Retinal cases & brief reports · 2026
CENTRAL RETINAL ARTERY OCCLUSION AFTER SCLERAL BUCKLING SURGERY WITH GAS INSERTION IN A PATIENT WITH SICKLE CELL DISEASE.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Jalil Assad, Lippera Myrta, Ivanova Tsveta
Аннотация
PURPOSE: To describe a case of central retinal artery occlusion after scleral buckling procedure combined with pneumoretinopexy in a patient with sickle cell (hemoglobin SC) retinopathy.
METHODS: Scleral buckling procedure, combined with injection of 0.3 mL of 100% perfluoropropane gas in the vitreous, was performed without intraoperative complications under general anesthesia as treatment of two separate macula-sparing rhegmatogenous retinal detachments secondary to round holes, involving superior and inferior retina, respectively, in the right eye of a 26-year-old Afro-Caribbean woman with sickle cell disease.
RESULTS: On day 1 postoperatively, central retinal artery occlusion was detected in the operated eye. We hypothesize that the expansion of the gas in the postoperative period combined with the presence of a retinal explant might have caused a moderate elevation of the intraocular pressure that caused extensive retinal arteriolar shutdown in the backdrop of sickle cell retinopathy.
CONCLUSION: Central retinal artery occlusion can be a devastating complication after scleral buckling procedure combined with gas insertion in sickle cell retinopathy, caution is required when performing scleral explant combined with expansile gas in a patient with sickle cell vasculopathy.
METHODS: Scleral buckling procedure, combined with injection of 0.3 mL of 100% perfluoropropane gas in the vitreous, was performed without intraoperative complications under general anesthesia as treatment of two separate macula-sparing rhegmatogenous retinal detachments secondary to round holes, involving superior and inferior retina, respectively, in the right eye of a 26-year-old Afro-Caribbean woman with sickle cell disease.
RESULTS: On day 1 postoperatively, central retinal artery occlusion was detected in the operated eye. We hypothesize that the expansion of the gas in the postoperative period combined with the presence of a retinal explant might have caused a moderate elevation of the intraocular pressure that caused extensive retinal arteriolar shutdown in the backdrop of sickle cell retinopathy.
CONCLUSION: Central retinal artery occlusion can be a devastating complication after scleral buckling procedure combined with gas insertion in sickle cell retinopathy, caution is required when performing scleral explant combined with expansile gas in a patient with sickle cell vasculopathy.