July 31, 2025
3 min watch
Key takeaways:
- Throughout silicone oil change, ensure that the cannula is inserted correctly.
- Preserved sclera with fuel tamponade could assist handle optic pit maculopathy.
LONG BEACH, Calif. — On this Healio Video Perspective from the American Society of Retina Specialists annual assembly, Sunir J. Garg, MD, FACS, FASRS, offered classes realized from two complicated surgical instances.
Within the first case, a affected person with uveitis who developed proliferative vitreoretinopathy skilled issues throughout silicone oil change.
“Every thing gave the impression to be going wonderful, after which unexpectedly, the attention began to turn into very agency, and the pink reflex modified,” Garg informed Healio. “What we discovered on additional inspection is that we truly ended up infusing a good bit of oil within the suprachoroidal house.”
Garg famous that the cannula might not be inserted correctly in sufferers with “boggy” choroids and that the surgeon ought to make it possible for the oil flows correctly into the attention.
“If suprachoroidal oil occurs, you’ll be able to drain it such as you would hemorrhage a choroidal detachment,” he stated.
The second case concerned a affected person with optic pit maculopathy. After issues with inside limiting membrane (ILM) flap surgical procedure following induced posterior vitreous detachment, Garg used a bit of preserved sclera and extra laser as an answer.
“There wasn’t a lot residual ILM, however I made a brand new flap to cowl it, put in a fuel tamponade, and 4 years later, that method, no less than on this particular person, has been working very well,” he stated.
Sources/Disclosures
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Rezaei Okay, et al. Retinaws. Introduced at: American Society of Retina Specialists annual assembly; July 30-Aug. 2, 2025; Lengthy Seaside, California.
Disclosures:
Garg experiences no related monetary disclosures.
