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August 1986

Restoration of Ocular Volume Through the Anterior Chamber in Postextracapsular Cataract Extraction Retinal Surgery

Author Affiliations

Tel Hashomer, Israel

Arch Ophthalmol. 1986;104(8):1135. doi:10.1001/archopht.1986.01050200041036

To the Editor.  —To our knowledge, we present herein a new route for restoration of intraocular volume after subretinal fluid drainage in the course of aphakic retinal detachment surgery when the posterior capsule is intact.Subretinal fluid drainage in the course of retinal detachment surgery may render the eye hypotonic. Restoration of intraocular volume and pressure reduces the frequency and extent of postoperative choroidal detachment, particularly in aphakic eyes in which there has been drainage of a large volume of subretinal fluid.1 Intraocular injection of fluid is also used to flatten retinal folds produced by buckling, and to express subretinal fluid through a choroidal perforation.2 Isotonic solution, air, gas, or an airgas mixture is usually used for this purpose. The usual site for intravitreal fluid injections is the pars plana ciliaries in both phakic and aphakic cases, while injection into the anterior chamber is performed only in aphakic

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