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This young girl fell off from a wagon being pulled by a tractor. Dog bites and sport traumas are some of the reasons why a child might visit an oculoplastic surgeon. The same principles in cosmetic eyelid surgery are applied to reconstructive cases. When it comes to the eyelid, it is important to make sure the eyeball is ok, the tear duct is not affected, and the muscle that lifts the eyelid isn’t cut.
Case by @eyelidmd #plasticsurgery #eyelidsurgery #eyelid #oculoplastics #dermatology #eyelidexpert #blepharoplasty #ptosis #ophthalmology #optometry #optometrist #ophthalmologist #physician #medicaldoctor
Starting this #MotivationalMonday on Cloud 9 ⛅️ !! This is the week of my clinical externship before I become Dr. Nishan Pressley !! ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
Many lessons were learned throughout my last year of optometry school. There’s been times that I doubted myself or was unsure of certain decisions I made. Grad Lesson #1: Doubt Kills More Dreams than Failure Ever Will. So stop doubting yourself and follow your dreams! #JourneyToDrNish
RETINAL DETACHMENT REPAIR with vitrectomy
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Viewer discretion advised. .
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#Vitrectomy is the surgical removal of the vitreous jelly and the internal approach to repairing a #detachedretina. Typically suitable for patients 50 or older with some exceptions.
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The key is thorough shave and removal of vitreous 360 but especially around the retinal breaks, which in this patient were inferior (superior in the view). Scleral depression (indentation) from the #scrubtech brings the far peripheral retina into view for close shave *anterior* to the tears which relieves the traction and is crucial for single surgery success. .
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Once vitreous is out, perfluoron injection flattens the retina. Scleral depression with one hand again brings the far periphery into view while using an illuminated laser in the other hand to surround the retinal breaks with white rows of argon endolaser burns that evolve into a barricade/seal during the post-op period.
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Air-fluid exchange drains the perfluoron and fills the vitreous cavity with an air bubble. Alternate draining from the site of the retinal break and from above the optic nerve. .
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The #sclerotomy sites are sutured and the air is exchanged for a gas bubble, which lasts 1-3 months depending on the type and concentration chosen. Air is vented out through a chimney or an empty needle. .
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Actual length of surgery ~45min. .
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Patient is alert and comfortable with local anesthesia and intravenous sedation. .
Iridoschisis.
Iridoschisis is a rare condition in which the anterior layer of the iris stroma is separated from the posterior iris stroma and muscle layers. The anterior layers disintegrate into thin fibrils with free ends floating in the anterior chamber.
Photo by @gustavo_espinozamd
#iris #optometry #optometrist #ophthalmologist #ophthalmology #oculista #eyedoctor #eyecare #medicaldoctor
LA’s finest: Eye Care. Skin Care. Hair Care.
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#topdoctors #skincare #dermatology #dermatologist #celebrity #celebritydoctor #haircare #menshealth #barbershop #hairsurgery #artist #artis #bsgdispatch #eyecare #optometry #optometrist #cosmeticsurgery #prp #stemcells #botox #brotox #fillers #skinhealth #eyehealth