Pressure sore in a patient who underwent repair of a retinal tear with gas injection

Treister, Giora; Wygnanski, Tamara

doi:10.1007/bf00185301

Cited by 33 publications

(17 citation statements)

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“…There have been reports of complications including ulnar nerve neuropathy 2,3 and pressure sores. 15 In addition to these medical complications, there are the financial costs of lost time from work, caregiver requirements, and expensive medical equipment. These associated costs of macular hole surgery may be reduced if a shorter period of face down positioning were required.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Macular Hole Surgery and Shortened Face Down Positioning

Wickens

Shah²

2006

Retina

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Section: Discussionmentioning

confidence: 99%

Outcomes of Macular Hole Surgery and Shortened Face Down Positioning

Wickens

Shah²

2006

Retina

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“…FDP has been associated with acute angle-closure glaucoma in the fellow eye. [49] Excessive posturing may lead to complications such as ulnar nerve palsies [50] and pressure sores [51]. It is against the backdrop of these controversies that the requirement for FDP has been questioned.…”

Section: Macular Hole Surgerymentioning

confidence: 99%

Posturing after Macular Hole Surgery: A Review

2011

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Since the first reports on surgical repair of macular holes, postoperative face-down posturing (FDP) has been part of the management regime. However, prone positioning is unpleasant for patients, and has adverse effects. Over the last decade some vitreoretinal surgeons have reduced the duration of FDP, or even abandoned it altogether. There have been few non-randomised, and even fewer randomised trials addressing this controversy. With high success rates for macular hole surgery and multiple different surgical strategies such as internal limiting membrane peeling, combining macular hole and cataract surgery, and different durations of gas tamponade, analysing the effects of individual factors is difficult. This paper discusses the mechanisms of surgical repair as well as the role of postoperative FDP, and reviews the studies that have attempted to determine its effect on the success of macular hole surgery.

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“…Morbidity associated with impaired vision and musculoskeletal disorders, as well as thrombotic, embolic, and neurologic complications associated with positioning, could also be reduced by using SF 6 gas. [24][25][26] At the beginning of the study in 2009, the authors' institution used the treatment most recognized at the time. Consequently, 25-gauge pars plana vitrectomy combined with peeling of the internal limiting membrane (ILM; using trypan blue or indocyanine green (ICG) dye) and C 3 F 8 gas tamponade was used.…”

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confidence: 99%