Hernandez-Da Mota Sergio E
Clinica David, Unidad Oftalmologica, Blvd. Garcia de Leon 598-2, Colonia Nueva Chapultepec, 58280 Morelia, MICH, Mexico.
Case Rep Ophthalmol Med. 2017;2017:8190823. doi: 10.1155/2017/8190823. Epub 2017 Feb 21.
A case of postvitrectomy hemorrhage with secondary glaucoma successfully treated with an office-based fluid to fluid exchange is described. A 25 Ga trocar was placed 3 mm from the sclerocorneal limbus at the 2 o'clock position and connected to a 250 cc elevated bottle of balanced salt solution (BSS) through an intravenous (IV) line and an infusion cannula. Afterward, a 25 Ga needle was inserted 3 mm from the limbus at the 5 o'clock position approximately. The BSS fluid entered the eye through the 25 Ga trocar lavaging the vitreous cavity and the anterior chamber. About 4 to 6 cc of hemorrhagic fluid egressed the eye through the 25 Ga needle.
描述了一例玻璃体切除术后出血合并继发性青光眼经门诊液体-液体交换成功治疗的病例。在2点位置距角巩膜缘3毫米处插入一根25G套管针,并通过静脉输液管和输液套管与一个抬高的250毫升平衡盐溶液(BSS)瓶相连。之后,在大约5点位置距角膜缘3毫米处插入一根25G针头。BSS液通过25G套管针进入眼内,冲洗玻璃体腔和前房。约4至6毫升出血性液体通过25G针头流出眼外。