Seamone Mark E, Lewis Darrell R, Almeida David, Choudhry Netan, Gupta R Rishi
Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, Nova Scotia, Canada.
VitreoRetinal Surgery PA, Minneapolis, Minnesota.
Retin Cases Brief Rep. 2019;13(3):266-268. doi: 10.1097/ICB.0000000000000576.
To describe the complication of subretinal gas after pars plana vitrectomy for rhegmatogenous retinal detachment, as well as its management.
The presence of subretinal gas was noted on postoperative Day 1 after pars plana vitrectomy for a chronic rhegmatogenous retinal detachment. Resolution of subretinal gas was facilitated by an infusion line and external sclerotomy to expand the vitreous cavity. Residual subretinal gas was removed through a posterior retinotomy after fluid-air exchange.
This technique resulted in the successful evacuation of subretinal gas, allowing for chorioretinal adhesion and reattachment of the retina.
Subretinal gas can rarely occur after pars plana vitrectomy for rhegmatogenous retinal detachment. This complication can be successfully managed by way of external drainage, followed by evacuation of residual gas through fluid-air exchange and posterior retinotomy.
描述孔源性视网膜脱离行玻璃体切割术后视网膜下气体的并发症及其处理方法。
在对慢性孔源性视网膜脱离行玻璃体切割术后第1天发现存在视网膜下气体。通过输液管和外巩膜切开术扩大玻璃体腔，促进视网膜下气体的吸收。在液气交换后，通过视网膜后切开术清除残留的视网膜下气体。
该技术成功排出视网膜下气体，实现脉络膜视网膜粘连和视网膜复位。
孔源性视网膜脱离行玻璃体切割术后很少发生视网膜下气体。这种并发症可通过外部引流，随后通过液气交换和视网膜后切开术排出残留气体而成功处理。
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