APR 09, 2020
In this video, Drs. Christopher Adam and Xihui Lin highlight the steps for their novel technique of scleral fixating the fluocinolone implant Yutiq. The aphakic patient had active panuveitis and refractory cystoid macular edema. The implant was injected out of the applicator onto the ocular surface and secured with a slip knot using a double-armed 10-0 Prolene suture on a CIF needle; additional knots were then added.
The implant was grasped lengthwise using nontoothed forceps and inserted into the anterior chamber. The first arm of the suture was passed through the main wound and positioned in the pupillary axis. A 27-gauge needle was inserted 3 mm posterior to the limbus in the inferonasal quadrant, and was used to dock the needle and externalize the suture. This sequence was then repeated for the second arm. Both ends of the suture were pulled up to position the implant at the inferonasal pars plana. The suture was tied down in a 3-1-1 fashion, the peritomy was closed with 6-0 plain gut suture, and the main wound was closed with 10-0 Vicryl suture.
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