Dr.Rakesh Shah

Abstract

Methods:
In 10 routine vitrectomy cases 40 mg of commercially available Triamcinolone suspension were injected into the BSS infusion bottle . xenon light source is a must for better contrast and visualisation
Effectiveness / Safety:
After TA injection BSS fluid became opaque in the bottle. In the posterior chamber TA
suspension appeared as a fine \"snowfall not impairing the visualization of the fundus.
Vitreous staining properties of this highly diluted TA suspension were inferior to the one
obtainable with conventional direct injection through sclerotomies of denser TA suspensions.
However constant and direct visual information could be achevied about vitrectomy flow and
turbulence at the tip of the vitrectomy probe, making vitrectomy safer, especially when
approaching the vitreous base. With the help of the xenon light probe, identification of the vitreous
edge could also be obtained indirectly, beyond the enlighted turbulence in the BSS fluid. No
complications noted