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Scleral rupture during intraoperative silicone oil injection in pars plana vitrectomy
PURPOSE: To report a single case history of scleral rupture (SR) during silicone oil injection in a pars plana vitrectomy. OBSERVATIONS: A 60-year-old woman with a history of pathological myopia presented with acute vision loss in her right eye. A retinal detachment, with multiple tears, was diagnos...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609831/ https://www.ncbi.nlm.nih.gov/pubmed/31312752 http://dx.doi.org/10.1016/j.ajoc.2019.100506 |
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author | Domínguez Yates, Ana Laura Rojas, Jimena Saravia, Mario Joaquín |
author_facet | Domínguez Yates, Ana Laura Rojas, Jimena Saravia, Mario Joaquín |
author_sort | Domínguez Yates, Ana Laura |
collection | PubMed |
description | PURPOSE: To report a single case history of scleral rupture (SR) during silicone oil injection in a pars plana vitrectomy. OBSERVATIONS: A 60-year-old woman with a history of pathological myopia presented with acute vision loss in her right eye. A retinal detachment, with multiple tears, was diagnosed, and she underwent vitreoretinal surgery. During silicone oil injection, a SR, with extra ocular oil leakage, was advised. Due to the small extent of the lacerated area, the SR was left to spontaneously resolve and, after three surgeries, the retina remained attached, with no internal tamponade, and the patient had not presented symptoms or signs of intracranial migration or toxicity. CONCLUSIONS AND IMPORTANCE: During silicone oil injection, it is most important to maintain a controlled eyeball pressure, especially in patients with scleral weakness, and to carefully check the drainage of air, due to the risk of SR. When oil leakage is detected in the orbital cavity, an accurate assessment may be required due to the likelihood of progression inside the intracranial structures. |
format | Online Article Text |
id | pubmed-6609831 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-66098312019-07-16 Scleral rupture during intraoperative silicone oil injection in pars plana vitrectomy Domínguez Yates, Ana Laura Rojas, Jimena Saravia, Mario Joaquín Am J Ophthalmol Case Rep Case Report PURPOSE: To report a single case history of scleral rupture (SR) during silicone oil injection in a pars plana vitrectomy. OBSERVATIONS: A 60-year-old woman with a history of pathological myopia presented with acute vision loss in her right eye. A retinal detachment, with multiple tears, was diagnosed, and she underwent vitreoretinal surgery. During silicone oil injection, a SR, with extra ocular oil leakage, was advised. Due to the small extent of the lacerated area, the SR was left to spontaneously resolve and, after three surgeries, the retina remained attached, with no internal tamponade, and the patient had not presented symptoms or signs of intracranial migration or toxicity. CONCLUSIONS AND IMPORTANCE: During silicone oil injection, it is most important to maintain a controlled eyeball pressure, especially in patients with scleral weakness, and to carefully check the drainage of air, due to the risk of SR. When oil leakage is detected in the orbital cavity, an accurate assessment may be required due to the likelihood of progression inside the intracranial structures. Elsevier 2019-06-29 /pmc/articles/PMC6609831/ /pubmed/31312752 http://dx.doi.org/10.1016/j.ajoc.2019.100506 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Domínguez Yates, Ana Laura Rojas, Jimena Saravia, Mario Joaquín Scleral rupture during intraoperative silicone oil injection in pars plana vitrectomy |
title | Scleral rupture during intraoperative silicone oil injection in pars plana vitrectomy |
title_full | Scleral rupture during intraoperative silicone oil injection in pars plana vitrectomy |
title_fullStr | Scleral rupture during intraoperative silicone oil injection in pars plana vitrectomy |
title_full_unstemmed | Scleral rupture during intraoperative silicone oil injection in pars plana vitrectomy |
title_short | Scleral rupture during intraoperative silicone oil injection in pars plana vitrectomy |
title_sort | scleral rupture during intraoperative silicone oil injection in pars plana vitrectomy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609831/ https://www.ncbi.nlm.nih.gov/pubmed/31312752 http://dx.doi.org/10.1016/j.ajoc.2019.100506 |
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