Complications Associated with the Use of Expandable Gases in Vitrectomy
Intraocular gases have been used in vitreoretinal surgery for over 40 years. The aim of this study was to review the complications related to the use of expandable gases in vitrectomy and their management. A PubMed, Cochrane Library, and Embase search was conducted using the terms “intraocular gas”...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2018/8606494 |
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| author | Piotr Kanclerz Andrzej Grzybowski |
| author_facet | Piotr Kanclerz Andrzej Grzybowski |
| author_sort | Piotr Kanclerz |
| collection | DOAJ |
| description | Intraocular gases have been used in vitreoretinal surgery for over 40 years. The aim of this study was to review the complications related to the use of expandable gases in vitrectomy and their management. A PubMed, Cochrane Library, and Embase search was conducted using the terms “intraocular gas” and “vitrectomy for retinal detachment.” Of the articles retrieved by this method, all publications in English and abstracts of non-English publications were reviewed. Intraocular pressure elevation was reported in up to 58.9% patients after vitrectomy with expandable gas administration for retinal detachment. Vitreoretinal surgery is known to induce cataract development. With that, cataract progression is associated with lens exposure to intraocular gas, the duration of such exposure, patient’s age, and the magnitude of vitreous removal. With intraocular gas, the posterior surface of the lens becomes a strongly refractive factor, resulting in high myopia and temporary vision impairment. Other complications related to the use of expandable gases include anterior chamber and subconjunctival gas displacement. Single reports on subretinal and cranial gas migration were published. In vitrectomy for uncomplicated retinal detachments, attempts to shift from expandable gases towards air are observed. Nevertheless, gas tamponade remains a reasonable choice for patients suffering from retinal detachment. |
| format | Article |
| id | doaj-art-9c820c531d554c2080dfaa36083c65e8 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-9c820c531d554c2080dfaa36083c65e82025-02-03T01:02:59ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/86064948606494Complications Associated with the Use of Expandable Gases in VitrectomyPiotr Kanclerz0Andrzej Grzybowski1Hygeia Clinic, Gdańsk, PolandDepartment of Ophthalmology, University of Warmia and Mazury, Olsztyn, PolandIntraocular gases have been used in vitreoretinal surgery for over 40 years. The aim of this study was to review the complications related to the use of expandable gases in vitrectomy and their management. A PubMed, Cochrane Library, and Embase search was conducted using the terms “intraocular gas” and “vitrectomy for retinal detachment.” Of the articles retrieved by this method, all publications in English and abstracts of non-English publications were reviewed. Intraocular pressure elevation was reported in up to 58.9% patients after vitrectomy with expandable gas administration for retinal detachment. Vitreoretinal surgery is known to induce cataract development. With that, cataract progression is associated with lens exposure to intraocular gas, the duration of such exposure, patient’s age, and the magnitude of vitreous removal. With intraocular gas, the posterior surface of the lens becomes a strongly refractive factor, resulting in high myopia and temporary vision impairment. Other complications related to the use of expandable gases include anterior chamber and subconjunctival gas displacement. Single reports on subretinal and cranial gas migration were published. In vitrectomy for uncomplicated retinal detachments, attempts to shift from expandable gases towards air are observed. Nevertheless, gas tamponade remains a reasonable choice for patients suffering from retinal detachment.http://dx.doi.org/10.1155/2018/8606494 |
| spellingShingle | Piotr Kanclerz Andrzej Grzybowski Complications Associated with the Use of Expandable Gases in Vitrectomy Journal of Ophthalmology |
| title | Complications Associated with the Use of Expandable Gases in Vitrectomy |
| title_full | Complications Associated with the Use of Expandable Gases in Vitrectomy |
| title_fullStr | Complications Associated with the Use of Expandable Gases in Vitrectomy |
| title_full_unstemmed | Complications Associated with the Use of Expandable Gases in Vitrectomy |
| title_short | Complications Associated with the Use of Expandable Gases in Vitrectomy |
| title_sort | complications associated with the use of expandable gases in vitrectomy |
| url | http://dx.doi.org/10.1155/2018/8606494 |
| work_keys_str_mv | AT piotrkanclerz complicationsassociatedwiththeuseofexpandablegasesinvitrectomy AT andrzejgrzybowski complicationsassociatedwiththeuseofexpandablegasesinvitrectomy |