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25-Gauge peripheral iridectomy during vitrectomy.

H Shimada¹, H Nakashizuka, T Hattori

¹Department of Ophthalmology, School of Medicine, Nihon University, Tokyo, Japan. sshimada@olive.ocn.ne.jp

European Journal of Ophthalmology

|October 13, 2007

Summary

Peripheral iridectomy using a 25-gauge vitreous cutter effectively treated pupillary block in a patient with iris adhesion. This technique offers a simple and precise method for creating peripheral iridectomies.

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Area of Science:

Ophthalmology
Surgical Techniques

Background:

Pupillary block can occur due to iris adhesion to a continuous circular capsulorhexis.
Management of such cases requires effective peripheral iridectomy.

Observation:

A 25-gauge vitreous cutter was utilized for peripheral iridectomy in the anterior chamber.
The fine shaft allowed easy insertion and manipulation without corneal endothelial contact, even in shallow anterior chambers.

Findings:

The 25-gauge vitreous cutter facilitated a simple and precise peripheral iridectomy at the desired location.
Successful resolution of pupillary block and control of intraocular pressure were achieved post-procedure.

Implications:

This technique provides a straightforward method for performing peripheral iridectomies.
It offers a safe and effective option for managing pupillary block in specific ophthalmic conditions.