Ординатура / Офтальмология / Английские материалы / Glaucoma Surgery_Trope_2005
.pdf
Figure 7.1 Needles preplaced through anterior needle holes. Supramid suture inserted from plate side.
Figure 7.2 Harms forceps used to insert plate.
Figure 7.3 Placing sutures through sclera 8 10 mm from limbus.
Figure 7.4 Pericardium cut to cover tube from plate to limbus.
Figure 7.5 Pericardium retracted to side following insertion of preplaced sutures. Suture preplaced around sili cone tube.
Figure 7.6 Cutting of tube with scissor blades facing upwards to ensure bevel of tube is facing up.
Figure 7.7 Paracentesis with microsharp blade.
Figure 7.8 Use of 22 or 23 gage needle to create passage for silicone tube into anterior chamber.
Figure 7.9 Inserting sili cone tube into anterior chamber.
Figure 7.10 Testing patency of slits made in sili cone tube by injecting BSS.
Figure 7.11 Pericardium sutured to sclera. Tube tied off with 70 Vicril at junction with plate.
Figure 7.12 Suturing con junctiva to limbus and showing availability of supramid suture for removal at a later date.
Figure 9.1 The Ahmed valve is primed with balanced salt solution.
Figure 9.2 The Ahmed valve is tucked underneath the limbral based conjuncti val flap.
Figure 9.3 The Ahmed valve is anchored to the epi sclera with interrupted 8/0 silk sutures through the eyelets on the receptacle plate.
Figure 9.4 Sclerostomy is made with MVR blade 3 mm posterior to the limbus.
Figure 9.5 Set up for Pars Plana sclerostomy with Landers ring suture in place.
Figure 9.6 The tube of the Ahmed valve is inserted through the superotemporal sclerostomy.
Figure 9.7 The Pars Plana ClipTM is anchored to the epi sclera with 8/0 silk sutures through the eyelets.
Figure 9.8 Half thickness cornea graft is sutured to the episclera with interrupted 10/0 nylon sutures to cover the tube and the Pars Plana ClipTM.
Figure |
9.9 Water tight |
|
closure |
of Tenon’s |
capsule |
and conjuctival flap. |
|
|
Figure 13.3 A filtering bleb (B) contains clear spaces and low reflective episcleral tissue.
Figure 13.9 Ultrasound biomicroscopy image of Ahmed valve. The iris is partially obstructing the opening of the tube (arrow).
Figure 13.12 Ultrasound biomi croscopy image of anterior chamber in malignant glaucoma. The anterior chamber (AC) is extremely shallow. C, cornea, L, lens.
Figure 13.13 Ultrasound biomi croscopic image in malignant glau coma. The iris (I) and ciliary processes (CP) are rotated forward closing the angle. The lens is forward. There is a supraciliary effu sion (E) present. C, cornea, S, sclera.
Figure 16.1 Visualization of scleral suture through Hoskins lens.
Figure 18.2 The Moorfields bleb grading system.
Figure 19.1 Slit lamp photograph of an encapsulated bleb, with its characteristic dome shaped appearance and enlarged con junctival vessels.