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Ciruga de glaucoma - Medical Animation
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Ciruga de glaucoma - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: El cirujano realizar una ciruga de glaucoma para fijar problemas de drenaje en el ojo debido a la alta presin intraocular. La cmara anterior se llena con un lquido acuoso llamado humor acuoso que baa y nutre la crnea y la lente. Cuando el humor acuoso fluye desde la cmara posterior, continuamente drena a travs red trabecular entre el iris y la crnea. El flujo adecuado del humor acuoso, mantiene la presin dentro del ojo normalmente balanceada. Cuando se produce el glaucoma, el humor acuoso drena hacia afuera demasiado lento o es producido demasiado rpido originando la acumulacin de lquido que incrementa la presin intraocular. Con la tensin de esta presin, las fibras del nervio ptico se daan y con el tiempo mueren, lo que puede producir la prdida de visin permanente. Las opciones de ciruga de glaucoma incluyen los procedimientos con lser y sin lser. El procedimiento dura por lo general, entre 10 y 60 minutos. Si se somete a un procedimiento lser, se deber sentar con el rostro mirando hacia la mquina lser. Se le administrarn gotas oftlmicas para adormecer el ojo. Se colocar un pequeo dispositivo en los ojos para mantener los prpados abiertos. Una trabeculoplasta es un procedimiento lser que aumenta el drenaje del lquido de la trabecular. Durante una trabeculoplasta lser, el mdico usar una lente de contacto especial sostenida sobre el frente del ojo para enfocar un rayo de luz lser en la red trabecular. Si el procedimiento tiene xito, ello permitir que fluya ms lquido del ojo, lo que disminuir la presin intraocular. Una iridotoma perifrica es un procedimiento lser que abre un ngulo de drenaje estrecho o cerrado entre la crnea y el iris. Este ngulo cerrado, interfiere con el drenaje del lquido. En este procedimiento, el mdico utilizar el lser para realizar un pequeo orificio en el iris, lo que permitir que el lquido fluya ms libremente dentro del ojo. La ciclofotocoagulacin es un procedimiento lser que reduce la produccin de humor acuoso. En la ciclofotocoagulacin, el mdico usar un lser para destruir partes del cuerpo ciliar, que produce humor acuoso. Si tiene xito, reducir la produccin de lquido y disminuir la presin del ojo. Una trabeculectoma es una ciruga incisional que extrae una parte de la red trabecular del ojo. Durante este procedimiento, el mdico utilizar pequeos instrumentos para extraer diminutos trozos de tejidos de la pared del ojo dejando un pequeo orificio a travs del cual el humor acuoso puede drenar hacia afuera y ser reabsorbido en el flujo sanguneo. Aunque los medicamentos y los tratamientos quirrgicos puedan ayudar a prevenir futuras prdidas de visin, no pueden reparar la visin que se perdi debido al glaucoma. Luego del procedimiento usted ser controlado durante una o dos horas antes de retirarse. Se le colocar un parcho ocular o vendas para usar temporalmente. Se le recetar gotas oftlmicas y se le indicar cmo utilizarlas. Probablemente, el mdico le aconseje mantener el ojo seco durante un tiempo, evitar nadar o baarse, y dejar de manejar temporalmente, levantar peso o esforzarse.

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What attorneys say about MLA and The Doe Report:
"I have found that the personalized medical illustrations prepared by Medical Legal Art have been very accurate and helpful. The medical doctors, both treating physicians and expert witnesses, have commented on the accuracy and professionalism of the medical illustrations. Most importantly, your prompt service and attention upon even short notice has been tremendous. I can certainly say that the medical illustrations prepared by Medical Legal Art have assisted us in bringing cases to a successful resolution."

Paul L. Redfearn
The Redfearn Law Firm, P.C.
Kansas City, MO

"This past year, your company prepared three medical illustrations for our cases; two in which we received six figure awards; one in which we received a substantial seven figure award. I believe in large part, the amounts obtained were due to the vivid illustrations of my clients' injuries and the impact on the finder of fact."

Donald W. Marcari
Marcari Russotto & Spencer, P.C.
Chesapeake, VA
"Whether it's demonstrating a rotator cuff tear, neck movement a few milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report represents an instant on-line database of medical illustration for health-care and legal professionals.

Illustrations can be purchased 'as is' or modified within hours and sent either electronically or mounted on posterboard. An illustration is worth a thousand words, as juries perk up and look intently to capture concepts that are otherwise too abstract. Start with good illustrations, a clear and direct voice, a view of the jury as 12 medical students on day one of training, and your expert testimony becomes a pleasure, even on cross examination. An experienced trial lawyer should also emphasize these illustrations at the end of trial, as a means of visually reinforcing key concepts covered.

As a treating physician, I also use these accurate illustrations to educate my own patients about their medical conditions. The Doe Report is an invaluable resource, and its authors at MLA have always been a pleasure to work with."

Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine

"I thought you might want to know that after we sent a copy of your illustration to the defendants, with a copy to the insurance company, they increased their offer by an additional million dollars and the case was settled for $1,900,000.00.

I appreciate your help!"

O. Fayrell Furr, Jr.
Furr, Henshaw & Ohanesian
Myrtle Beach, SC

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