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Conjunctival pigmentation after 25-gauge chandelier illumination system
  1. D H Park,
  2. J P Shin,
  3. S Y Kim
  1. Department of Ophthalmology, School of Medicine, Kyungpook National University, Jung-gu, Daegu, Korea
  1. Correspondence to Professor Si Yeol Kim, Department of Ophthalmology, School of Medicine, Kyungpook National University, #50 Samduk-dong-2-ga, Jung-gu, Daegu 700-721, Korea; kimsy{at}knu.ac.kr

https://doi.org/10.1136/bjo.2009.178947

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    With the recent popularity and widespread use of small-gauge vitrectomy instruments, chandelier illumination becomes beneficial, as it can provide reliable fundus view including peripheral vitreous for bimanual surgery. Until recently, 25-gauge light fibres were used including the Torpedo Mini-Light (Insight Instruments, Stuart, Florida, USA), the Awh 25-gauge chandelier (Synergetics, Inc, St Charles, Missouri, USA) and the Twinlight (DORC, Zuidland, Holland, The Netherlands).1 However, there has been no complications in regard to the sclerotomy sites for chandelier illumination system. The authors report three cases of conjunctival pigmentation originating from sclerotomy sites after 25-gauge Torpedo Mini-Light chandelier illumination system.

    A 66-year-old male patient (case 1) presented sudden decreased vision in the right eye. The biomicroscopic examination of the anterior segment was normal except for the bilateral cataracts. The fundus examination showed rhegmatogenous retinal detachment with multiple retinal tears. Thus, combined phacoemulsification and 23-gauge transconjunctival sutureless vitrectomy (TSV) (DORC, Zuidland, …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Ethics approval This study was conducted with the approval of the Kyungpook National University Hospital.

    • Provenance and peer review Not commissioned; externally peer reviewed.