First Author: H.Shekhar INDIA
Co Author(s): R. Sinha J. Titiyal N. Sharma R. Vajpayee
Purpose:
To study the feasibility and success of a unique and simple technique of injection of intracameral gas for postoperative descemet's detachment
Setting:
Dr. Rajendra Prasad Centre for ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
Methods:
The study was performed in 11 eyes of 11 patients with postoperative descemet's detachment. Intracameral injection of 14% C3F8 gas was planned. A small paracentesis was made at the limbus with a microvitreoretinal blade. A small amount of aqueous was drained out. A cannula was introduced into the anterior chamber through this paracentesis. The C3F8 gas was injected into the anterior chamber under the detached descemet's. Sodium hyaluronate 1% was injected over the paracentesis and the cannula was withdrawn.
Results:
The gas could be injected in all the eyes by a single attempt. There was no eggress of gas during or after withdrawl of the cannula. In the postoperative period the descemet's was well attached in all the eyes except one eye in which there was some residual inferior descemet's detachment . A re-injection was done in this eye and the descemet's was well attached the next day.
Conclusions:
This technique of use of sodium hyaluronate allows the retention of the gas and blocks the port nicely during removal of the cannula. Multiple attempts to retain the gas inside the anterior chamber is avoided. FINANCIAL DISCLOSURE?: No
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