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Type presentatieOral presentation
TitelNovel technique: permanent drainage of secondary iris cyst through intracystic Baerveldt implantation
Doelto report on a novel surgical technique to manage a growing intracameral secondary iris cyst after previous penetrating corneal trauma in a child.
Methodesa Baerveldt implant was inserted via a scleral tunnel through the angle into the iris cyst. A Prolene suture was placed in the tube and left protruding from the tip to avoid obstruction by the cyst wall.
Resultatenthe iris cyst immediately drained into the subtenon spaced created by the plate and the cyst size significantly reduced, thereby liberating the pupil, restoring the visual axis and improving his vision. His intra-ocular pressures were in the normal range. Six months after tube implantation, this clinical picture remained unaltered. A late conjunctival erosion with aqueous leakage was closed 4 months after implantation.
Conclusiein cases with good visual prognosis and progressively enlarging secondary iris cysts, a intracystic tube implantation (with protruding intraluminal suture) may be a viable alternative to more invasive procedures in these tough to manage cases.
BelangenverstrengelingNee
Auteur 1
NaamSMEETS
InitialenF
InstituutUZ Leuven
StadLeuven
Auteur 2
NaamDELBEKE
InitialenH
InstituutUZ Leuven
StadLeuven
Auteur 3
NaamSAELENS
InitialenI
InstituutUZ Leuven
StadLeuven
Auteur 4
NaamCASSIMAN
InitialenC
InstituutUZ Leuven
StadLeuven
Auteur 5
NaamSTALMANS
InitialenI
InstituutUZ Leuven
StadLeuven
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