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Exophthalmos and ophthalmoplegia in postoperative vitrectomy

Poster Details

First Author: A.I.Pastor Vivas SPAIN

Co Author(s):    F. GarcĂ­a-Franco Zuniga                  0   0 0   0 0   0 0   0 0

Abstract Details


We report the case of a 56 yearos old patient, being involved in a retinal detachment with 23 G vitrectomy, endophotocoagulation laser and infusion of C3F8 gas


In the review of 24 postoperative hours, the patient presented a severe exophthalmos and ophthalmoplegia in the operated eye.


CT images showed the presence of retrobulbar gas due to leakage of a sclerotomy . We practiced an urgent removal of this gas by a subtenon and retrobulbar access , with spontaneous resolution , and good overall postoperative patient outcome.


After a month, the visual acuity in the operated eye was 1.0 , motility was completely normalized and exophthalmos had disappeared.


We show this postsurgical complication in a 23 G vitrectomy, sealing sclerotomy without sutures, due to the filtering of the sclerotomy , unappreciated in the surgical time.

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