Clinical management of silicone intraocular lens condensation.
PURPOSE: To report a novel technique in the management of silicone intraocular lens condensation after gas-fluid exchange. DESIGN: Interventional case report. METHODS: Clinical management of an obstacle to treatment. setting: Private retina practice. patient population: One patient with silicone posterior chamber intraocular lens implant and posterior capsulotomy who subsequently experienced complicated retinal detachment. intervention: Application of a heating pad to clear intraocular lens condensation. main outcome measure: Visibility of the fundus for laser treatment. RESULTS: Application of a heating pad to the closed eyelid significantly reduced the intraocular lens condensation and provided a clear view for the surgeon to apply laser retinopexy. CONCLUSIONS: Treatment of retinal detachment is complicated by lens condensation after gas-fluid exchange in patients who have undergone silicone posterior chamber intraocular lens implantation and posterior capsulotomy. We report a simple, inexpensive, and effective method to reduce lens condensation and enable in-office examination and laser treatment.
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