Article
Method of evacuation of retrostromal corneal hemorhage
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Published: | April 5, 2013 |
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Outline
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Pathologically allocated blood in the eye may be found in isolated/linked eye spaces (anterior/posterior chamber, vitreous cavity), soft eye tissues (iris, retina), between eye membranes (sub retinal, subchoroidal, subconjunctival). There are very few reports about blood in the cornea. Depending upon its location (central, peripheral) and process termination (spontaneous resorption or penetration to surrounding tissues – hematocornea) visual outcomes are different. Therefore invasive method of blood evacuation might be of choice. Below is described novel method of blood removal from the space between descemet membrane (DM) and corneal stroma:
- Create two small paracentesis each at the opposite side of the detached DM to enter the space between corneal layers
- Create positive pressure in the anterior chamber (Healon)
- Open one/both paracentesis to let contents of the pathological space to be pressed out
- Insert canola through one paracentesis and cautiously irrigate BSS into the space and let its contents leave the space through opposite paracentesis simultaneously
- Exchange OVD with air/SF6 in the anterior chamber.
The above procedure allows restoration of corneal transparency and composes proper conditions for visual act.
Video will be represented.