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Case Reports in Ophthalmological Medicine
Volume 2017, Article ID 8190823, 3 pages
https://doi.org/10.1155/2017/8190823
Case Report

An Office-Based Fluid to Fluid Exchange Technique for the Treatment of Postvitrectomy Vitreous Cavity Hemorrhage and Secondary Glaucoma

Clinica David, Unidad Oftalmologica, Blvd. Garcia de Leon 598-2, Colonia Nueva Chapultepec, 58280 Morelia, MICH, Mexico

Correspondence should be addressed to Sergio E. Hernandez-Da Mota; xm.moc.oohay@atomadolot

Received 3 January 2017; Accepted 5 February 2017; Published 21 February 2017

Academic Editor: Stephen G. Schwartz

Copyright © 2017 Sergio E. Hernandez-Da Mota. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A case of postvitrectomy hemorrhage with secondary glaucoma successfully treated with an office-based fluid to fluid exchange is described. A 25 Ga trocar was placed 3 mm from the sclerocorneal limbus at the 2 o’clock position and connected to a 250 cc elevated bottle of balanced salt solution (BSS) through an intravenous (IV) line and an infusion cannula. Afterward, a 25 Ga needle was inserted 3 mm from the limbus at the 5 o’clock position approximately. The BSS fluid entered the eye through the 25 Ga trocar lavaging the vitreous cavity and the anterior chamber. About 4 to 6 cc of hemorrhagic fluid egressed the eye through the 25 Ga needle.