Eye Anatomy, Trauma, and Management (with Oculoplastic Surgeon, Dr. Harkaran Rana)

68 snips

Jul 15, 2024

Dr. Harkaran Rana, Oculoplastic Surgeon, discusses eye anatomy, trauma management, and treatment protocols. Topics include oculoplastic residencies, eye anatomy breakdown, severe eye traumas, surgical interventions, orbital floor fractures, open globe injuries, and a recent case study. Exciting teaser on using local fat for repairs in upcoming episodes.

Ask episode

AI Snips

Chapters

Transcript

Episode notes

ADVICE

Act Fast For Retrobulbar Hemorrhage

Treat progressive retrobulbar hemorrhage with immediate lateral canthotomy and cantholysis at bedside.
If symptoms persist, extend to the superior limb or proceed to OR as needed.

INSIGHT

Entrapment Is A Clinical, Not Radiographic, Diagnosis

Radiographic muscle prolapse does not equal clinical entrapment; entrapment is a clinical diagnosis.
True emergent entrapment is rare in adults and more common in children.

ADVICE

Operate Immediately For Pediatric Trapdoor Fractures

In pediatric trapdoor fractures with oculocardiac reflex or fixed gaze, take the child to the OR immediately.
Do not delay because incarcerated muscle quickly loses function and risks amblyopia.

Get the Snipd Podcast app to discover more snips from this episode

Get the app

We are excited to welcome our first-ever Oculoplastic Surgeon onto the Everyday Oral Surgery podcast. Dr. Harkaran Rana is currently a staff member at the Swedish Medical Center in Colorado, and he begins our conversation by walking us through his professional training history and current fellowship setup. Then, we learn about the intricacies of oculoplastic residencies, a comprehensive breakdown of the anatomy of the eye, the severe and non-urgent cases that Dr. Rana comes across, and his surgical and nonsurgical treatment protocols. We also redefine clinical entrapment within orbital floor fractures, discuss the basic principles surrounding open globe inquires, and unpack everything that we can learn from one of Dr. Rana's most recent cases.

Key Points From This Episode:

Dr. Harkaran Rana's professional background, training, and current fellowship setup.
How oculoplastic residencies differ from the rest.
Understanding the anatomy of the eye.
Critical eye traumas that Dr. Rana encounters, how he identifies them, and how he assesses severity.
Treatment and repair options for various eye injuries.
Orbital floor fractures and clinical entrapment.
Dr. Rana walks us through his common and non-urgent cases.
How he knows when surgical intervention in required, and the protocol he follows.
Basic principles when dealing with open globe injuries.
A case study of one of Dr. Rana's most recent patients.
A teaser on using local fat for repairs ahead of our upcoming episode on this topic.
The Debt Trap, road running, yoga, the versatile No. 9 scalpel, and Succession.

Links Mentioned in Today’s Episode:

Dr. Harkaran Rana on LinkedIn — https://www.linkedin.com/in/harkaran-rana-aa3637179

Dr. Harkaran Rana Email — harkaran.s.rana@gmail.com

Swedish Medical Center — https://www.healthonecares.com/locations/swedish-medical-center

Dr. Richard C. Allen on YouTube — https://www.youtube.com/@oculosurg1

American Academy of Ophthalmology — https://www.aao.org/

The Debt Trap — amazon.com/Debt-Trap-Student-Became-National/dp/1501199447

Succession — https://www.imdb.com/title/tt7660850/

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059