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Intraoperative Visualization of Subretinal Injection and Retinal Detachment in Rats
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Sudden Visual Loss After Vitreoretinal Surgery: A Case Report.

Agostino Salvatore Vaiano1, Fabio Garavelli1, Antonio Greco1

  • 1Institute of Ophthalmology, Santa Croce e Carle Hospital, Cuneo, Italy.

Case Reports in Ophthalmological Medicine
|October 31, 2024
PubMed
Summary
This summary is machine-generated.

Vitreoretinal surgery can lead to vision loss from retinal vascular occlusions. Preoperative screening for conditions like obstructive sleep apnea is crucial for risk assessment.

Keywords:
case reportvisual lossvitreoretinal surgery

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Area of Science:

  • Ophthalmology
  • Vascular Surgery

Background:

  • Vitreoretinal surgery, including vitrectomy, is a common procedure for retinal detachment.
  • Systemic complications, though rare, can occur postoperatively.

Observation:

  • A 51-year-old male developed a central scotoma in the operated eye the day after vitrectomy.
  • Fundus examination revealed retinal hemorrhages and whitening along the papillomacular bundle and macula.

Findings:

  • Multimodal imaging confirmed multiple retinal vascular occlusions: branch retinal vein, artery, and cilioretinal artery occlusion.
  • The patient was subsequently diagnosed with mild-to-moderate obstructive sleep apnea syndrome.

Implications:

  • Retinal vascular occlusions are potential, albeit uncommon, complications of vitreoretinal surgery.
  • Thorough preoperative assessment for underlying risk factors, such as obstructive sleep apnea, is essential.
  • The exact causative mechanism linking surgery to these occlusions requires further investigation.