First Author: A.Ohayon ISRAEL
Co Author(s): A. Rubowitz
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To demonstrate the technique of placing silicone oil (SO) retention sutures at ciliary sulcus plane in an aphakic patient with Stickler syndrome with an only eye. The first surgery which is not presented here was a combined buckle-vitrectomy with SO injection for giant tear and peripheral retinal detachment. During follow-up she presented with elevated intraocular pressure (IOP) secondary to angle closure due to SO pushing the iris-lens diaphragm forward, and the presence of SO bubbles in the anterior chamber which led to the second surgery described here.
Ophthalmology Department, Meir Medical Center, Kfar-Sava, Israel
The patient underwent a total lensectomy, placement of SO retention sutures at the ciliary sulcus plane and SO exchange.
SO remained behind retention sutures for the follow-up period of more than 6 months with good IOP control.
Placing SO retention sutures is a safe method limiting the SO at the posterior segment in aphakic and/or aniridic eyes in order to prevent anterior segment complications such as glaucoma & corneal decompensation.