DR. ATUL KAMATH

DR. BINITA NARANBHAI GADHAVI, DR. ADITI PAI, DR. BHOSALE DHANANJAY ANKUSH

Abstract

Aim- To ensure integrity of surgery wounds. Methods- A randomised prospective trial of 150 patients who underwent intraocular surgery at our hospital over 1 year period. We used 2-3 drops of Betadine 5% (povidone-iodine) at the end of each case to not only to sterilize the surface of the eye but also as a disclosing dye to demonstrate any wound leaks. Results-110 patients underwent SICS, 35 underwent corneal tear repair & 5 underwent trabaculectomy surgery. 60 patients had post op wound leak in SICS due to surgical complications. Pre-mature entry comprising 75% followed by floppy iris syndrome comprising 20% & 5% comprising of PXF syndrome. 4 post corneal repair surgery & 2 post trab had wound leak. Conclusion- The simple procedure is very handy & economical in identifying THE LEAK & can reduce further complications such as endophthalmitis & resurgeries. SIEP’s TEST plays an important role in identifying any postoperative wound leaks & also sterilizing the eye surface post surgery.

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