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    Seidel's Test

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    Fahcreza
    The Seidel test uses fluorescein dye to identify leaks from the eye following injury or surgery. Aqueous fluid from inside the eye normally cannot be seen when it leaks due to the tear film covering the eye. The Seidel test applies fluorescein dye to the tear film so that any leaking aqueous fluid will dilute the dye and make the leak visible under cobalt blue light on a slit lamp examination. A positive test shows bright green dye concentrated around the leak site, indicating a leak that requires further management.

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    Seidel's Test

    Uploaded by

    Fahcreza
    700 views13 pages
    The Seidel test uses fluorescein dye to identify leaks from the eye following injury or surgery. Aqueous fluid from inside the eye normally cannot be seen when it leaks due to the tear film covering the eye. The Seidel test applies fluorescein dye to the tear film so that any leaking aqueous fluid will dilute the dye and make the leak visible under cobalt blue light on a slit lamp examination. A positive test shows bright green dye concentrated around the leak site, indicating a leak that requires further management.

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    Seidel’s Test

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    The Seidel test uses fluorescein dye to identify leaks from the eye following injury or surgery. Aqueous fluid from inside the eye normally cannot be seen when it leaks due to the tear film covering the eye. The Seidel test applies fluorescein dye to the tear film so that any leaking aqueous fluid will dilute the dye and make the leak visible under cobalt blue light on a slit lamp examination. A positive test shows bright green dye concentrated around the leak site, indicating a leak that requires further management.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    700 views13 pages

    Seidel's Test

    Uploaded by

    Fahcreza
    The Seidel test uses fluorescein dye to identify leaks from the eye following injury or surgery. Aqueous fluid from inside the eye normally cannot be seen when it leaks due to the tear film covering the eye. The Seidel test applies fluorescein dye to the tear film so that any leaking aqueous fluid will dilute the dye and make the leak visible under cobalt blue light on a slit lamp examination. A positive test shows bright green dye concentrated around the leak site, indicating a leak that requires further management.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 13

    SEIDELS TEST

    D R . FA H R E Z A
    DEFINITION

    The Seidel test is named after the German


    ophthalmologist Erich Seidel
    The test used to reveal ocular leaks from
    the cornea, sclera or conjunctiva following
    injury or surgery and sometimes disease is
    called Seidel test.
    PRINCIPLE

    Aqueous in the anterior chamber is a clear fluid. Tear film


    covering the conjunctiva and cornea is also a transparent
    layer. Following ocular injury or surgery or any disease, if
    ocular leak is present then this fluid will leak out of the eye.
    However due to tear film, this aqueous leak disappears and
    site of the leak cannot be identified. Thus, if the dye were
    injected into aqueous then the site of leak can be identified by
    the dye leaking out of the wound. However this is an invasive
    procedure, so non-invasive alternative would obviously be
    preferable and an alternative approach is the seidel test dye
    the tear film. Any aqueous leak will dilute the dyed tears in the
    site of leak and the leak would be much more obvious by
    color change.
    DYE USED IN SEIDEL TEST

    Fluorescein 10 % (Resorcinolphthalein) dye is used in


    the seidel test. Fluorescein is a synthetic organic
    compound available as a dark orange or red in color. It
    can be prepared from phthalic anhydride and resorcinol
    in the presence of zinc chloride via the Friedel-Crafts
    reaction. As concentrated fluorescein does not actually
    fluoresce, it is used in relatively dilute concentrations in
    most circumstances. Concentrated fluorescein will be
    diluted by the leak which will flow downward due to
    gravity and on slit lamp examination by using cobalt blue
    light this leak will appear bright green.
    TECHNIQUE

    Prepare the slit lamp


    Explain the procedure to the patient
    Gently apply the topical anesthetic eye drop
    Carefully apply moistened Fluorescein dye strip to the superior
    conjunctiva.
    (In corneal tear, the dye can usually be applied to the superior
    conjunctiva, allowing the dye to flow down over the cornea. Another
    advantage of applying fluorescein to the superior conjunctiva above the
    suspected lesion is that Bells phenomenon whereby the eyes rotate
    upward and outward.)
    Ask patient to blink once
    Visualize the injured site under cobalt blue light source
    Estimate the rate and volume of fluid exiting the wound
    Apply topical antibiotic eye drop
    INDICATIONS

    (1) To identify the site of ocular leak after globe injury


    (2) To identify whether the corneal tear is sealed or not
    (3) To evaluate different sutureless cataract incision
    configurations
    (4) Post-operatively to ensure appropriate wound closure
    after filtering bleb
    CONTRAINDICATIONS

    (1) Obvious Globe rupture


    (2) Corneal perforation
    (3) Full thickness eye laceration
    (4) Hypersensitivity to Fluorescein
    INTERPRETATION (POSITIVE
    SEIDEL TEST)
    A. Fluorescein dye diluted by aqueous fluid
    B. Bright green concentrated dye surrounds leak site
    (above and to side
    PRECAUTIONS

    Do not apply pressure to eye during test (risk of eye


    tissue extrusion)
    REQUIREMENTS

    A. Slit lamp with cobalt blue light source


    B. Fluorescein strip
    C. Topical Anesthetic eye-drops
    MANAGEMENT

    A full thickness penetration (leaking wound) should be


    treated as an emergency and require prompt surgical
    repair. Care must be taken to protect the eye.
    A sealed corneal tear (small wound) is treated by applying
    bandage contact lens or pressure patching.
    Any inadequate wound closure or incision closure needs
    to be reviewed. Cyanoacrylate glue and a bandage contact
    lens may be applied to close the wound.
    Broad-spectrum antibiotics are indicated to decrease any
    chance of microbial keratitis or endophthalmitis.
    Tetanus prophylaxis is given.
    PROGNOSIS

    Depends on the injuries sustained and the extent of


    damage at presentation

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