Dr.BHUMI CHANDARANA

, Dr.MEHUL SHAH

Abstract

POST-TRAUMATIC OPEN GLOBE INJURY REQUIRED IMMEDIATE WOUND REPAIR WITH ADEQUATE MEASURES TO PREVENT VISUAL LOSS,WITH AN ANTERIOR CHAMBER MAINTAINER IN PLACE,THE FLUCTUATIONS OF INTRAOPERATIVE IOP ARE MINIMIZED&AC DEPTH IS STABILIZED THROUGHOUT THE SURGERY.

ACM IS AN INFUSION CANNULA WHICH IS INSERTED VIA THE CORNEA IN ORDER TO CREATE A STRONG INFLOW OF BSS.THE USE OF ACM HAVE REVOLUTIONIZED THE APPROACH TO MAINTAINING GLOBE INFUSION BY DIFFERENT MECHANISM IN ZONE 1,2 &3GLOBE INJURY.THIS VIDEO DESCRIBES MANAGEMENT OF POST TRAUMATIC GLOBE RUPTURE PATIENTS WITH USE OF AN AC MAINTAINER. IT’S AN IMPORTANT TOOL IN THE MANAGEMENT OF WOUND REPAIR WITH HYPHAEMAS BECAUSE IT FACILITATES AC WASHOUT AND REDUCES IATROGENIC DAMAGE TO IRIS&ANGLE STRUCTURES.

POST TRAUMATIC GLOBE RUPTURE CAN BE MANAGED SURGICALLY WITH ANTERIOR CHAMBER MAINTAINER WITH GOOD VISUAL PROGNOSIS IN FOLLOWUPS &DECREASED RATE OF SECONDARY GLAUCOMA AS COMPARED WITH USE OF VISCOELASTIC.