Vol 4 (2019): Continuous Publishing
Case report
Published online: 2019-11-13

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Surgical pearls: combined retinal detachment and choroidal detachment — can you insert an infusion cannula?

Rashed Mustafa Nazzal1, Katarzyna Nowomiejska1, Robert Rejdak1
Ophthalmol J 2019;4:60-63.

Abstract

Combined retinal detachment and choroidal detachment is an uncommon diagnosis that a surgeon will occasionally
face. Although the experienced vitreoretinal surgeon can manage nearly all obstacles during the surgery, an inexperienced
vitreoretinal surgeon will face a few difficulties during certain steps. In this article, we describe a case report
and highlight some of these obstacles and suggest some options to overcome them.

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References

  1. Gottlieb F. Combined choroidal and retinal detachment. Arch Ophthalmol. 1972; 88(5): 481–486.
  2. Seelenfreund MH, Kraushar MF, Schepens CL, et al. Choroidal detachment associated with primary retinal detachment. Arch Ophthalmol. 1974; 91(4): 254–258.
  3. Sharma T, Challa JK, Ravishankar KV, et al. Scleral buckling for retinal detachment. Predictors for anatomic failure. Retina. 1994; 14(4): 338–343.
  4. Zhu J, Xu X, Zhang Xi. [Surgical therapeutic results of rhegmatogenous retinal detachment associated with choroidal detachment]. Zhonghua Yan Ke Za Zhi. 2002; 38(3): 135–139.
  5. Sharma T, Gopal L, Reddy RK, et al. Primary vitrectomy for combined rhegmatogenous retinal detachment and choroidal detachment with or without oral corticosteroids: a pilot study. Retina. 2005; 25(2): 152–157.
  6. Langham ME, Regan CD. Circulatory changes associated with onset of primary retinal detachment. Arch Ophthalmol. 1969; 81(6): 820–829.
  7. Yu Y, An M, Mo B, et al. Risk factors for choroidal detachment following rhegmatogenous retinal detachment in a chinese population. BMC Ophthalmol. 2016; 16: 140.
  8. Tarantola RM, Folk JC, Shah SS, et al. Intraoperative choroidal detachment during 23-gauge vitrectomy. Retina. 2011; 31(5): 893–901.
  9. Lin CJ, Peng KL. Intraoperative severe suprachoroidal air as a complication of 23-gauge vitrectomy combined with air-fluid exchange. Int Med Case Rep J. 2018; 11: 173–176.
  10. Uji A. Suprachoroidal gas injection as a complication of pars plana vitrectomy confirmed by computed tomography. Clin Ophthalmol. 2012; 6: 533–536.
  11. Kuhn F. Vitreoretinal Surgery: Strategies and Tactics. Springer 2016.
  12. Witkin AJ, Fineman M, Ho AC, et al. A novel method of draining intraoperative choroidal detachments during 23-gauge pars plana vitrectomy. Arch Ophthalmol. 2012; 130(8): 1048–1050.
  13. Agarwal A, Narang P, Kumar DA, et al. Trocar anterior chamber maintainer: Improvised infusion technique. J Cataract Refract Surg. 2016; 42(2): 185–189.
  14. Narang P, Agarwal A, Kumar DA, et al. Twenty-five-gauge trocar anterior chamber maintainer: New device for infusion. J Cataract Refract Surg. 2018; 44(7): 797–801.