Best Paper of the Session & Col.Rangachari Contestant

Dr. SIDDHARTH DIKSHIT

Dr.Sirisha Senthil, Dr.SUSHMA TULAVA

Abstract

We present a series of 7 consecutive cases who had acute intraop aqueous misdirection and underwent Irido-Zonulo-Hyaloido-Vitrectomy. AM was diagnosed as sudden shallowing that did not respond to patient’s breathing, positioning, speculum adjustment and iridectomy. Five eyes had angle closure disease, one each had pseudoexfolaition and POAG. One eye did not have glaucoma. Four eyes were undergoing combined cataract and trabeculectomy. Four eyes had AM during or after cortical aspiration, 3 after creation of ostium suggesting shallowing as a predisposing factor. IZHV was performed for all and resolution was achieved instantly and no recurrence happened post-operatively. The BCVA was 20/30 or better in 4 eyes. Poor vision was attributable to vascular occlusion in 1 eye. IOP was under control in all eyes without need for any medications in combined eyes or any additional medications in eyes with phaco alone. Our experience suggests IZHV can be an effective and safe solution for Acute AM.

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