Journal article
ELEVATED INTRAOCULAR PRESSURE FOLLOWING PARS PLANA VITRECTOMY DUE TO TRAPPED GAS IN THE POSTERIOR CHAMBER
Retinal cases & brief reports, Vol.10(4), pp.334-337
2016
DOI: 10.1097/ICB.0000000000000256
PMID: 26630244
Abstract
Elevated intraocular pressure is relatively common following pars plana vitrectomy and intraocular gas tamponade. We discuss a series of patients who experienced elevated intraocular pressure from pupillary block and angle closure secondary to trapped gas in the posterior chamber. Case series. Case 1 is a patient who underwent pars plana vitrectomy for retinal detachment repair. The intraocular pressure was elevated on postoperative Day 3 because of trapped gas in the posterior chamber, and it did not lower with prone positioning, maximal medical therapy, and laser peripheral iridotomies. Aspiration of the trapped gas was done with the patient sitting upright using a 27-gauge needle at the limbus, which was curative. Case 2 provides anterior-segment optical coherence tomography images that confirmed the location of the trapped gas resulting in angle closure. Case 3 demonstrates the unfortunate sequelae of a central retinal artery occlusion following delayed recognition of this entity. Case 4 highlights the challenges encountered when migratory gas is also seen elsewhere in the eye. Clinicians should be aware of elevated intraocular pressure secondary to trapped gas in the posterior chamber, which may be recalcitrant to medical therapy. Aspiration of the trapped gas can alleviate both pupillary block and angle closure without compromising the gas tamponade.
Details
- Title: Subtitle
- ELEVATED INTRAOCULAR PRESSURE FOLLOWING PARS PLANA VITRECTOMY DUE TO TRAPPED GAS IN THE POSTERIOR CHAMBER
- Creators
- Eric K Chin - Department of Ophthalmology and Visual Sciences, The University of Iowa, Iowa City, IowaDavid R P AlmeidaAustin L StrohbehnVinit B MahajanStephen R RussellJames C Folk
- Resource Type
- Journal article
- Publication Details
- Retinal cases & brief reports, Vol.10(4), pp.334-337
- Publisher
- United States
- DOI
- 10.1097/ICB.0000000000000256
- PMID
- 26630244
- ISSN
- 1935-1089
- eISSN
- 1937-1578
- Language
- English
- Date published
- 2016
- Academic Unit
- Stead Family Department of Pediatrics; Ophthalmology and Visual Sciences
- Record Identifier
- 9983980073802771
Metrics
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