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Retained ointment after phacoemulsification: new tools for diagnosis and therapy

Poster Details

First Author: R.Antonios LEBANON

Co Author(s):    A. Mansour   B. Abiad   M. Abdul-Fattah   R. Haddad   H. Salti  

Abstract Details


To present OCT findings of constant corneal touch and endothelial loss from retained ointment globules within the anterior chamber.


University tertiary referral center.


We present 2 cases of anterior chamber ointment with evidence of progressive endothelial cell loss. Anterior segment optical coherence tomography (AS-OCT) was used to evaluate the size, consistency, and proximity of the globule to the corneal endothelium.Gas chromatography-mass spectrometry was used to analyze the extracted globule in one case.


AS-OCT performed in both cases, showed similar findings to AS-OCT performed on in-vitro tobramycin-dexamethasone ointment; illustrating a homogenous well-circumscribed hyperintense lesion. Gas chromatography-mass spectrometry analysis documented the similarity to tobramycin-dexamethasone ointment in one case.


Anterior segment OCT can help confirm the diagnosis of retained ointment globule. Corneal endothelial injury is a continuous process and its clinical manifestation relates to the size of the globule, initial endothelium count, and duration of ointment contact in relation to supine positioning. FINANCIAL DISCLOUSRE: NONE

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