Named Operations in Ophthalmology

·         Fucala's operation: Removal of clear crystalline lens for unilateral very high myopia

·         McReynold's operation: Transplantation of pterygium in the lower fornix, not performed now.

·         Cicatricial entropion.

1. Resection of skin and muscle

2. Resection of skin, muscle and tarsus

3. Modified Burow’s operation

4. Jaesche-Arlt’s operation

5. Modified Ketssey’s operation

·         Senile entropion. Commonly used surgical techniques are as follows:

i. Modified Wheeler’s operation:

ii. Bick’s procedure with Reeh’s modification:

iii. Weiss operation.

iv. Tucking of inferior lid retractors (Jones, Reeh and Wobig operation):

·         Mechanical ectropion. It is corrected by treating the underlying cause.

i.         V-Y operation.

ii.       Z-plasty (Elschnig’s operation)

iii.      Excision of scar tissue and full thickness skin grafting.

·         Congenital ptosis. It almost always needs surgical correction. In severe ptosis, surgery should be performed at the earliest to prevent stimulus deprivation amblyopia. However, in mild and moderate ptosis, surgery should be delayed until the age of 34 years, when accurate measurements are possible. Congenital ptosis can be treated by any of the following operations:

1. Fasanella-Servat operation. ( ans: Horner’s Syndrome)
2. Levator resection. (A)Conjunctival approach (Blaskowics’ operation): (B)Skin approach (Everbusch’s operation):

·         The classical technique of lateral orbitotomy using S-shaped brow skin incision is called Kronlein’s operation, done for AXIAL PROPTOSIS.

·         Seton operation: In this operation, a valvular synthetic tube is implanted which drains the aqueous humour from the anterior chamber into the subconjunctival space. It is performed for neovascular glaucoma and intractable cases of primary and other secondary glaucomas where medical treatment and conventional filtration surgery fail.

·         TRIPPLE SNIP operation for Punctum Block.