scholarly journals Subretinal crystalline lens – an unusual complication of blunt trauma

2013 ◽  
Vol 13 (2) ◽  
pp. 68-70
Author(s):  
Kalpana Badami Nagaraj ◽  
Srilatha Tirumale ◽  
K S Sriprakash ◽  
C S Savitha ◽  
Chaitra Jayadev
Keyword(s):  
Blunt Trauma ◽  
Pars Plana Vitrectomy ◽  
Crystalline Lens ◽  
Vitreous Cavity ◽  
Unusual Complication ◽  
Retinal Tear ◽  
Giant Retinal Tear ◽  
Pars Plana ◽  
Indian Male

We describe the case of a 65-year-old Indian male with a subretinal crystalline lens; an unusual complication of blunt trauma. The patient underwent a three port pars plana vitrectomy during which the subretinal location of the crystalline lens under the inferior giant retinal tear was confirmed. The lens was maneuvered into the vitreous cavity and appropriately managed.

Rupture of the Globe: What to Do, What not to Do

2020 ◽  
Vol 237 (09) ◽  
pp. 1070-1078
Author(s):  
Antonia M. Joussen ◽  
Bert Müller ◽  
Bernd Kirchhof ◽  
Theodor Stappler ◽  
Oliver Zeitz
Keyword(s):  
Pars Plana Vitrectomy ◽  
Peak Pressure ◽  
Eye Injury ◽  
Retinal Tear ◽  
Giant Retinal Tear ◽  
Macular Holes ◽  
Pars Plana ◽  
The One

AbstractDue to their complexity, globe ruptures are highly compromising traumas for the patient. This is due on the one hand to the eye injury itself with the accompanying loss of vision and on the other hand due to the need for extended treatment with uncertain prognosis and the resulting psychological stress. Globe ruptures are among the prognostically most unfavorable injuries due to the force and peak pressure impacting the eye. Furthermore, contusional retinal necrosis may be of significance prognostically. In the present review, we discuss treatment of globe ruptures involving retinal surgery. We discuss the primary sugery, its chronological planning and extent as well as the necessity for follow-up interventions. We also discuss the origin of traumatic retinal detachment with differential diagnosis of giant retinal tear versus oradialysis as well as secondary sequelae of traumas such as formation of macular holes and their treatment. On this basis, the use of buckling surgery versus pars-plana vitrectomy is discussed. Further focus is set on the role of the iris lens diaphragm in surgery of globe ruptures.

scholarly journals Pars plana vitrectomy combined with scleral buckle versus pars plana vitrectomy for giant retinal tear

2017 ◽  
Author(s):  
Mario Gutierrez ◽  
Jose L Rodriguez ◽  
Diego Zamora-De la Cruz ◽  
Mariana Aracely Flores Pimentel ◽  
Aida Jimenez-Corona ◽  
...  
Keyword(s):  
Pars Plana Vitrectomy ◽  
Scleral Buckle ◽  
Retinal Tear ◽  
Giant Retinal Tear ◽  
Pars Plana

Rhegmatogenous retinal detachment with giant retinal tear in a child with Marfan’s syndrome: a rare ocular emergency

2021 ◽  
Vol 14 (6) ◽  
pp. e241354
Author(s):  
Parrina Sehgal ◽  
Subina Narang ◽  
Deepak Chandra
Keyword(s):  
Retinal Detachment ◽  
Pars Plana Vitrectomy ◽  
Rhegmatogenous Retinal Detachment ◽  
Marfan’S Syndrome ◽  
Marfan's Syndrome ◽  
Retinal Tear ◽  
Giant Retinal Tear ◽  
Pars Plana ◽  
23 Gauge ◽  
The Right

A 7-year-old boy with Marfanoid habitus presented with sudden and painless decrease in the vision of the right eye. Ocular examination revealed rhegmatogenous retinal detachment with 360° giant retinal tear in the right eye and small peripheral retinal breaks with lattice degeneration in the left eye. The patient underwent a 23-gauge pars plana vitrectomy with scleral buckling in the right eye and laser around the breaks in the left eye. At 1-week follow-up visit, the child presented with similar complaints in the left eye as were seen in the right eye. This was later managed effectively with 23-gauge pars plana vitrectomy only. So, with our case report, we would like to highlight the need for aggressive screening in children who are diagnosed with Marfan’s syndrome and the need for prophylactic treatment in the unaffected eye.

scholarly journals Pars plana vitrectomy combined with scleral buckle versus pars plana vitrectomy for giant retinal tear

2019 ◽  
Author(s):  
Mario Gutierrez ◽  
Jose L Rodriguez ◽  
Diego Zamora-de La Cruz ◽  
Mariana Aracely Flores Pimentel ◽  
Aida Jimenez-Corona ◽  
...  
Keyword(s):  
Pars Plana Vitrectomy ◽  
Scleral Buckle ◽  
Retinal Tear ◽  
Giant Retinal Tear ◽  
Pars Plana

TWENTY-FIVE–GAUGE PARS PLANA VITRECTOMY IN COMPLEX RETINAL DETACHMENTS ASSOCIATED WITH GIANT RETINAL TEAR

Retina ◽  
2018 ◽  
Vol 38 (4) ◽  
pp. 670-677 ◽  
Author(s):  
Vinod Kumar ◽  
Devesh Kumawat ◽  
Anju Bhari ◽  
Parijat Chandra
Keyword(s):  
Pars Plana Vitrectomy ◽  
Retinal Tear ◽  
Giant Retinal Tear ◽  
Pars Plana

Iatrogenic Subretinal Triamcinolone During Primary Surgical Repair of a Retinal Detachment With a Giant Retinal Tear

2020 ◽  
pp. 247412642097455
Author(s):  
Kunyong Xu ◽  
Eric K. Chin ◽  
David R.P. Almeida
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Surgical Repair ◽  
Vitreoretinal Surgery ◽  
Subretinal Space ◽  
Perfluorocarbon Liquid ◽  
Retinal Tear ◽  
Giant Retinal Tear ◽  
Mechanical Removal ◽  
Pars Plana

Purpose: 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. Methods: 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. Results: The subretinal triamcinolone deposits spontaneously absorbed over a 2-month period. No adverse sequelae were associated with this complication. Conclusion: This may support avoiding aggressive mechanical removal of iatrogenic subretinal triamcinolone in the context of retinal detachment repair.

scholarly journals Pars Plana Vitrectomy and the Risk of Ocular Hypertension and Glaucoma: Where Are We?

2020 ◽  
Vol 9 (12) ◽  
pp. 3994
Author(s):  
Tommaso Rossi ◽  
Guido Ripandelli
Keyword(s):  
Anterior Chamber ◽  
Ocular Hypertension ◽  
Oxygen Tension ◽  
Pars Plana Vitrectomy ◽  
Open Angle Glaucoma ◽  
Crystalline Lens ◽  
Cataract Extraction ◽  
Oxygen Scavenger ◽  
Clinical Series ◽  
Pars Plana

Purpose is to review the pathogenic mechanism for ocular hypertension and glaucoma development after pars plana vitrectomy. Both acute and chronic causes are considered, and special attention is paid to the theories and clinical evidence on the risk of developing Open Angle Glaucoma (OAG) after Pars Plana Vitrectomy (PPV). Most existing scientific literature on the issue agree on the role of ascorbate as an oxygen scavenger within the vitreous chamber. Oxygen tension in the vitreous and anterior chamber is maximum inn proximity of the retinal surface and endothelium, respectively and steeply decreases toward the lens, on both sides, and trabecular meshwork. Vitreous removal and, to a lesser extent, liquefaction, greatly reduces oxygen tension gradient in vitreous chamber while cataract extraction has similar effects on anterior chamber oxygen gradients. Oxygen derivatives originated from the cornea and retina are actively reduced by the vitreous gel and/or the crystalline lens. Vitreous removal and cataract extraction reduce drastically this function. Most reported clinical series confirm this hypothesis although protocol difference and follow-up length greatly impact the reliability of results.

Intra-lenticular caterpillar seta in ophthalmia nodosa

2019 ◽  
pp. 112067211985889
Author(s):  
Arshi Singh ◽  
Umesh Chandra Behera ◽  
Hitesh Agrawal
Keyword(s):  
Clinical Examination ◽  
Pars Plana Vitrectomy ◽  
Complete Resolution ◽  
Clinical Course ◽  
Crystalline Lens ◽  
Posterior Uveitis ◽  
Lens Extraction ◽  
Close Observation ◽  
Pars Plana ◽  
Ophthalmia Nodosa

Purpose: To report the clinical course of ophthalmia nodosa with a retained lenticular seta misdiagnosed and treated as non-infectious posterior uveitis for 7 consecutive years. Methods: Meticulous clinical examination led to discovery of the caterpillar seta embedded in the crystalline lens and the intravitreal setae. Results: Lens-sparing pars plana vitrectomy and removal of free-floating vitreal seta resulted in complete resolution of vitritis and uveitis. Conclusion: Embedded seta within a clear lens may remain sequestered, and may be left untouched under close observation, precluding a clear lens extraction in such patients.

Sign in / Sign up

Export Citation Format

Share Document