Accidental drainage of subretinal fluid.

Brown, Paul; Chignell, A H

doi:10.1136/bjo.66.10.625

Cited by 21 publications

(16 citation statements)

References 3 publications

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“…SR has been more frequently reported during the placement of sutures in strabismus 5 , 6 or an SBP, 7 during periocular anesthesia, 8 , 9 episcleral dissection, or extremely tight extraocular muscle disinsertion 10 . Immediate management includes anatomical recovery by suturing or by the placement of a scleral patch graft or silicone explant over the lacerated area.…”

Section: Discussionmentioning

confidence: 99%

Scleral rupture during intraoperative silicone oil injection in pars plana vitrectomy

Yates

Rojas

Saravia

2019

American Journal of Ophthalmology Case Reports

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Purpose To report a single case history of scleral rupture (SR) during silicone oil injection in a pars plana vitrectomy. Observations A 60-year-old woman with a history of pathological myopia presented with acute vision loss in her right eye. A retinal detachment, with multiple tears, was diagnosed, and she underwent vitreoretinal surgery. During silicone oil injection, a SR, with extra ocular oil leakage, was advised. Due to the small extent of the lacerated area, the SR was left to spontaneously resolve and, after three surgeries, the retina remained attached, with no internal tamponade, and the patient had not presented symptoms or signs of intracranial migration or toxicity. Conclusions and importance During silicone oil injection, it is most important to maintain a controlled eyeball pressure, especially in patients with scleral weakness, and to carefully check the drainage of air, due to the risk of SR. When oil leakage is detected in the orbital cavity, an accurate assessment may be required due to the likelihood of progression inside the intracranial structures.

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Section: Discussionmentioning

confidence: 99%

Scleral rupture during intraoperative silicone oil injection in pars plana vitrectomy

Yates

Rojas

Saravia

2019

American Journal of Ophthalmology Case Reports

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“…Ameliyat mikroskopunun dezavantajları ise sürekli derinlik ayarlaması gerektirmesi, plano düzlemde çalışma zorluğu ve ameliyat süresini uzatabilmesidir. 12,13,[16][17][18] Brown ve Chignell 19 SÇ prosedüründe görülebilen skleral perforasyon oranını yüksek miyoplarda, ince skleralarda, radial çökertmelerde ve başarısız olan SÇ'nin reoperasyonunda %6 olarak bildirmiştir. Raman ve ark.…”

Section: Discussionunclassified

Yırtıklı Retina Dekolmanında Ameliyat Mikroskopu Altında Yapılan Skleral Çökertme Cerrahisi ile Ameliyat Mikroskopu Kullanılmadan Yapılan Skleral Çökertme Cerrahisinin Karşılaştırılması

Tuncer¹,

Kaynak²,

Karahan³

et al. 2014

tjo

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Bu çalışma TOD 47. Ulusal Oftalmoloji Kongresinde (6-10 Kasım 2013, Antalya) poster olarak sunulmuştur. Amaç: Primer yırtıklı retina dekolmanı (YRD) tedavisinde ameliyat mikroskopu altında yapılan skleral çökertme (SÇ) ile ameliyat mikroskopu kullanılmadan yapılan SÇ cerrahisinin karşılaştırılması. Gereç ve Yöntem: Çalışmaya primer YRD nedeniyle opere edilmiş 74 hastanın 74 gözü dahil edildi. Ameliyat mikroskopu kullanılarak SÇ yapılan 35 hasta Grup 1, ameliyat mikroskopu kullanılmadan SÇ yapılan 39 hasta Grup 2 olarak kabul edildi. Postekvatoryal yırtık, 90°'den daha geniş yırtık, C2 ve üzeri evre proliferatif vitreoretinopatisi bulunanlar ile takip süresi altı aydan kısa olan hastalar çalışmaya alınmadı. Gruplar yaş, cinsiyet, etyoloji, anatomik başarı ve cerrahi komplikasyonlar (skleral perforasyon, iatrojenik retinal yırtık, vitreus içi hemoraji, sörklaj malpozisyonu ve vorteks ven hasarı) açısından karşılatırıldı.

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“…In few cases an intravitreal injection of air could be necessary. The biggest secondary complications resulting from an inadvertent drainage of subretinal fl uid with consequent hypotony is choroidal hemorrhage [ 13 ].…”

Section: Accidental Drainage Of Subretinal Fluidmentioning

confidence: 99%