Human ; BLEPHAROPLASTY ; OPHTHALMOLOGIC SURGICAL PROCEDURE ; RECONSTRUCTIVE SURGICAL PROCEDURE ; PLASTIC SURGERY

Human ; Aged ; Middle Aged ; OPHTHALMOLOGY ; EYE DISEASES ; OPHTHALMOLOGIC SURGICAL PROCEDURE ; ORTHOPTICS ; VISION, OCULAR

Purpose: To determine the histopathology of enucleated post-traumatic eyeballs and the most frequent indicators for enucleation Methods: All eyeballs enucleated with a clinical diagnosis of ocular injury were reviewed. The study period was from 1971 to 1996 Results: There were 198 eyeballs studied. Males were three times more involved than females. The most affected age group belonged to the third decade of life. Eyeball rupture with expulsive hemorrhage and loss of intraocular contents accounted for the most common indication for immediate enucleation. Endophthalmitis and panophthalmitis were the next common indications for early enucleation. The rest of the eyeballs were enucleated from 3 months to 43 years after injury. Histopathology revealed the presence of staphyloma, atropia bulbi, pthisis bulbi and glaucoma. Synechiae, cataract and keratitis were the outstanding features of the anterior segment pathology. Retinal detachment, choroidal hemorrhage and detachment were the most significant findings in the posterior segment Conclusions: The major indications from early enucleation in ocular trauma are eyeball rupture with expulsive hemorrhage and infectious processes. Staphyloma, pthisis bulbi and glaucoma may develop in later years leading to enucleation.
Human ; Aged ; Middle Aged ; Adult ; Young Adult ; Adolescent ; Child ; Child Preschool ; Infant ; EYE ENUCLEATION ; OPHTHALMOLOGIC SURGICAL PROCEDURE

Purpose: To evaluate the predictability of flap thickness produced by 2 available plates of the automated Hansatome microkeratome (160 um and 180 um blades) Methods: A cross-sectional study of 104 eyes of 57 patients who had undergone LASIK with either planoscan or customized ablation excises laser treatment was evaluated. The procedures were done by 18 surgeons employing a standard surgical protocol. The eyes were assigned to the available plates depending on the pre-operative refraction, pachymetry, keratometry and estimated residual thickness Results: Thickness of corneal flap cannot be predicted by clinical parameters.
Human ; Aged ; Middle Aged ; Adult ; Young Adult ; CROSS SECTIONAL STUDIES ; KERATOMILEUS ; LASER IN SITU ; LASER SURGERY ; OPHTHALMOLOGIC SURGICAL PROCEDURE