FLUID-FLUID EXCHANGE AND EXTERNAL NEEDLE DRAINAGE WITH MINIMAL GAS VITRECTOMY ASSOCIATED WITH RETINAL DISPLACEMENT.

Autor:	Bansal A; Department of Ophthalmology and Vision Sciences, University of Toronto, Canada.; Department of Ophthalmology, St. Michael's Hospital, Unity Health Toronto, Canada; and., Escaf LC; Department of Ophthalmology and Vision Sciences, University of Toronto, Canada.; Department of Ophthalmology, St. Michael's Hospital, Unity Health Toronto, Canada; and., Lee WW; Department of Ophthalmology and Vision Sciences, University of Toronto, Canada.; Department of Ophthalmology, St. Michael's Hospital, Unity Health Toronto, Canada; and., Muni RH; Department of Ophthalmology and Vision Sciences, University of Toronto, Canada.; Department of Ophthalmology, St. Michael's Hospital, Unity Health Toronto, Canada; and.; Kensington Vision and Research Centre, University of Toronto, Canada.
Jazyk:	angličtina
Zdroj:	Retinal cases & brief reports [Retin Cases Brief Rep] 2024 Jul 01; Vol. 18 (4), pp. 428-432.
DOI:	10.1097/ICB.0000000000001410
Abstrakt:	Purpose: To determine whether fluid-fluid exchange (endodrainage) or external needle drainage can result in retinal displacement following minimal gas vitrectomy (MGV) with no fluid-air exchange for rhegmatogenous retinal detachment repair. Methods: Two patients with macula-off rhegmatogenous retinal detachment underwent MGV with and without segmental buckle. First case had MGV with segmental buckle (MGV-SB), along with endodrainage, whereas the second case had MGV only with external fluid drainage. At the completion of surgery, the patient was immediately log rolled to face down for 6 hours followed by positioning to the break. Results: Both patients achieved retinal reattachment, and postoperative widefield fundus autofluorescence imaging demonstrated a low-integrity retinal attachment with retinal displacement. Conclusion: Iatrogenic fluid drainage techniques, such as fluid-fluid exchange or external needle drainage during MGV (without fluid-air exchange), may result in retinal displacement. Allowing the retinal pigment epithelial pump to reabsorb the fluid naturally may reduce the risk of retinal displacement. Competing Interests: Dr. R.H. Muni is a consultant and receives research funding from Novartis, Bayer, Roche, and Alcon, none of which are relevant to this work. Drs. A. Bansal, W. Wei Lee, and L.C. Escaf declare no conflicts of interest.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu