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ID 116510
タイトル別表記
Multiple Retinal Vascular Occlusion after Vitrectomy
著者
木下, 貴正 Sapporo City General Hospital
Sano, Hiroki Tokushima University
キーワード
Gentamicin
Macular ischemia
Retinal vascular occlusion
Vitrectomy
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
Case Reports in Ophthalmology
ISSN
16632699
cat書誌ID
AA12780966
出版者
Karger
11
2
開始ページ
473
終了ページ
480
発行日
2020-08-11
権利情報
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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出版社版DOI
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言語
eng
著者版フラグ
出版社版
部局
病院
医学系