeons like to reinsert the inferior oblique muscle in the orbital implant. In our experience, it is not necessary to achieve a correct implant motility (Figure 6). 5772/61030 Figure 6. Inferior oblique exposure 12. Isolate the superior oblique muscle in the superonasal quadrant by sweeping the muscle hook from anterior to posterior toward the insertion of the superior rectus muscle.
We also like to 27 28 Advances in Eye Surgery dilate the eye with tropicamide . This marks the side to operate on and allows the surgeon to check the tumor inside the globe in the operating room. 2. Once in the operating room, we ask the patient to identify calling out his name and surname and age. We ask again which eye is the one to be removed and to signal it for us with his hand before he lies on the operating table. 3. Although we are aware some surgeons prefer intravenous sedation and local anesthesia, it is of our preference and of our patients to undergo general anesthesia.
Soft tissue reconstruction Some surgeons advocate primary reconstruction during exenteration surgery. Volume loss in the socket can be replaced with vascularized free flaps. They are useful to cover alloplastic implants or other kind of flaps used for bony reconstruction. One of their disadvantages is donor site morbidity. Another one is that aesthetics in the donor site and the socket may seem unnatural. Many local flaps have been used, including temporoparietal fascia, temporalis muscle, or frontalis muscle.
Advances in Eye Surgery by Patricio A. Pacheco