Seidel test

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Seidel test is a clinical examination used to detect anterior chamber leakage in the eye. It is named after the German ophthalmologist Ernst Seidel.

Overview[edit | edit source]

The Seidel test is a simple, non-invasive procedure that can be performed in a clinical setting. It is used to detect the presence of a wound leak in the anterior chamber of the eye, which can occur as a result of trauma or surgery. The test is named after Ernst Seidel, a German ophthalmologist who first described the technique.

Procedure[edit | edit source]

The Seidel test involves the application of a fluorescein strip to the suspected area of leakage. The strip is moistened with a non-preserved saline solution and then gently applied to the eye. If a leak is present, the fluorescein will mix with the aqueous humor and create a green stream that can be seen under a slit lamp with a cobalt blue filter.

Indications[edit | edit source]

The Seidel test is indicated in cases where there is a suspicion of a wound leak in the anterior chamber of the eye. This can occur following trauma or surgery, such as cataract surgery or corneal transplant. It can also be used to monitor the healing of a wound over time.

Limitations[edit | edit source]

While the Seidel test is a useful tool in detecting anterior chamber leaks, it does have some limitations. It may not detect small leaks, and it can be difficult to perform in patients who are uncooperative or have a high level of anxiety. Additionally, the test can cause discomfort and may induce a reflex tear, which can dilute the fluorescein and make the results difficult to interpret.

See also[edit | edit source]

Seidel test Resources
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Contributors: Prab R. Tumpati, MD