PMID: 16508435Mar 2, 2006Paper

Retinal damage caused by air-fluid exchange during pars plana vitrectomy

Retina
Sam S YangArthur D Fu

Abstract

To report two cases of retinal damage associated with air infusion during pars plana vitrectomy. Observational case report. The authors reviewed the course of two patients who had retinal damage during par plana vitrectomy and air-fluid exchange for the treatment of macular hole and optic pit-related macular detachment, respectively. The intraoperative observations, postoperative course, and outcomes were reported. As a result of high air infusion flow during air-fluid exchange, retinal damage was created in the area contralateral to the infusion port. In Case 1, an oval area of whitening was noted on the first postoperative day. This area subsequently developed into a large retinal break associated with retinal detachment. In the second case, retinal whitening was noted intraoperatively. This region of pallor resolved quickly during the early postoperative period but resulted in a corresponding inferotemporal visual field defect. High infusion flow during air-fluid exchange in eyes undergoing vitrectomy surgery may result in significant retinal damage. This pressure-induced trauma initially causes retinal whitening that may be seen intraoperatively or during the early postoperative period. The region of damaged retina may deve...Continue Reading

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Citations

Mar 1, 2008·Clinical Ophthalmology·Stephen G Schwartz, Harry W Flynn
Jul 8, 2008·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Daniele TognettoGiuseppe Ravalico
Jul 12, 2014·Current Eye Research·Nikolaos KopsachilisUlrich Welge-Luessen
Jun 12, 2009·Journal français d'ophtalmologie·G MichelO Naoun
Jan 1, 2009·Journal of Ophthalmology·Gian Marco TosiPatrizia Pichierri
Nov 4, 2015·Retina·Leandro C ZachariasWalter Y Takahashi
Feb 18, 2012·Survey of Ophthalmology·Nieraj JainPrithvi Mruthyunjaya
Jun 25, 2019·Ophthalmic Surgery, Lasers & Imaging Retina·Meng ZhaoWu Liu
Jul 28, 2021·Scientific Reports·Valerio PiccirilloMichele Lanza

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