International Ophthalmology Clinics 1992: Vol 32 Index

11 Pages·1992·2.1 MB·English

Abrasion, corneal, 63 membrane removal in, 173
Abscess, suture, 85 radial keratotomy and, 104
Acanthamoeba keratitis, 85—86 reconstruction of, 168, 174, 176
Acetazolamide Anterior synechiae, 187-188
cystoid macular edema and, 147-148 Anterior vitrectomy, 171
Nd:YAG laser capsulotomy and, 191 Antibiotic, trauma and, 157
Allergy Anticoagulant, 6
to topical anesthesia, 8—9 Aphakic glaucoma in child, 32-33
to topical medication, 131 Aqueous misdirection glaucoma, 139
Aminoamide anesthetic, 12 Argon laser
Aminoesters, 9 iridotomy with, 182—186
Anesthesia, 1—22 lipid keratopathy treatment with,
in child, 17-18 180-181
corneal, from laser treatment, 179 plastic and orbital procedures with,
for corneal refractive surgery, 97 180
drug interactions with, 6—7 trabecular meshwork and, 186—187
enucleation and, 219 Artery, retinal, occlusion of, 196
local, 8—9, 23-29 Aspiration, hypopyon and, 137
central nervous system and, 27-28 Astigmatism
extraocular muscles and, 27 cataract surgery and, 135
general versus, 2—3 combined filtration and cataract sur-
induction of, 23—25 gery and, 121
optic nerve damage from, 26 correction of, 104—105
orbital hemorrhage and, 25-26 keratomileusis and, 107
penetration of eye and, 26-27 penetrating keratoplasty and, 90-91
medical conditions affecting use of, radial keratotomy and, 103-104
13-16 Asymmetry after blepharoplasty
ocular emergencies and, 18—19 of creases, 69-70
oculocardiac reflex and, 16—17 fat-pad, 71
overdosage of, 12—13 Atonic pupil, 141
preoperative preparation and, 3—4 Atresia
preoperative sedation and, 4—6 of canaliculus, 54
regional, 9-11 punctal, 52
toxicity of, 11-12 Atrial tachycardia, paroxysmal, 17
Anterior chamber Atrophy
cataract surgery and, 135-137 of ciliary body, 141
corneoscleral laceration and, 159 fat, 223
cyclophotocoagulation and, 190 Atropine, 6
glaucoma surgery and, 116-117 Autograft, pterygia and, 47
plugging of sclerostomy site and, 126
Anterior chamber lens, 143-144
trauma and, 173 Bacterial keratitis, 100-101
Anterior segment Basement membrane, epithelial, 99
excessive bleeding in, 80 Beta irradiation for pterygia, 47
236 a Index
Bicanalicular Silastic intubation, 55, 59 Carbon dioxide laser, 179-180
erosion caused by, 62 Cardiac effects of local anesthesia, 12
Bleb Cataract
glaucoma surgery and, 44—46 in child, 31-35
postoperative intraocular pressure and, glaucoma surgery and, 118
118 penetrating keratoplasty and, 80
Bleeding. See Hemorrhage trauma and, 164, 170-171
Blepharitis, 131-132 vitrectomy and, 206
Blepharoplasty, 67—77 Cataract surgery
asymmetrical creases and, 69-70 anterior chamber disorders and,
conjunctival chemosis and, 76—77 135-137
diplopia after, 76 corneal complications of, 131—134
ectropion and, 75—76 corneoscleral junction and, 135
eyebrow ptosis and, 72—73 cystoid macular edema and, 147-148
fat-pad asymmetry and, 71 extraocular muscles and, 150
goals of, 67 filtration operation with, 119-120
inferior displacement of lateral canthus intraocular lens complications and,
and, 73-74 141-144
lagophthalmos and exposure keratitis optic nerve disorders with, 148—149
after, 68-69 orbital abnormalities and, 149
laser, 179, 180 posterior capsule and, 144—145
lower eyelid retraction and, 74—75 ptosis following, 149-150
orbital hemorrhage after, 67—68 radial keratotomy and, 104
postoperative ptosis and, 70-71 retinal detachment after, 146-147
residual skin redundancy in, 71—72 retinal phototoxicity and, 148
Block, regional, 9-11 trabecular meshwork disorders and,
Blood. See also Hemorrhage 137-140
anterior chamber and, 135-136 uveal tract disorders and, 140-141
in posterior capsule, 145 vitreous loss and hemorrhage after,
Blunt trauma, posterior segment and, 146
165 Cautery, punctal occlusion and, 54
Body temperature, malignant hyperther- CDCR. See Conjunctivodacryocystorhi-
mia and, 15-16 nostomy
Branch retinal artery occlusion, 196 Cefazolin, 85
Brevital Sodium, 5 Cellulitis, 37
B-scan ultrasonography, 158 Central nervous system, local anesthesia
Bullous keratopathy, 80 and, 27—28
Bupivacaine, 9 Cephalosporin, 157
Buttonhole, conjunctival, 45 Chamber, anterior. See Anterior chamber
inadvertent, 126-127 entries
Cheesewiring, canalicular, 62
Canalicular cheesewiring, 62 Chemosis
Canalicular disorder, 54—55, 59-60 blepharoplasty and, 76—77
Canaliculus, 49—50 enucleation and, 220
Canaliculodacryocystorhinostomy, 57, 60 Child
Canthus, lateral, inferior displacement anesthesia for, 17-18
of, 73-74 cataract surgery in, 31-35
Capsule, posterior, 144-145 lacrimal surgery in, 62
Capsulotomy, Nd:YAG iaser, 190-192 oculocardiac reflex in, 16-17
Capture strabismus and, 35—38
lens, 120-121 traumatic cataract in, 165
pupillary, 142-143 Cholinesterase inhibitor, 6—7
Carbocaine, 10 Choriocapillaris, 193-194
Index = 237
Choroidal detachment, 190 Corneal surgery, 79-111
Choroidal effusion, 118 conjunctivai flaps and, 92
Choroidal hemorrhage, expulsive, 79-80 epikeratophakia and, 92
Choroidal melanoma, 197 keratoprosthesis implantation and, 93
Choroidal neovascularization, 196 lamellar keratoplasty and, 91—92
Ciliary block, 116-117 laser, 180-182
Ciliary body penetrating keratoplasty and, 79-91
cataract surgery and, 141 intermediate postoperative complica-
hemorrhage of, 127 tions of, 81—84
laser surgery and, 188-189 late postoperative complications of,
Closed-loop anterior chamber lens, 84-91
143-144 operative complications with, 79-81
Cocaine pterygium removal and, 93
epikeratoplasty and, 109 refractive, 97-114
lacrimal surgery and, 65 anesthesia for, 97
topical anesthesia and, 8-9 lamellar, 106—109
Congenital disorder radial keratotomy and, 98—106
atresia of canaliculus as, 54 Corneal wedge resection, 105
nasolacrimal duct obstruction as, 56 Corneoscleral junction, 135
punctal atresia as, 52 Corneoscleral laceration, 159-161
punctal stenosis as, 53 Corticosteroid
Conjunctival buttonhole, 45 anesthesia interactions with, 7
inadvertent, 126—127 glaucoma caused by, 207
Conjunctival chemosis, 76—77 postoperative glaucoma and, 83
Conjunctival complications, 41—48 Crease, asymmetrical, with blepharo-
flaps and, 42—43 plasty, 69-70
glaucoma surgery and, 44—46 Creatinine phosphokinase, 16
healing disorder as, 43 Crystalline deposits after lipid keratopa-
prolapse as, 43—44 thy, 181
pterygium removal and, 46—47 Crystalline keratopathy, infectious, 86
silicone oil causing, 46 Cyclocryotherapy, 207
strabismus surgery and, 41—42 Cyclophotocoagulation, 190
Conjunctival cyst, 35 Cyst
Conjunctival flap, 92 conjunctival, 35
Conjunctivodacryocystorhinostomy, 54, inclusion or ductal, 42
55, 56, 57 orbital, 222
epiphora and, 60 Cystoid macular edema
tube placement and, 61 cataract surgery and, 142, 143,
Contact lens 147-148
after radial keratotomy, 102 Nd:YAG laser capsulotomy and, 191
for pediatric cataracts, 32 penetrating keratoplasty and, 91
Cornea
abrasion of, 63 Dacryocystorhinostomy, 56—57, 58
cataract surgery and, 131-134 complications of, 64—65
laser iridotomy and, 185 intubation failure and, 56—57
perforation of, 98-99 Dantrolene, malignant hyperthermia
vitrectomy and, 205—206 and, 16
Corneal anesthesia from laser treatment, DCR. See Dacryocystorhinostomy
179 Decompensation, corneal, 134
Corneal edema Deformity
cataract surgery and, 133 eyelid, 226
donor tissue failure with, 81-82 inferior fornix, 226—232
Corneal scarring, trauma and, 169 sulcus, 225
238 a Index
Dellen, cataract surgery and, 132 radial keratotomy and, 100
Dermis-fat graft, 222—223 trauma and, 157
Descemet’s membrane detachment, vitrectomy and, 209-210
132-133 Endothelial damage to donor tissue, 82
Detachment Endothelial dystrophy, 133
choroidal, 190 Endothelial graft rejection, 88—90
retinal Endothelium
cataract surgery and, 146-147 corneal complications and, 205
in child, 33-34 laser iridotomy and, 185
Diabetes mellitus radial keratotomy and, 99
cataract and, 206 Enophthalmos, enucleation and, 224
general anesthesia and, 13 Entropion, 51
vitreous hemorrhage and, 209 Enucleation, 213—233
Diabetic retinopathy, 194 conjunctival complications after, 46
Diplopia after blepharoplasty, 76 intraoperative considerations for,
Diprivan, 5 218-220
Diurnal fluctuation of vision, 101—102 postoperative complications of,
Donor epithelium, damage to, 84 220-232
Donor tissue failure, 81-82 preoperative considerations for,
Downgrowth, epithelial, 86-88 214-218
Drainage tube, implanted, 122-124 Epikeratophakia, 92
Drift after laser trabeculoplasty, 187 Epikeratoplasty, 108-109
Dry eye, 69 Epinephrine, 11
Duct, nasolacrimal, 56—57 Epithelial iron with radial keratotomy, 99
Ductal cyst, 42 Epithelium
Duranest, 10 acanthamoeba keratitis and, 86
Dye disappearance test, 51—52 corneal complications and, 205
Dystrophy, endothelial, 133 downgrowth of, 86-88
erosion of, 131
Ectropion graft rejection and, 89, 90
blepharoplasty and, 75-76 ingrowth of
lacrimal disorder and, 51 cataract surgery and, 134
Edema radial keratotomy and, 100
corneal laser iridotomy and, 185
cataract surgery and, 133 persistent defect of, 84
donor tissue failure with, 81—82 retinal pigment, 196
macular Erosion
cataract surgery and, 142, 143, of ciliary body, 141
147-148 epithelial, 131
in child, 33 Etidocaine, 10
Nd:YAG laser capsulotomy and, 191 Evisceration. See Enucleation
panretinal photocoagulation and, Excimer laser photorefractive keratec-
193 tomy, 181
penetrating keratoplasty and, 91 Exposure keratitis, blepharoplasty and,
Effusion 68-69
glaucoma surgery and, 118 Expulsive choroidal hemorrhage, 79-80
suprachoroidal, 141 Extracapsular cataract surgery, 164
Emergency, ocular, anesthesia for, 18—19 filtration operation with, 119-120
Endophthalmitis Extraocular muscle
cataract surgery and, 136-137 local anesthesia and, 27
in child, 34 strabismus surgery and, 36
corneal surgery and, 81 Extrusion of glaucoma implant, 124
glaucoma surgery and, 118 Eyebrow, postoperative ptosis of, 72—73
Index s 239
Eyelid Nd:YAG laser capsulotomy and,
enucleation and, 226 191-192
lacrimal disorder and, 51 postoperative, 82—83
lower, retraction of, 74—75 vitrectomy and, 206—207
punctal stenosis and, 53-54 Globe perforation, 149
strabismus surgery and, 37—38 Goniosynechialysis, 171-172
Graft infection, 84—86
Fat-pad asymmetry, 71 Graft rejection, 88—90
Felderstruktur, 14 Granuloma, 223
Fibrosis, 139 pyogenic, 43
Fibrovascular ingrowth, 208 pyogenic, Silastic tubing and, 63
Filtration surgery for glaucoma, 115- suture material and, 35
130. See also Glaucoma, filtration
surgery for
Fistula, 86 Hair growth with dermis-fat graft, 223
Flap Heart, local anesthesia toxicity and, 12
conjunctival, 42—43 Hematoma after enucleation, 220
for corneal condition, 92 Hemorrhage
trabeculectomy, 119 anterior chamber and, 135-136
Fluorometholone, 83 cataract surgery and, 146, 149
5-Fluorouracil ciliary body, 127
glaucoma filtration surgery and, 121 enucleation and, 219
glaucoma surgery and, 45 expulsive choroidal, 79—80
Foreign body lacrimal surgery and, 59
cataract and, 164 laser iridotomy and, 184-185
infection and, 157, 158 laser trabeculoplasty and, 188
posterior segment and, 166 laser treatment and, 196
Fornix deformity, inferior, 226-232 orbital
Fovea, accidental photocoagulation of, blepharoplasty and, 67—68
192-193 local anesthesia and, 25—26
Fracture, orbital, 218-219 suprachoroidal, 116, 141
Fungal endophthalmitis, 137 vitreous, 209
Fungal keratitis, 100-101 cataract surgery and, 139
Herpes simplex keratitis, 85
General anesthesia, 2—3 Hexagonal keratotomy, 106
Glaucoma High astigmatism, 90-91
aphakic, in child, 32-33 Holmium laser thermokeratoplasty, 182
cataract surgery and, 137—140 Hyaluronidase, regional anesthesia and,
conjunctival complications after sur- 11
gery for, 44—46 Hydrogel lens, 143
cyclophotocoagulation and, 190 Hydroxyapatite implant, 215-216, 217
filtration surgery for, 115-130 enophthalmos and, 224
cataract extraction with, 119-121 Hypertension, 13
failure of, 127 Hyperthermia, malignant, 15—16
implants and, 122—124 Hyphema
laser sclerostomy and, 124—127 cataract surgery and, 136
laser suture lysis and, 119 ciliary body hemorrhage and, 127
late complications of, 118 penetrating keratoplasty and, 83
postoperative intraocular pressure Hypotony
and, 116-118 cataract surgery and, 140
wound-healing retardants and, glaucoma implant and, 123—124
121-122 laser suture lysis and, 119
laser trabeculoplasty and, 187, 188 postoperative, 117-118
240 a Index
Implant postoperative increase in, 82—83
glaucoma, 122-124 after glaucoma surgery, 116-118,
orbital, 214-216 120
enophthalmos and, 224 Intubation, silastic, 62—64
synthetic corneal, 108 Iridocyclitis, 86
Implant power, 144 Iridodialysis, 175-176
Implantation, keratoprosthesis, 93 Iridoplasty, 174—176
Incarceration, sclerostomy and, 126 Iridotomy, laser, 182—186
Inclusicn cyst, conjunctival, 42 Iridovitreal block, 139
Induced astigmatism after radial kerato- Iris
tomy, 103-104 laser damage to, 127
Infection neovascularization of, 139
of corneal graft, 84—86 as plug of sclerostomy site, 125-126
lacrimal surgery and, 59 reconstruction of, 171—172
radial keratotomy and, 100-101 rubeosis iridis after vitrectomy and,
Infectious crystalline keratopathy, 86 207-208
Infectious endophthalmitis, trauma and, trauma to, 163-164
157 Iris blood-aqueous barrier, 140
Inferior fornix deformity, 226-232 Iris-hxed implant, 173—174
Inferior rectus muscle, 37 Iritis, cataract surgery and, 140
Inflammation Iron line with radial keratotomy, 99
corneal surgery and, 83-84 Irradiation for pterygia, 47
noninfectious, in child, 34—35 Irrigation
vitrectomy and, 208 corneal edema and, 133
Ingrowth lacrimal system evaluation and, 51—52
epithelial Ischemic optic neuropathy, 148-149
cataract surgery and, 134
radial keratotomy and, 100
Jones test, 51
fibrovascular, 208
Injection Jones tube, 61
retrobulbar, 23-24
central nervous system complications Keratectomy
after, 27-28 excimer laser photorefractive, 181
corneal refractive surgery and, 97 photorefractive, 109
subconjunctival, 121 Keratectomy, superficial, 167
Inlay, synthetic corneal, 108 Keratitis
Internal ophthalmoplegia, 193 blepharoplasty and, 68—69
Intersection incisions in keratotomy, herpes simplex, 85
105-106 radial keratotomy and, 100-101
Intraocular lens. See also Cataract surgery Keratoconjunctivitis sicca, 131-132
anterior segment bleeding and, 80 Keratomileusis, 107—108
complications of, 141-144 Keratopathy
hyphema and, 136 infectious crystalline, 86
Nd:YAG laser capsulotomy and, 192 lipid, 180-181
trauma and, 165, 173-174 photocoagulation, 197
uveal tract complications and, 140-141 Keratophakia, 107-108
Intraocular pressure Keratoplasty
after glaucoma surgery, 116-118 lamellar, 91—92
anesthesia and, 14-15 penetrating, 79-91
cataract surgery and, 137-138 after radial keratotomy, 104
laser iridotomy and, 182-184 anterior segment reconstruction and,
laser trabeculoplasty and, 186-187 174, 176
Nd:YAG laser capsulotomy and, 191 intermediate postoperative complica-
postoperative decrease in, 117-118 tions of, 81-84
Index m 241
late postoperative complications of, uveal tract complications and,
84-91 140-141
operative complications with, 79-81 laser damage to, 127
trauma repair and, 168—170 laser iridotomy and, 184
Keratoprosthesis implantation, 93 pediatric cataracts and, 31—35
Keratotomy, radial penetrating keratoplasty and, 80-81
anterior segment surgery after, trauma and, 164-165, 170-171
104—106 Lens capture, 120-121
operative complications of, 98—99 Lenticular trauma, cataract and, 164
postoperative complications of, 99-101 Levator, ptosis after enucleation and, 225
refractive complications of, 101—104 Lidocaine, 9, 10, 11
Ketamine, intraocular pressure and, 14 Lipid keratopathy, 180-181
Krypton red laser, hemorrhage and, 196 Local anesthesia, 23-29
central nervous system and, 27—28
Laceration extraocular muscles and, 27
of canaliculus, 54—55 general versus, 2—3
corneoscleral, 159-161 induction of, 23-25
scleral, 161—162 optic nerve damage from, 26
Lacrimal drainage system, 49-66 orbital hemorrhage and, 25-26
anatomy of, 49-50 penetration of eye and, 26—27
complications of surgery on, 57-65 toxicity of, 11—12
evaluation of, 50—52 Local anesthetic, seizure from overdose
obstruction of, 52-57 of, 13
Lagophthalmos, blepharoplasty and, Lower eyelid
68-69 enucleation and, 226
Lake, lacrimal, 50 retraction of, 74—75
Lamellar keratoplasty, 91—92 Lymphangioma, 179
trauma repair and, 168-170
Lamellar refractive surgery, 106-109 Macula, accidental photocoagulation of,
Laser sclerostomy, 124—127 192-193
Laser surgery, 179-204 Macular edema
capsulotomy and, 190-192 in child, 33
ciliary body and, 189-190 cystoid
corneal, 180-182 cataract surgery and, 142, 143,
plastic and orbital, 179-180 147-148
retinal, 192-198 Nd:YAG laser capsulotomy and, 191
risk of, 198-199 penetrating keratoplasty and, 91
trabeculoplasty and, 186—189 photocoagulation of, 193, 195-196
Laser suture lysis of trabeculectomy flap, Malignant glaucoma, 116-117
119 Malignant hyperthermia, 15—16
Lateral canthus, inferior displacement of, Mannitol, ocular emergency and, 19
73-74 Marcaine, 10
Leaking Melanoma, choroidal, laser treatment of,
corneoscleral laceration and, 159 197
of wound Membrane
cataract surgery and, 135 Descemet’s, detachment of, 132—133
glaucoma filtration surgery and, mucous, enucleation and, 226-228
121-122 Mepivacaine, 10
penetrating keratoplasty and, 83 Meshwork, trabecular, cataract surgery
Lens and, 137—140
intraocular. See also Cataract surgery Metastasis, laser treatment of, 197—198
hyphema and, 136 Methohexital, 5
Nd:YAG laser capsulotomy and, 192 Microvitrectomy, trauma and, 171
trauma and, 165, 173-174 Midazolam hydrochloride, 5—6
242 a Index
Migration of orbital implant, 223-224 Open-angle glaucoma, 187, 188
Mitomycin Ophthalmia
glaucoma surgery and, 45 cataract surgery and, 141
pterygia and, 47 vitrectomy and, 210
Mitomycin C, glaucoma surgery and, 122 Ophthalmoplegia, 193
Monoamine oxidase inhibitor, anesthesia Ophthalmoscopy, laser, 194
interactions with, 7 Optic nerve
Mucous membrane, enucleation and, cataract surgery and, 148-149
226-228 local anesthesia and, 26
Muscle Orbit
cataract surgery and, 149-150 cataract surgery and, 149
local anesthesia and, 27 laser surgery for, 179-180
strabismus surgery and, 36, 37 Orbital cellulitis, 37
succinylcholine and, 14 Orbital cyst, 222
Muscle relaxant, 14—15 Orbital hemorrhage
blepharoplasty and, 67-68
Nasolacrimal duct obstruction, 56—57 local anesthesia and, 25-26
Nd:YAG laser Orbital implant, 214—216
capsulotomy with, 190—192 enophthalmos and, 224
iridotomy with, 182-186 Overcorrection
trabecular meshwork and, 186—187 after radial keratotomy, 102
Necrosis, scleral, pterygium removal and, for strabismus, 35-36
93 Overdose, of anesthetic, 12-13
Needle for local anesthesia, 23-24 Oxygen in local anesthetic overdose,
Neoplasm, laser treatment of, 197-198 12-13
Neovascularization
choroidal, 196 Pain, laser surgery and, 189
of iris, 139 Panretinal photocoagulation, 192-194
of wound, 136 rubeosis iridis and, 207
Neuronal blockade, 11—12 Paroxysmal atrial tachycardia, 17
Noninfectious inflammation in child, Pecliatrics. See Child
34-35 Penetrating injury, 26—27, 28
Nonrhegmatogenous retinal detachment, Penetrating keratoplasty, 79-91
194 anterior segment reconstruction and,
Novocaine, 10 174, 176
Nuclear sclerosis, vitrectomy and, 206 intermediate postoperative complica-
tions of, 81-84
Obstruction late postoperative complications of,
canalicular, 59 84-91
glaucoma and, 123-124 operative complications with, 79-81
of lacrimal drainage, 52—57 radial keratotomy and, 104
nasolacrimal duct, 56—57 trauma repair and, 168-170
Occlusion Penetrating trauma, 19-20
branch retinal artery, 196 Perforation
iris, sclerostomy and, 126 anesthetic administration causing,
punctal, 54, 59 26-27, 28
Ocular emergency, 20 globe, 149
Oculocardiac reflex, 16—17 posterior segment and, 165-166
Oil, silicone, 46 radial keratotomy and, 98—99
Opacification scleral
panretinal photocoagulation and, 194, enucleation and, 219
195 strabismus surgery and, 36—37
of posterior capsule, 144-145 Peribulbar injection, 24—25, 28
Index = 243
Periorbital complications of strabismus enucleation and, 224—225
surgery, 37-38 eyebrow, 72-73
Peripheral anterior synechiae, 187—188 radial keratotomy and, 100
Photocoagulation Ptygeria, 46-47
panretinal, 192-194 Punctal plug, silicone, 59
rubeosis iridis and, 207 Punctate epithelial erosion, 131
vision loss after, 190 Punctum, 49
Photocoagulation keratopathy, 197 disorders of, 52—54
lipid, 181 evaluation of, 51
Photorefractive keratectomy, 109, 181 recanalization and, 59
Phototoxicity Pupil abnormalities, 141
retinal, 148 Pupillary block, 138-139
vitrectomy and, 210 Pupillary block glaucoma, 191—192
Phthisis, laser surgery and, 189 Pupillary capture, 142-143
Plastic laser procedure, 179-180 Pyogenic granuloma, 43, 63
Plug
of sclerostomy site, 125—126 Radial keratotomy
silicone punctal, 59 anterior segment surgery after,
Posterior capsule, 144—145 104-106
Posterior chamber intraocular lens, 173 operative complications of, 98—99
Posterior segment, 165—167 postoperative complications of, 99-101
Posterior subcapsule opacity, 206 refractive complications of, 101—104
Postkeratoplasty astigmatism, 91 Radiation therapy, for pterygia, 47
Postkeratoplasty glaucoma, 82—83 Recanalization, punctal, 59
Power, implant, 144 Redundancy, of skin after blepharo-
Prednisone, 90 plasty, 71-72
Pressure Reflex, oculocardiac, 16-17
injury to lens and, 80-81 Reflux in lacrimal system, 52
intraocular. See Intraocular pressure Refractive corneal surgery, 97-114
Procaine, 10 anesthesia for, 97
Prolapse lamellar, 106—109
conjunctival, 43-44 radial keratotomy and, 98—106
of iris, 163-164 Regional anesthesia, 9—11
Prophylaxis, cataract surgery and, Rejection of graft, 88-90
137-138 Relaxant, muscle, 14—15
Propionibactercum acnes Resection, corneal wedge, 105
cataract surgery and, 136—137 Residual skin redundancy after blepharo-
Nd:YAG laser capsulotomy and, 192 plasty, 71-72
Propofol, 5 Respiratory disorder, general anesthesia
Propranolol and, 13-14
anesthesia interactions with, 7 Retardant, wound-healing, 121—122
intraocular pressure and, 14 Retina
Prosthesis fibrovascular ingrowth and, 208
enucleation and. See Enucleation laser iridotomy and, 185-186
keratoprosthesis implantation and, 93 laser surgery of, 192-195
Protrusion of Silastic tube, 63 posterior segment trauma repair and,
Pseudophakic bullous keratopathy, 80 166
Pseudoptosis after enucleation, 225-226 vitrectomy and, 208-209
Psychiatric drug, 7 phototoxicity and, 210
Pterygium removal, 93 Retinal artery occlusion, branch, 196
Ptosis Retinal detachment
blepharoplasty and, 70-71 cataract surgery and, 146-147
cataract surgery and, 149-150 in child, 33-34
244 a Index
Retinal detachment (continued) complications of, 62—64
Nd:YAG laser capsulotomy and, 191 Silicone oil, 46
vitrectomy and, 208—209 Silicone punctal plug, 59
Retinal phototoxicity, 148 Skin redundancy after blepharoplasty,
Retinal pigment epithelium, neovasculari- 71-72
zation of, 196 Socket, enucleation and, 225—228
Retinopathy Spherical orbital implant, 216
diabetic, laser treatment for, 194 Staphylococcus epidermidis, 136
sickle cell, 198 Stellate laceration, 162
Retrobulbar hemorrhage, 149 Stenosis
Retrobulbar injection, 23-24 canalicular, 55
central nervous system complications punctal, 52—54
after, 27-28 Steroid
corneal refractive surgery and, 97 anesthesia interactions with, 7
Round eye with inferior displacement of graft rejection and, 90
lateral canthus, 73-74 intraocular pressure and, 139
Rubeosis iridis, 207—208 Stinging, topical anesthesia and, 8
Rupture Strabismus
of keratotomy incision, 101 in child, 35-38
scleral, 161-162 conjunctival complications after sur-
gery for, 41-42
Sac, lacrimal, 50 Subcapsular opacity, 206
Scarring Subconjunctival injection, 25, 121
canalicular, 55 Subepithelial graft rejection, 90
corneal trauma and, 169 Subluxation of Silastic tube, 63
corneoscleral laceration and, 161 Succinylcholine, 14—15
laser surgery and, 197 Sulcus deformity, 225
Sclera Sunset syndrome, 143
rupture or laceration of, 161—162 Superficial keratectomy, 167
strabismus surgery and, 36—37 Superior rectus muscle, 149-150
Scleral necrosis, 93 Superior sulcus deformity, 225
Scleral perforation, enucleation and, 219 Suprachoroidal effusion, 141
Scleral show after blepharoplasty, 74—75 Suprachoroidal hemorrhage, 116
Scleral thinning, 190 Suture
Sclerosis, nuclear, 206 corneoscleral laceration and, 159-161
Sclerostomy, laser, 124-127 high astigmatism and, 90-91
Sclerotomy, 208 iridoplasty and, 174—176
Sedation, preoperative, 4—6 radial keratotomy and, 103
Segment reaction to, 35
anterior scleral injury and, 162
excessive bleeding in, 80 Suture abscess, 85
membrane removal in, 173 Suture lysis of trabeculectomy flap, laser,
radial keratotomy and, 104 119
reconstruction of, 168, 174, 176 Sympathetic ophthalmia
posterior, trauma and, 165-167 cataract surgery and, 141
Seizure vitrectomy and, 210
laser treatment and, 197 Synechia
local anesthetic overdose and, 13 laser trabeculoplasty and, 187-188
Sensorcaine, 10 pupillary capture and, 142, 143
Seton, 122—124 Synthetic corneal inlay, 108
Shunt for glaucoma drainage, 123
Sickle cell retinopathy, 198
Silastic tubing T cell, graft rejection and, 88
canalicular laceration and, 55 Tachycardia, paroxysmal atrial, 17