Video del Mr Abdallah Ellabban
Internal limiting membrane (ILM) is a thin layer on the inner surface of the retina. ILM peeling is a surgical technique commonly used to treat macular holes. Researchers found that peeling the of ILM increases the chance for the macular hole to close after the surgery and improves visual recovery.
Some patients may develop scar tissue on the surface of the retina called Epiretinal membrane or ERM. The membrane often builds up slowly over time and may contract to cause wrinkling of the retinal surface leading to distortion of vision. The scar tissue can be removed via a surgery called “vitrectomy” which involves removing the gel inside the eye using very small instruments. Then the membrane is peeled off the retina with the aid of fine micro-forceps. When the membrane is removed by surgery, you will usually notice an improvement in vision, particularly in the quality of vision. This usually takes a few weeks to months to reach the final improvement as the retina heals after the surgery. You will be followed with the aid of retinal scans to monitor the healing process and restoration of the retinal layers.
A "cataract" is a clouding of the lens inside the eye. With cataracts, the vision gradually becomes misty or foggy making it difficult to read or drive (especially at night). For people who have cataracts, seeing through cloudy lenses is a bit like looking through a frosty or fogged-up window. Surgery is the only way to treat cataracts by replacing the cloudy lens with a clear plastic lens. Modern cataract surgery is often performed under topical anaesthesia (numbing drops) for optimal patient discomfort. The surgery often takes between 6-10 minutes while lying flat and then you can go home after the surgery. You will be advised to put some drops after the surgery to help the eye to heal quickly.
This is a case of congenital iris coloboma and large chorioretinal coloboma. The patient developed a +2 cataract and experienced drop in her vision(55yrs, single eye, iris + lens coloboma, about 2 clock hours of zonular dehiscence, large chorioretinal coloboma, Biometry +32, other eye has early phthisis). Combined cataract surgery & Iris coloboma repair (using Single-pass four-throw pupilloplasty using 10/0 prolene) was performed to avoid the prismatic effect of the lens edge. I prefer to do an initial gentle stretch of the iris tissue to assess the gap + to take good bites in the iris tissue to avoid cheese-wiring (in these cases there is a gap in the iris tissue, and any repair will require some amount of iris stretch). When possible, try to preserve the geometric centre of the pupil.
Toric lenses are suitable for patients with corneal astigmatism. Astigmatism is a condition when the cornea, the front part of the eye, is like a rugby ball rather than a sphere. Toric lenses can correct astigmatism in the prescription. When a patient has a significant degree of astigmatism, a toric lens would be beneficial to help spectacle independence. These lenses have special marks at the axis of the astigmatism. They require careful pre-operative planning of the level of the astigmatism. They are inserted inside the eye after careful marking of the astigmatism meridian on the cornea and the lens is aligned along this desired meridian.
This patient quickly developed a dense cataract after intravitreal treatment. Preoperatively, it was thought that he may have a posterior capsule tear. The lens was quite swollen "intumescent" and hard. Capsulorrhexis was carefully designed to avoid the risk of extension as the lens was intumescent. The horizontal chop technique is quite useful in the management of these cases. - Throughout the surgery, special attention not to put any pressure on the posterior capsule. Interestingly, the capsule was intact, and the possible explanation was that the intravitreal needle may have only hit, but did not break the capsule. The patient had an excellent outcome after the surgery.
In this informative online interview, revered consultant ophthalmologist, Mr Abdallah Ellabban, discusses epiretinal membrane in expert detail. 00:00 Introduction 00:10 What is an epiretinal membrane? 01:40 What causes an epiretinal membrane? 02:52 What symptoms do patients typically experience? 04:31 How serious it is? Is treatment always required? 05:10 How is an epiretinal membrane treated? 06:58 Should I undergo surgery? To book an appointment with Mr Abdallah Ellabban, visit his Top Doctors profile here today: https://www.topdoctors.co.uk/doctor/abdallah-ellabban ✔ Follow us on Instagram: https://bit.ly/3fSrqXb ✔ Follow us on Facebook: https://bit.ly/3t5kGsW ✔ Follow us on Twitter: https://bit.ly/39TidKh
Cataracts are a very common eye condition causing the lens of the eye to become cloudy. If left untreated, it can lead to blindness. In his latest video interview, renowned ophthalmologist Mr Abdallah Ellabban offers his expert insight into this condition. 0:00 What is a cataract? 1:20 How does a cataract form? 2:38 What are the risk factors for catarct development? 3:21 How is a cataract treated? 5:22 What are the types of replacement lenses? 7:55 When should I start to consider cataract surgery? 8:42 What is the success rate of cataract surgery? 9:37 When can I drive after cataract surgery? If you would like to schedule a consultation with Mr Abdallah Ellabban, simply visit his Top Doctors profile here: https://www.topdoctors.co.uk/doctor/abdallah-ellabban ✔ Follow us on Instagram: https://bit.ly/3fSrqXb ✔ Follow us on Facebook: https://bit.ly/3t5kGsW ✔ Follow us on Twitter: https://bit.ly/39TidKh