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Intrusion of retinal tacks.
American Journal of Ophthalmology
|May 15, 1987
Summary
Retinal tacks intruding into the eye can cause complications like vision loss and retinal detachment. Careful surgical technique and tack design are crucial to prevent adverse events in retinal detachment repair.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Ophthalmic Devices
Background:
- Retinal tacks are used in retinal detachment surgery.
- Intrusion of these tacks into ocular tissues is a potential complication.
Observation:
- Nine patients experienced retinal tack intrusion into various intraocular spaces.
- Complications observed included retinal pigment epithelium atrophy, retinal phlebitis, vitreous hemorrhage, and ocular injuries.
Findings:
- Retinal tack intrusion was associated with retinal redetachment in five patients.
- Factors contributing to intrusion included tack design (lack of barb/groove, short shaft) and surgical factors.
- In four patients, intruded tacks caused no complications, and removal was successful in four others.
Implications:
- Understanding factors associated with retinal tack intrusion can improve surgical safety.
- Proper tack selection and surgical technique are vital to minimize complications.
- Management of intruded tacks may involve removal or observation based on clinical context.