Topical Anesthesia Safer, More Comfortable In Select 25-Gauge Vitrectomy Cases

Thursday, May 17, 2007

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OSN Supersite

Transconjunctival 25-gauge vitrectomy can be performed under topical anesthesia in select cases, according to studies presented here at the French Society of Ophthalmology annual meeting.

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The first day after trabeculectomy, a patient with primary open angle glaucoma presents with a bleb that is almost flat, a very shallow anterior chamber, and vision decreased from 20/30 to 20/100. The IOP is 1 to 2 mmHg. What is the most likely cause?
1. Aqueous misdirection (malignant glaucoma)
2. Pupillary block
3. Early failure of the bleb with episcleral fibrosis
4. Ciliary body shut down
5. Bleb leak
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Topical Anesthesia Safer, More Comfortable In Select 25-Gauge Vitrectomy Cases

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The first day after trabeculectomy, a patient with primary open angle glaucoma presents with a bleb that is almost flat, a very shallow anterior chamber, and vision decreased from 20/30 to 20/100. The IOP is 1 to 2 mmHg. What is the most likely cause?

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