Artikel
Intraocular suturing of the choroid in severe trauma
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Autoren
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Johann Roider
- Kiel/Germany
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J. Hillenkamp
- Kiel/Germany
| Veröffentlicht: | 18. Juni 2008 |
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Gliederung
Text
A 56 year old patient presented 36 hour after he has fallen on the right eye. The cornea and the sclera was ruptured, the globe was hypoton and there was complete hemorraghe of the anterior segment. As primary surgery the globe was closed. Second surgery , three days later, including encircling band, pars plana vitrectomy was stopped because of severe bleeding.
Methods: Third surgery was performed 11 days later. A complete loss of the anterior segment including iris and lens and parts of the ciliar body was found. Additionally the retina was completely detached and a 300 degree retinal retinal tear was found. A 180 degree choroidal tear was found and the choroid was completely detached and separated from the sclera in the temporal part of the eye reaching the optic nerve.
Results: The choroid was intraocularly sutured to the sclera using three nylone 10.0. sutures and a bimanual technique. No intraoperative bleeding occurred. A video will outline the technique. Appropiate vitreoretinal surgery was performed afterwards including 360 degree retinectomy, laser, PFC and use of silicone oil. Two months later the retinal situation remained stable and the retina remained attached.
Conclusion: Intraocular suturing of the choroids is possible, is technically difficult and is an option for treating separation of the choroid from the sclera.
