Anterior segment surgery.

Anterior segment surgery.

Where anterior segment and posterior segment surgery meet

THIS year’s EURETINA meeting included a joint EURETINA/ESCRS symposium on where anterior segment and posterior segment surgery meet. Commencing the session, co-chairman, Gisbert Richard MD, University Medical Centre Hamburg-Eppendorf, described a combined surgery procedure for cataract patients who require pars plana vitrectomy (PPV) for such indications as epiretinal membranes, macular holes a...

Anterior Segment Ischemia after Strabismus Surgery

A 46-year-old male patient was referred to our clinic with complaints of diplopia and esotropia in his right eye that developed after a car accident. The patient had right esotropia in primary position and abduction of the right eye was totally limited. Primary deviation was over 40 prism diopters at near and distance. The patient was diagnosed with sixth nerve palsy and 18 months after trauma,...

Vitrectomy technique in anterior segment surgery.

Instruments designed primarily for vitreous surgery were used in 74 anterior segment operations. In each case the instrument was introduced into the eye through a limbal incision. This preliminary report shows that this new approach offers several advantages over conventional methods in selected cases. It is of particular value in the management of presenile and complicated cataracts and in the...

Anterior segment ischemia following pterygium surgery.

A 60-year-old woman developed anterior segment ischemia 1 week after an uneventful pterygium excision in the left eye. Corrected visual acuity fell from 20/20 to 20/200. Ophthalmic examination found keratic precipitates on the corneal endothelium, ++ cells in the aqueous humor, and necrosis of the lower half of the iris with posterior synechiae resulting in a fixed and distorted pupil. On thera...