My Favorite Worst Nightmare

Author: Javier Garza Chavarria (Mexico)

Co-authors: Jesús Hernán González-Cortés, Alan Treviño, Jesus Emiliano González-Cantú, Eduardo Alejandro Treviño-Fernández, Carlos Daniel Azuara-Azuara, Jesús Mohamed-Hamsho.

Purpose

To show the management of suprachoroidal silicone oil (SO) as a complication during pars plana vitrectomy in a retinal detachment patient.

Setting/Venue

Ophthalmology Department. University Hospital “Dr. Jose Eleuterio Gonzalez”, Faculty of Medicine, Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo León, Mexico.

Methods

Description of a trans-surgical complication and its management as occurred in one patient.

Results

38-year-old male patient with a history of rhegmatogenous retinal detachment (RRD) and cerclage placement. A second procedure was planned due to a retinal re-detachment and secondary proliferative vitreoretinopathy. During air/SO exchange, SO was wrongly injected in the suprachoroidal space. Removal of suprachoroidal SO is performed in the same way as subretinal fluid in RRD surgery.

Conlusions

Complications during vitrectomy surgery may occur at any point of the surgery. Proper management of this complication includes external drainage through a sclerotomy. This complication can be avoided by injecting the SO into the vitreous cavity with a proper technique.

Financial Disclosure

None