Purpose:To describe a minimally invasive method to create a full-thickness surgical iridectomy.Design:An interventional case series.Methods:Surgical iridectomies were performed through a 1 mm clear corneal incision.Th...Purpose:To describe a minimally invasive method to create a full-thickness surgical iridectomy.Design:An interventional case series.Methods:Surgical iridectomies were performed through a 1 mm clear corneal incision.The anterior chamber was prepared with acetylcholine chloride 10 mg/ml and sodium hyaluronate 1%.A 25-gauge aspiration-cutter “ probe" was introduced through the corneal incision such that the aspiration portal was occluded by the iris stroma.Then aspiration(600 mm/Hg)cutting(300 cpm)was used to create a surgical iridotomy in 2 cases.Then the probe was removed.Results:Full-thickness iridotomies were created.None of the patients were noted to have a secondary increase in intraocular pressure,hyphema,infection,cataract or vision loss.The clear-corneal wounds were self-sealing.Conclusions:Small incision surgical iridectomy can be minimally invasive and effective.Use of a 25-gauge aspiration-cutting probe allowed for small incision surgery,rapid rehabilitation and no significant complications.展开更多
文摘Purpose:To describe a minimally invasive method to create a full-thickness surgical iridectomy.Design:An interventional case series.Methods:Surgical iridectomies were performed through a 1 mm clear corneal incision.The anterior chamber was prepared with acetylcholine chloride 10 mg/ml and sodium hyaluronate 1%.A 25-gauge aspiration-cutter “ probe" was introduced through the corneal incision such that the aspiration portal was occluded by the iris stroma.Then aspiration(600 mm/Hg)cutting(300 cpm)was used to create a surgical iridotomy in 2 cases.Then the probe was removed.Results:Full-thickness iridotomies were created.None of the patients were noted to have a secondary increase in intraocular pressure,hyphema,infection,cataract or vision loss.The clear-corneal wounds were self-sealing.Conclusions:Small incision surgical iridectomy can be minimally invasive and effective.Use of a 25-gauge aspiration-cutting probe allowed for small incision surgery,rapid rehabilitation and no significant complications.
