ABSTRACT
In an interventional case series, 11 aphakic eyes of 11 patients with previous vitrectomy and silicone oil tamponade underwent passive silicone oil removal under topical anesthesia through a single clear cornea incision with use of a side irrigating phacoemulsification irrigation cannula without performing a sclerotomy. All procedures were simple, short and uncomplicated. The only observed complication was minimal localized corneal edema the day after the procedure, which resolved within 1-2 days. Use of a side irrigating cannula permits safe and simple removal of silicone oil under topical anesthesia through a single clear cornea incision without need for sclerotomy
Subject(s)
Humans , Aphakia , Catheterization , Vitrectomy , PhacoemulsificationABSTRACT
To report the clinical and radiological findings and management of a patient with intraorbital arteriovenous malformation [AVM] treated by transcatheter embolization of the feeding artery. A 15-year-old female patient was referred with a one year history of left eye proptosis without prior trauma. Orbital CT scan and MRI demonstrated a large intraconal mass lesion extending to the extraconal space in the inferior orbit; angiograms revealed an intraorbital AVM. Superselective catheterization of the feeding artery and embolization with absorbable gelatin particles [Gelfoam] and non-absorbable polyvinyl alcohol particles were performed in two separate sessions followed by surgical debulking. Signs and symptoms were diminished after 14 months. lntraorbital AVMs can be treated by embolization of the feeding artery followed by surgical removal of the AVM nidus when the lesion is accessible