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...

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

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

Classification and Topics

• Classification: Medizin, Gesundheit

Contributors, Places and Time

• Creator: Shimada, Yoshiaki

Further information

• DOI: 10.3205/oc000140
• URN: urn:nbn:de:0183-oc0001408
• Rights: Open Access; Open Access; Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 14.08.2025, 10:48 AM CEST