open access

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.
Affiliations
  1. Department of Surgery/Ophthalmology, King Hussein Cancer Center (KHCC), Amman, Jordan

open access

Vol 4 (2019): Continuous Publishing
CASE REPORTS
Published online: 2019-11-13

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.

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.

Get Citation

Keywords

choroidal detachment; retinal detachment; anterior chamber maintainer; infusion cannula

About this article
Title

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

Journal

Ophthalmology Journal

Issue

Vol 4 (2019): Continuous Publishing

Article type

Case report

Pages

60-63

Published online

2019-11-13

Page views

901

Article views/downloads

718

DOI

10.5603/OJ.2019.0014

Bibliographic record

Ophthalmol J 2019;4:60-63.

Keywords

choroidal detachment
retinal detachment
anterior chamber maintainer
infusion cannula

Authors

Rashed Mustafa Nazzal
Katarzyna Nowomiejska
Robert Rejdak

References (14)
  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.

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