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25G Vitrectomy for the Treatment of Chronic Vitreous Hemorrhage In a Patient With Iris Coloboma

  Channels: Retina | Posted 7/26/2013

Shlomit Schaal, M.D., Ph.D, and Niloofar Piri, M.D. present 25G vitrectomy surgery for a chronic vitreous hemorrhage in a diabetic patient with inferior iris coloboma. A 47-year-old Caucasian gentleman presented with chronic vitreous hemorrhage due to PDR and heavy vitreous floaters. He was treated with panretinal photocoagulation earlier. Coincidentally he had an inferior iris coloboma. 25 G vitrectomy was performed for therapeutic purposes. 25G trocars were inserted in a beveled manner. 25G vitrectomy was performed and vitreous hemorrhage was removed. There was traction on the optic nerve causing hypoperfusion of the optic disc which was relieved with vitrector and the optic disc was re-perfused right after relief of the traction. Endolaser photocoagulation was performed. Air/Fluid exchange was performed, and cannulas were removed. Patient’s vision post-op improved from 20/100 to 20/30.

Coloboma • Photocoagulation • Vitrectomy