Acute intraoperative rock-hard eye syndrome and its management

Lau, Oliver C.F.; Montfort, Jessica M.; Sim, Benjamin W.C.; Lim, Chong Yah; Chen, Tony S.; Ruan, Claire W; Agar, Ashish; Francis, Ian C.

doi:10.1016/j.jcrs.2013.10.038

Cited by 22 publications

(27 citation statements)

References 17 publications

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“…It occurs due to migration of irrigating fluid via zonular fibres to reach the posterior segment [23]. This usually occurs after excessive hydrodissection or during irrigation aspiration of cortical remnants.…”

Section: Discussionmentioning

confidence: 99%

“…It was also described as acute aqueous misdirection syndrome to differentiate it from malignant glaucoma (aqueous misdirection syndrome) which has similar clinical picture but occurs later in the postoperative period [24]. Lau et al named this condition acute intraoperative rock-hard eye syndrome (AIRES) and managed it successfully by vitreous needle aspiration [23]. It is of utmost importance to exclude other causes of intraoperative shallow anterior chamber such as choroidal effusion or suprachoroidal haemorrhage before doing vitreous needle aspiration or vitrectomy in such cases [14], (Table 3).…”

Section: Discussionmentioning

confidence: 99%

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Retrospective Study of Vitreous Tap Technique Using Needle Aspiration for Management of Shallow Anterior Chamber during Phacoemulsification

Nossair

Ewais

Ali

2017

Journal of Ophthalmology

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Purpose To evaluate the technique of vitreous tap using needle aspiration for management of anterior chamber shallowness during phacoemulsification. Methods A retrospective study included 26 eyes of 17 patients who underwent phacoemulsification in which vitreous tap was performed using a 27-gauge needle attached to a 5 ml syringe, inserted 3.5 mm from the limbus to aspirate 0.2 ml of liquefied vitreous if a cohesive (OVD) failed to sufficiently deepen the anterior chamber. Results Preoperative anterior chamber depth was 2.31 ± 0.26 mm, axial length was 21.7 ± 0.67 mm, lens thickness was 4.5 ± .19 mm, and cataract grade was 3.77 ± 1.4. Preoperative CDVA in LogMAR units was 0.98 ± 0.75. Coexisting angle closure glaucoma was present in 7 patients (26.92%) preoperatively. Vitreous needle tap was successful in vitreous removal on the first attempt in 26 eyes (100%). Postoperative follow-up period was 22.88 ± 10.24 (4–39) months. The final postoperative CDVA in LogMAR units was 0.07 ± 0.1, while the final postoperative IOP was 16.54 ± 1.45 mmHg. No complications related to vitreous tap were noted. Conclusion Vitreous needle tap is a simple, cost-effective, and safe technique for management of shallow anterior chamber in phacoemulsification.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Retrospective Study of Vitreous Tap Technique Using Needle Aspiration for Management of Shallow Anterior Chamber during Phacoemulsification

Nossair

Ewais

Ali

2017

Journal of Ophthalmology

View full text Add to dashboard Cite

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“…Retrolenticular fluid samples containing MIV from each of the two AIRES patients were histologically compared with known lens material derived from the Fluid Management System bags of two unrelated cases. Haematoxylin and eosin staining, and examination under polarized light, demonstrated the MIV to display characteristics identical to the known lens material derived from the bags.…”

Section: Resultsmentioning

confidence: 99%

“…Two cases of the 767 with MIV experienced acute intraoperative rock‐hard eye syndrome (AIRES) during phaco . In both cases of AIRES, MIV was visualized.…”

Section: Methodsmentioning

confidence: 99%