medigraphic.com
SPANISH

Revista Médica del Instituto Mexicano del Seguro Social

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2010, Number 3

<< Back Next >>

Rev Med Inst Mex Seguro Soc 2010; 48 (3)

Orbital emphysema due to perfluoropropane gas anesthesia in retinal surgery. A case report

Blanco-D’Mendieta A, Camacho-Cid C, Hernández-López A, Zapata-Chavira R, Huerta-Fosado A
Full text How to cite this article

Language: Spanish
References: 7
Page: 321-324
PDF size: 43.97 Kb.


Key words:

exophthalmos, fluorocarbons, retinal detachment, scleral buckling, vitrectomy.

ABSTRACT

A 45 year old male was referred by the increasing volume of upper and lower eyelids with lost vision of his right eye after surgical procedure for recurrent retinal detachment. The surgery performed was a scleral buckle, vitrectomy and application of perfluoropropane gas to right eye. Ophthalmic examination: visual acuity of the right eye showed counting fingers 2 meters, soft tissue crepitating and proptosis. Anterior subconjuntival segment was infiltrated by gas, with normal intraocular pressure. CT scan shows gas in soft tissues. Because we did not find change in the intraocular pressure or damage to the optic nerve we did not propose surgical treatment. We managed conservatively considering that this gas tends to reabsorp totally as it occurred.


REFERENCES

  1. Lincoff H, Mardirossian J, Lincoff A, Liggett P, Iwamoto T, Jakobiec F. Intravitreal longevity of three perfluorocarbon gases. Arch Ophthalmol 1980;98(9):1610-1611.

  2. Herrera-de la Cruz P, editora. Retina y vítreo. México: Asociación Mexicana de Retina-JHG Editores; 2000.

  3. Lincoff A, Kreissig I. Intravitreal behavior of perfluorocarbons. Dev Ophthalmol 1981;2:17-23.

  4. Lu DW, Tai MC, Chiang CH. Subconjunctival retention of perfluoropropane (C3F8) gas increases the success rates of trabeculectomy in young people. As J Ophthalmol 1999;1(3):8-9

  5. Abrams GW, Swanson DE, Sabates WI, Goldman AI. The results of sulfur hexafluoride gas in vitreos surgery. Am J Ophthalmol 1982;94(2): 165-171.

  6. Fu AD, McDonald HR, Elliot D, Fuller DG, Halperin LS, Ramsay RC, et al. Complications of general anesthesia using nitrous oxide in eyes with preexisting gas bubbles. Retina 2002;22(5):569-574.

  7. Castellanos-Bracamontes A, Eng-Abadia E, Zonana-Sitton I. Hipoftalmos consecutivo a escape de C3F8. Presentación de un caso. Rev Mex Oftalmol 2007;81(5):291-194.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Med Inst Mex Seguro Soc. 2010;48