Abstract

Surgical techniqueThe bubble mirror technique consists of the stabilization of the anterior chamber by means of a plug made with a combination of conveniently placed air and viscoelastic material. A line arises at interface between the air and viscoelastic where the anterior chamber angle reflected can be seen as in a mirror (bubble mirror). DiscussionThe viscoelastic–air plug offers three advantages in glaucoma surgery with the Ex-PRESS implant: (1) plug effect of viscoelastic, giving stability to the anterior chamber and preventing it from collapsing; (2) toning effect of the air bubble; and (3) specular effect at the interface, which allows the surgeon to visually control the chamber angle during the Ex-PRESS implantation.

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