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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...

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Detalles Bibliográficos
Autores principales: Domínguez Yates, Ana Laura, Rojas, Jimena, Saravia, Mario Joaquín
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
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.
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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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