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27. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII)

Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII)

11.04. - 13.04.2013, Heidelberg

Method of evacuation of retrostromal corneal hemorhage

Meeting Abstract

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  • Vytautas Jasinskas - Kaunas/LT

Deutschsprachige Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie. 27. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII). Heidelberg, 11.-13.04.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13dgii008

doi: 10.3205/13dgii008, urn:nbn:de:0183-13dgii0085

Published: April 5, 2013

© 2013 Jasinskas.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

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.