B-HEX pupil expander in vitreoretinal surgery - A case series

We describe the successful use of the B-HEX pupil expansion device in four cases of combined phacovitrectomy with significant cataract, non-dilating pupil, and surgical vitreoretinal pathologies including vitreous hemorrhage, inferior retinal detachment (RD) with proliferative vitreoretinopathy in a...

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Bibliographic Details
Published in:Indian journal of ophthalmology 2020-06, Vol.68 (6), p.1188-1191
Main Authors: Chakraborty, Debdulal, Mohanta, Ayan, Bhaumik, Arup
Format: Article
Language:English
Subjects:
b-hex
Care and treatment
Case Reports
Case studies
Cataract
Cataracts
Diagnosis
Eye diseases
Eye surgery
Hemorrhage
Humans
phacovitrectomy
Pupil
pupil expander
Retinal detachment
Retinal Detachment - diagnosis
Retinal Detachment - surgery
Retrospective Studies
Surgery
Vitrectomy
Vitreoretinal Surgery
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Description
Summary:We describe the successful use of the B-HEX pupil expansion device in four cases of combined phacovitrectomy with significant cataract, non-dilating pupil, and surgical vitreoretinal pathologies including vitreous hemorrhage, inferior retinal detachment (RD) with proliferative vitreoretinopathy in an oil filled eye, recurrent rhegmatogenous RD, and macular hole with RD localized to the posterior pole in an eye with uveitic sequelae. The B-HEX remained well engaged and maintained excellent mydriasis throughout the surgery despite wide fluctuations in intraocular pressure and anterior chamber fluidics. This is the first series describing use of B-HEX for combined phacovitrectomy due to myriad causes.
ISSN:0301-4738
1998-3689
DOI:10.4103/ijo.IJO_1675_19