Presentation :the development history of cataract surgery
This is just the tip of an eye (vitreous), the target has become white and opaque (cataract), with sharp instruments are introduced into the eye without anesthesia. The complication rate should be sufficient ...
It was not until 1750 that the French surgeon Jacques Daviel could be the first operation of the "modern" with the actual extraction and carry down the window as before.
The beginnings of this type of surgery
It is believed to have taken place in India, the first laptop battery 441132-001 intervention, but more information on Sanskrit texts. The misunderstanding comes from the Greek and moved over the centuries, taking the idea of lens opacity. For them, the target was the center of the vision and understand that this was the cause of poor vision. The Greeks called him "the novel hypochyma 'traduirent suffusio." Arabs called it "the tide" in Latin "has been translated opacta Gutta" or "cascade".
Many popular myths from the Roman period, including one that was copied to the delivery of cataract on the practice of animal, said. He said that if a goat had a vision, went downstairs, went into a bush and the eye was punctured with a backbone to reduce falls embarrassing.
A detailed description of the operation was Roman Aulus Cornelius Celsus (-25 / 50 BC) who lived at the time of Emperor Nero. He referred to the technical operation and the conditons to be a success. The patient was installed in a bright room on a chair. The assistant stands behind him to keep his head, the Dell Latitude E6410 battery operator of the right of the patient is placed in the eye operated on his right hand and left eye with his left hand.
He performed a needle (not sterile) hand in one eye halfway between the limb (edge of the cornea) and the outer edge, perpendicular to the ball in the horizontal meridian. If the needle at the hearing, which was placed a rocking motion, the lens into the vitreous cataract removed. Sometimes we had to do several steps, if you do not get the desired SONY VGP-BPL13 battery effect immediately.
During the Middle Ages, Arab doctors recommended an additional method for introducing a hollow needle to suck the remains of the lens.
Little change
In Europe, during this period and until mid-18th Century, asus battery al31-1005 was the only way to reduce the ancestors. Meanwhile, it was primarily outpatient hairdressers who practice this type of surgery. These events are not worthy of practicing physicians, and so he left the hair salon. It is the culmination of his contempt for the doctors believe that these resellers. I'm not the only ones who spoke Latin and learn more about the teachings of the aphorisms of Hippocrates and Galen is it?
A reorganization of the surgery, both in their teaching and standards of practice, serious, contributing to the advancement. At the request of Louis XV, Abrams, chief physician of King lays down detailed rules for the receipt of new surgeons and finally separates the wig of hair.
Gradually it became clear that the waterfall was quite a clouding of the lens itself and not published in a membrane. We saw the German Johannes Kepler (1571-1630) to the retina was greeted by the reception of Dell Latitude D630 battery signals and the objective was that the light rays to focus at this level. He published these ideas in 1610, but it took 100 years to an eventual recovery.
The first to understand that the waterfall was quite a clouding of the lens is Brisseau Pierre (1631-1717), which describes in a short text of 1705, the results of the autopsy.
A revolution
French surgeon Jacques Daviel (1693-1762) was a doctor who could make the delivery of the lens. In one of his patients, a hermit monophtalme Mont Aiguille: the eye requires first treated by reducing the dislocation in the extraction of the anterior chamber. The aspire 1410 battery consequences are devastating.
Based on cadavers and animals, and then proceeds to human 1750.Il incision in the cornea to remove the cataract, about 180 degrees in the lower hemisphere. He began cutting with a wide spatula to spread keratotomy with scissors. You can then remove the cataract lens.
From 1745 until his death in 1762, is operated by the successful extraction of Daviel, 206 patients 182nd It is not clear what the vision of success.
It was during the famous meeting on November 15, 1752 at the Academy of Medicine described the intervention Daviel. This led to discussions between supporters of transportation to and from the target. For dozens of years.
He had left a lot of complications with an infection or a hernia of the iris, which tends keratotomy.
This technique is considered to be restricted to experienced surgeons, "the extraction of only qualified and experienced hands," said Daviel.
The enmity between the two trends is even greater in the 18 century and 19 years. Many offended both sides.
England, against the famous physician Percival Pott (1713-1783), the extraction technique. The surgeons were divided into several strains of Georg Joseph Beer (1763-1821) describes:"Some doctors eyes are opposed to the abolition of the pot English gentleman to please others in the crowd. A third group was in spite of national pride and hatred was against all. French, and a fourth group was due to poor SONY VAIO VGN-FZ140E battery performance due to his prejudices or his stupidity. "
Italy Antonio Scarpa (1752-1832) is on the bottom.
This technique continued in France until the mid 19!
The modern world
Frederic Jaeger best method of disposal through an incision in the upper hemisphere, so that the upper eyelid to keep the flap of the cornea, with fewer infections and complications. We see a number of problems in the detention of the iris in the wound or infection (10.6% of cases seems panophthalmitis).
We had a large incision cataract important to leave, but then I saw the serious complications associated with the loss of the mass of glass.
Two significant changes have been developed:
Albert Moore (1828-1899) recommended the iridectomy and Albrecht von Graefe (1828-1870) proposed a linear cutting device has been adopted by all ophtalmos.
Ophtalmos to parts of the world back in the bow called "Method Daviel".
The beer was the master of the entire lens extraction, intracapsular.
The SONY VAIO VGN-FZ150E battery invention of anesthesia and surgery has made great progress much easier in the second half of the 19th century century. Carl Koller and invented local anesthesia with cocaine and has been adopted by many surgeons. Then came Henry Willard Williams, put the stitches to close the opening in the cornea, in 1865. Anton met in 1928 a local anesthetic Elschnig safer than cocaine, which allows us to immobilize the eye, retrobulbar thus insensitive.
After World War II, we have the introduction of sophisticated microsurgical microscope Barraquer in Barcelona attended in the 50's. We have an enzyme, chymotrypsin to destroy the tin zonule and easier intracapsular (1958).
We then used a probe to remove the lens when cooled cryo-probe (1961).
The cataract surgery today
Kelman phacoemulsification invented SONY VAIO VGN-FZ180E battery in 1967 in the U.S. can not fragment the target and make a small cut (now 2.8 mm and 3 mm). This is an extracapsular cataract, so that to preserve the posterior capsule, a barrier between the anterior chamber and vitreous. In 1949, an important step was made by Harold Ridley in London found that they put an implant in artificial plastic lens. In the first settlements were many complications, until, in 1972, changes in the lens Binkhorst.
Today is produced by the extraction and phacoemulsification hose ultrasonic positioning system in the capsular bag. The smallness of the cut (3 mm) does not mesh. Sometimes the systems to enable the vision of far and near (or plants difractifs mutifocaux).This intervention has been greatly improved with the use of pastes which are introduced into the anterior chamber to stay in shape during the SONY VGP-BPS13A/B battery operation.
Tomorrow there is an operation with an average of about one millimeter phakolaser or less. The problem is the introduction of the system if you can inject a polymer into the capsular bag to replace the interior of the lens. We hope to get some comfort. To be continued.
This is the history of cataract surgery of art. And "leader of the eye, without anesthesia, a non-sterile male, and change the glass lens acts of Qatar, with quick movements.The introduction of the needle through the pars plana, leaving behind the iris, and this will help push the lens.The dell inspiron 1300 battery complication rate was obviously high, but I do not know what could be improved.
This type of surgery there at the time of the Sumerians and India and China over 4000 years. Code already visible in the Louvre Amourabi are permetttait surgery and also sets penalties for the operator in case of complications (cut hands ...)....
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