Dr.KRISHNAPADA BAIDYA

DR. SNEHA JAIN, DR. BRATATEE ROY, DR. HIMANI CHATTERJEE, DR. PARIDHI TODI

Abstract

Retained perfluorocarbon liquids (PFCL) in the anterior chamber (AC) can lead to inflammation, corneal toxicity, and glaucoma. This video demonstrates the method of removing PFCL from the AC. PFCL bubble was noted on the first postoperative day in the AC of an aphakic patient who underwent a surgery for traumatic subluxated cataractous lens and 270-degree retinal dialysis. No PFCL was detected in the posterior segment. Using the diffuse illumination of the slit lamp we aspirated the bubble gently under the cover of antibiotic and anaesthetic drops with a 26 G needle mounted on a tuberculin syringe inserted into the AC through a single site in the inferior limbus. Following this air was injected into the AC. The silicone oil bubble was intact and we did not observe any PFCL residue in subsequent postoperative examinations. The method is simple and safe, can be done as an out-patient procedure, and it allows the complete removal of PFCL from the AC using a single intervention.