Transscleral tunnel incision related arterial hemorrhage in 23-gauge Vitrectomy: case report.
Transscleral tunnel incision related arterial hemorrhage in 23-gauge Vitrectomy: case report.
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23 号玻璃体切除术中经巩膜隧道切口相关的动脉出血：病例报告
DOI：
10.1186/s12886-018-0677-6
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发表时间：
2018-01-17
影响因子：
2
通讯作者：
Lu L
中科院分区：
文献类型：
--
作者：
Liu B;Li Y;Li T;Lin Y;Ma W;Lu L
背景在小口径无缝线玻璃体切割术中，通常采用经巩膜隧道切口以避免术后渗漏。我们提出了一个未报告的术中并发症，隧道切口相关动脉出血巩膜切开术，在23-gauge（23 G）vitrectomy.Case presentationTwo例眼内动脉出血鼻上巩膜切开术观察在玻璃体切除术开始。取出受累鼻上套管后，出血迅速充满玻璃体腔并从切口处涌出。活动性出血似乎不能自行停止。我们通过重新定位相关套管，升高眼压和压迫巩膜伤口来控制活动性出血。术后眼内出血的巩膜切开术没有发现在任何的两个cases.ConclusionsWe建议，出血是从受伤的睫状动脉时，切口越过3或9点钟意外。外科医生可以通过将上级切口定位在远离水平轴的位置来避免这种并发症，并且应该意识到适当的处理。
BackgroundTransscleral tunnel incisions are commonly made to avoid postoperative leakage in small gauge sutureless vitrectomy. We present an unreported intraoperative complication, tunnel incision related arterial hemorrhage from sclerotomy, in 23-gauge (23G) vitrectomy.Case presentationTwo cases of intraocular arterial hemorrhage from superonasal sclerotomy were observed at the beginning of vitrectomy. The bleeding filled the vitreous cavity quickly and gushed out from the incision port after the involved supronasal cannula was removed. The active bleeding seemed not to stop spontaneously. We controlled the active bleeding by relocating the involved cannula, elevating the intraocular pressure and compressing the sclera wound. Post-operative intraocular hemorrhage from the sclerotomy was not found in any of the two cases.ConclusionsWe suggest that the bleeding was from injured ciliary artery when the incision crossed 3 or 9 o’clock accidently. Surgeons might avoid this complication by locating the superior incisions away from the horizontal axis, and should be aware the proper management.
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