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T. Wound Closure & Completion

Graham Lee
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T. Wound Closure & Completion

Wound closure of the paracenteses and keratotomy is necessary to keep the anterior chamber formed and reduce the risk of endophthalmitis. Stromal hydration performed with a Rycroft cannula on a leur locked 3ml syringe with BSS needs to be injected into the anterior to mid-stroma to avoid the endothelium and the potential for a Descemet membrane dehiscence.  Stability of the anterior chamber with no fluid leak must be ensured.  Subconjunctival injection of steroid and/or antibiotics needs to be performed carefully to avoid conjunctival vessels and haemorrhage.  When removing the speculum, the anterior chamber is observed for any sign of shallowing.

Graham Lee

Brisbane, Australia

Professor Graham Lee is one of a few specialists in the world who have completed both corneal & external diseases (Moorfields Eye Hospital, London) and glaucoma fellowships (Birmingham and Midlands Eye Hospital, Birmingham).

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