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Three cases of circulatory disturbance in retinal artery during vitrectomy Osamu Harigaya 1 , Akemi Sano 1 , Keisuke Mori 1 , Ryutaro Ohki 1 , Shin Yoneya 1 1Department of Ophthalmology, Saitama Medical School pp.589-592
Published Date 1997/4/15
DOI https://doi.org/10.11477/mf.1410905314
  • Abstract
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Out of a consecutive series of 936 cases of vitreous surgery during the foregoing 4 years, 3 cases developed temporary circulatory disturbance of retinal arterial branches during surgery. These 3 eyes underwent vitreous surgery for, respectively, rhegmatogenous detachment, macular hole and epiretinal membrane following retinal detachment surgery. Circulatory disturbance developed, in all the 3 cases, just before fluid-air exchange was completed. Soft exudates along the occluded retinal arterial branch were another common clinical feature. One case developed persistent atrophy of retinal pigment epithelium in the affected sector. Intra- and postoperative findings suggested that fluid-air exchange served as trigger for constriction of retinal arteries. This complication, although rare, merits due attention during vitreous surgery.


Copyright © 1997, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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