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25-gauge vitrectomy was effective in a case of infusion misdirection syndrome during cataract surgery Toshinori Okamoto 1 , Tomokazu Takeuchi 2 , Daisuke Hosaka 2 , Atsuhito Yaginuma 1 , Hiroshi Tsuneoka 1 1Dept of Ophthalmol,The Jikei Univ Sch of Med 2Dept of Ophthalmol,Atsugi City Hosp pp.885-888
Published Date 2010/6/15
DOI https://doi.org/10.11477/mf.1410103213
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Abstract. Purpose:To report a case of infusion misdirection syndrome during cataract surgery with fair outcome following 25-gauge vitrectomy. Case:A 62-year-old male received cataract surgery in his right eye. The right eye had short axial length of 20.83 mm. He had fractured right nasal bone following trauma at the age of 12 years. Findings:After completion of phacoemulsification-aspiration,the anterior chamber was lost with elevated intraocular pressure. Infusion misdirection syndrome was suspected after funduscopy showed no choroidal detachment. The right eye was treated by 25-gauge vitrectomy to avoid ocular hypertension. Surgery was completed with normal anterior chamber. Conclusion:This case illustrates that cataract surgery may be completed without interruption after onset of infusion misdirection syndrome by performing minimally-invasive measures including 25-gauge vitrectomy.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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