Anterior segment approach for the surgical management of aqueous misdirection syndrome

作者：Dervenis Nikolaos^*; Mikropoulou Athanasia Maria; Dervenis Panagiotis; Lewis Amanda

来源：Journal of Cataract and Refractive Surgery, 2017, 43(7): 877-878.

DOI：10.1016/j.jcrs.2017.06.018

We describe the surgical management of the aqueous misdirection syndrome through clear corneal incisions. A 20-gauge microvi-treoretinal blade is used to create 2 side-port incisions. The same blade is inserted through the cornea and the iris for the main incision; it is then directed toward the center of the eyeball, passing through the zonular fibers to the vitreous cavity behind the pupil. Irrigation is delivered to the anterior chamber, the vitrector is placed in the vitreous cavity, and vitrectomy is performed. With this technique, aqueous misdirection can be resolved and adequate IOP control achieved.

• 出版日期2017-7