Ultra wide field angiography documented peripheral retinal eovascularization as cause of vitreous hemorrhage after scleral buckle surgery#

Enghelberg, Moises; Chalam, Kakarla V.

doi:10.1093/jscr/rjaa142

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…Our main modifications were introducing self-sealing scleral flaps, reducing the 23 G sclerotomies to 27 G (externalizing the anchors) and moving the sclerotomy sites slightly from the 3 and 9 o'clock position to the 2 and 8 o' clock 15 Enghelberg, and Chalam. 16 Reducing the sclerotomies to 27 G that are used to externalize the haptics should not only increase the hold ability but also prevent postoperative hypotony in a sutureless approach as was shown for 27 G vitrectomy both by Anastasilakis et al 17 and Naruse et al 18 It is noteworthy that we recently had to explant one Carlevale IOL. In cases where an explantation of the IOL is necessary, the anchors can simply be pulled back using a forceps and the IOL can be folded and explanted by a tunnel incision of 2.4 mm.…”

Section: Discussionmentioning

confidence: 94%

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Modified Sutureless Intrascleral Fixation Technique for Secondary Intraocular Lens Implantation

Januschowski

Boden

Macek

et al. 2023

Retina

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Background/Purpose: To demonstrate possible complications of a new intraocular lens for sutureless secondary scleral implantation and modifications of the surgical technique to optimize outcomes. Methods: A retrospective study of 16 eyes (16 patients) who underwent a secondary intraocular lens implantation using the Carlevale intraocular lens (Soleko, Italy) with two anchor haptics for intrascleral implantation (mean follow-up 2.2 months). Results: The visual acuity did not improve statistically significantly postoperatively (P = 0.601). Seven (44%) patients suffered from postoperative hypotonia (intraocular pressure <5 mmHg) during the first three postoperative days. Conclusion: Owing to the early postoperative hypotony, we decided to modify the surgical technique. We present several suggestions to optimize the technique and outcome such as positioning the sclerotomies at the 2 and 8 o'clock positions, using 27 G trocars alone and suturing the frown incisions using self-resorbing sutures.

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Section: Discussionmentioning

confidence: 94%

“…It should be generally advised to avoid the 3 and 9 o'clock positions because of potentially irritation of the long posterior ciliary arteries and ciliary nerve damage, as described by Pfister, 15 Enghelberg, and Chalam. 16…”

Section: Discussionmentioning

confidence: 99%

Modified Sutureless Intrascleral Fixation Technique for Secondary Intraocular Lens Implantation

Januschowski

Boden

Macek

et al. 2023

Retina

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“…The main modifications of this technique were self-sealing scleral flaps and 27-G sclerotomies at 2 and 8 o’clock positions to externalize the anchors [15]. It should be generally advised to avoid the 3 and 9 o’clock positions because of potentially irritation of the long posterior ciliary arteries and potential ciliary nerve damage, as described [16, 17].…”

Section: Discussionmentioning

confidence: 99%

Clinical Experience of Two Sutureless Intrascleral Fixation Techniques for Secondary Intraocular Lens Implantation

Januschowski,

Rickmann,

Boden

et al. 2023

Ophthalmologica

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Introduction: The aim of this study was to evaluate the outcome of the modified Carlevale intraocular lens (IOL) fixation technique, using two different vitrectomy ports (23- vs. 27-gauge) as anchor fixation. Methods: Retrospective, consecutive study of 282 eyes (282 patients) who underwent a secondary IOL implantation using the Carlevale IOL (Soleko IOL Division, Italy) with two anchor haptics for intrascleral implantation with either 23- or 27-gauge (G) port. Results: Transient post-operative ocular hypotonia (intraocular pressure ≤5 mm Hg) was observed less in the 27-G group (13 vs. 4 patients, p = 0.057) three requiring additional tunnel sutures (2 cases for 23-G; 1 case 27-G). Post-operative vitreous haemorrhage was recorded more often in the 23-G group (8 vs. 1 patient, p = 0.034), but all cases in both groups resolved without intervention. Visual acuity did improve post-operatively in the two groups. No post-operative complications such as retinal detachment, endophthalmitis, and IOL-dislocation tilt were observed in the follow-up. Conclusion: The 27-G modified technique for sutureless intrascleral implantation is simple and effective and causes less post-operative hypotony.

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“…Vitreous hemorrhage is one of the most common causes of acutely or subacutely decreased vision or even blindness [7,8]. Vitrectomy is an important therapeutic means for clearing the bleeding in the vitreous cavity, repairing the retinal structure, and improving the visual function of patients [9,10,11,12]. However, more in-depth research and analysis are warranted for investigating postoperative prognosis of these patients and the factors affecting the prognosis.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Prognostic Factors in Non-Traumatic and Non-Diabetic Retinopathy Patients Undergoing Vitrectomy

Dong,

Xiao,

Liu

et al. 2024

Ann Ital Chir

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AIM: Vitrectomy is one of the crucial therapeutic interventions for non-traumatic and non-diabetic retinal diseases. However, the prognosis of patients undergoing this procedure and the factors affecting prognosis remain to be clarified. The aim of this study was to analyze the prognostic factors of non-traumatic and non-diabetic retinopathy complicated by vitreous hemorrhage. METHODS: A retrospective study was conducted on 352 patients, including 152 (43.18%) females, who underwent vitrectomy in our hospital from March 2018 to December 2022, divided into Group A (postoperative complications) and Group B (no complications) according to whether complications occurred during postoperative follow-up. General and clinical data of the two groups were collected and compared. Binary logistic regression was used to analyze the main factors affecting prognosis. RESULTS: All patients were followed up for 12 months. A total of 87 patients had postoperative complications, accounting for 24.72% (87/352), and were classified as Group A. A total of 265 patients who had no postoperative complications, accounting for 75.28% (265/352), were classified as Group B. There were significant differences in preoperative visual acuity, time of surgical intervention, preoperative fundus condition, stage of retinopathy, preoperative intraocular pressure and age between the two groups (p < 0.05), and these indices were identified as independent risk factors affecting the prognosis of patients (odds ratio >1). CONCLUSIONS: Preoperative visual acuity, time of surgical intervention, preoperative fundus condition, stage of retinopathy, preoperative intraocular pressure and age are all factors affecting the prognosis of patients with non-traumatic and non-diabetic retinopathy while undergoing vitrectomy. Personalized care is required to improve the surgical outcome for these patients.

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Ultra wide field angiography documented peripheral retinal eovascularization as cause of vitreous hemorrhage after scleral buckle surgery#

Cited by 4 publications

References 7 publications

Modified Sutureless Intrascleral Fixation Technique for Secondary Intraocular Lens Implantation

Modified Sutureless Intrascleral Fixation Technique for Secondary Intraocular Lens Implantation

Clinical Experience of Two Sutureless Intrascleral Fixation Techniques for Secondary Intraocular Lens Implantation

Analysis of Prognostic Factors in Non-Traumatic and Non-Diabetic Retinopathy Patients Undergoing Vitrectomy

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