Retinal Detachments
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Retinal Detachments
Retinal detachment is a disorder of the eye in which the retina peels away from its underlying layer of support tissue. Initial detachment may be localized, but without rapid treatment the entire retina may detach, leading to vision loss and blindness. It is a surgical emergency. The retina is a thin layer of light-sensitive tissue on the back wall of the eye. The optical system of the eye focuses light on the retina much like light is focused on the film in a camera. The retina translates that focused image into neural impulses and sends them to the brain via the optic nerve. Occasionally, posterior vitreous detachment, injury or trauma to the eye or head may cause a small tear in the retina. The tear allows vitreous fluid to seep through it under the retina, and peel it away like a bubble in wallpaper. Diagnosis Symptoms As the retina is responsible for vision, persons experiencing a retinal detachment have vision loss. This can be painful or painless. Imaging Ultr ...
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Retina
The retina (from la, rete "net") is the innermost, light-sensitive layer of tissue of the eye of most vertebrates and some molluscs. The optics of the eye create a focused two-dimensional image of the visual world on the retina, which then processes that image within the retina and sends nerve impulses along the optic nerve to the visual cortex to create visual perception. The retina serves a function which is in many ways analogous to that of the film or image sensor in a camera. The neural retina consists of several layers of neurons interconnected by synapses and is supported by an outer layer of pigmented epithelial cells. The primary light-sensing cells in the retina are the photoreceptor cells, which are of two types: rods and cones. Rods function mainly in dim light and provide monochromatic vision. Cones function in well-lit conditions and are responsible for the perception of colour through the use of a range of opsins, as well as high-acuity vision used for task ...
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Visual Loss
Visual impairment, also known as vision impairment, is a medical definition primarily measured based on an individual's better eye visual acuity; in the absence of treatment such as correctable eyewear, assistive devices, and medical treatment– visual impairment may cause the individual difficulties with normal daily tasks including reading and walking. Low vision is a functional definition of visual impairment that is chronic, uncorrectable with treatment or correctable lenses, and impacts daily living. As such low vision can be used as a disability metric and varies based on an individual's experience, environmental demands, accommodations, and access to services. The American Academy of Ophthalmology defines visual impairment as the best-corrected visual acuity of less than 20/40 in the better eye, and the World Health Organization defines it as a presenting acuity of less than 6/12 in the better eye. The term blindness is used for complete or nearly complete vision loss. In ...
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Retinoschisis
Retinoschisis is an eye disease characterized by the abnormal splitting of the retina's neurosensory layers, usually in the outer plexiform layer. Retinoschisis can be divided into degenerative forms which are very common and almost exclusively involve the peripheral retina and hereditary forms which are rare and involve the central retina and sometimes the peripheral retina. The degenerative forms are asymptomatic and involve the peripheral retina only and do not affect the visual acuity. Some rarer forms result in a loss of vision in the corresponding visual field.Cassin, B. and Solomon, S. ''Dictionary of Eye Terminology''. Gainesville, Florida: Triad Publishing Company, 1990. Almost all cases are X-linked recessive and caused by a mutation in the retinoschisin gene (''RS1''). Classification *Hereditary **X linked juvenile retinoschisis **Familial foveal retinoschisis *Tractional *Exudative **Secondary to Optic disc pit *Degenerative **Typical **Reticular Degenerative retin ...
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Eye Strain
Eye strain, also known as asthenopia (from Greek ''a-sthen-opia'', grc, ἀσθενωπία, ), is a common eye condition that manifests through non-specific symptoms such as fatigue, pain in or around the eyes, blurred vision, headache, and occasional double vision. Symptoms often occur after long-term use of computers, digital devices, reading or other activities that involve extended visual tasks which are broadly classified into external and internal symptom factors. When concentrating on a visually intense task, such as continuously focusing on a book or computer monitor, the ciliary muscles and the extraocular muscles are strained. This causes discomfort, soreness or pain on the eyeballs. Closing the eyes for ten minutes and relaxing the muscles of the face and neck at least once an hour usually relieves the problem. A page or photograph with the same image twice, but slightly displaced (from a printing mishap, a camera moving during the shot, etc.) can cause eye strai ...
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Bungee Jumping
Bungee jumping (), also spelled bungy jumping, is an activity that involves a person jumping from a great height while connected to a large elastic cord. The launching pad is usually erected on a tall structure such as a building or crane, a bridge across a deep ravine, or on a natural geographic feature such as a cliff. It is also possible to jump from a type of aircraft that has the ability to hover above the ground, such as a hot-air-balloon or helicopter. The thrill comes from the free-falling and the rebound. When the person jumps, the cord stretches and the jumper flies upwards again as the cord recoils, and continues to oscillate up and down until all the kinetic energy is dissipated. Early tethered jumping The land diving ( Sa: ') of Pentecost Island in Vanuatu is an ancient ritual in which young men jump from tall wooden platforms with vines tied to their ankles as a test of their courage and passage into manhood. Unlike in modern bungee-jumping, land-divers in ...
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Visual Acuity
Visual acuity (VA) commonly refers to the clarity of vision, but technically rates an examinee's ability to recognize small details with precision. Visual acuity is dependent on optical and neural factors, i.e. (1) the sharpness of the retinal image within the eye, (2) the health and functioning of the retina, and (3) the sensitivity of the interpretative faculty of the brain. The most commonly referred visual acuity is the far acuity (e.g. 6/6 or 20/20 acuity), which describes the examinee's ability to recognize small details at a far distance, and is relevant to people with myopia; however, for people with hyperopia, the near acuity is used instead to describe the examinee's ability to recognize small details at a near distance. A common cause of low visual acuity is refractive error (ametropia), errors in how the light is refracted in the eyeball, and errors in how the retinal image is interpreted by the brain. The latter is the primary cause for low vision in people with a ...
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Silicone Oil
A silicone oil is any liquid polymerized siloxane with organic side chains. The most important member is polydimethylsiloxane. These polymers are of commercial interest because of their relatively high thermal stability, lubricating, and Liquid dielectric, dielectric properties. Structure Like all siloxanes (e.g., hexamethyldisiloxane), the polymer backbone consists of alternating silicon and oxygen atoms (...Si−O−Si−O−Si...). Many groups can be attached to the tetravalent silicon centres, but the dominant substituent is methyl or sometimes phenyl. Many silicone liquids are linear polymers end-capped with trimethylsilyl groups. Other silicone liquids are cyclosiloxanes. Applications Silicone oils are primarily used as lubricants, thermic fluid oils or hydraulic fluids. They are excellent electrical insulators and, unlike their carbon analogues, are non-flammable. Their temperature stability and good heat-transfer characteristics make them widely used in laboratories for he ...
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Perfluoropropane
Octafluoropropane (C3F8) is the perfluorocarbon counterpart to the hydrocarbon propane. This non-flammable synthetic material has applications in semiconductor production and medicine. It is also an extremely potent greenhouse gas. Manufacture Octafluoropropane can be produced either by electrochemical fluorination or by the Fowler process using cobalt fluoride. Applications In the electronics industry, octafluoropropane is mixed with oxygen and used as a plasma etching material for SiO2 layers in semiconductor applications, as oxides are selectively etched versus their metal substrates. In medicine, octafluoropropane may compose the gas cores of microbubble contrast agents used in contrast-enhanced ultrasound. Octafluoropropane microbubbles reflect sound waves well and are used to improve the ultrasound signal backscatter. It is used in eye surgery, such as pars plana vitrectomy procedures where a retina hole or tear is repaired. The gas provides a long-term tamponade, or pl ...
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Sulfur Hexafluoride
Sulfur hexafluoride or sulphur hexafluoride (British spelling) is an inorganic compound with the formula SF6. It is a colorless, odorless, non- flammable, and non-toxic gas. has an octahedral geometry, consisting of six fluorine atoms attached to a central sulfur atom. It is a hypervalent molecule. Typical for a nonpolar gas, is poorly soluble in water but quite soluble in nonpolar organic solvents. It has a density of 6.12 g/L at sea level conditions, considerably higher than the density of air (1.225 g/L). It is generally transported as a liquefied compressed gas. is 23,500 times more potent than as a greenhouse gas but exists in relatively minor concentrations in the atmosphere. Its concentration in Earth's troposphere reached 10.63 parts per trillion (ppt) in 2021, rising at 0.39 ppt/year. The increase over the prior 40 years was driven in large part by the expanding electric power sector, including fugitive emissions from banks of gas contained in its med ...
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Vitrectomy
Vitrectomy is a surgery to remove some or all of the vitreous humor from the eye. Anterior vitrectomy entails removing small portions of the vitreous humor from the front structures of the eye—often because these are tangled in an intraocular lens or other structures. ''Pars plana'' vitrectomy is a general term for a group of operations accomplished in the deeper part of the eye, all of which involve removing some or all of the vitreous humor—the eye's clear internal jelly. Even before the modern era, some surgeons performed crude vitrectomies. For instance, Dutch surgeon Anton Nuck (1650–1692) claimed to have removed vitreous by suction in a young man with an inflamed eye. In Boston, John Collins Warren (1778–1856) performed a crude limited vitrectomy for angle closure glaucoma. Anesthesia for vitrectomy Options for anesthesia for vitrectomy are general anaesthesia, local anesthesia, topical anesthesia and intracameral lidocaine irrigation. Each anesthesia techn ...
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Surface Tension
Surface tension is the tendency of liquid surfaces at rest to shrink into the minimum surface area possible. Surface tension is what allows objects with a higher density than water such as razor blades and insects (e.g. water striders) to float on a water surface without becoming even partly submerged. At liquid–air interfaces, surface tension results from the greater attraction of liquid molecules to each other (due to cohesion) than to the molecules in the air (due to adhesion). There are two primary mechanisms in play. One is an inward force on the surface molecules causing the liquid to contract. Second is a tangential force parallel to the surface of the liquid. This ''tangential'' force is generally referred to as the surface tension. The net effect is the liquid behaves as if its surface were covered with a stretched elastic membrane. But this analogy must not be taken too far as the tension in an elastic membrane is dependent on the amount of deformation of the m ...
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Scleral Buckle
A scleral buckle is one of several ophthalmologic procedures that can be used to repair a retinal detachment. Retinal detachments are usually caused by retinal tears, and a scleral buckle can be used to close the retinal break, both for acute and chronic retinal detachments. Scleral buckles come in many shapes and sizes. A silicone sponge (with air filled cells) is a cylindrical element that comes in various sizes. An encircling band is a thin silicone band sewn around the circumference of the sclera of the eye. A solid silicone grooved tyre element is also used. Buckles are often placed under a band to create a dimple on the eye wall. The scleral buckle is secured around the eyeball under the conjunctiva. This moves the wall of the eye closer to the detached retina. This alteration in the relationships of the tissues seems to allow the fluid which has formed under the retina to be pumped out, and the retina to re-attach. The physics or physiology of this process are not fully un ...
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