A Technique to Clear the Anterior Chamber Media to Allow Pars Plana Vitrectomy in Endophthalmitis

Results of Anterior Chamber Clearance via the Pars plana in Pseudophakic Endophthalmitis

“…The complications noted with this technique in our cases included (a) iris bleeding and (b) posterior dislocation of the IOL. The possible risk of iris bleeding during peripheral iridectomy and the use of unimanual bipolar cautery in these cases have been described previously by Doft et al [2]. In our study, 4 patients had minimal iris bleeding.…”

“…Doft et al [2] had previously described the technique for clearing the anterior chamber exudates through the pars plana approach in cases with endophthalmitis. We modified the technique Doft et al [2] used a vitreous cutter for engaging the anterior chamber exudates adherent to the iris surface. This entails a greater risk of inadvertent engagement and excision of the iris.…”

“…The anterior approach through a limbal incision can result in endothelial damage due to turbulence of the irrigation fluid and to inadvertent collapse of the anterior chamber and consequent endothelial touch [1]. Doft et al [2] described a technique to clear the anterior chamber in such cases. However, they did not describe the details of the technique and the possible intraoperative or postoperative complications.…”

Results of Anterior Chamber Clearance via the Pars plana in Pseudophakic Endophthalmitis

“…The complications noted with this technique in our cases included (a) iris bleeding and (b) posterior dislocation of the IOL. The possible risk of iris bleeding during peripheral iridectomy and the use of unimanual bipolar cautery in these cases have been described previously by Doft et al [2]. In our study, 4 patients had minimal iris bleeding.…”

“…Doft et al [2] had previously described the technique for clearing the anterior chamber exudates through the pars plana approach in cases with endophthalmitis. We modified the technique Doft et al [2] used a vitreous cutter for engaging the anterior chamber exudates adherent to the iris surface. This entails a greater risk of inadvertent engagement and excision of the iris.…”

“…The anterior approach through a limbal incision can result in endothelial damage due to turbulence of the irrigation fluid and to inadvertent collapse of the anterior chamber and consequent endothelial touch [1]. Doft et al [2] described a technique to clear the anterior chamber in such cases. However, they did not describe the details of the technique and the possible intraoperative or postoperative complications.…”

Results of Anterior Chamber Clearance via the Pars plana in Pseudophakic Endophthalmitis

“…The complications noted with this technique in our cases included (a) iris bleeding and (b) posterior dislocation of the IOL. The possible risk of iris bleeding during peripheral iridectomy and the use of unimanual bipolar cautery in these cases have been described previously by Doft et al [2]. In our study, 4 patients had minimal iris bleeding.…”

“…Doft et al [2] had previously described the technique for clearing the anterior chamber exudates through the pars plana approach in cases with endophthalmitis. We modified the technique Doft et al [2] used a vitreous cutter for engaging the anterior chamber exudates adherent to the iris surface. This entails a greater risk of inadvertent engagement and excision of the iris.…”

“…The anterior approach through a limbal incision can result in endothelial damage due to turbulence of the irrigation fluid and to inadvertent collapse of the anterior chamber and consequent endothelial touch [1]. Doft et al [2] described a technique to clear the anterior chamber in such cases. However, they did not describe the details of the technique and the possible intraoperative or postoperative complications.…”

Results of Anterior Chamber Clearance via the Pars plana in Pseudophakic Endophthalmitis

“…The complications noted with this technique in our cases included (a) iris bleeding and (b) posterior dislocation of the IOL. The possible risk of iris bleeding during peripheral iridectomy and the use of unimanual bipolar cautery in these cases have been described previously by Doft et al [2]. In our study, 4 patients had minimal iris bleeding.…”

“…Doft et al [2] had previously described the technique for clearing the anterior chamber exudates through the pars plana approach in cases with endophthalmitis. We modified the technique Doft et al [2] used a vitreous cutter for engaging the anterior chamber exudates adherent to the iris surface. This entails a greater risk of inadvertent engagement and excision of the iris.…”

“…The anterior approach through a limbal incision can result in endothelial damage due to turbulence of the irrigation fluid and to inadvertent collapse of the anterior chamber and consequent endothelial touch [1]. Doft et al [2] described a technique to clear the anterior chamber in such cases. However, they did not describe the details of the technique and the possible intraoperative or postoperative complications.…”