Posterior segment surgery
MUDr. Veronika Matušková
Oční klinika FN Brno
Přednosta prof. MUDr. Eva Vlková, CSc.
E:\oko\loga\Nemocnice Bohunice1.jpg

C:\Documents and Settings\Radek\Dokumenty\veronika\posterior_seg.jpg



Retinal detachment
•Rhegmatogenous - tear
•Tractional -  traction of corpus vitreum
•Serose – production of fluid
•

Retinal detachment
124-K75-detached-retina-dra


Retinal detachment
jedna dva


Retinal detachment
portret1 portret3 portret8 portret9 portre10 portre11


Phtisis bulbi
•
https://encrypted-tbn3.gstatic.com/images?q=tbn:ANd9GcRFwvyhtYNiTBlhx3YMjdZAEdzKPjtSzeKtg8KQ9_qmKXx
gdP0yDw

Retinal detachment - symptoms
•Fotopsia (flashes)
•Black spots (black snow)
•Scotoma (black spot in peripheral visual field)
•Decrease of  visual accuity
•Metamorfopsia

Surgery:
Close the tear


Laser photocoagulation
D:\a-igor\prace\doskolovak\portre29.JPG D:\a-igor\prace\doskolovak\portre31.JPG


Extrabulbar operations
Cryotherapy and plombage
D:\a-igor\prace\doskolovak\portre15.JPG

Plombage
portre32 D:\a-igor\prace\doskolovak\portre33.JPG


Plombage
E:\Dokumenty\igor\seminar\IM000001.JPG


Cerclage
E:\Dokumenty\igor\seminar-amoce\s4.jpg


Cerclage
D:\a-igor\prace\doskolovak\portre35.JPG D:\a-igor\prace\doskolovak\portre36.JPG


Cerclage
E:\Dokumenty\igor\seminar-amoce\s5.jpg E:\Dokumenty\igor\seminar\CERCLAZ


Extrabulbar surgery
E:\oko\sestry\Klégero3.jpg
plomba
přímý sval
cerklážní pásek

Cryotherapy - development of chorioretinal adhesion (scar)
•
http://orlick-berger-kasper.com/resources/_wsb_352x254_cryo.jpg

Complications
•Fenestra is not closed
•PVR  - proliferative vitreoretinopathy

PPV
•Pars plana vitrektomie
•
•
C:\Documents and Settings\Radek\Dokumenty\veronika\index.jpg

Pars plana vitrectomy
•Haemophtalmus
•PDR
•Retinal detachment
•Complications of cataract surgery
•Posterior luxation of lens
•Foreign intraocular body
•Endophtalmitis
•
•
PDR III skeny2 Doskova2 E:\Dokumenty\igor\publikace\prednasky\IM000010.JPG

Pars plana vitrectomy -PPV
Klégero2


PPV – pars plana
C:\Documents and
Settings\Radek\Dokumenty\veronika\0000538_calipers_gauges_rulers_and_markers_300.jpeg C:\Documents
and Settings\Radek\Dokumenty\veronika\images.jpg

PPV
C:\Documents and Settings\Radek\Dokumenty\veronika\vitrectomy-under-plastic.jpg C:\Documents and
Settings\Radek\Dokumenty\veronika\RP_January_A08_Fig01.jpg C:\Documents and
Settings\Radek\Dokumenty\veronika\ODV3P.jpg

PPV
C:\Documents and Settings\Radek\Dokumenty\veronika\eye_vitrectomy.jpg C:\Documents and
Settings\Radek\Dokumenty\veronika\vitrectomy-surgical-tool-iso-front.jpgc268e912-3479-4511-82ac-401
ae3cdaee3Larger.jpg

Internal tamponade
a)Infusion solution
b)Silicone oil
c)Gas ( C3F8, SF6)
d)
d)
skeny5 skeny4

Endolaser
portre19 E:\oko\sestry\brýle.jpg


PPV-video



PPV -23  or 25 G
•Sutureless surgery
•23 G (0,57 mm)
•20 G (0,45 mm)
C:\Documents and Settings\Radek\Dokumenty\veronika\index.jpg C:\Documents and
Settings\Radek\Dokumenty\veronika\Pollack_fig1.jpg C:\Documents and
Settings\Radek\Dokumenty\veronika\RP_January_A08_Fig01.jpg

Complications
E:\Dokumenty\igor\publikace\prednasky\IM000006.JPG


Complications
E:\Dokumenty\igor\publikace\prednasky\IM000003.JPG


Complications - emulsification
E:\Dokumenty\igor\publikace\prednasky\IM000004.JPG


Complications
E:\Dokumenty\igor\publikace\prednasky\IM000011.JPG


Complications
E:\Dokumenty\igor\publikace\prednasky\IM000000.JPG


Anesthesia
•GA
•ANS
•LA
E:\oko\sestry\aro.jpg

Surgery
práce sester PPV


Surgery
práce lékaře a sestry