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Tissue Adhesive in the Management of Leaking Pars Plana Sclerotomy Causing Hypotony and Choroidal Detachment
Arch Ophthalmol. 2001;119:135-137.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Nonhealing or persistent wound leakage can be encountered in sclerotomy
sites after multiple pars plana vitrectomies. Therapeutic modalities such
as patch graft have been reported to manage the persistent limbal wound leaks.1 Cyanoacrylate tissue adhesives have been successfully used in the
management of corneal perforation and leaking filtering bleb to circumvent
the need for surgical interventions such as therapeutic keratoplasty and conjunctival
flap.2-3 We describe herein
the technique and successful use of cyanoacrylate adhesives to manage postoperative
hypotony and associated choroidal detachment caused by leakage from sclerotomy
after pars plana vitrectomy.
Report of a Case
A 51-year-old white woman with a history of insulin-dependent diabetes
had undergone 3 prior pars plana vitrectomies in the right eye between 1995
and 1998 for proliferative diabetic retinopathy and recurrent vitreous hemorrhage.
After the first 2 surgeries, the visual acuity had returned to 20/20 for several
months. Six months after the third surgery, the visual acuity OD had . . . [Full Text of this Article] Comment
Corresponding author: Andrew J. W. Huang, MD, MPH, Department of
Ophthalmology, University of Minnesota, University of Minnesota, 420 Delaware
St SE, MMC 493, Minneapolis, MN 55455 (e-mail: huang088@umnedu).
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