Gross anterior segment ischaemia following vitreoretinal surgery for sickle-cell retinopathy.
Adrenal Cortex Hormones
/ therapeutic use
Adult
Analgesia
/ methods
Anemia, Sickle Cell
/ complications
Eye
/ blood supply
Eye Diseases
/ complications
Fluid Therapy
/ methods
Humans
Ischemia
/ complications
Male
Oxygen Inhalation Therapy
/ methods
Retinal Detachment
/ complications
Vitrectomy
Vitreoretinal Surgery
anterior chamber
ophthalmology
retina
sickle cell disease
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
29 Jan 2019
29 Jan 2019
Historique:
entrez:
1
2
2019
pubmed:
1
2
2019
medline:
14
5
2019
Statut:
epublish
Résumé
We report the case of a 32-year-old Afrocaribbean man with known stage 3 proliferative sickle-cell retinopathy who presented with a mixed picture of tractional and rhegmatogenous macula off detachment. He underwent left primary 25 g vitrectomy with silicone oil, delamination and endolaser photocoagulation under a general anaesthetic. He, however, presented 48 hours postoperatively with gross anterior segment ischaemia. His pain and ocular signs settled over the course of a few days following administration of supplemental oxygen, oral steroids, analgesia and intravenous hydration. Examination showed resolution of his proptosis and orbital signs as well as anterior segment inflammation. He remains under follow-up.
Identifiants
pubmed: 30700461
pii: 12/1/e227541
doi: 10.1136/bcr-2018-227541
pmc: PMC6352801
pii:
doi:
Substances chimiques
Adrenal Cortex Hormones
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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