Iatrogenic Retinal Detachment Inflicted During 25-Gauge Air-to-Fluid Exchange

  • Christopher G Fuller, MD
  • Video
  • Published 2014

This is the case of a 67-year-old woman who underwent vitrectomy for chronic vitreomacular traction and macular puckering. She suffered a retinal detachment at the time of surgical repair, likely secondary to intraocular irrigation reinitiated after Brilliant Blue G staining under air. It was the surgeon's first experience with Brilliant Blue G and provided an unexpected (and somewhat unhappy) teaching moment about the perils of air-to-fluid exchange.

At 1-month post-op, retina is attached and the patient had significant visual improvement (20/40).

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