Presentation
Devgan presents a challenging case of iris prolapse and pearls on how to handle this complication. Posted: 1/01/2008 Please log in to leave a comment. [eyetube.net]
Prompt surgical management is necessary when conjunctival coverage is not present or in the presence of complications. The primary goal of surgery is to restore the anatomical integrity of the eye. [emedicine.medscape.com]
[…] entry for "prolapse" is presented. [connection.ebscohost.com]
It is a relatively uncommon complication of present day cataract surgery, and it is postulated that iris prolapse results from transient pupillary block, in the post-operative period. [ncbi.nlm.nih.gov]
Entire Body System
- Anemia
[…] chronic or recurrent respiratory symptoms, gastrointestinal symptoms as rectal prolapse, steatorrhea, hepatobiliary disease as prolonged jaundice, failure to thrive, hyperglycemia and glycosuria, hypochloremic metabolic alkalosis, hypoprothrombinemia, anemia [jehp.net]
Immune response to hepatitis B vaccine booster in adolescents who received active immunization at birth Aezam Katoonizadeh, Alireza Norouzi, Navid Khoshbakht, Maryam Sharafkhah, Hossein Poustchi, Reza Malekzadeh F-T-080 hepatitis C and B infections and anemia [en.iaghcongress.org]
- Congestive Heart Failure
In patients with severe mitral regurgitation (MR) or congestive heart failure (CHF), treatment is done through Mitral valve repair surgery or valve replacement surgery. [samitivejhospitals.com]
Gastrointestinal
- Dyspepsia
Complications and survival after orthotopic liver transplantation Shahin Merat, Anahita Sadeghi, Siavosh Nasseri-Moghaddam, Hamidreza Soleimani W-F-023 Do Pattern of Gastritis Associate with Gastroesophagial Reflux Disease Among HP positive Chronic Dyspepsia [en.iaghcongress.org]
Cardiovascular
- Hypertension
Anterior Chamber Brain and Optical Pathway Choroid Congenital Syndromes, Malformations and Abnomalities Conjunctiva Cornea Glaucomas, Ocular Hypertension Hypertensive Retinopathy Iris and Ciliary Body Albinism (see: Congenital Syndromes) Anterior Uveitis [atlas-1-elastic.atlasoph.com]
Genetics No known genetic predisposition for IFIS Risk Factors Hypertension, but unclear if due to hypertension itself or the use of antihypertensive medications ( 4 ) Use of certain medications and/or supplements Tamsulosin Other α -receptor antagonists [unboundmedicine.com]
高血圧 hypertension 高血圧症 hypertension management 高血圧症治療 hyperthyroidism 甲状腺機能亢進症 hypertriglyceridemia 高トリグリセリド血症 hyperuricemia 高尿酸血症 hyperuricosuria 高尿酸尿症 hypolipidemic agent 高脂血症治療薬 hypothyroidism 甲状腺機能低下症 light perception 光覚 light perception 光覚弁 lipid [jds.or.jp]
Ocular Hypertension/Elevated IOP Sometimes, cataract surgery results in raised pressure in the eye, referred as “Ocular Hypertension” or “Elevated IOP (Intraocular Pressure)” simply. [irisvision.com]
- Heart Disease
Program Price (THB) Heart Disease Detection Program – Heart Disease (EST) | Checklist 10,000 Heart Disease Detection Program – Heart Disease (Echo) | Checklist 11,000 Heart Disease Detection Program – Heart Disease (Stress Echo) | Checklist 12,000 Genetic [samitivejhospitals.com]
diseases have gained importance in the field of cardiovascular medicine in recent years. [cjmb.org]
The University of Chicago Medicine offers tomorrow’s therapies today, improving the lives of people with heart disease, providing innovative treatments for cancer and helping mothers with complex pregnancies deliver healthy children. [uchicagomedicine.org]
Introduction: Body mass index (BMI) can affect cardiac morphology; however, the relationship between BMI and valvular heart diseases has not been thoroughly evaluated. [jctm.mums.ac.ir]
Recommendations for quantification methods during the performance of a pediatric echocardiogram: a report from the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council. [ijp.tums.pub]
Liver, Gall & Pancreas
- Jaundice
Patients presented with persistent or recurrent respiratory symptoms, failure to thrive (FTT), diarrhea and/or steatorrhea, and unexplained persistent jaundice. Twelve patients (20%) had positive sweat chloride test. [jehp.net]
Musculoskeletal
- Fracture
Keywords Humeral Fractures Proximal Humerus Fracture Clavicle Fracture Floating Arm Copyright © 2013, Iranian Red Crescent Medical Journal. [ircmj.com]
Tel: +98-2188033539, E-mail: [email protected] Received: December 08, 2011; Revised: July 15, 2012; Accepted: April 16, 2013 Keywords: Humeral Fractures; Proximal Humerus Fracture; Clavicle Fracture; Floating Arm Dear Editor, Rectal prolapse is a condition [docksci.com]
Orbital blow out fractures may cause extraocular muscle entrapment resulting in abnormal EOMs. Slit lamp exam. [emergencymedicinecases.com]
The exclusion criteria comprised: menopause, previous POP surgery, neurological disorders, pelvic cancer and mass, psychiatric disorders and history of joint problems (systemic lupus erythematosus, rheumatoid arthritis, Ehlers-Danlos syndrome or any fracture [jpma.org.pk]
Eyes
- Prolapse
Anterior wound placement, clear of the iris plane, should help to prevent iris prolapse. Minimizing the irrigation velocity (and hence the fluid outflow velocity) should also help to prevent intraoperative prolapse. [ncbi.nlm.nih.gov]
If unsuccessful through a paracentesis incision, a viscoelastic agent is injected into the anterior chamber in the region of the iris prolapse. This mechanical force may be enough to release the prolapse and to reposition the iris. [emedicine.medscape.com]
[…] and vaginal vault prolapse. [eurekamag.com]
- Blurred Vision
Some indications that a cataract may be forming are: Blurred or hazy vision, double vision, poor vision in bright light, seeing halos around lights, yellowish tinged vision, night vision difficulty. [cataractsurgeryca.com]
The fragments are not always easy to see, as they may be very small and may hide within the angle or behind the iris and cause symptoms such as blurred vision, photophobia, tearing and redness. [reviewofoptometry.com]
Blurred vision, redness in the eye and light sensitivity are some of the symptoms of retained lens fragments. 15. Posterior Capsular Opacification (PCO)/Secondary Cataracts PCO is one of the most common cataract surgery complications. [irisvision.com]
This inhumane punishment has seriously endangered the health of prisoners, causing muscular pains, severe headaches, blurred vision, nausea and continuous numbness. E. Medieval punishments 16. [ncr-iran.org]
Diagnosis: Clinically, bullous keratopathy presents as stromal oedema with overlying epithelial oedema, which initially manifests as blurred vision early in the morning and improving later in the day. Chronic corneal oedema leads to scarring. [ijo.in]
- Iridodonesis
2018 2019 Billable/Specific Code iris H21.89 uvea H21.89 Edema, edematous (infectious) (pitting) (toxic) R60.9 ICD-10-CM Diagnosis Code R60.9 Edema, unspecified 2016 2017 2018 2019 Billable/Specific Code Applicable To Fluid retention NOS iris H21.89 Iridodonesis [icd10data.com]
Neurologic
- Tremor
Past Ocular History: Pseudophakia right eye (OD) s/p uncomplicated phaco/IOL 2 years ago Cataract left eye (OS) Presbyopia Medical History: Heart disease - pericardial effusion, coronary artery disease, atrial fibrillation Central sleep apnea Tremor Benign [eyerounds.org]
Urogenital
- Dyspareunia
Women were also questioned, preoperatively and at 12 months, about dyspareunia. [scielo.br]
Dyspareunia was a rare complication in patients during follow-up and pain was not a major complaint. Publisher Full Text New Search Next [unboundmedicine.com]
Abdominal sacrocolpopexy is associated with a lower rate of recurrent vault prolapse and dyspareunia than the vaginal sacrospinous colpopexy. [scienceopen.com]
Subtotal hysterectomy is not recommended to prevent further prolapse (Grade A). in term of recurrence, dyspareunia and stress urine incontinency (SUI), abdominal sacropexy is better than vaginal suspension, however, these results cannot be extended to [bmjopen.bmj.com]
This problem is associated with low libido, vaginal dryness, and dyspareunia[9]. [article.sapub.org]
Treatment
Here, we report a case of iris prolapse caused by blunt ocular trauma after NPT with sinusotomy and mitomycin C treatment. [ncbi.nlm.nih.gov]
When the iris prolapses out of the incision towards the end of the case, the best treatment is to lower the pressure behind the iris. [healio.com]
Ophthalmic Surgery, Lasers & Imaging 34(2): 132-135, 2003 Comparison outcomes of three surgical procedures in treatment of severe pelvic organ prolapse and analysis of risk factors for genital prolapse recurrence. [eurekamag.com]
Prognosis
Prognosis poor if eye is continuously hemorrhaging pre- or post-operatively, if the lens is ruptured, luxated or expelled, and if vitreous is prolapsed into wound or anterior chamber. [vetstream.com]
The format includes the CPT codes for billing purposes, short description of the condition, etiology/incidence, course/prognosis, laboratory findings, differential diagnosis; prophylaxis, treatment (local and systemic, surgical or other), miscellaneous [books.google.com]
Complications Irregular pupil Iris trauma, iris tissue loss and atrophy Posterior capsule tear Vitreous loss Dropped nucleus Prognosis Appropriate preoperative and intraoperative preparation and management will allow for the best postoperative outcomes [eyewiki.aao.org]
Visual acuity should be considered the 6th vital sign for eye patients as prognosis in all of the vision threatening emergencies depends on the presenting visual acuity. Inspection. [emergencymedicinecases.com]
Etiology
The format includes the CPT codes for billing purposes, short description of the condition, etiology/incidence, course/prognosis, laboratory findings, differential diagnosis; prophylaxis, treatment (local and systemic, surgical or other), miscellaneous [books.google.com]
CYP1B1 is the major PCG causing gene among Iranians and also contributes to the etiology of POAG, particularly the early onset form of the disease. This has implications on the shared etiology of PCG and POAG. [jovr.org]
Keywords: Etiology, incontinence, pelvic organ prolapse How to cite this article: Zargham M, Alizadeh F, Moayednia A, Haghdani S, Nouri-Mahdavi K. The role of pelvic organs prolapse in the etiology of urinary incontinence in women. [advbiores.net]
There are multiple etiologies for poor pupillary dilation and several mechanisms could be applicable in the patient described in the case above. [eyerounds.org]
Epidemiology
Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstetrics & Gynecology. 1997;89(4):501-6. Clark AL, Gregory T, Smith VJ, Edwards R. [journals.aiac.org.au]
2 2015 Epidemiological and clinical study of phenylketonouria (PKU) disease in Khorasan Province; Northeast Iran S Badiee, N Morovatdar, SMR Hossini, F Norouzi, T Mina medical journal of mashhad university of medical sciences 57 (3), 571-578, 2014 2 [scholar.google.com]
Epidemiology of Pre-Eclampsia. Iran University of Medical Sciences 1995. [medschool.ucr.edu]
Epidemiology of genital prolapse: observations from the Oxford Family Planning Association Study. Br J Obstet Gynaecol. 1997; 104(5):579-85. 18. Herbert J. Pregnancy and childbirth: the effects on pelvic floor muscles. [ijer.skums.ac.ir]
Pathophysiology
It can help us to better understand pathophysiology of this common disease. Materials and Methods: In this descriptive study we enrolled 200 patients with isolated MVP. [jctm.mums.ac.ir]
Intraoperative floppy iris syndrome is characterized by poor preoperative pupil dilation and intraoperative iris billowing, iris prolapse, and progressive pupillary miosis. [2] Pathophysiology Iris prolapse can occur when the cornea is perforated due [emedicine.medscape.com]
[…] all cataract surgeries ( 1 ) Incidence of 60% among patients who are taking or who ever took tamsulosin ( 1 ) Occurs intraoperatively in 43–87% of patients who have ever taken tamsulosin Prevalence 9 times more prevalent among males ( 2 ) Etiology and Pathophysiology [unboundmedicine.com]
Pathophysiology Tamsulosin (Flomax) is a selective alpha1 blocker that works by relaxing the bladder and prostatic smooth muscle. Alpha1 adrenergic receptor anatgonists may also cause the constriction of the iris dilator muscle. [eyewiki.aao.org]
Prevention
Anterior wound placement, clear of the iris plane, should help to prevent iris prolapse. Minimizing the irrigation velocity (and hence the fluid outflow velocity) should also help to prevent intraoperative prolapse. [ncbi.nlm.nih.gov]
I like to remove viscoelastic above the lens before hydrodissection to help prevent this complication. [crstoday.com]
Ten Tips to Prevent and Treat Iris Prolapse Contributor: Steven M. Christiansen, MD and Thomas A. [webeye.ophth.uiowa.edu]