Eye surgery, also known as ophthalmic or ocular surgery, is
surgery
Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
performed on the
eye or its
adnexa, by an
ophthalmologist
Ophthalmology ( ) is a surgery, surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders.
An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Followin ...
or sometimes, an
optometrist
Optometry is a specialized health care profession that involves examining the eyes and related structures for defects or abnormalities. Optometrists are health care professionals who typically provide comprehensive primary eye care.
In the Uni ...
. Eye surgery is synonymous with
ophthalmology
Ophthalmology ( ) is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders.
An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a medic ...
. The eye is a very fragile organ, and requires extreme care before, during, and after a surgical procedure to minimize or prevent further damage. An expert eye surgeon is responsible for selecting the appropriate surgical procedure for the patient, and for taking the necessary safety precautions. Mentions of eye surgery can be found in several ancient texts dating back as early as
1800 BC, with cataract treatment starting in the
fifth century BC
The 5th century BC started the first day of 500 BC and ended the last day of 401 BC.
This century saw the establishment of Pataliputra as a capital of the Magadha Empire. This city would later become the ruling capital of different Indian king ...
. Today it continues to be a widely practiced type of surgery, with various techniques having been developed for treating eye problems.
Preparation and precautions
Since the eye is heavily supplied by nerves,
anesthesia
Anesthesia is a state of controlled, temporary loss of sensation or awareness that is induced for medical or veterinary purposes. It may include some or all of analgesia (relief from or prevention of pain), paralysis (muscle relaxation), ...
is essential.
Local anesthesia
Local anesthesia is any technique to induce the absence of sensation in a specific part of the body, generally for the aim of inducing local analgesia, that is, local insensitivity to pain, although other local senses may be affected as well. It ...
is most commonly used.
Topical anesthesia using
lidocaine
Lidocaine, also known as lignocaine and sold under the brand name Xylocaine among others, is a local anesthetic of the amino amide type. It is also used to treat ventricular tachycardia. When used for local anaesthesia or in nerve blocks, lidoca ...
topical gel is often used for quick procedures. Since topical anesthesia requires cooperation from the patient,
general anesthesia
General anaesthesia (UK) or general anesthesia (US) is a medically induced loss of consciousness that renders the patient unarousable even with painful stimuli. This effect is achieved by administering either intravenous or inhalational general ...
is often used for children, traumatic eye injuries, or major orbitotomies, and for apprehensive patients. The
physician administering anesthesia, or a
nurse anesthetist
A nurse anesthetist is an advanced practice nurse who administers anesthesia for surgery or other medical procedures. They are involved in the administration of anesthesia in a majority of countries, with varying levels of autonomy.
A survey pu ...
or
anesthetist assistant
Anesthesiology, anaesthesiology, or anaesthesia is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, ...
with expertise in anesthesia of the eye, monitors the patient's cardiovascular status. Sterile precautions are taken to prepare the area for surgery and lower the risk of infection. These precautions include the use of
antiseptics
An antiseptic (from Greek ἀντί ''anti'', "against" and σηπτικός ''sēptikos'', "putrefactive") is an antimicrobial substance or compound that is applied to living tissue/skin to reduce the possibility of infection, sepsis, or putre ...
, such as
povidone-iodine
Povidone-iodine (PVP-I), also known as iodopovidone, is an antiseptic used for skin disinfection before and after surgery. It may be used both to disinfect the hands of healthcare providers and the skin of the person they are caring for. It may a ...
, and sterile drapes, gowns, and gloves.
Laser eye surgery
Although the terms laser eye surgery and
refractive surgery
Refractive eye surgery is optional eye surgery used to improve the refractive state of the eye and decrease or eliminate dependency on glasses or contact lenses. This can include various methods of surgical remodeling of the cornea (keratomileu ...
are commonly used as if they were interchangeable, this is not the case. Lasers may be used to treat nonrefractive conditions (e.g. to seal a retinal tear). Laser eye surgery or laser corneal surgery is a medical procedure that uses a laser to reshape the surface of the eye to correct myopia (short-sightedness), hypermetropia (long-sightedness), and astigmatism (uneven curvature of the eye's surface). Importantly, refractive surgery is not compatible with everyone, and people may find on occasion that eyewear is still needed after surgery.
Recent developments also include procedures that can change eye color from brown to blue. Before proceeding with laser surgery, your eye specialist needs to certify that you are a suitable candidate for the surgery and there are several factors to be considered before doing laser surgery.
Cataract surgery
![Cataract surgery](https://upload.wikimedia.org/wikipedia/commons/7/71/Cataract_surgery.jpg)
A
cataract
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 w ...
is an opacification or cloudiness of the eye's
crystalline lens
The lens, or crystalline lens, is a transparent biconvex structure in the eye that, along with the cornea, helps to refract light to be focused on the retina. By changing shape, it functions to change the focal length of the eye so that it ca ...
due to aging, disease, or trauma that typically prevents light from forming a clear image on the
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 ...
. If
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 ...
is significant, surgical removal of the lens may be warranted, with lost
optical power
In optics, optical power (also referred to as dioptric power, refractive power, focusing power, or convergence power) is the degree to which a lens, mirror, or other optical system converges or diverges light. It is equal to the reciprocal of the ...
usually replaced with a plastic
intraocular lens
Intraocular lens (IOL) is a lens implanted in the eye as part of a treatment for cataracts or myopia. If the natural lens is left in the eye, the IOL is known as phakic, otherwise it is a pseudophakic, or false lens. Such a lens is typically i ...
. Owing to the high prevalence of cataracts, cataract extraction is the most common eye surgery. Rest after surgery is recommended.
Glaucoma surgery
Glaucoma
Glaucoma is a group of eye diseases that result in damage to the optic nerve (or retina) and cause vision loss. The most common type is open-angle (wide angle, chronic simple) glaucoma, in which the drainage angle for fluid within the eye rem ...
is a group of diseases affecting the
optic nerve
In neuroanatomy, the optic nerve, also known as the second cranial nerve, cranial nerve II, or simply CN II, is a paired cranial nerve that transmits visual system, visual information from the retina to the brain. In humans, the optic nerve i ...
that results in
vision 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 ...
and is frequently characterized by raised
intraocular pressure
Intraocular pressure (IOP) is the fluid pressure inside the eye. Tonometry is the method eye care professionals use to determine this. IOP is an important aspect in the evaluation of patients at risk of glaucoma. Most tonometers are calibrated to ...
. Many types of glaucoma surgery exist, and variations or combinations of those types can facilitate the escape of excess
aqueous humor
The aqueous humour is a transparent water-like fluid similar to plasma, but containing low protein concentrations. It is secreted from the ciliary body, a structure supporting the lens of the eyeball. It fills both the anterior and the posteri ...
from the eye to lower intraocular pressure, and a few that lower it by decreasing the production of aqueous humor.
Canaloplasty
Canaloplasty is an advanced, nonpenetrating procedure designed to enhance drainage through the eye's natural drainage system to provide sustained reduction of intraocular pressure. Canaloplasty uses microcatheter technology in a simple and minimally invasive procedure.
To perform a canaloplasty, an ophthalmologist creates a tiny incision to gain access to a canal in the eye. A microcatheter circumnavigates the canal around the iris, enlarging the main drainage channel and its smaller collector channels through the injection of a sterile, gel-like material called viscoelastic. The catheter is then removed and a suture is placed within the canal and tightened. By opening up the canal, the pressure inside the eye can be reduced.
Refractive surgery
Refractive surgery aims to correct errors of refraction in the eye, reducing or eliminating the need for corrective lenses.
*
Keratomilleusis is a method of reshaping the corneal surface to change its
optical power
In optics, optical power (also referred to as dioptric power, refractive power, focusing power, or convergence power) is the degree to which a lens, mirror, or other optical system converges or diverges light. It is equal to the reciprocal of the ...
. A disc of the cornea is shaved off, quickly frozen, lathe-ground, then returned to its original power.
*
Automated lamellar keratoplasty
Automated lamellar keratoplasty (ALK), also known as keratomileusis in situ, is a non-laser lamellar refractive procedure used to correct high degree refractive errors.
This procedure can correct large amounts of myopia and hyperopia. However, th ...
* Laser-assisted ''in situ'' keratomileusis (
LASIK
LASIK or Lasik (''laser-assisted in situ keratomileusis''), commonly referred to as laser eye surgery or laser vision correction, is a type of refractive surgery for the correction of myopia, hyperopia, and an actual cure for astigmatism, sinc ...
)
* Laser assisted subepithelial keratomileusis (
LASEK), Epi-LASIK
*
Photorefractive keratectomy
Photorefractive keratectomy (PRK) and laser-assisted sub-epithelial keratectomy (or laser epithelial keratomileusis) (LASEK) are laser eye surgery procedures intended to correct a person's vision, reducing dependency on glasses or contact lense ...
*
Laser thermal keratoplasty
Laser thermal keratoplasty is a non-contact laser refractive surgery.
__TOC__ Procedure
The procedure employs a holmium laser to place a ring of concentric laser burns on the cornea between 6 mm and 7 mm in diameter. These burns cause a ...
*
Conductive keratoplasty
Conductive keratoplasty (CK) is a type of refractive surgery that uses radio waves to adjust the contour of the cornea by shrinking the corneal collagen around it. It is used to treat mild to moderate hyperopia. It is a non-invasive alternative ...
uses radio-frequency waves to shrink corneal collagen. It is used to treat mild to moderate hyperopia.
*
Limbal relaxing incisions
Limbal relaxing incisions (LRI) are a refractive surgical procedure to correct minor astigmatism in the eye. Incisions are made at the opposite edges of the cornea, following the curve of the iris, causing a slight flattening in that direction. B ...
correct minor astigmatism
*
Astigmatic keratotomy, arcuate keratotomy, or transverse keratotomy
*
Radial keratotomy
*
Hexagonal keratotomy
In geometry, a hexagon (from Greek , , meaning "six", and , , meaning "corner, angle") is a six-sided polygon. The total of the internal angles of any simple (non-self-intersecting) hexagon is 720°.
Regular hexagon
A '' regular hexagon'' has ...
*
Epikeratophakia is the removal of the corneal epithelium and replacement with a lathe-cut
corneal button.
*
Intracorneal rings or corneal ring segments
* Implantable contact lenses
* Presbyopia reversal
* Anterior ciliary sclerotomy
*
Scleral reinforcement surgery
Scleral reinforcement is a surgical procedure used to reduce or stop further macular damage caused by high myopia, which can be degenerative.
High myopia
Myopia is one of the leading causes of blindness in the world.Grossniklaus, H.E. and W.R. ...
for the mitigation of degenerative myopia
Corneal surgery
Corneal surgery includes most refractive surgery, as well as:
*
Corneal transplant surgery is used to remove a cloudy/diseased cornea and replace it with a clear donor cornea.
*
Penetrating keratoplasty
*
Keratoprosthesis
*
Phototherapeutic keratectomy
*
Pterygium
Pterygium (plural ''pterygia'' or ''pterygiums'') refers to any wing-like triangular membrane occurring in the neck, eyes, knees, elbows, ankles or digits.
The term comes from the Greek word ''pterygion'' meaning "wing".
Types
* Popliteal pter ...
excision
*
Corneal tattooing
*
Osteo-odonto-keratoprosthesis is surgery in which support for an artificial cornea is created from a tooth and its surrounding jawbone. This is a still-experimental procedure used for patients with severely damaged eyes, generally from burns.
* Eye color-change surgery through an iris implant, known as Brightocular, or the stripping away the top layer of eye pigment, known as the stroma procedure
Vitreoretinal surgery
![Vitrectomy3727-PH](https://upload.wikimedia.org/wikipedia/commons/3/33/Vitrectomy3727-PH.jpg)
Vitreoretinal surgery includes:
*
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 ...
** Anterior vitrectomy is the removal of the front portion of vitreous tissue. It is used for preventing or treating vitreous loss during cataract or corneal surgery, or to remove misplaced vitreous in conditions such as aphakia pupillary block glaucoma.
** Pars plana vitrectomy or trans pars plana vitrectomy is a procedure to remove vitreous opacities and membranes through a pars plana incision. It is frequently combined with other intraocular procedures for the treatment of giant retinal tears, tractional retinal detachments, and posterior vitreous detachments.
* Pan retinal photocoagulation is a type of photocoagulation therapy used in the treatment of
diabetic retinopathy
Diabetic retinopathy (also known as diabetic eye disease), is a medical condition in which damage occurs to the retina due to diabetes mellitus. It is a leading cause of blindness in developed countries.
Diabetic retinopathy affects up to 80 perc ...
.
*
Retinal detachment
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 blin ...
repair
**
Ignipuncture Ignipuncture (Latin: ''Ignis'' (fire) + ''puncture'') is the procedure of closing a retinal separation by transfixation of the break via cauterization
Cauterization (or cauterisation, or cautery) is a medical practice or technique of burning a p ...
is an obsolete procedure that involves
cauterization
Cauterization (or cauterisation, or cautery) is a medical practice or technique of burning a part of a body to remove or close off a part of it. It destroys some tissue in an attempt to mitigate bleeding and damage, remove an undesired growth, o ...
of the retina with a very hot, pointed instrument.
** A
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 ...
is used in the repair of a retinal detachment to indent or "buckle" the sclera inward, usually by sewing a piece of preserved sclera or silicone rubber to its surface.
**
Laser photocoagulation
Laser coagulation or laser photocoagulation surgery is used to treat a number of eye diseases and has become widely used in recent decades. During the procedure, a laser is used to finely cauterize ocular blood vessels to attempt to bring about var ...
, or photocoagulation therapy, is the use of a laser to seal a retinal tear.
** Pneumatic retinopexy
** Retinal cryopexy, or retinal cryotherapy, is a procedure that uses intense cold to induce a chorioretinal scar and to destroy retinal or choroidal tissue.
* Macular hole repair
* Partial lamellar sclerouvectomy
* Partial lamellar sclerocyclochoroidectomy
* Partial lamellar sclerochoroidectomy
* Posterior sclerotomy is an opening made into the vitreous through the sclera, as for detached retina or the removal of a foreign body.
* Radial optic neurotomy
* Macular translocation surgery
** through 360° retinotomy
** through scleral imbrication technique
Eye muscle surgery
![Desinsertion du muscle CO](https://upload.wikimedia.org/wikipedia/commons/e/e4/Desinsertion_du_muscle_CO.jpg)
With about 1.2 million procedures each year,
extraocular muscle
The extraocular muscles (extrinsic ocular muscles), are the seven extrinsic muscles of the human eye. Six of the extraocular muscles, the four recti muscles, and the superior and inferior oblique muscles, control movement of the eye and the oth ...
surgery is the third-most common eye surgery in the United States
* Eye muscle surgery typically corrects
strabismus
Strabismus is a vision disorder in which the eyes do not properly align with each other when looking at an object. The eye that is focused on an object can alternate. The condition may be present occasionally or constantly. If present during a ...
and includes:
** Loosening or weakening procedures
*** Recession involves moving the insertion of a muscle posteriorly towards its origin.
*** Myectomy
*** Myotomy
*** Tenectomy
*** Tenotomy
** Tightening or strengthening procedures
*** Resection
*** Tucking
*** Advancement is the movement of an eye muscle from its original place of attachment on the eyeball to a more forward position.
** Transposition or repositioning procedures
** Adjustable suture surgery is a method of reattaching an extraocular muscle by means of a stitch that can be shortened or lengthened within the first postoperative day, to obtain better ocular alignment.
Oculoplastic surgery
Oculoplastic surgery, or oculoplastics, is the subspecialty of
ophthalmology
Ophthalmology ( ) is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders.
An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a medic ...
that deals with the reconstruction of the eye and associated structures. Oculoplastic surgeons perform procedures such as the repair of droopy eyelids (
blepharoplasty
Blepharoplasty (Greek: ''blepharon'', "eyelid" + ''plassein'' "to form") is the plastic surgery operation for correcting defects, deformities, and disfigurations of the eyelids; and for aesthetically modifying the eye region of the face. With t ...
), repair of tear duct obstructions, orbital fracture repairs, removal of tumors in and around the eyes, and facial rejuvenation procedures including laser skin resurfacing, eye lifts that are trending nowadays like
the Fox eyes lift, brow lifts, and even facelifts. Common procedures are:
Eyelid surgery
*
Blepharoplasty
Blepharoplasty (Greek: ''blepharon'', "eyelid" + ''plassein'' "to form") is the plastic surgery operation for correcting defects, deformities, and disfigurations of the eyelids; and for aesthetically modifying the eye region of the face. With t ...
(eyelift) is
plastic surgery
Plastic surgery is a surgical specialty involving the restoration, reconstruction or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes craniofa ...
of the
eyelid
An eyelid is a thin fold of skin that covers and protects an eye. The levator palpebrae superioris muscle retracts the eyelid, exposing the cornea to the outside, giving vision. This can be either voluntarily or involuntarily. The human eyel ...
s to remove excessive skin or subcutaneous fat.
East Asian blepharoplasty
East Asian blepharoplasty, also known as "double eyelid surgery", is a type of cosmetic surgery where the skin around the eye is reshaped (blepharoplasty). The purpose of the procedure is to create an upper eyelid with a crease (i.e. "double eye ...
, also known as double eyelid surgery, is used to create a double eyelid crease for patients who have a single crease (monolid).
*
Ptosis repair for droopy eyelid
**
Ectropion
Ectropion is a medical condition in which the lower eyelid turns outwards. It is one of the notable aspects of newborns exhibiting congenital Harlequin-type ichthyosis, but ectropion can occur due to any weakening of tissue of the lower eyelid. ...
repair
*
Entropion
Entropion is a medical condition in which the eyelid (usually the lower lid) folds inward. It is very uncomfortable, as the eyelashes continuously rub against the cornea causing irritation. Entropion is usually caused by genetic factors. This is d ...
repair
* Canthal resection
** A
canthectomy is the surgical removal of tissue at the junction of the upper and lower eyelids.
[Cline D; Hofstetter HW; Griffin JR. ''Dictionary of Visual Science''. 4th ed. Butterworth-Heinemann, Boston 1997. ]
**
Cantholysis is the surgical division of the canthus.
**
Canthopexy
** A
canthoplasty
The canthus (pl. canthi, palpebral commissures) is either corner of the eye where the upper and lower eyelids meet. More specifically, the inner and outer canthi are, respectively, the medial and lateral ends/angles of the palpebral fissure.
Th ...
is plastic surgery at the canthus.
** A
canthorrhaphy is suturing of the outer canthus to shorten the
palpebral fissure
The palpebral fissure is the elliptic space between the medial and lateral canthi of the two open eyelids. In simple terms, it is the opening between the eyelids. In adult humans, this measures about 10 mm vertically and 30 mm horizontally.
Va ...
.
** A
canthotomy is the surgical division of the canthus, usually the outer canthus.
*** A
lateral canthotomy
Lateral is a geometric term of location which may refer to:
Healthcare
*Lateral (anatomy), an anatomical direction
* Lateral cricoarytenoid muscle
* Lateral release (surgery), a surgical procedure on the side of a kneecap
Phonetics
*Lateral co ...
is the surgical division of the outer canthus.
*
Epicanthoplasty
Epicanthoplasty is a rare eye surgery to modify the epicanthal folds. It can be a challenging procedure because the epicanthal folds overlay the lacrimal canaliculi (tear drainage canals).
Although an epicanthic fold can also be associated with a ...
*
Tarsorrhaphy
Tarsorrhaphy is a surgical procedure in which the eyelids are partially sewn together to narrow the eyelid opening.
It may be done to protect the cornea in cases of corneal exposure, as a treatment for Graves' ophthalmopathy, Möbius syndrome or ...
is a procedure in which the
eyelid
An eyelid is a thin fold of skin that covers and protects an eye. The levator palpebrae superioris muscle retracts the eyelid, exposing the cornea to the outside, giving vision. This can be either voluntarily or involuntarily. The human eyel ...
s are partially sewn together to narrow the opening (i.e.
palpebral fissure
The palpebral fissure is the elliptic space between the medial and lateral canthi of the two open eyelids. In simple terms, it is the opening between the eyelids. In adult humans, this measures about 10 mm vertically and 30 mm horizontally.
Va ...
).
Orbital surgery
* Orbital reconstruction or
ocular prosthetic
An ocular prosthesis, artificial eye or glass eye is a type of craniofacial prosthesis that replaces an absent natural human eye, eye following an enucleation of the eye, enucleation, Evisceration (ophthalmology), evisceration, or orbital exente ...
s (false eyes)
* Orbital decompression is used for Grave's disease, a condition (often associated with overactive thyroid problems) in which the eye muscles swell. Because the eye socket is bone, the swelling cannot be accommodated and as a result, the eye is pushed forward into a protruded position. In some patients, this is very pronounced. Orbitial decompression involves removing some bone from the eye socket to open up one or more
sinuses
Paranasal sinuses are a group of four paired air-filled spaces that surround the nasal cavity. The maxillary sinuses are located under the eyes; the frontal sinuses are above the eyes; the ethmoidal sinuses are between the eyes and the sphenoid ...
and so make space for the swollen tissue and allowing the eye to move back into normal position.
Other oculoplastic surgery
*
Botox
Botulinum toxin, or botulinum neurotoxin (BoNT), is a neurotoxic protein produced by the bacterium '' Clostridium botulinum'' and related species. It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromus ...
injections
* Ultrapeel
microdermabrasion
Dermabrasion is a type of surgical skin planing, generally with the goal of removing acne, scarring and other skin or tissue irregularities, typically performed in a professional medical setting by a dermatologist or plastic surgeon trained speci ...
* Endoscopic forehead and browlift
* Face lift (
rhytidectomy
A facelift, technically known as a rhytidectomy (from the Ancient Greek () "wrinkle", and () "excision", the surgical removal of wrinkles), is a type of cosmetic surgery procedure used to give a more youthful facial appearance. There are mul ...
)
*
Liposuction
Liposuction, or simply lipo, is a type of fat-removal procedure used in plastic surgery. Evidence does not support an effect on weight beyond a couple of months and does not appear to affect obesity-related problems. In the United States, lipo ...
of the face and neck
*
Browplasty
A forehead lift, also known as a browlift or browplasty, is a cosmetic surgery procedure used to elevate a drooping eyebrow that may obstruct vision and/or to remove the deep “worry” lines that run across the forehead.
History
The first docume ...
Surgery involving the lacrimal apparatus
* A
dacryocystorhinostomy
Dacryocystorhinostomy (DCR) is a surgical procedure to restore the flow of tears into the nose from the lacrimal sac when the nasolacrimal duct does not function.
Process
Traditional
A small incision is made on the side of the nose and some bone ...
or
dacryocystorhinotomy
Dacryocystorhinostomy (DCR) is a surgical procedure to restore the flow of tears into the nose from the lacrimal sac when the nasolacrimal duct does not function.
Process
Traditional
A small incision is made on the side of the nose and some bone ...
is a procedure to restore the flow of tears into the nose from the lacrimal sac when the nasolacrimal duct does not function.
*
Canaliculodacryocystostomy is a surgical correction for a congenitally blocked
tear duct
The nasolacrimal duct (also called the tear duct) carries tears from the lacrimal sac of the eye into the nasal cavity. The duct begins in the eye socket between the maxillary and lacrimal bones, from where it passes downwards and backwards. The ...
in which the closed segment is excised and the open end is joined to the
lacrimal sac
The lacrimal sac or lachrymal sac is the upper dilated end of the nasolacrimal duct, and is lodged in a deep groove formed by the lacrimal bone and frontal process of the maxilla. It connects the lacrimal canaliculi, which drain tears from the ey ...
.
*
Canaliculotomy involves slitting of the
lacrimal punctum
The lacrimal punctum (plural ''puncta'') or lacrimal point, is a minute opening on the summits of the lacrimal papillae, seen on the margins of the eyelids at the lateral extremity of the lacrimal lake. There are two lacrimal puncta in the medial ( ...
and
canaliculus for the relief of
epiphora
* A
dacryoadenectomy is the surgical removal of a lacrimal gland.
* A
dacryocystectomy is the surgical removal of a part of the lacrimal sac.
* A
dacryocystostomy is an incision into the lacrimal sac, usually to promote drainage.
* A
dacryocystotomy is an incision into the lacrimal sac.
Eye removal
* An
enucleation is the removal of the eye leaving the eye muscles and remaining orbital contents intact.
* An
evisceration is the removal of the eye's contents, leaving the scleral shell intact. Usually performed to reduce pain in a blind eye.
[Cassin, B. and Solomon, S. ''Dictionary of Eye Terminology''. Gainesville, Florida: Triad Publishing Company, 1990.]
* An
exenteration is the removal of the entire orbital contents, including the eye, extraocular muscles, fat, and connective tissues; usually for malignant orbital tumors.
Other surgery
Many of these described procedures are historical and are not recommended due to a risk of complications. Particularly, these include operations done on ciliary body in an attempt to control glaucoma, since highly safer surgeries for glaucoma, including lasers, nonpenetrating surgery, guarded filtration surgery, and seton valve implants have been invented.
* A
ciliarotomy is a surgical division of the ciliary zone in the treatment of glaucoma.
* A
ciliectomy is the surgical removal of part of the ciliary body or the surgical removal of part of a margin of an eyelid containing the roots of the eyelashes.
* A
ciliotomy is a surgical section of the ciliary nerves.
* A
conjunctivoanstrostomy is an opening made from the inferior conjunctival cul-de-sac into the maxillary sinus for the treatment of epiphora.
*
Conjuctivoplasty is plastic surgery of the conjunctiva.
* A
conjunctivorhinostomy is a surgical correction of the total obstruction of a lacrimal canaliculus by which the conjunctiva is anastomosed with the nasal cavity to improve tear flow.
* A
corectomedialysis, or
coretomedialysis, is an excision of a small portion of the iris at its junction with the ciliary body to form an artificial pupil.
* A
corectomy, or
coretomy, is any surgical cutting operation on the iris at the pupil.
* A
corelysis is a surgical detachment of
adhesions of the iris to the capsule of the crystalline lens or cornea.
* A
coremorphosis is the surgical formation of an artificial pupil.
* A
coreplasty, or
coreoplasty, is plastic surgery of the iris, usually for the formation of an artificial pupil.
* A
coreoplasy, or
laser pupillomydriasis, is any procedure that changes the size or shape of the pupil.
* A
cyclectomy is an excision of portion of the ciliary body.
* A
cyclotomy
In mathematics, a root of unity, occasionally called a de Moivre number, is any complex number that yields 1 when raised to some positive integer power . Roots of unity are used in many branches of mathematics, and are especially important ...
, or
cyclicotomy, is a surgical incision of the ciliary body, usually for the relief of glaucoma.
* A
cycloanemization is a surgical obliteration of the long ciliary arteries in the treatment of glaucoma.
* An
iridectomesodialysis is the formation of an artificial pupil by detaching and excising a portion of the iris at its periphery.
* An
iridodialysis, sometimes known as a
coredialysis, is a localized separation or tearing away of the iris from its attachment to the ciliary body.
* An
iridencleisis, or
corenclisis, is a surgical procedure for glaucoma in which a portion of the iris is incised and incarcerated in a limbal incision.
(Subdivided into
basal iridencleisis and
total iridencleisis.
)
* An
iridesis is a surgical procedure in which a portion of the iris is brought through and incarcerated in a corneal incision in order to reposition the pupil.
[http://www.merckmedicus.com/pp/us/hcp/thcp_dorlands_content.jsp?pg=/ppdocs/us/common/dorlands/dorland/dmd_i_12.htm ]
* An
iridocorneosclerectomy is the surgical removal of a portion of the iris, the cornea, and the sclera.
* An
iridocyclectomy is the surgical removal of the iris and the ciliary body.
* An
iridocystectomy is the surgical removal of a portion of the iris to form an artificial pupil.
* An
iridosclerectomy is the surgical removal of a portion of the sclera and a portion of the iris in the region of the limbus for the treatment of glaucoma.
* An
iridosclerotomy is the surgical puncture of the sclera and the margin of the iris for the treatment of glaucoma.
* A
rhinommectomy is the surgical removal of a portion of the internal canthus.
* A
trepanotrabeculectomy is used in the treatment of chronic open- and chronic closed-angle glaucoma.
References
{{Eye surgery
LASIK
Surgical specialties
Ophthalmology