José Ignacio Barraquer
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José Ignacio Barraquer
José Ignacio Barraquer Moner (24 January 1916 – 13 February 1998) was a Spanish ophthalmologist and inventor born in Barcelona who did most of his life's work in Bogotá, Colombia. His original pioneering investigations on corneal transplants and correction of corneal refraction led him to be designated as “Father of modern Refractive Surgery”. His ophthalmological surgical techniques and inventions are now in routine use by the ophthalmic community. Biography He was born in Barcelona, first son of Ignacio Barraquer (March 25, 1884 – May 13, 1965) and Josefa Moner Raguer (1893-1987). His grandfather, José Antonio Barraquer i Roviralta (1852-1924) was a pioneer of modern ophthalmology in Spain and a great histopathologist, and the brother of Lluis Barraquer i Roviralta (1855-1928), a pioneer of neurology and the founder, in 1882, of the first department of clinical neurology and electrotherapy in Spain; his son Lluis Barraquer Ferré (1887-1959) and his grandson Lluis ...
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The Most Excellent
The Most Excellent (Spanish language, Spanish: ''Excelentísimo Señor'' (male) or ''Excelentísima Señora'' (female), literally "Most Excellent Sir/Madam") is an honorific prefix that is traditionally applied to certain people in Spain and certain Spanish-speaking countries. Following Spanish tradition, it is an ''ex officio'' style (the holder has it as long as they remain in office, in the most important positions of state) and is used in written documents and very formal occasions. The prefix is similar (but not equal) to that of "Excellency, His/Her Excellency", but in the 19th century "The Most Excellent" began to replace the former. The use of the prefix Excellency was re-introduced in Francoist Spain by ''Generalísimo'' Francisco Franco himself, who was formally styled as ''Military career and honours of Francisco Franco, Su Excelencia el Jefe del Estado'' ("His Excellency The Head of State"), while his ministers and senior government officials continued using the prefix ...
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Cornea
The cornea is the transparent front part of the eye that covers the iris, pupil, and anterior chamber. Along with the anterior chamber and lens, the cornea refracts light, accounting for approximately two-thirds of the eye's total optical power. In humans, the refractive power of the cornea is approximately 43 dioptres. The cornea can be reshaped by surgical procedures such as LASIK. While the cornea contributes most of the eye's focusing power, its focus is fixed. Accommodation (the refocusing of light to better view near objects) is accomplished by changing the geometry of the lens. Medical terms related to the cornea often start with the prefix "'' kerat-''" from the Greek word κέρας, ''horn''. Structure The cornea has unmyelinated nerve endings sensitive to touch, temperature and chemicals; a touch of the cornea causes an involuntary reflex to close the eyelid. Because transparency is of prime importance, the healthy cornea does not have or need blood vessels with ...
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Pterygium (conjunctiva)
A pterygium of the eye (plural ''pterygia'' or ''pterygiums'', also called surfer's eye) is a pinkish, roughly triangular tissue growth of the conjunctiva onto the cornea of the eye. It typically starts on the cornea near the nose. It may slowly grow but rarely grows so large that it covers the pupil and impairs vision. Often both eyes are involved. The cause is unclear. It appears to be partly related to long term exposure to UV light and dust. Genetic factors also appear to be involved. It is a benign growth. Other conditions that can look similar include a pinguecula, tumor, or Terrien's marginal corneal degeneration. Prevention may include wearing sunglasses and a hat if in an area with strong sunlight. Among those with the condition, an eye lubricant can help with symptoms. Surgical removal is typically only recommended if the ability to see is affected. Following surgery a pterygium may recur in around half of cases. The frequency of the condition varies from 1% t ...
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Keratomileusis
Keratomileusis, from Greek κέρας (kéras: horn) and σμίλευσις (smíleusis: carving),The word is derived from Greek κέρας - keras (root: kerat-) "horn, cornea" and σμίλευσις - smileusis "carving or corneal reshaping, is the Surgery, surgical improvement of the refractive state of the cornea by surgically reshaping it. It is the most common form of refractive surgery. The first usable technique was developed by José Ignacio Barraquer, commonly called "the father of modern refractive surgery." The most common modern procedure, LASIK, is performed by lifting the front surface of the eye by forming a thin hinged flap under which the shape of the cornea is changed by using an excimer laser or other surgical device. A microkeratome is usually used to cut the flap, but a femtosecond laser can also be used to make the flap. Before the advent of the excimer laser, keratomileusis was performed using a cryolathe, which froze thin flaps of corneal tissue and lat ...
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Ocular Tonometry
Tonometry is the procedure eye care professionals perform to determine the intraocular pressure (IOP), the fluid pressure inside the eye. It is an important test in the evaluation of patients at risk from glaucoma. Most tonometers are calibrated to measure pressure in millimeters of mercury (mmHg), with the normal eye pressure range between . Methods Applanation tonometry In applanation tonometry the intraocular pressure (IOP) is inferred from the force required to flatten (applanate) a constant area of the cornea, for the Imbert-Fick law. The Maklakoff tonometer was an early example of this method, while the Goldmann tonometer is the most widely used version in current practice. Because the probe makes contact with the cornea, a topical anesthetic, such as proxymetacaine, is introduced on to the surface of the eye in the form of an eye drop. Goldmann tonometry Goldmann tonometry is considered to be the gold standard IOP test and is the most widely accepted method. A speci ...
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Pneumatic Fixation Rings
Pneumatics (from Greek ‘wind, breath’) is a branch of engineering that makes use of gas or pressurized air. Pneumatic systems used in industry are commonly powered by compressed air or compressed inert gases. A centrally located and electrically-powered compressor powers cylinders, air motors, pneumatic actuators, and other pneumatic devices. A pneumatic system controlled through manual or automatic solenoid valves is selected when it provides a lower cost, more flexible, or safer alternative to electric motors, and hydraulic actuators. Pneumatics also has applications in dentistry, construction, mining, and other areas. Gases used in pneumatic systems Pneumatic systems in fixed installations, such as factories, use compressed air because a sustainable supply can be made by compressing atmospheric air. The air usually has moisture removed, and a small quantity of oil is added at the compressor to prevent corrosion and lubricate mechanical components. Factory-plumbed ...
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Microkeratome
A microkeratome is a precision surgical instrument with an oscillating blade designed for creating the corneal flap in LASIK or ALK surgery. The normal human cornea varies from around 500 to 600 micrometres in thickness; and in the LASIK procedure, the microkeratome creates an 83 to 200 micrometre thick flap. This piece of equipment is used all around the world to cut the cornea flap. The microkeratome is also used in Descemet's stripping automated endothelial keratoplasty (DSAEK), where it is used to slice a thin layer from the back of the donor cornea, which is then transplanted into the posterior cornea of the recipient. It was invented by Jose Barraquer and Cesar Carlos Carriazo in the 1950s in Colombia. See also *Instruments used in general surgery There are many different surgical specialties, some of which require very specific kinds of surgical instruments to perform. General surgery is a specialty focused on the abdominal contents, as well as the thyroid gland, and ...
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Hummingbird Belpharostat
Hummingbirds are birds native to the Americas and comprise the Family (biology), biological family Trochilidae. With about 361 species and 113 genus, genera, they occur from Alaska to Tierra del Fuego, but the vast majority of the species are found in the tropics around the equator. They are small birds, with most species measuring in length. The smallest extant taxon, extant hummingbird species is the bee hummingbird, which weighs less than . The largest hummingbird species is the giant hummingbird, weighing . They are specialized for feeding on flower nectar, but all species also consume flying insects or spiders. Hummingbirds split from their Sister taxon, sister group, the Swift (bird), swifts and treeswifts, around 42 million years ago. The common ancestor of extant hummingbirds is estimated to have lived 22 million years ago in South America. They are known as hummingbirds because of the humming sound created by their beating Bird's wing, wings, which flap at high freq ...
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Trephine
A trephine (; from Greek ''trypanon'', meaning an instrument for boring). is a surgical instrument with a cylindrical blade. It can be of one of several dimensions and designs depending on what it is meant to be used for. They may be specially designed for obtaining a cylindrically shaped core of bone that can be used for tests and bone studies, cutting holes in bones (e.g., the skull) or for cutting out a round piece of the cornea for eye surgery. A cylindrically shaped core of bone (or bone biopsy) obtained with a bone marrow trephine is usually examined in the histopathology department of a hospital under a microscope. It shows the pattern and cellularity of the bone marrow as it lay in the bone and is a useful diagnostic tool in certain circumstances such as bone marrow cancer and leukemia. See also *Trepanning *Trepanation in Mesoamerica *Instruments used in general surgery There are many different surgical specialties, some of which require very specific kinds o ...
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Cataract Scissors
A cataract is a cloudy area in the lens of the eye that leads to a decrease in vision. Cataracts often develop slowly and can affect one or both eyes. Symptoms may include faded colors, blurry or double vision, halos around light, trouble with bright lights, and trouble seeing at night. This may result in trouble driving, reading, or recognizing faces. Poor vision caused by cataracts may also result in an increased risk of falling and depression. Cataracts cause 51% of all cases of blindness and 33% of visual impairment worldwide. Cataracts are most commonly due to aging but may also occur due to trauma or radiation exposure, be present from birth, or occur following eye surgery for other problems. Risk factors include diabetes, longstanding use of corticosteroid medication, smoking tobacco, prolonged exposure to sunlight, and alcohol. The underlying mechanism involves accumulation of clumps of protein or yellow-brown pigment in the lens that reduces transmission of lig ...
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Hemostatic Forceps
An antihemorrhagic (antihæmorrhagic) agent is a substance that promotes hemostasis (stops bleeding). It may also be known as a hemostatic (also spelled haemostatic) agent. Antihemorrhagic agents used in medicine have various mechanisms of action: * Systemic drugs work by inhibiting fibrinolysis or promoting coagulation. * Locally acting hemostatic agents work by causing vasoconstriction or promoting platelet aggregation. Medical uses Hemostatic agents are used during surgical procedures to achieve hemostasis and are categorized as hemostats, sealants and adhesives. They vary based on their mechanism of action, composition, ease of application, adherence to tissue, immunogenicity and cost. These agents permit rapid hemostasis, better visualization of the surgical area, shorter operative times, decreased requirement for transfusions, decreased wound healing time and overall improvement in patient recovery time. Types Systemic There are several classes of antihemorrhagic drug ...
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