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Ophthalmology
surgical technology lecture
96
Medical
Professional
01/18/2010

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Cards

Term
What is the goal of ophthalmic surgery?
Definition
to restore vision that has been lost due to injury, disease, or congenital defects
Term
[image]
Definition

1. eyelid

2. iris

3. pupil

4. cornea

5. sclera

6. lens

7. macula

8. vitreous humor

9. fovea

10. optic nerve

11. choroid

12. retina

 

Term
What is the middle lining of the eye? (closest to the bridge of the nose)
Definition
medial canthus
Term
What are the function of the eyelids?
Definition
protect the eye
Term
What is the function of the conjunctiva?
Definition
cover the sclera
Term
What is the medical term for the tear duct system?
Definition
the lacrimal apparatus
Term
What are the 6 ocular muscles?
Definition
  1. superior rectus
  2. inferior rectus
  3. medial rectus
  4. lateral rectus
  5. superior oblique
  6. inferior oblique
Term
What causes night blindness?
Definition
a lack of rods
Term

How does the superior rectus move the eye?

 

the inferior rectus?

Definition
  1. upward & towards midline
  2. downward & towards midline
Term

How does the medial rectus move the eye?

 

the lateral rectus?

Definition
  1. toward the midline
  2. away from the midline
Term

How does the superior oblique move the eye?

 

the inferior oblique?

Definition
  1. downward & away from the midline
  2. upward & away from the midline
Term
What are the purpose of tears?
Definition
to moisten and irrigate the eyes
Term
What is the photo receptor of the eye?
Definition
the retina
Term
What are the 3 main steps that the eye goes through to see?
Definition
  1. light goes into the cornea
  2. pupil controls the amount of light recieved
  3. the retina focuses the light and sends the image to the brain
Term
What causes color blindness?
Definition
a lack of cones
Term
What causes a blind spot?
Definition
a lack of both cones and rods
Term
What chamber lies directly in front of the iris?
What humor is located in this chamber?
Definition
1. anterior chamber (or cavity)
2. aqueous humor
Term
What chamber lies posterior to the iris and anterior to the lens?
What humor is located in this chamber?
Definition
1. posterior chamber (or cavity)
2. vitreous humor
Term
What biconcave clear structure lies behind the iris?
Definition
the lens
Term
Why is it important to keep a close eye on a patient's blood pressure during eye surgery?
Definition
a higher blood pressure changes the pressure in the eyes and causes more blood to circulate
Term
What part of the eye is considered to be contaminated?
Definition
the canthus
Term
What 3 types of anesthetics can be used during eye surgery?
Definition
1. regional anesthetic (topical)
2. general
3. retrobulbar block
Term
Why are weksell spears or eye applicators the only sponges used on the eyes?
Definition
sponges need to be lint free
Term
How are instruments kept clean during surgery?
Definition
instrument wipes
Term
What does strabismus mean?
Definition
cross-eyed
Term
What is the difference between an eye resection and an eye recession?
Definition
1. a resection is a muscle strengthening procedure
2. a recession is a muscle weakening procedure
Term
What ophthalmic surgery does not require a microscope?
Definition
an eye muscle repair (resection or recession)
Term

What type of instrument is this?

 

[image]

Definition

Eye Muscle Hook

(Graefe Strabismus)

Term

What type of instrument is this?

[image]

Definition
Castroviejo Caliper
Term

What is put inside a crouch corneal protector?

 

[image]

Definition
Bacitracin
Term
What procedure creates an adequate channel for the aqueous humor to drain out of?
Definition
trabeculectomy
Term
What is glaucoma?
Definition
an eye disease in which the aqueous humor cannot be filtered, characterized by increased intraocular fluid, optic nerve cupping, and visual field loss
Term

What is the name & purpose of this instrument?

 

[image]

Definition

Schiotz Tonometer

 

(it measures the pressure in the eye)

Term
What are the 4 types of Glaucoma?
Definition
  1. primary angle closure glaucoma
  2. open angle or chronic glaucoma
  3. secondary glaucoma
  4. congenital glaucoma
Term
What is an anterior vitrectomy?
Definition
a procedure to remove the vitreous huom from the anterior chamber
Term
What can be a major complication of cataract extraction surgery?
Definition

the vitreous humor gets into the anterior chamber

(an anterior vitrectomy has to be done)

Term
What is a Pars Plana?
Definition

a posterior vitrectomy

(removal of the vitreous from its normal location in the posterior chamber)

Term
What can cause an obstruction or infection in the lacrimal duct?
Definition
a dacryocystocele or mucocele
Term
What type of dye is used to flush the nasal cavity during a lacrimal duct probing?
Definition
Flourescein
Term
What do you call an inflammation of the tear sac or lacrimal sac?
Definition
dacryocystitis
Term
What procedure is done to create a permanent opening for tears?
Definition

a dacryocystorhinostomy

(or DCR)

Term
What 3 special things are needing during a dacryocystorhinostomy?
Definition
  1. a small drill
  2. silicone tubing
  3. flourescein dye
Term
What is a chalazion?
Definition
a chronic inflammatory granuloma of the sebaceous gland
Term

What type of instrument is this?

[image]

Definition
Chalazion forceps
Term
What is a pterygium?
Definition
a web-like triangular shaped thickening of the tissue of the conjunctiva
Term
In which direction does a pterygium grow?
Definition
It begins at the medial canthus and grows laterally.
Term
What is the term for a corneal transplant?
Definition
penetrating keratoplasty
Term
What is a trephine blade?
Definition
a circular cutting instrument used for corneal transplants
Term
What type of suture is used to secure a corneal transplant?
Definition
10-0 Nylon
Term
What are the 2 types of cataract removals?
Definition
  1. intracapsular
  2. extracapsular
Term
What is the difference between intracapsular and extracapsular cataract extractions?
Definition
  1. Intracapsular is done with a large incision
  2. Extracapsular is done with a small incision and is usually done with phacoemulsificiation
Term
What is phacoemulsification?
Definition
ultrasonic vibration energy that breaks up the lens
Term
What is the advantage of using phacoemulsification and extracapsular cataract extracion?
Definition
There is usually no suture needed.
Term
What does BSS stand for?
Definition
Balance Salt Solution
Term
What type of irrigant is used in the eye?
Definition
BSS
Term

What is this?

[image]

Definition
a foldable cataract implant
Term
What type of suture is used for a cataract procedure?
Definition
Bridle sutures of 4-0 silk
Term
What is another name for a traction suture?
Definition
a bridle suture
Term
What is the difference between a primary and secondary retina detachment?
Definition
  1. a primary detachment is a hold in the retina
  2. a secondary detachment is fluid or tissue behind the retina
Term
What 4 procedures can be done to fix a retinal detachment?
Definition
  1. scleral buckle
  2. diathermy
  3. cryosurgery
  4. laser therapy
Term
What is a scleral buckle?
Definition
a silicone band that is placed around the eye to relieve vitreous traction and treat retinal detachment
Term
What is diathermy?
Definition
low level coagulation that is applied to the sclera over the retinal detachment
Term
What procedure freezes the sclera to repair a retinal detachment?
Definition
cryotherapy (cryosurgery)
Term
What procedure helps a patient with Graves' disease or hypothyroidism?
Definition
an orbital decompression
Term
What is the purpose of an orbital decompression?
Definition
to relieve pressure on the optic nerve and allow the eyelids to fully close
Term

What do you call the removal of the entire eyeball?

(the muscle stump in still intact so a prothesis can be used)

 

Definition
enucleation
Term
What do you call the removal of the ocular contents, but not the removal of the sclera?
Definition
evisceration
Term
What do you call the removal of all the orbital contents, done to the bone?
Definition
exenteration
Term
What is a hydroxyapetite?
Definition
a porous orbital implant
Term
What is ptosis?
Definition
drooping of the upper eyelids
Term
What is the difference between an ectropion repair and an entropion repair?
Definition
  1. an exctropion repair fixes everted eyelids and eyelashes
  2. an entropion repair fixes inverted eyelids and eyelashes
Term
What procedure repairs baggy eyelids?
Definition
blepharoplasty
Term
What instrument is used to diagnose eye disease?
Definition
opthalmoscope
Term
What is the medical term for "pink eye"?
Definition
conjunctivitis
Term
What 3 lasers are used in ophthalmology and what are they used for?
Definition
  1. Blue Argon Laser (for retinal detachments)
  2. Red-Yellow Krypton (for hemorrhages of the choroid)
  3. Yag Laser (for corneal sculpting or glaucoma filtration)
Term
What is the goal of lasik surgery?
Definition
repair vision by reducing the curvature of the cornea
Term
What 3 non-absorbable sutures are used on the eyes?
Definition
  1. prolene (monofilament)
  2. nylon (monofilament)
  3. braid silk (bridle suture)
Term
What 3 absorbable sutures are used on the eye?
Definition
  1. chromic
  2. plain fast-absorbing
  3. vicryl
Term
What solution is used to clean your instruments?
Definition
only water
Term
What is a mydriatic drug?
Definition
a drug that dilates the pupil
Term
What is an example of a mydriatic drug?
Definition
  1. neo-synephrine
  2. mydfrin
Term
What is a miotic drug?
Definition
a drug that constricts the pupils
Term
What is an example of a miotic drug?
Definition
  1. pilocarpine
  2. miochol-e
Term
What does MFP mean when referring to medication?
Definition
preservative free
Term
What is Wydase?
Definition
a drug added to increase the effect of another local drug
Term
What is Mannitol?
Definition
a diuretic
Term
What is used to replace vitreous humor or to prevent adhesions?
Definition
Healon
Term
What is an example of an anti-infammatory or steriod?
Definition
  1. decadron
  2. tobradex
  3. predforte
Term
What is the abbreviaion for the right eye?
Definition

OD

(oculus dexter)

Term
What is the abbreviation for the left eye?
Definition

OS

(oculus sinister)

Term
What is the abbreviaton for both eyes?
Definition

OU

(oculus uterque)

Term
What 2 parts of the eye are considered intrinsic?
Definition
  1. the iris
  2. the ciliary body
Term
Name the 3 outer layers of the eye, starting with the outermost layer.
Definition
  1. sclera
  2. choroid
  3. retina
Term
Name the steps of a tear's journey out of the eye?
Definition
  1. lacrimal gland secretes through the lacrimal duct
  2. the tear moistens the eye
  3. it exits the lacrimal punctum through the canal and drains into the nose
Term
Name 2 viscoelastic agents.
Definition
  1. viscoat
  2. healon
Term
What is the size range of sutures that might be used in ophthalmic surgery?
Definition
4-0 to 12-0
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