Subject Index. B blind, painful eye management of 92 retrobulbar injection for 92 blood loss-related trauma 514 bucket handle sign 283 bungee cord 62
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1 Subject Index A AC depth 210, 211, 235, 245 AC irrigation 217 AC lavage 456 AC maintainer 220, 221, 253 air 202, 216, 261, 275, 288, 320, 482 in AC 221 alpha-chymotrypsin 203, 258 amblyopia 428 aminocaproic acid 215 anesthesia general 93 local 94 peribulbar 95 aniridia 237, 360 anterior segment reconstruction 227, 228 antibiotics 132, 134, 135, 143, 157, 161, 163, 447, 448 APD 113, 137 in the OTS 20 aqueous 154, 173, 199, 210, 211, 269, 272, 323, 455, 457, 458, 465, 466, 467 autologous serum 158 B blind, painful eye management of 92 retrobulbar injection for 92 blood loss-related trauma 514 bucket handle sign 283 bungee cord 62 C capsular tension ring 251, 262 cataract 205, 249, 256, 261, 379, 424, 465 management algorythm of 261 champagne bottle corks 57 chemical injury 130, 487 grading in 490 history-taking in 488 lid reconstruction in 495 chemosis 144 chorioretinitis sclopetaria 294, 340 choroidal rupture 276, 342 choroid prolapse 203 ciliary body prolapse 203 scarring 272
2 530 Subject Index shutdown 338 suturing 271 color vision 110 conjunctiva eversion of upper tarsal 141 conjunctival dissection 147 emphysema 144 erosion 143 FB 145 hemorrhage 144 ischemia 149 necrosis 149 wound 146 contact lens bandage soft 157, 162 contusion 7, 161, 276, 282, 335, 341, 348, 425, 452 contusion retinopathy 294, 340, 383, 520 cornea debridement of 131 irrigation of 130 corneal blood staining 213, 218 edema 161, 163, 311, 440 erosion 131, 156 debridement of 158 recurrent 158 FB 159 micropuncture 159 resistance postsurgical 153 scar management of 181 scar information 151 suture removal of 181 wound partial-thickness 161 self-sealing 161 suturing of 163 wound healing 152 corticosteroids 132, 157, 163, 214, 242, 447 couching giving up on the eye 31 counseling 101 benefits of 29 coaching 31 elements of 23, 24, 26, 27 goal of 25 cryopexy 271, 299, 306, 458 prophylactic 325 CT 121, 124, 186, 519 cyclodialysis 270, 338 cycloplegics 132, 157, 214, 243 D Dalen Fuchs nodules 91 deep lamellar endothelial keratoplasty 161 diathermy 271 documentation 126 DSAEK 161 E EAV 272, 406, 446, 475 ECCE 252, 382 ECH 84, 131, 210, 273
3 Subject Index 531 edema optic disc 91 retinal 91 EEM 37, 38, 380 elderly patients injuries 428 EMP 508 empathy 26 EMP mangement algorythm of 313 endolaser cerclage 324 endophthalmitis 133 diagnostics 440, 443 during general anesthesia 94 in the OTS 20 management principles 437 prophylaxis 448 retinopathy 442 risk factors for 439 endoscope 126, 269, 407 endoscopy 218, 475 surgical technique 479 technology 473 enophthalmos 114 enucleation 90, 92 traumatic 9 epidemiology age 54 gender 54 intent 59, 60 place 56 race 55 socioeconomic status 54 source 57 ERG 111 evaluation ophthalmic 106 systemic 106 evisceration 90, 92 exophthalmos 114 explosion 83, 107 external inspection 113 extraocular muscle 121, 191 eye as surprise package 81 protection 66 shield 88 wall 7 F fall 54, 58, 428, 429, 451 fibrinous membrane 219 FILMS 302 firearms 61 fireworks 65 FLAG 503, 505, 514, 517, 525 flap in corneal wound 162 fluid-air exchange 311, 316, 319, 323 fluorescein 115, 154 foreign body sensation 156 G glaucoma and angle recession 455 due to chemical trauma 459 due to epithelial downgrowth 458 due to fibrous ingrowth 458 due to lens luxation 456
4 532 Subject Index due to lens subluxation 456 due to lens swelling 454 due to orbital hypertension 459 due to synechiae 458 ghost Cell 456 hemolytic 455 hemosiderotic 455 in contusion 452 in hyphema 454 in open globe injury 457 malignant 210, 457 phacoanaphylactic 457 phacolytic 456 glue 162 H hammering 65, 107 hemorrhagic macular cyst 522, 524 high-altitude retinopathy 515 history 107, 108 Horner s syndrome 525 hyperbaric trauma 515 hyphema 211, 337 classification 214 posterior segment pathology in 212 hypopyon 133 hypotony due to choroidal detachment 467 due to ciliary body destruction 468 due to ciliary body shock 467 due to ciliochoroidal detachment 466 due to inflammation 467 due to retinectomy 467 due to wound Leak 466 I ICCE 252, 382 ILM 298, 309, 522 staining of 300 injury at home 56 at workplace 56 classification grade 14, 15 pupil 14, 15 type 14, 15 zone 14, 15 closed globe 7 database , , 54 laceration 8 mixed 7 myths 40, 41, 42, 43, 44, 45 open globe 7 penetrating 8 perforating 8 perforating, in the OTS 20 prognostic information 18, 19 truths 40, 41, 42, 43, 44, 45 injury to entire globe management options in 406
5 Subject Index 533 intrascleral FB 186 IOFB 8, 187 deep-impact 383 deep impact 386 evaluation for 371 in AC 373 in vitreous 382 management algorythm in 374 management issues in 376 removal instrumentation 380, 387 retinal 384 subretinal 384 IOL implantation 262 luxation of 263 subluxation 263 surface management of 313 IOM 160, 380 IOP 134, 337 control during vitrectomy 400 evaluation of 113 in general anestthesia 93 in hyphema 218 in retinal prolapse 206 iridodialysis 236, 337 iris bombans 211, 227, 454, 456, 458 excision 202, 203 laceration surgery for 235 prolapse 201 reposition 202 iritis 242 IR light 502, 506 irrigation 489, 491 K kissing choroidals 275 L lacrimation 156 lamellar keratoplasty 496 lamellar laceration 7 laser-induced eye injury 505 prevention of 506 laser pointers 508 laser retinopexy 306, 325, 341, 383 prophylactic 324 lens capsular rupture 255, 337 dislocation 210, 211, 220, 249 extrusion 203 feathering 315 injury classification of 246 luxation of 253, 338 subluxation of 251, 338 swelling 210 touch 261 lensectomy 252, 254, 258, 382, 424, 482 lid double eversion of 492 lightning-induced trauma 509 light sensitivity 91
6 534 Subject Index M macular hole 296, 298, 303, 508 hypopyon 438, 439 pucker 310 medicolegal issues 100 metacommunication 27 military lasers 509 motility 111 MRI 123, 125, 519 MVC 56, 57, 61, 451 air bag 63 seat belt 63 MVR blade 217, 257, 287, 301, 480 mydriasis 232, 324 N nail 58 ndolaser cerclage 384 NLP 134 NLP vision causes 88 prognosis 89 testing 110 O OCT 123, 298, 310 ocular surface restoration 495 open globe injury complication of 348 management issues in 350 ophthalmoscopy 118, 248, 270, 505, 507, 514, 515, 516, 519, 522, 524 optic nerve evulsion 342 orbital cellulitis 135 FB 45 floor fracture 45 hemorrhage 136 OTS 20, 67 P pain 91, 143, 146, 154, 156, 159, 273, 356, 440, 488, 501 paintball 59 palpation 115 paracentesis 202, 216, 217, 220, 235, 381, 444 patching 43, 132, 157, 215 patient anxiety 28 as a partner 29 pediatric trauma evaluation 420 IOL implantation in 425 management issues in 421, 423 placement of pars plana incision 422 surgical PVD for 426 unique features of 417 penetrating injury 372, 397 occult 371 perforating injury intraoperative reopening of ext wound 399 PVR and 393 perforation injury management of 392
7 Subject Index 535 periocular hemorrhage 114 permanent keratoprosthesis 414, 469, 496 PFCL 255, 387, 481 phacoemulsification 251, 252, 382 phacofragmentation 253 pharmacological vitreolysis 288 photic eye injury 501 photic maculopathy 504 photokeratitis Welder s 129 photophobia 156, 237 phthisis 42, 200, 203, 323, 466, 468, 482 PK 153, 161, 181, 406, 407, 411, 414, 470, 475, 496 posterior lamellar keratoplasty 161 postoperative treatment anti-inflammatory 99 anti-inflextious 99 anti-iop 100 prescription glass 58, 66 prophylactic chorioretinectomy 193, 363, 364, 383, 386, 393, 395, 396, 397 PTK 159, 181 pupil 110, 201, 220, 238, 337, 361, 381, 412 evaluation of 233 purtscher s retinopathy 516 PVD 121, 283, 285, 286, 288, 292, 293, 308, 310, 367, 385, 438 in endophthalmitis 442 PVR 232, 256, 261, 290, 299, 307, 308, 322, 326, 338, 364, 386, 393, 397, 426, 428, 475 anterior 272, 468, 469, 480 management techniques 314 prevention of 99, 257, 309 R red reflex 440 rehabilitation 71 retina anesthetized 93 retinal break 286, 295, 299, 305, 306, 319, 339, 341 latrogenic 254 detachment 44, 91, 136, 205, 254, 261, 293, 305, 316, 341, 422, 465, 466 hemorrhagic 307 in the OTS 20 rhegmatogenous 305 tractional 307 dialysis 296 folds 394 hemorrhage 303 hole 296 incarceration 363 laceration 296 necrosis 294 prolapse 206 tack 323 tamponade 319 tear 297 giant 297, 316
8 536 Subject Index retinotomy 307, 315, 385 ring ulcer 440 rose bengal 154 rupture 7, 54, 148, 359 in BETT 7 in the OTS 20 lens extrusion in 362 management of 363 occult 360 wound predilections in 362 S sclera patching of 195 thin, necrotic 194 scleral buckling 272, 306, 341 prophylactic 325 cutdown 186 indentation 118 wound anterior vs. posterior 205 being left open 193 close-as-you-go closure 192, 193 close-as-you-go closure technique 188, 191 full-thickness 187 occult 122 partial-thickness 187 suturing of (continues to page 190) 187 Seidel test 115, 161 shaken baby syndrome 518 sickle cell disease 213 silicone oil 309, 314, 316, 319, 321, 446, 467, 469 as PVR risk factor 322 emulsified 225 in AC 224 on IOL 262 slit lamp 115, 155, 213, 232, 245, 489 solar retinopathy 503 sports 60, 64 stereopsis 71 subconjunctival hemorrhage 144, 185 subhyaloidal hemorrhage 293 subretinal blood 136 hemorrhage 303 strand 316 surgery exploratory 123, 185, 186, 336 timing of 99 videotaping of 101 surgical planning comprehensive 96, 97 e-quipment 86, 87 e-xperience 86, 87 e-xpertise 86, 87 hospitalization 99 outpatient management 99 proactive 98 reactive 98 referral 86 staged 95, 97
9 Subject Index 537 strategy 80, 82 tactics 80, 82 trauma center 102 trauma expert 102 triaging 82 symblepharon 495 sympathetic ophthalmia 28, 42, 90, 91, 203 synechia anterior 202, 225 posterio 226 synechiolysis 226, 227 T TA 204, 221, 251, 287 terrorism 83 Terson syndrome 422, 522 tissue extrusion 133 TKP devices 409 TKP vitrectomy 218, 407, 446 management techniques 410 TON 137, 342 toxicosis 379, 459 TPA 215, 219, 293, 304 traction suture 189 traumatic retinopathy differential diagnosis of 520 triaging ocular 105 systemic 105 trypan blue 301, 315 U UBM 213, 269, 270 ultrasonography 119, 186, 248, 270 ultrasound biomicroscopy 120 USEIR 53 uveitis 91 UV light 502, 506 V valsalva maneuver 144 valsalva retinopathy 524 VEP 111 viscoelastics 216, 222, 224, 251, 321, 385 vision impairment 67 adaption to 67 visual acuity comparison of measuring systems 68 field confrontational 110 performance 68, 69, 70 rehabilitation 66 testing 109 vitrectomy 254, 257, 272, 276, 287, 290, 306, 339, 383, 384, 457, 523 exchanges during 320 exploratory 125 for endophthalmistis 443 small gauge 323 well-digging vs. horizontal sweeping 365 vitrectomy probe 189, 204, 205, 216, 220, 251
10 538 Subject Index vitreoretinal adhesion surgery for 289 vitreoschisis 283 vitreous base avulsion 282, 338 hemorrhage 44, 45, 89, 290, 339, 354, 366 streaking 372 in AC 220 opacities 288 penetration 282 prolapse 204, 251 streak 205 vossius ring 337 W war injuries 64 Weiss ring 283 whiplash syndrome 524 wide angle viewing system 311 wound management corneal vs. scleral 355 X x-ray 121 Y YAG laser 159, 271, 293 Z zonular opacity 470
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