Orbital Gas after 25-Gauge Pars Plana Vitrectomy with Incorrect Gas Mixture.

Autor: Ashkenazy N; Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.; University of Texas Southwestern Medical Center, Dallas, TX, USA., Danzig CJ; Rand Eye Institute, Deerfield Beach, FL, USA.; Charles E. Schmidt School of Medicine, Florida Atlantic University, Boca Raton, FL, USA., Rong AJ; Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA., Read SP; Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.; Retina Consultants of Hawaii, Honolulu, HI, USA., Maeng MM; Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA., Flynn HW Jr; Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA., Albini TA; Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Jazyk: angličtina
Zdroj: Case reports in ophthalmology [Case Rep Ophthalmol] 2023 Jul 10; Vol. 14 (1), pp. 301-306. Date of Electronic Publication: 2023 Jul 10 (Print Publication: 2023).
DOI: 10.1159/000530401
Abstrakt: We present 2 cases of sutureless 25-gauge pars plana vitrectomy and fluid-gas exchange, in which incorrect gas concentrations likely led to elevated intraocular pressures and retrobulbar gas. Combined removal of orbital gas with anterior orbitotomy and pars plana vitrectomy was performed in the first case to address expanding intraocular and retrobulbar gas resulting from a suspected error in gas dilution. Vitreous and orbital gas removal by needling was effective in the second case. In patients with elevated intraocular pressure and orbital gas accumulation after vitrectomy, combined intraocular and orbital decompressions were effective in optimizing clinical outcomes. There is no consensus regarding the best management of orbital gas after vitrectomy. We propose that a multidisciplinary technique should be considered, when available.
Competing Interests: None of the authors report any conflicts of interest as it pertains to the content of this manuscript. Noy Ashkenazy: Alimera Sciences (advisory board), DORC Surgical (lecture, honorarium). Carl J. Danzig: DORC Surgical (consultant). Sara P. Read, Michelle M. Maeng ORCID RELNO, Harry W. Flynn Jr., Thomas A. Albini: none.
(© 2023 The Author(s). Published by S. Karger AG, Basel.)
Databáze: MEDLINE
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