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Because direct mechanical coupling is thought to improve artificial eye motility, attempts have been made to develop so-called 'integrated implants' that are directly connected to the artificial eye. The porous nature of integrated implants allows fibrovascular ingrowth throughout the implant and thus also insertion of pegs or posts. We would caution that you contact the ophthalmologic surgeon prior to considering allowance in a hyperbaric environment:

You may also consider that there are integrated implants that are more complex. Individuals with hollow orbital implants should not dive." There are reports of pressure-induced collapses of hollow silicone orbital implants at depths as shallow as 10 feet.“’ A hollow glass implant was also tested and did not implode at a maximum test depth of 115 feet, but diving with hollow glass implants could not be recommended on the basis of this one test. One exception is an individual who has undergone enucleationĪnd who has a hollow implant. ENUCLEATION: “After the convalescent periods recommended in the previous section, diving should be possible after almost any type of eye surgery. “Diving contraindicated with hollow orbital implants," Reference pgs. indicating that hollow orbital implants are contraindicated to diving: There is a single published study “Diving and Hyperbaric Ophthalmology” in the journal, “Survey of Ophthalmology” by Dr. If there is any doubt about the construction of the ocular prosthesis, and the item can be easily removed, the UHMS HBO2 Safety Committee recommends removing the ocular prosthesis. We suggest that your admittance of this item into a hyperbaric environment be dependent upon the construction of the prosthesis (hollow, solid or porous Integrated or non-integrated) and the patient’s level of comfort and consent with the potential risks involved. The UHMS HBO 2 Safety Committee would advise that the Safety Director and Medical Director use caution when evaluating this item for risk, as there may be more risk than is obvious to you. The UHMS HBO 2 Safety Committee can provide information to assist you in answering your question, but the ultimate responsibility for these types of questions rests with the Medical Director and Safety Director of your facility. Is it safe to allow "glass" eyes in the chamber? To access the Member Only content, log in to your account.Recreational Diving Medical Screening System.Quality, Utilization, Authorization and Reimbursement Committee "QUARC".Multicenter Registry for Hyperbaric Oxygen Therapy.Program for Advanced Training in Hyperbarics (PATH).Report of the Decompression Illness Adjunctive Therapy Committee of the Undersea and Hyperbaric Medical Society.

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UHM Journal publishes second special edition on traumatic brain injury.

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Special issue: BIMA Study - Purchase UHM Journal 43-5 in PDF.Purchase the UHMS Guidelines for Hyperbaric Facility Operations (3rd Ed).Purchase the Hyperbaric Oxygen Therapy Indications (14th Ed).DAN-UHMS Diving and Hyperbaric Medicine Courses.Fellow of Undersea & Hyperbaric Medicine.

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How to Prepare for Accreditation Workshop.Hyperbaric Facility Accreditation Program.