Lin Chien-Jen, Peng Kai-Ling
Department of Radiology, Chi Mei Medical Center, Tainan City, Taiwan.
Department of Ophthalmology, Chi Mei Medical Center, Tainan City, Taiwan,
Int Med Case Rep J. 2018 Jul 31;11:173-176. doi: 10.2147/IMCRJ.S163085. eCollection 2018.
We reported a rare case of sudden onset of severe but reversible suprachoroidal air that occurred at the moment of air-fluid exchange in 23-gauge vitrectomy. A 31-year-old male patient presented with a large break at 10-11 o'clock and high bullous, nearly total retinal detachment. He underwent first surgery with silicon oil injection at the end of the surgery. He was arranged to have a second surgery for silicon oil removal through pars plana vitrectomy which was performed smoothly at first. While switching to another mode of air-fluid exchange to clean the residual emulsified oil droplets, surgical view disappeared completely and was suddenly replaced with severe and total suprachoroidal air, which fortunately resolved within 3 days without any other severe complications.
我们报告了一例罕见的严重但可逆的脉络膜上腔积气病例，该病例发生在23G玻璃体切除术中气液交换时。一名31岁男性患者，在10至11点处有一个大裂孔，伴有高度泡状、几乎完全性视网膜脱离。他在第一次手术结束时进行了硅油注入。随后安排他进行第二次手术，通过扁平部玻璃体切除术取出硅油，手术起初进行顺利。然而，在切换到另一种气液交换模式以清除残留乳化油滴时，手术视野完全消失，突然被严重的全脉络膜上腔积气所取代，幸运的是，积气在3天内自行消退，未出现任何其他严重并发症。
