Complications of endodrainage retinotomies created during vitreous surgery for complicated retinal detachment.

Abstract:

:The authors report nine cases of endodrainage retinotomy site complications that occurred after vitreous surgery for complicated retinal detachments (RDs). Postoperative subretinal neovascularization developed in four eyes at the retinotomy drainage site. In two eyes, postoperative proliferation at a posteriorly placed endodrainage site created traction macular detachments. Redetachment due to retinotomy opening caused by postoperative drainage site proliferation developed in three eyes. The retinas of all nine eyes were eventually reattached, and vision improved from the preoperative level. These complications are related to retinal pigment epithelium and/or Bruch's membrane damage during internal subretinal fluid drainage and retinotomy endolaser photocoagulation. Careful evaluation of extrusion instruments, drainage techniques, retinotomy placement, and subsequent endolaser treatment is necessary to minimize these complications.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

McDonald HR,Lewis H,Aaberg TM,Abrams GW

doi

10.1016/s0161-6420(89)32902-2

subject

Has Abstract

pub_date

1989-03-01 00:00:00

pages

358-63

issue

3

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(89)32902-2

journal_volume

96

pub_type

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