{"id":17482,"date":"2022-04-21T11:00:35","date_gmt":"2022-04-21T09:00:35","guid":{"rendered":"https:\/\/okyo.eu\/003-facoeresis-e-iridenclesis-prof-jose-ignacio-barraquer-1951-barcelona\/"},"modified":"2022-04-21T12:54:54","modified_gmt":"2022-04-21T10:54:54","slug":"003-facoeresis-e-iridenclesis-prof-jose-ignacio-barraquer-1951-barcelona","status":"publish","type":"post","link":"https:\/\/okyo.eu\/it\/003-facoeresis-e-iridenclesis-prof-jose-ignacio-barraquer-1951-barcelona\/","title":{"rendered":"003 Faco\u00e9resis e Iridenclesis-Prof. Jos\u00e9 Ignacio Barraquer-1951 Barcelona"},"content":{"rendered":"<div class=\"rwd-video\"><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/player.vimeo.com\/video\/701581525?autoplay=1?api=1&#038;player_id=vimeo_video&#038;color=#00adef\" allowfullscreen><\/iframe><\/div>\n<p>A combined cataract and glaucoma filtering surgery as of 1951. Anesthesia with topical 4% cocaine, plus retrobulbar 2% novocaine (1 cc) with epinephrine.<\/p>\n<p>To obtain akinesia, the patient is under curare (i.v.). A Graefe knife is used to create a 180\u00ba corneoscleral incision continued with a trapezoidal lamellar scleral flap at 12 h., plus a conjunctival limbus-based flap \u2013 all in one stroke. A thin slice of the scleral flap is cut with Westcott scissors. A large (\u201c3-step\u201d) PI is performed with BDW scissors and the iris stump is inverted to be captured under the scleral flap -in order to act as a filtering wick (iridencleisis). Two previous corneoscleral sutures are placed at the sides of the scleral flap, before the cataract extraction with the erisophake. Note the rolling movement of the suction cup and the counterpressure with the Colibri forceps at the inferior limbus, to help in breaking the zonules. The preplaced sutures are closed, and two additional conjunctival stitches insure the covering of the filtration area. Note the concavity of the cornea, indicating a very soft globe, which is attributed to the muscular relaxing effect of curare.<\/p>\n<p>Un intervento chirurgico di filtrazione combinato di cataratta e glaucoma del 1951. Anestesia con cocaina topica al 4%, pi\u00f9 novocaina retrobulbare al 2% (1 cc) con epinefrina.<\/p>\n<p>Per ottenere l&#8217;acinesia, il paziente \u00e8 sotto curaro (iv). Un coltellino Graefe viene utilizzato per creare un&#8217;incisione corneosclerale a 180\u00ba che si continua con un lembo sclerale lamellare trapezoidale a ore 12 , pi\u00f9 un lembo congiuntivale a base limbus, tutto in un colpo. Una porzione sottile del lembo sclerale viene tagliata con le forbici tipo Westcott. Una grande PI (&#8220;3 fasi&#8221;) viene eseguita con le forbici BDW e il moncone dell&#8217;iride viene invertito per essere catturato sotto il lembo sclerale, in modo da fungere da stoppino filtrante (iridencleisis). Due precedenti suture corneosclerali vengono poste ai lati del lembo sclerale, prima dell&#8217;estrazione della cataratta con l&#8217;erisofago. Notare il movimento di rotolamento della ventosa e la contropressione con la pinza Colibri al limbo inferiore, per favorire la rottura delle zonule. Le suture preposizionate vengono chiuse e due punti congiuntivali aggiuntivi assicurano la copertura dell&#8217;area di filtrazione. Si noti la concavit\u00e0 della cornea, che indica un globo molto morbido, a cui si attribuisce l&#8217;effetto rilassante muscolare del curaro.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A combined cataract and glaucoma filtering surgery as of 1951. Anesthesia with topical 4% cocaine, plus retrobulbar 2% novocaine (1 cc) with epinephrine. To obtain akinesia, the patient is under curare (i.v.). A Graefe knife is used to create a 180\u00ba corneoscleral incision continued with a trapezoidal lamellar scleral flap at 12 h., plus a &#8230;<\/p>\n","protected":false},"author":3551,"featured_media":16350,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"spay_email":"","jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true},"categories":[968,969],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>003 Faco\u00e9resis e Iridenclesis-Prof. Jos\u00e9 Ignacio Barraquer-1951 Barcelona - Okyo<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/okyo.eu\/it\/003-facoeresis-e-iridenclesis-prof-jose-ignacio-barraquer-1951-barcelona\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"003 Faco\u00e9resis e Iridenclesis-Prof. Jos\u00e9 Ignacio Barraquer-1951 Barcelona - Okyo\" \/>\n<meta property=\"og:description\" content=\"A combined cataract and glaucoma filtering surgery as of 1951. 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