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Factors in the Prevention of Wound Dehiscence During Pneumatic Retinopexy
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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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I read with great interest the 2 cases reported by Jun et al.1 This report, however, does not provide all of the
necessary details; as a result, it is difficult to accept that dehiscence
of a clear corneal cataract wound can be a potential complication during a
properly performed pneumatic retinopexy. The size and construction of the
corneal wounds in these cases have not been mentioned. With a meticulously
constructed 2- or 3-step corneal wound of no more than 3.2 mm, it is hard
to believe that such a complication could occur; a corneal wound created in
such a way is virtually airtight and watertight, and any rise in intraocular
pressure further enhances these properties. Although intraocular pressure
can rise to dangerously high levels following intravitreal gas insertion,
a paracentesis to withdraw an equivalent amount of aqueous prior to intravitreal
gas bubble insertion almost always prevents such a complication. Therefore,
. . . [Full Text of this Article]
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