Retinal reattachment surgery in the remote Guatemalan Highlands.
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Biomedical subjects
Publications and source records attributed to J G Worst.
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Extracapsular surgery is an ideal type of cataract surgery in combination with lens implantation insofar as stability and fixation of the lens is greatly enhanced. However, a number of complications can be expected. The main probelms of extracapsular surgery is posterior capsule opacification. This is due to regeneration of germinal lens fibers. To prevent this a complete removal of cortical lens matter is advisable, even in lens implantation. This however requires special lenses, which have additional iris fixation.
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A hypothesis is proposed attributing a number of biotoxic effects to aqueous humor (ABC equals Aqueous Biotoxic Complex). Under normal anatomical and physiological conditions aqueous humour is contained in the anterior and posterior chamber reservoir and the ABC effects remain silent because the boundaries of the aqueous humour reservoir are resistant to these biotoxic factors. These factors are biochemically undefined but fall in the category of collagenolysins and anti-vascular enzymes (Prostaglandins?). Outside the normal reservoir these biotoxic effects result in a specific pathology such as corneal edema, subconjunctival edema, lens fiber edema, macular edema, papilledema and chorioidal edema.
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