RAISED INTRAOCULAR PRESSURE AND RECURRENCE OF RETINAL DETACHMENT AS COMPLICATIONS OF EXTERNAL RETINAL DETACHMENT SURGERY
AbstractBackground: Patients with Rhegmatogenous retinal detachment may develop raised intraocular pressure and recurrence of retinal detachment when they undergo external retinal detachment surgery. The present study was conducted to determine the postoperative rise in intraocular pressure (IOP) and recurrence of retinal detachment. Methods: The present descriptive study was conducted at Eye department of Lady Reading Hospital, Peshawar on 25 patients of both genders from August 2012 to July 2014. Results: Of the 25 patients, 18 (72%) developed raised IOP in the immediate postoperative period; this figure decreased to 12 (48%) at one week. Following medical or surgical intervention in these 12 cases, there was only 1 (4%) case with mildly raised IOP at two weeks postoperative. Five (20%) cases developed recurrent retinal detachment which later resolved with treatment. There were no significant differences by age or gender. Conclusion: External Retinal Detachment Surgery raised intraocular pressure postoperatively and caused recurrence of retinal detachment. These complications were treated medically and surgically with resolution within two weeks.
Hejsek L, Dusová J, Stepanov A, Rozsíval P. Scleral buckling for Rhegmatogenous retinal detachment. Cesk Slov Oftalmol 2014;70(3):110–3.
American Academy of Ophthalmology. Vitreoretinal surgery. In: Retina and Vitreous. Basic and Clinical Science Course. San Francisco: American Academy of Ophthalmology 2007-2008:323–42.
Hang Y, Hu P, Shun L, Zhu X, Yi Y, Liu W. External approach microsurgery of retinal dialysis. Yan Ke Xue Bao 2005;21(1):12–4.s
Gibran SK, Alwitry A, Cleary PE. Foveal detachment after successful retinal reattachment for macula on rhegmatogeneous retinal detachment: an ocular coherence tomography evaluation. Eye (Lond) 2006;20(11):1284–7.
Muether PS, Hoerster R, Kirchhof B, Fauser S. Course of intraocular pressure after vitreoretinal surgery: is early postoperative intraocular pressure elevation predictable? Retina 2011;31(8):1545–52.
Ryan SJ. Retina. Techniques of Scleral Buckling. In: Wilkinson CP, Wiedemann P, Schachat AP. Surgical Retina. 5th Edition. London: Elsevier Saunders. 2013:1669–95.
Golubovic M. Rhegmatogenous retinal detachment and conventional surgical treatment. Prilozi 2013;34(1):161–6.
Kanski JJ. Retinal Detachment. In: Clinical Ophthalmology.7th ed. London: Elsevier. 2011:687–733.
Pournaras CJ, Donati G, Sekkat L, Kapetanios AD. Pseudophakic retinal detachment: treatment by vitrectomy and scleral buckling. Pilot study. J Fr Ophtalmol 2000;23(10):1006–11.
Framme C, Roider J, Hoerauf H, Laqua H. Complications after external retinal surgery in pseudophakic retinal detachment - are scleral buckling operations still current? Klin Monbl Augenheilkd 2000;216(1):25–32.
Azad RV, Talwar D, Pai A. Modified needle drainage of subretinal fluid for conventional scleral buckling procedures. Ophthalmic Surg Lasers 1997;28(2):165–7.