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Journal Français d'Ophtalmologie
Volume 41, n° 1
pages e47-e49 (janvier 2018)
Doi : 10.1016/j.jfo.2016.11.030
Lettres à l'éditeur

A new technique for encapsulated filtration blebs: Vitrector assisted cystectomy
Une nouvelle technique pour les bulles de filtration encapsulée : kystectomie à l’aide de la sonde de vitrectomie

Figure 1

Figure 1 : 

Preoperative OCT analysis demonstrated the encapsulated bleb with a thick wall made up of Tenon's capsule. There was not any filtration of fluid beyond the cyst.

Figure 2

Figure 2 : 

A 25-gauge viscoelastic cannula was inserted through the conjunctival incision and 1.6% Sodium Hyaluronate was injected between the conjunctiva and cyst wall, and also under the cyst wall.

Figure 3

Figure 3 : 

A 23-gauge vitrectomy probe was introduced subconjunctivally and fibrous capsule of the cyst was removed at multiple points.

Figure 4

Figure 4 : 

Anterior segment OCT analysis on postoperative day 1. Multiple defects on the cyst wall could be seen. Multiple fluid pockets and functional scleral flap (asterisk) indicate drainage of the aqeous subconjunctivally.

Figure 5

Figure 5 : 

Anterior segment OCT analysis on postoperative month 12. Drainage of the aqeous was through the scleral flap to subconjunctival area. Multiple fluid pockets were still present in the Tenon's capsule and subconjuctivally.

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