Surgicals Pearls

  • Ulrich Spandau
  • Zoran Tomic


  1. 1.

    The insertion of the chandelier light is easier using hands rather than with the trocar forceps. But the surgeon must exert a relatively strong pressure to insert the tip of the chandelier through the sclera. If this does not succeed, the surgeon can expand the sclerotomy with a 23G cannula. The insertion is now easier, but the chandelier sits a little loose in the sclerotomy.

  2. 2.

    Conjunctival chemosis or haemorrhage may make it difficult to identify the sclerotomy. In such cases use a pressure plate (DORC, no 2117), or open the conjunctiva focally with scissors and forceps in order to visualize the sclerotomy.


Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ulrich Spandau
    • 1
  • Zoran Tomic
    • 1
  1. 1.Department of OphthalmologyUppsala University HospitalUppsalaSweden

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