Two Cases of Ocular Ischemia following Scleral Encircling.
10.3341/jkos.2007.48.8.1158-1162
- Author:
Hyung Su KIM
1
;
Kyeong Bok KANG
;
Won IL RHIM
;
Eun Koo LEE
Author Information
1. Kong Eye Center, Seoul, Korea. euklee@chol.com
- Publication Type:Case Report
- Keywords:
Central retinal artery occlusion;
Ophthalmic artery occlusion;
Scleral encircling
- MeSH:
Aged;
Anesthesia;
Anterior Chamber;
Conjunctiva;
Cryotherapy;
Female;
Glaucoma;
Humans;
Ischemia*;
Mannitol;
Muscles;
Ophthalmic Artery;
Paracentesis;
Retinal Artery Occlusion;
Retinal Detachment;
Retinal Perforations;
Young Adult
- From:Journal of the Korean Ophthalmological Society
2007;48(8):1158-1162
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report two cases of ocular ischemia following scleral encircling. METHODS: A 21-year-old man with glaucoma and a 76-year-old woman without any medical problem were transferred to our department for surgery to treat retinal detachment. After retrobulbar anesthesia and limbal peritomy of conjunctiva, the 4-rectus muscles were isolated. Scleral encircling was performed with No. a 42 band (4.0 mm in width) after cryotherapy done completely around retinal tear. RESULTS: Following surgery, One patient experienced ophthalmic artery occlusion and while the other patient experienced central retinal artery occlusion. Vision was not restored in either cases despite IV injection of 250 ml of 15% mannitol solution and anterior chamber paracentesis. CONCLUSIONS: In the cases where patients are of old age or suffer from glaucoma, we strongly recommend that the surgeons perform the scleral encircling carefully.
