Xu Kunyong, Chin Eric K, Almeida David R P
Department of Ophthalmology and Visual Sciences, University of Arizona, Tucson, AZ, USA.
Retina Consultants of Southern California, Redlands, CA, USA.
J Vitreoretin Dis. 2020 Dec 9;5(6):536-538. doi: 10.1177/2474126420974550. eCollection 2021 Nov-Dec.
We describe the outcome of a 23-year-old man undergoing vitreoretinal surgery for a macula-off rhegmatogenous retinal detachment secondary to a giant retinal tear.
Patient underwent combined 25- gauge 3-port pars plana vitrectomy with scleral buckle, perfluorocarbon liquid, and perfluoropropane gas tamponade. During surgery, triamcinolone inadvertently entered the subretinal space and was retained.
The subretinal triamcinolone deposits spontaneously absorbed over a 2-month period. No adverse sequelae were associated with this complication.
This may support avoiding aggressive mechanical removal of iatrogenic subretinal triamcinolone in the context of retinal detachment repair.
我们描述了一名23岁男性因巨大视网膜裂孔继发黄斑脱离接受玻璃体视网膜手术的结果。
患者接受了25G三通道经平坦部玻璃体切除术,联合巩膜扣带术、全氟碳液和全氟丙烷气体填塞。手术过程中,曲安奈德意外进入视网膜下间隙并留存。
视网膜下曲安奈德沉积物在2个月内自发吸收。该并发症未导致不良后遗症。
这可能支持在视网膜脱离修复过程中避免对医源性视网膜下曲安奈德进行积极的机械清除。