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

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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.