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Case Reports in Ophthalmological Medicine
Volume 2017 (2017), Article ID 8190823, 3 pages
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

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.


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.