Prolonged Pain Following Unintentional Injection of Gas Into the Suprachoroidal Space During Pneumatic Retinopexy

Jabaly-Habib, Haneen; Fineberg, Edward; Tornambe, Paul E.; Lang, Yaron; Garzozi, Hanna J.

doi:10.1097/00006982-200310000-00025

Cited by 7 publications

(10 citation statements)

References 3 publications

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“…The pain might have been caused by the suprachoroidal gas, as previously reported by Jabaly-Habib et al7 Because the pain was mild and controllable in the current case, the gas was not removed and the pain diminished with time.…”

Section: Discussionsupporting

confidence: 63%

“…Although iatrogenic suprachoroidal gas injection has been previously reported as a complication of pneumatic retinopexy,1,7 to the best of our knowledge, only one study has described suprachoroidal SF6 gas injection as a complication of 23-gauge vitrectomy resulting from intraoperative retraction of the infusion cannula 8. Here, the natural course and CT confirmation and follow-up of suprachoroidal SF6 gas injected during pars plana vitrectomy is presented.…”

Section: Discussionmentioning

confidence: 85%

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Suprachoroidal gas injection as a complication of pars plana vitrectomy confirmed by computed tomography

Uji¹

2012

OPTH

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BackgroundSuprachoroidal gas injection has been reported as a complication of pneumatic retinopexy, and the usefulness of B-scan ultrasonography has been reported. A case of suprachoroidal gas injection as a complication of pars plana vitrectomy confirmed by computed tomography (CT) is presented here.MethodsA 64-year-old woman developed a vitreous hemorrhage due to a retinal tear secondary to an old branch retinal vein occlusion. A 23-gauge pars plana vitrectomy was performed. Sclerotomies were performed at a 30° angle. After air–fluid exchange, sulfur hexafluoride gas was injected through a temporo-superior sutured sclerotomy with direct visualization of the entire needle tip. Postoperatively, a large choroidal elevation was identified temporo-superiorly with intravitreal gas, and the patient complained of a mild headache.ResultsOn postoperative Day 7, a CT scan showed two low-density areas, confirming the presence of suprachoroidal gas; intravitreal gas blocked visualization of the suprachoroidal gas on B-scan ultrasonography. On postoperative Day 14, the intravitreal gas resolved and a CT scan showed a small amount of residual suprachoroidal gas. By this time, the headache had completely resolved.ConclusionSuprachoroidal gas injection is a rare complication of pars plana vitrectomy that resolves spontaneously. In this case, CT scans confirmed the presence of suprachoroidal gas despite the presence of intravitreal gas.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 85%

Suprachoroidal gas injection as a complication of pars plana vitrectomy confirmed by computed tomography

Uji¹

2012

OPTH

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“…Iatrogenic suprachoroidal gas was previously described as a complication of both pneumatic retinopexy [ 1 , 2 ] and 23-gauge vitrectomy [ 3 , 4 , 5 , 6 ]. Pure C 3 F 8 and SF 6 gases were implicated in these cases [ 1 , 2 , 3 , 4 , 5 , 6 ].…”

Section: Discussion/conclusionmentioning

confidence: 99%

“…The entrapment of gas in the suprachoroidal space as a complication of pneumatic retinopexy was first described by Baker and Hainsworth [ 1 ]. Since then, an additional 6 cases were reported in the literature: 2 cases were similarly associated with pneumatic retinopexy [ 2 ], whilst the others resulted from 23-gauge sutureless pars plana vitrectomy [ 3 , 4 , 5 ]. Both perfluoropropane (C 3 F 8 ) and sulfur hexafluoride (SF 6 ) were implicated [ 1 , 2 , 3 , 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Since then, an additional 6 cases were reported in the literature: 2 cases were similarly associated with pneumatic retinopexy [ 2 ], whilst the others resulted from 23-gauge sutureless pars plana vitrectomy [ 3 , 4 , 5 ]. Both perfluoropropane (C 3 F 8 ) and sulfur hexafluoride (SF 6 ) were implicated [ 1 , 2 , 3 , 4 , 5 , 6 ]. Herein, we describe a case of suprachoroidal gas as a complication of intravitreal injection of perfluoropropane for pneumatic displacement of submacular hemorrhage.…”

Section: Introductionmentioning

confidence: 99%

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Suprachoroidal Gas: A Rare Complication of Intravitreal Injection of Perfluoropropane

Dedina¹,

Wong²,

Durkin³

2021

Case Rep Ophthalmol

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This is a case report of a 75-year-old pseudophakic male, who presented with a massive submacular hemorrhage on a background of neovascular age-related macular degeneration. Intravitreal perfluoropropane was used to attempt pneumatic displacement of the submacular hemorrhage. The next day, subconjunctival gas was observed, with no gas seen in the vitreous cavity. Fundal examination showed suprachoroidal detachment. CT images confirmed gas entrapment, with no choroidal hemorrhage identified. The following case report describes suprachoroidal gas as a complication of intravitreal injection of perfluoropropane for pneumatic displacement of submacular hemorrhage. To our knowledge, this is the first such case in the literature. We describe the approach in differentiating suprachoroidal gas from hemorrhage and comment on a plausible mechanism for this complication. This report also serves as a review of the current state of knowledge in the area of suprachoroidal gas as a complication of pneumatic retinopexy and sutureless vitrectomy.

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Imaging the Suprachoroidal Space

Spaide

Fisher

2021

Suprachoroidal Space Interventions

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Prolonged Pain Following Unintentional Injection of Gas Into the Suprachoroidal Space During Pneumatic Retinopexy

Cited by 7 publications

References 3 publications

Suprachoroidal gas injection as a complication of pars plana vitrectomy confirmed by computed tomography

Suprachoroidal gas injection as a complication of pars plana vitrectomy confirmed by computed tomography

Suprachoroidal Gas: A Rare Complication of Intravitreal Injection of Perfluoropropane

Imaging the Suprachoroidal Space

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