FATHY FAWZY EOS Meeting · 3/16/2018 1 FATHY FAWZY EOS Meeting March 2018 Surgical repair involving...
Transcript of FATHY FAWZY EOS Meeting · 3/16/2018 1 FATHY FAWZY EOS Meeting March 2018 Surgical repair involving...
3/16/2018
1
FATHY FAWZY
EOS Meeting
March 2018
Surgical repair involving more than one part of anterior segment structures:
Cornea
Iris
Lens
Anterior vitreous
3/16/2018
2
Anterior Segment Reconstruction
is NOT
The Primary Repair
But it follows a good time later when inflammation has subsided and things have settled “Not On A Hot Or Infected Eye”.
It is the REHABILITATION.
Metallic IOFB
Loose soft lens matter
Elevated unresponsive IOP
3/16/2018
3
Remove opacitiesCOLOPupillary membraneHyphema
Prevent or treat glaucoma pupil block PASchronic inflammation
Restore near normal pupillary aperture
Treat refractive errors resulted
3/16/2018
4
Do you need a corneal graft ?
Will you need to repair the iris ?
Leave or remove natural lens or IOL?
Is visual axis clear?
How are you going to correct aphakia ?
Will IOP be controlled by reconstruction or would need
glaucoma surgery?
Improves VA
Stabilizes IOL
Improves cosmoses
Prevents glaucoma ,PAS
Improves survival of corneal grafts
3/16/2018
5
3/16/2018
6
1
2
3
1
2
3
3/16/2018
7
1
2
3
1
3
3/16/2018
8
3/16/2018
9
3/16/2018
10
3/16/2018
11
3/16/2018
12
3/16/2018
13
3/16/2018
14
3/16/2018
15
3/16/2018
16
3/16/2018
17
3/16/2018
18
3/16/2018
19
It is not a heroic surgery.
It’s a structured well planned technique.
Yet subject to versatility during course of the procedure.
Requires long term care and good understanding of both surgeon and patient family.
3/16/2018
20