Unintentional retinal artery amputation during macular peeling

Abstract: Objective: To report a case of unintentional retina artery amputation during macular peeling.Methods: Observational case reportResults: A 73-year-old female underwent surgery to treat epiretinal membrane (ERM) associated with severe staphyloma in her left eye. While the ERM/posterior hyaloid membrane visually enhanced with triamcinolone (TA) was peeled, a movement of the forceps unintentionally involved the inferior temporal branch artery near the inner edge of the staphyloma. The artery was avulsed and amputated. Oozing from the retinal cleft that had once enfolded the artery and microscopic bleeding from the amputation stump were observed. The vitreous hemorrhage obscured a view of the fundus more than 4 weeks after the surgery. After 8 weeks, postoperative visual acuity was improved; however, the superior nasal visual field was lost, and the patient was aware of the broken vessel as a floater in her vision.Conclusions: Macular peeling is technically challenging, so meticulo...

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Unintentional retinal artery amputation during macular peeling ; volume:10 ; day:18 ; month:03 ; year:2020
GMS ophthalmology cases ; 10 (18.03.2020)

Klassifikation
Medizin, Gesundheit

Urheber
Shimada, Yoshiaki

DOI
10.3205/oc000140
URN
urn:nbn:de:0183-oc0001408
Rechteinformation
Open Access; Open Access; Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:48 MESZ

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Beteiligte

  • Shimada, Yoshiaki

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