PMC3674749_01
Anterior segment photograph and ultrasound biomicroscopy (UBM) of the left eye. Before surgery: (A) slit lamp biomicroscopy examination shows an extremely narrow anterior chamber. (B) UBM shows the narrow angle (arrow), the fat ciliary body (asterisk) and thickened sclera. The lens and iris move to the anterior. After surgery: (C and D) slit lamp biomicroscopy examination and UBM show a deep anterior chamber.
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Despite an extremely narrow anterior chamber, there was no lens-corneal touch (Figure 1A). The lens and the iris showed anterior displacement with a flattening of the ciliary body (Figure 1B). Slit lamp biomicroscopy examination and UBM revealed a deep anterior chamber (Figure 1C and D).
Pars plana vitrectomy using a 25 gauge system.. Note: Vitrectomy was performed using the scleral depression technique to remove the ciliary block.
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After injection of triamcinolone acetonide (Kenacort , Bristol-Myers Squibb Co, Princeton, NJ, USA) in the vitreous cavity, PPV was performed to relieve cilio-vitreous adhesions, and vitreous remnant using the vitrectomy instrument in conjunction with scleral depression (Figure 2).