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ID 116510
Title Alternative
Multiple Retinal Vascular Occlusion after Vitrectomy
Author
Kinoshita, Takamasa Sapporo City General Hospital
Sano, Hiroki Tokushima University
Keywords
Gentamicin
Macular ischemia
Retinal vascular occlusion
Vitrectomy
Content Type
Journal Article
Description
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.
Journal Title
Case Reports in Ophthalmology
ISSN
16632699
NCID
AA12780966
Publisher
Karger
Volume
11
Issue
2
Start Page
473
End Page
480
Published Date
2020-08-11
Rights
This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
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DOI (Published Version)
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language
eng
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departments
University Hospital
Medical Sciences