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Related Concept Videos

Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
Dialysis01:27

Dialysis

Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Dialysis01:15

Dialysis

Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in critically...

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A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
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Cyclodialysis cleft: causes and repair.

Alexander S Ioannidis1, Keith Barton

  • 1Glaucoma Service, Moorfields Eye Hospital, London, UK. alexioannidis@hotmail.com

Current Opinion in Ophthalmology
|January 7, 2010
PubMed
Summary

Recent developments in diagnosing and managing rare cyclodialysis clefts are reviewed. Early identification and a step-wise approach, from conservative measures to advanced surgical techniques, are crucial for successful treatment.

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Area of Science:

  • Ophthalmology
  • Ocular Trauma
  • Surgical Innovation

Background:

  • Cyclodialysis clefts are uncommon ocular conditions.
  • Blunt ocular trauma and iatrogenic interventions are primary causes.
  • Accurate diagnosis presents significant challenges.

Purpose of the Study:

  • To summarize recent advancements in diagnosing cyclodialysis clefts.
  • To review current and emerging management strategies for cyclodialysis clefts.

Main Methods:

  • Noninvasive diagnostic techniques like ultrasound biomicroscopy (UBM) and anterior segment OCT (AS-OCT) are highlighted.
  • Review of conservative, nonsurgical, and surgical treatment modalities.
  • Evaluation of novel surgical approaches including external plombage, vitrectomy, and gas-assisted endotamponade.

Main Results:

  • Diagnosis is aided by advanced imaging techniques.
  • Initial management emphasizes conservative approaches.
  • A range of interventions, from laser therapy to complex surgeries, are employed for cleft closure.

Conclusions:

  • A step-wise management strategy is essential for cyclodialysis clefts.
  • Accurate assessment of cleft extent and location guides treatment selection.
  • While novel surgical techniques show promise, further studies are needed to confirm their safety and efficacy.