T. Wound Closure & Completion
Wound closure of the paracenteses and keratotomy is necessary to keep the anterior chamber formed and reduce the risk of endophthalmitis. Stromal hydration performed with a Rycroft cannula on a leur locked 3ml syringe with BSS needs to be injected into the anterior to mid-stroma to avoid the endothelium and the potential for a Descemet membrane dehiscence. Stability of the anterior chamber with no fluid leak must be ensured. Subconjunctival injection of steroid and/or antibiotics needs to be performed carefully to avoid conjunctival vessels and haemorrhage. When removing the speculum, the anterior chamber is observed for any sign of shallowing.