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Complications associated with clear corneal cataract wounds during vitrectomy
Robert W Wong1, Gregg T Kokame, Tamer H Mahmoud
1San Francisco Retina Foundation, Pacific Vision Foundation, California Pacific Medical Center, San Francisco, California, USA.
Retina (Philadelphia, Pa.)
|January 22, 2010
Summary
Clear corneal incisions from prior cataract surgery can cause intraoperative complications during vitrectomy. Surgeons should secure these wounds to prevent leakage and further issues during subsequent retinal procedures.
Area of Science:
- Ophthalmology
- Surgical Complications
- Retinal Surgery
Background:
- Clear corneal incisions are common for cataract surgery.
- Previous cataract surgery can influence outcomes of subsequent ocular procedures.
Observation:
- Five patients undergoing vitrectomy experienced intraoperative complications.
- Complications were linked to leakage through prior clear corneal incisions.
Findings:
- Leakage occurred during various stages of vitrectomy, leading to hypotony.
- Complications included choroidal detachment, hemorrhage, and iris incarceration.
- Suturing incisions managed leakage, but some cases required repeat vitrectomy.
Implications:
- Cataract surgeons should anticipate potential vitrectomy needs and secure incisions.
- Retinal surgeons must inspect and suture leaking clear corneal wounds during vitrectomy.
- Proactive wound management can mitigate serious intraoperative and long-term complications.
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