Shared Flashcard Set

Details

Keratoplasty
Surgical Procedure
15
Medical
Professional
01/27/2019

Additional Medical Flashcards

 


 

Cards

Term
The five layers of the cornea
Definition
Epethelium, Bowman's membrane (anterior limiting lamina), stroma (substantia propria),Descemet membrane (posterior limiting lamina), and endothelium.
Term
What is the function of the cornea?
Definition
Allows light into the eye and bends the light rays to help the lens focus them upon the retina.
Term
Causes of clouding of the cornea
Definition
Eye injuries, infection, corneal dystrophies, inherited diseases, eye surgeries
Term
Preoperative diagnostic test
Definition
Slit-lamp examination
Term
During corneal transplant surgery, only the ________ part of the cornea is replaced
Definition
central
Term
A _________is placed on the cornea and is used to make the corneal cut around the cornea and into the anterior chamber
Definition
trephine
Term
Three steps of corneal transplantation
Definition
(A) Trephination, (B) placement of graft, (C) graft sutured on position
Term
Warning signs of corneal tissue rejection
Definition
Pain, light sensitivity, redness, and decreasing vision
Term
Corneal graft rejection rarely occurs within _________ and may occur as late as ________ following corneal transplant.
Definition
2 weeks; 20 years
Term
The sclera forms the majority of the posterior of the globe. The cornea forms the ___________ __________ of the globe
Definition
anterior sixth
Term
Potential new thin layer of the cornea discovered in 2013, located between the stroma and the Descemet membrane.
Definition
Dua's layer
Term
Where does corneal tissue for transplant come from?
Definition
Corneal tissue comes from donors. An eye bank procures the tissue, examines it, and stores it until needed.
Term
How is a Cottingham punch used during the procedure?
Definition
The donor cornea is punched using a Cottingham punch to the correct size for placement. A punch of slightly greater diameter than the punch used for the patient’s host eye is used for the donor cornea.
Term
How is the eye stabilized during the procedure?
Definition
A Fleringa ring is sutured on the patient’s eye with a 5-0 or 6-0 nylon to stabilize the eye.
Term
What is done to reinflate the anterior chamber and ensure the wound is watertight?
Definition
After the graft is sutured in place, BSS or acetylcholine solution is injected into the anterior chamber through a fine cannula (30 gauge) at the graft margin.
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