{"id":17522,"date":"2022-04-21T11:39:07","date_gmt":"2022-04-21T09:39:07","guid":{"rendered":"https:\/\/okyo.eu\/013-cirugia-de-la-catarata-coexistencia-de-catarata-y-glaucoma-joaquin-barraquer-1965-barcelona\/"},"modified":"2022-04-21T14:20:37","modified_gmt":"2022-04-21T12:20:37","slug":"013-cirugia-de-la-catarata-coexistencia-de-catarata-y-glaucoma-joaquin-barraquer-1965-barcelona","status":"publish","type":"post","link":"https:\/\/okyo.eu\/it\/013-cirugia-de-la-catarata-coexistencia-de-catarata-y-glaucoma-joaquin-barraquer-1965-barcelona\/","title":{"rendered":"013 Cirug\u00eda de la catarata, coexistencia de catarata y glaucoma-Joaqu\u00edn Barraquer-1965 Barcelona"},"content":{"rendered":"<div class=\"rwd-video\"><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/player.vimeo.com\/video\/701591528?autoplay=1?api=1&#038;player_id=vimeo_video&#038;color=#00adef\" allowfullscreen><\/iframe><\/div>\n<p>This silent movie, edited by Joaqu\u00edn Barraquer in 1965, includes three cases of cataract surgery in cases with glaucoma. The two first are of combined phakoeresis and classical filtering (Lagrange-Foroni sclerectomy) glaucoma surgery. A wide 180\u00ba limbus-based conjunctival flap is prepared with Westcott scissors and bluntly dissected (including Tenon\u2019s) to the limbus, followed by point cauterization. The <em>ab externo<\/em> incision is prepared with a beveled groove 1 mm behind the limbus, using a Desmarres knife. The cautery is applied to close any bleeders and more confluently to prepare the 12 o\u2019clock sector for the filtering sclerectomy. The wound is open with keratome and J.I. Barraquer straight scissors, following the prepared groove.<\/p>\n<p>With the cornea reflected by pulling on the conjunctival flap, a thin rectangle of the outer scleral lip of the wound is excised with fine Lagrange scissors at 12 o\u2019clock, and further cauterized preventively. A sector iridectomy is performed in 1 stroke with Westcott scissors. After preplacing two virgin silk sutures at the sides of the sclerectomy, the cataract is extracted with the erisophake. A spontaneous air bubble forms in the AC and is then enlarged to fill it, prior to closing the preplaced sutures. The beveled construction of the wound -and the quiet eye due to the general anesthesia- allows the air bubble to be retained during the completion of the suture with 7 extra stitches, leaving the sclerectomy segment unsutured. A thin spatula is passed -through the air bubble- to check that the pillars of the iridectomy are not captured in the wound. The conjunctiva is closed with a combination of interrupted and running sutures. The chamber is left filled with the air bubble, and a slight compression on the cornea makes part of it to move under the conjunctiva, preforming the filtering bleb.<\/p>\n<p>The second case (the fellow eye?) follows a similar technique. At the end, the air injected into the AC passes under the conjunctiva, forming a more prominent bleb than in the first case, which possibly indicates a greater filtration.<\/p>\n<p>The third case already carries a superior functioning filtering procedure and a clear corneal graft. The purpose of this sequence is to show cataract surgery performed through the inferior limbus. It follows a technique similar to the previous (without the filtering procedure): limbus-based flap, <em>ab externo<\/em> large beveled corneoscleral incision, PI at 6 o\u2019clock, preplaced suture with a safety bead, liberation of posterior synechia with spatula, instillation of aCT in the posterior chamber with olive-tipped canula, washing irrigation 2 minutes later, and erisophake extraction of the cataract. After the corneoscleral suture is completed -and prior to closing the conjunctiva-, it its tested for hermeticity by further injecting air in the AC, which passes into the superior bleb but does not exit inferiorly.<\/p>\n<p>Questo film muto, montato da Joaqu\u00edn Barraquer nel 1965, include tre casi di chirurgia della cataratta in casi di glaucoma. I primi due sono di facoeresi combinata e chirurgia del glaucoma classica con filtraggio (sclerectomia di Lagrange-Foroni). Un ampio lembo congiuntivale a 180\u00ba con base sul limbus viene preparato con le forbici Westcott e sezionato\u00a0 (compreso il tenone) al limbus, seguito da cauterizzazione . L&#8217;incisione ab externo viene preparata con una scanalatura smussa 1 mm dietro il limbus, utilizzando un coltello Desmarres. Il cauterio viene applicato per chiudere eventuali sanguinamenti e\u00a0 per preparare il settore delle ore 12 alla sclerectomia filtrante. La ferita \u00e8 aperta con cheratomo e\u00a0 forbici dritte J.I. Barraquer, seguendo il solco preparato.<\/p>\n<p>Con la cornea riflessa tirando il lembo congiuntivale, un sottile rettangolo del labbro sclerale esterno della ferita viene asportato con sottili forbici di Lagrange a ore 12 e ulteriormente cauterizzato preventivamente. Un&#8217;iridectomia settoriale viene eseguita in 1 colpo con le forbici Westcott. Dopo aver preposizionato due punti di sutura in seta vergine ai lati della sclerectomia, si estrae la cataratta con l&#8217;erisofago. Una bolla d&#8217;aria spontanea si forma nell&#8217;AC e viene quindi allargata per riempirla, prima di chiudere le suture preposizionate. La costruzione smussata della ferita -e l&#8217;occhio tranquillo dovuto all&#8217;anestesia generale- consentono di trattenere la bolla d&#8217;aria durante il completamento della sutura con ulteriori 7 punti , lasciando il segmento di sclerectomia non suturato. Una sottile spatola viene fatta passare -attraverso la bolla d&#8217;aria- per verificare che i pilastri dell&#8217;iridectomia non vengano catturati nella ferita. La congiuntiva viene chiusa con una combinazione di suture interrotte e continue. La camera viene lasciata riempita con la bolla d&#8217;aria, e una leggera compressione sulla cornea fa in modo che parte di essa si muova sotto la congiuntiva, preformando la bolla filtrante.<\/p>\n<p>Il secondo caso (l&#8217;altro occhio del paziente ?) segue una tecnica simile. Alla fine, l&#8217;aria iniettata nell&#8217;AC passa sotto la congiuntiva, formando una bolla pi\u00f9 prominente rispetto al primo caso, il che probabilmente indica una maggiore filtrazione.<\/p>\n<p>Il terzo caso comporta gi\u00e0 una procedura di filtraggio di funzionamento superiore e un innesto corneale trsparente . Lo scopo di questa sequenza \u00e8 mostrare un intervento di cataratta eseguito attraverso il limbus inferiore. Segue una tecnica simile alla precedente (senza la procedura di filtraggio): lembo a base limbus, incisione corneosclerale smussa ab externo, PI a ore 6, sutura preposizionata , liberazione della sinechia posteriore con spatola, instillazione di aCT nella camera posteriore con cannula a punta di oliva, irrigazione di lavaggio 2 minuti dopo ed estrazione dell&#8217;erisofago della cataratta. Dopo che la sutura corneosclerale \u00e8 stata completata -e prima di chiudere la congiuntiva-, viene testata l&#8217;ermeticit\u00e0 iniettando ulteriormente aria nell&#8217;AC, che passa nella bolla superiore ma non esce inferiormente.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This silent movie, edited by Joaqu\u00edn Barraquer in 1965, includes three cases of cataract surgery in cases with glaucoma. The two first are of combined phakoeresis and classical filtering (Lagrange-Foroni sclerectomy) glaucoma surgery. A wide 180\u00ba limbus-based conjunctival flap is prepared with Westcott scissors and bluntly dissected (including Tenon\u2019s) to the limbus, followed by point &#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>013 Cirug\u00eda de la catarata, coexistencia de catarata y glaucoma-Joaqu\u00edn Barraquer-1965 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\/013-cirugia-de-la-catarata-coexistencia-de-catarata-y-glaucoma-joaquin-barraquer-1965-barcelona\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"013 Cirug\u00eda de la catarata, coexistencia de catarata y glaucoma-Joaqu\u00edn Barraquer-1965 Barcelona - Okyo\" \/>\n<meta property=\"og:description\" content=\"This silent movie, edited by Joaqu\u00edn Barraquer in 1965, includes three cases of cataract surgery in cases with glaucoma. 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