Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Series Volume 4 Issue 12

Severe Intra-Ocular Pressure Rise After Uneventful Pars Plan Vitrectomy with Gas Tamponade due to a Technical Mistake

Narges Hassanpoor1, Mohamad Reza Niyousha1* and Tahereh Attar Gharamaleki2

1Retina and Vitreous Service, Nikookari Eye Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
2Ophthalmic Nurse, Nikookari Eye Hospital, Tabriz University of Medical Sciences, Tabriz, Iran

*Corresponding Author: Mohamad Reza Niyousha, Retina and Vitreous Service, Nikookari Eye Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.

Received: August 24, 2021; Published: November 24, 2021

Abstract

Introduction: To describe an important technical mistake in gas dilution procedure with air to use as tamponade after vitrectomy.

Patient and Clinical Findings: This case series reports severely increased intra-ocular pressure (IOP) after three uneventful 23 gauge pars plana vitrectomy (PPvitx) and gas tamponed.

Diagnosis, Intervention, and Outcomes: After long hours of thinking, speaking, checking the instruments and checking different steps of gas preparation for exchange, we concluded that there was a problem with method of dilution of gas in these three cases by the same surgical aid. In all three cases, a subtle technical mistake in gas preparation concluded in high concentration of introduced gas in to eye. All cases showed dramatic final outcomes due to severely increased IOP in first pre-operative days.

Conclusion: Very higher concentration of gas (near 100% concentration) was introduced to eye when syringe was first filled with air and then with gas. This subtle technical point seems to be very important and all retinal surgical aids should be informed and warned about serious complications of missing it.

Keywords: IOP Rise; Gas Tamponade; Vitrectomy; SF6; C3F8; Dilution Technique

References

  1. H Lincoff., et al. “Intravitreal disappearance rates of four perfluorocarbon gases”. Archives of Ophthalmology 102 (1984): 928-929.
  2. Lincoff A., et al. “Intravitreal Expansion of Perfluorocarbon Bubbles”. Archives of Ophthalmology 9 (1980): 1646.
  3. Kanclerz P and Grzybowski A. “Complications Associated with the Use of Expandable Gases in Vitrectomy”. Journal of Ophthalmology (2018): 7.
  4. Fang Y., et al. “Intraocular pressure 1 year after vitrectomy in eyes without a history of glaucoma or ocular hypertension”. Clinical Ophthalmology 11 (2017): 2091-2097.

Citation

Citation: Mohamad Reza Niyousha., et al. “Severe Intra-Ocular Pressure Rise After Uneventful Pars Plan Vitrectomy with Gas Tamponade due to a Technical Mistake". Acta Scientific Ophthalmology 4.12 (2021): 84-86.

Copyright

Copyright: © 2021 Mohamad Reza Niyousha., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is October 10, 2022.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US