Superior bullous retinal detachment & Air tamponade - Dr Sami A. Saad narrated by Dr A. Aziria

Featuring my fellow resident & friend, Dr A. Aziria for the narration.

This 73-year-old woman presented to the emergency room for blurred vision and curtain-like vision loss obscuring the inferior portion of her right visual field. Dilated fundoscopy demonstrated a superior tear and a superior bullous rhegmatogenous retinal detachment. Retinal detachment is an important cause of decreased visual acuity and blindness. This macula-on retinal detachment was repaired surgically the same day using 25-Gauge pars plana vitrectomy and air tamponade. One month later, her vision improved to 20/20. The final step of this surgery usually involves introducing a medium into the eye (SF6 gas, C2F6 gas, C3F8 gas, or silicone oil) to hold the retina to the eye wall. Air tamponade is effective in achieving a high anatomic success rate in rhegmatogenous retinal detachment caused by superior retinal breaks, with quicker postoperative vision improvement, shorter positioning period and fewer complications with reduce rate of postoperative cataract surgery or postoperative ocular hypertension.

Key points:
- Always check for PVD
- Air tamponnade is sufficient in elective cases
- Always suture sclerotomy wounds in air tamponnade cases
- Air tamponnade reduces complications rate

#retinaldetachment #airtamponade #eyesurgery #ophthalmology #vitrectomy #eyesurgeon #emergency #emergencysurgery #parsplanavitrectomy #rhegmatogenousretinaldetachment #retinasurgery #retinasurgeon

Тэги:

#retinal_detachment #eye_surgery #ophthalmology #air_tamponade

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