Shared Flashcard Set

Details

Scleral Buckle
Surgical Procedure
15
Medical
Professional
02/14/2021

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Cards

Term
A Scleral Buckle is performed to treat what pathology?
Definition
Retinal detachment.
Term
What types of anesthesia are used in preparation for a scleral buckle?
Definition
General or retrobulbar block with sedation.
Term
What gases may be used during a scleral buckle procedure?
Definition
Perfluoropropane (C3F8), and Sulfur Hexafluoride (SF6)
Term
What methods are used to seal retinal tears?
Definition
Cryotherapy via cryoprobe (more popular option) or diathermy.
Term
What may be placed on the sclera of the eye under the silastic band?
Definition
A silicone sponge, placed above the retinal defect.
Term
Why might a patient be injected with an intraocular gas during the scleral buckle procedure?
Definition
To create pressure on the retina while scars form and subretinal fluids are reabsorbed.
Term
If gases are injected into the eye what additional care must the patient do postoperatively to recover properly?
Definition
The patient will need to maintain a specific head position to keep the gases pressure in the proper position. This may be a from a few days u pto 2 weeks.
Term
What is the purpose of the tire, band, and silicone sleeve in a scleral buckle?
Definition
To create enough compression to reapproximate the retina and underlying tissue.
Term
While performing a Scleral buckle, what must be done to prepare the tire, band and silicone sleeve before placing it on the sclera?
Definition
It will need to be soaked in an antibiotic/saline solution.
Term
What must be done throughout the Scleral Buckle procedure to keep the cornea from going cloudy?
Definition
The eye should be regularly irrigated with BSS.
Term
What is used to hold the band in place during a Scleral Buckle procedure?
Definition
A mattress suture made of 4-0 or 5-0 Nylon secured to the band.
Term
What additional procedure may commonly be performed along with the Scleral buckle?
Definition
A Vitrectomy.
Term
What position is a patient in when performing a scleral buckle?
Definition
Supine position.
Term
What instrument is commonly used to retract the eyelids for a scleral buckle?
Definition
Eye speculum
Term
What solution should be used for irrigation during a scleral buckle?
Definition
BSS (Balanced Salt Solution)
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