Sebastian Nudleman, Ella R Feiner, Stella Affeldt, Jonathan L Prenner
{"title":"Office-Based 25-Gauge Needle Revision of Closed Peripheral Iridotomy in Aphakic Silicone Oil-Filled Eyes.","authors":"Sebastian Nudleman, Ella R Feiner, Stella Affeldt, Jonathan L Prenner","doi":"10.1097/IAE.0000000000004464","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>We present a novel office-based technique using a 25-gauge needle to reopen closed peripheral iridotomies (PIs) in aphakic eyes filled with silicone oil.</p><p><strong>Methods: </strong>We use a 25-gauge needle to enter the clear cornea and reopen the closed PI, allowing for aqueous humor and silicone oil to escape and relieve elevated intraocular pressure (IOP).</p><p><strong>Results: </strong>This minimally invasive office-based approach provides immediate relief of elevated IOP due to silicone oil-induced pupillary block, avoiding the need for more invasive surgical intervention.</p><p><strong>Conclusion: </strong>Our technique is a simple, cost-effective, and accessible way to combat silicone-oil induced pupillary block in aphakic patients and may be a good first-line approach for a difficult-to-manage condition.</p>","PeriodicalId":54486,"journal":{"name":"Retina-The Journal of Retinal and Vitreous Diseases","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Retina-The Journal of Retinal and Vitreous Diseases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/IAE.0000000000004464","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: We present a novel office-based technique using a 25-gauge needle to reopen closed peripheral iridotomies (PIs) in aphakic eyes filled with silicone oil.
Methods: We use a 25-gauge needle to enter the clear cornea and reopen the closed PI, allowing for aqueous humor and silicone oil to escape and relieve elevated intraocular pressure (IOP).
Results: This minimally invasive office-based approach provides immediate relief of elevated IOP due to silicone oil-induced pupillary block, avoiding the need for more invasive surgical intervention.
Conclusion: Our technique is a simple, cost-effective, and accessible way to combat silicone-oil induced pupillary block in aphakic patients and may be a good first-line approach for a difficult-to-manage condition.
期刊介绍：
RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice.
In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color.
Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
