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Transient Visual Loss and Decreased Ocular Blood Flow Velocities Following a Scleral Buckling Procedure
Arch Ophthalmol. 1999;117:1647-1648.
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Scleral buckling procedures with encircling elements have been shown to decrease blood flow velocities in the central retinal artery but, in most cases, leave the ophthalmic artery unaffected.1 Although these hemodynamic changes are well documented with otherwise successful scleral buckling procedures, they are rarely symptomatic. We report the case of a young woman who developed episodes of posturally related transient visual loss following a scleral buckling procedure with an encircling element.
Report of a Case
A 26-year-old woman had undergone surgical repair of a 12-mm full-thickness corneoscleral laceration in the left eye 6 months previously. The laceration extended from the superior limbus to the inferior limbus. Two months after the ruptured globe repair, she developed an inferior macula-on retinal detachment, which was treated with pars plana vitrectomy and scleral buckling with a 42-style silicone encircling element (Labtician, Oakville, Ontario). The intraocular pressure was normal until 4 weeks after the surgery, when it was measured . . . [Full Text of this Article]
Comment
Corresponding author: Carl D. Regillo, MD, Retina Service, Wills Eye Hospital, 900 Walnut St, Philadelphia, PA 19107.
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