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Deep vein thrombosis due to continuous prone positioning after retinal detachment surgery
Chih-Ping Wang1, Evelyn Jou-Chen Huang1,2, Chien-Neng Kuo1,2
1Department of Ophthalmology, Chang Gung Memorial Hospital-Chiayi, Puzih City, Taiwan.
Taiwan Journal of Ophthalmology
|October 12, 2017
Summary
Patients undergoing retinal detachment surgery may develop deep vein thrombosis (DVT) from prolonged prone positioning. Early ambulation and rest are crucial to prevent DVT and other circulation issues.
Area of Science:
- Ophthalmology
- Vascular Surgery
Background:
- Rhegmatogenous retinal detachment requires surgical intervention, often involving gas tamponade.
- Gas tamponade necessitates prolonged prone positioning for optimal surgical outcomes.
Observation:
- A patient developed deep vein thrombosis (DVT) in the left leg after 2 days of continuous prone positioning post-retinal detachment surgery.
- Symptoms included leg swelling, pain, warmth, and redness, with elevated D-dimer levels confirmed by Doppler ultrasound.
Findings:
- The patient was successfully treated with anticoagulation therapy (enoxaparin and warfarin).
- The case highlights a potential complication of necessary surgical positioning.
Implications:
- Encouraging timely ambulation and scheduled rest periods is vital for patients on prolonged prone positioning.
- Preventing deep vein thrombosis (DVT) and related circulatory complications is essential for patient recovery after retinal detachment surgery.
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