5797 Significant Compliance Improvement For Patients Lying Postoperatively In “Face-down-position” After Vitrectomy And Gas Tamponade

SciVee ◽  
2012 ◽  
Author(s):  
Henrik Schaefer

Author(s):  
R.R. Fayzrakhmanov ◽  
◽  
A.V. Sukhanova ◽  
O.A. Pavlovsky ◽  
E.D. Bosov ◽  
...  

Purpose. To compare the parameters of a light sensitivity (LS) of the central zone of a retina after vitrectomy due to reghmatogenous retinal detachment (RRD) with a silicone oil tamponade (SOT) and gas tamponade (GT). Material and methods. The study included 20 eyes after pars plana vitrectomy due to macula-off rhegmatogenous retinal detachment (RRD) by 25G. All patients were divided in 2 groups depending on the choice of the tamponade. The group I (10 eyes) included cases with the silicone oil tamponade (SOT) (1300 cSt), in the group II (10 eyes) – the gas tamponade (GT) (C2F6). The control group included contralateral eyes without ophthalmic pathology. All patients underwent standard ophthalmological examination and fundus- microperimetry (FMP) on the 30th day after removal of the SOT for the group I, or on the 30th day after the C2F6 tamponade for the group II. Results. According to FMP data, the parameter of average light sensitivity (LS) in the group I was significantly reduced, both in comparison with the group II (p=0.007) and the control group (p=0.003). Differentiation by zones in the group I revealed a decrease in each analyzed parameter in comparison with the control group (p<0.05) and a decrease in the 2nd zone (p=0.031) and the 4th zone (p=0.038) in comparison with the group II. In the 1st zone of the group I the formation of a relative scotoma was revealed in 4 cases out of 10 (40%). The parameters of light sensitivity (LS) in comparison with the control in the group II were significantly reduced when analyzed in each zone (p<0.05). A strong positive correlation was found between the Best Corrected Visual Acuity (BCVA) and the average LS in the group II (r=0.87). Conclusion. There is a decrease in the functional parameters of the retina with SOT compared with GT in the form of a decrease in the LS parameter in the 10° zone according to FMP data. Key words: retinal detachment, photosensitivity, microperimetry, silicone tamponade.







2008 ◽  
Vol 39 (3) ◽  
pp. 186-190 ◽  
Author(s):  
Muh-Shy Chen ◽  
Tzyy-Chang Ho ◽  
Ching-Chung Chang ◽  
Kwan-Rong Liu ◽  
Ping-Kang Hou


2006 ◽  
Vol 47 (8) ◽  
pp. 3545 ◽  
Author(s):  
Shinji Ueno ◽  
Mineo Kondo ◽  
Chang-Hua Piao ◽  
Kazuteru Ikenoya ◽  
Yozo Miyake ◽  
...  


2020 ◽  
Vol 11 (2) ◽  
pp. 473-480 ◽  
Author(s):  
Fumiko Murao ◽  
Takamasa Kinoshita ◽  
Takashi Katome ◽  
Hiroki Sano ◽  
Masanori Niki ◽  
...  

Retinal vascular occlusion after ocular surgery is a rare but serious complication. A history of cardiovascular diseases, retrobulbar anesthesia injection, high intraocular pressure during the perioperative period, and drug toxicity have been reported as possible causative factors. We report here two cases of multiple retinal vascular occlusions after the subconjunctival injection of gentamicin at the end of uncomplicated 25-gauge vitrectomy. Case 1 was a 61-year-old man who developed a macular hole in the right eye. Phacovitrectomy with gas tamponade was performed. On postoperative day (POD) 1, dot hemorrhage was observed on the temporal side of the optic disk. On POD10, macular whitening, retinal hemorrhage, and multiple occlusion of retinal arteries and veins were observed. Case 2 was a 51-year-old woman who was diagnosed with rhegmatogenous retinal detachment in the right eye and underwent phacovitrectomy with gas tamponade. On POD3, macular whitening with cotton wool spots and retinal hemorrhage were observed with macular ischemia owing to occlusion of retinal arteries and veins. In both cases, subconjunctival injection of gentamicin given at the end of surgery was the most suspected cause of retinal vascular occlusion.



Cornea ◽  
2018 ◽  
Vol 37 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Philipp V. von Marchtaler ◽  
Julia M. Weller ◽  
Friedrich E. Kruse ◽  
Theofilos Tourtas


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