Abstract
There is only one scenario in ophthalmology when literally seconds count before irreversible loss of vision occurs: an expulsive type, arterial hemorrhage. Even if this is less common in vitrectomy than in an open-globe type of surgery, the risk is not negligible, and every (VR) surgeon must know how to recognize and manage it. More frequent is the occurrence of a retinal tear, which, if unrealized and untreated, can rapidly lead to RD. Iatrogenic trauma to the lens is another complication that less experienced surgeons occasionally cause.
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Notes
- 1.
If an open wound is present, the immediate goal is to close the wound (see Fig. 63.9), regardless of the type of surgery being performed. This is an event for which planning must be done beforehand (how to prevent it and how to react if it does occur), but when it occurs, the surgeon’s reaction must be automatic: no thinking, no strategizing, just instant wound closure.
- 2.
These are not retinal or choroidal but scleral folds.
- 3.
It is highly unlikely that the retina will be “blown” into the orbit.
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Kuhn, F. (2016). Handling of Major Intraoperative Complications. In: Vitreoretinal Surgery: Strategies and Tactics. Springer, Cham. https://doi.org/10.1007/978-3-319-19479-0_40
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DOI: https://doi.org/10.1007/978-3-319-19479-0_40
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-19478-3
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