Journal of Ophthalmic Surgery

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Table of Content: Volume 7, Issue 1

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Case Report Pages 96-100

Myopic Shift Following Intravitreal Injection in a Patient with Cystoid Macular Edema: A Case Report and Review of Literature

Authors: Charbel Wahab, MD, Brianna Lu, BSc, Zahid Sindher, BHs, Yuyi You, MD, PhD, Miguel Cruz Pimentel, MD and Peng Yan, MD, FRCSC

Abstract: This case report highlights a transient myopic shift following intravitreal injection in a patient with CME secondary to CRVO that has never been previously reported. Understanding and recognizing myopic shift and its mechanisms as a potential complication following intravitreal injection will enable ophthalmologists to provide more informed patient care and optimize treatment outcomes.

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Case Report Pages 94-95

Novel Anterior Chamber Paracentesis Technique: Increasing the Yield and Decreasing the Risk

Authors: Dhruv Sethi, MD, MBA, MPH, Venkatkrish Kasetty, MD, Parker Marsh, BS, Cecilly Kelleher, BS, Evgeny Gelman, MD, MHA, Uday Desai, MD, Michael Ober, MD and Nitin Kumar, MD

Abstract: Anterior chamber (AC) paracenteses are an extremely common procedure performed by ophthalmologists for numerous reasons but not limited to: Diagnostic yield for infectious studies for intraocular inflammation, acute therapeutic intraocular pressure management, volume control for pneumatic retinopexy or injection of multiple intravitreal medications [1,2]. While the procedure routinely performed without complication, one of the challenges of a successful paracentesis or ‘tap’ is maximizing volume to increase the likelihood of a positive result on diagnostic studies. This is especially important when multiple tests rely on the one sample collected. This challenge can be exacerbated by patient’s phakic lens status, shallow anterior chambers, patient cooperation, patient positioning, and special consideration to avoid iatrogenic injury to intraocular structures as the anterior chamber shallows.

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