VitreoRetinal Surgery, PA, USA.
Curr Opin Ophthalmol. 2020 May;31(3):167-173. doi: 10.1097/ICU.0000000000000652.
The present article reviews the most common and most serious vision-threatening and life-threatening complications of vitreoretinal surgery.
Serious complications after vitreroretinal surgery are rare. Endophthalmitis for example has recently been estimated to occur in 0.08% of small gague vitrectomy. Other complications such as cataract are almost unavoidable, becoming visually significant in up to 80% of patients. The introduction of smaller gauge vitrectomy systems has reduced surgical times, conjunctival scarring and inflammation, and the rate of some complications such as retinal tears. Ocular venous air embolism is an exceedingly rare complication that is potentially life threating and therefore important for all vitreoretinal surgeons to be aware of.
Though vitreoretinal surgery is well tolerated and effective, it is inevitable that all surgeons will experience complications and are therefore best served by understanding the potential complications, strategies to reduce the likelihood of them occurring, and ways to address them when they do happen.
本文综述了玻璃体视网膜手术最常见和最严重的威胁视力和生命的并发症。
玻璃体视网膜手术后严重并发症罕见。例如，眼内炎最近估计在小口径玻璃体切除术中的发生率为 0.08%。其他并发症如白内障几乎不可避免，高达 80%的患者视力受到影响。较小口径玻璃体切除系统的引入减少了手术时间、结膜瘢痕和炎症，以及视网膜裂孔等一些并发症的发生率。眼静脉空气栓塞是一种极其罕见的并发症，可能危及生命，因此所有玻璃体视网膜外科医生都应该了解这一点。
尽管玻璃体视网膜手术耐受性好、效果好，但所有外科医生都不可避免地会遇到并发症，因此最好了解潜在的并发症、降低其发生可能性的策略，以及在发生并发症时的处理方法。
