Choroidal Tap

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Choroidal Tap


Indications


image Treatment of flat anterior chamber secondary to choroidal effusion after glaucoma filtration surgery.


image Treatment of select hemorrhagic choroidal detachments.


Preoperative Procedure


See Chapter 3.


1. Indirect ophthalmoscopic examination or ultrasound to confirm presence and location of choroidal effusion.


2. Topical and oral steroids as inflammation warrants.


Instrumentation


image Lid speculum


image Wheeler or similar microsurgical knife


image Castroviejo calipers


image Fine-toothed tissue forceps (e.g., 0.12 mm Castroviejo forceps)


image Westcott scissors


image Cautery


image Scarifier (e.g., Grieshaber #681.01, Beaver #57)


image Sutures (7–0 Vicryl)


image Needle holder


image Cellulose sponges


image Syringe with 30 gauge needle or cannula


Operative Procedure


1. Anesthesia:


a. Peribulbar or retrobulbar with lid block.


b. General anesthesia or retrobulbar plus lid block in uncooperative patient.


2. Prep and drape.

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Jun 4, 2016 | Posted by in OPHTHALMOLOGY | Comments Off on Choroidal Tap

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