Aug 2012, Vol 130, No. 8 >

< Previous Article

Full Content is available to subscribers

Subscribe/Learn More

Next Article >

Surgical Technique | Aug 2012 Surgeon's Corner

A Novel Method of Draining Intraoperative Choroidal Detachments During 23-Gauge Pars Plana Vitrectomy

Andre J. Witkin, MD; Mitchell Fineman, MD; Allen C. Ho, MD; Marc Spirn, MD

Arch Ophthalmol. 2012;130(8):1048-1050. doi:10.1001/archophthalmol.2012.1472.

Text Size: A A A

Published online

Article

Figures

References

Comments

ABSTRACT

ABSTRACT | METHODS | COMMENT | AUTHOR INFORMATION | REFERENCES

A choroidal detachment may form during pars plana vitrectomy when the infusion line is partially disinserted and fluid is infused into the choroid or suprachoroidal space instead of into the vitreous cavity. We describe a new surgical technique that was used successfully in 4 patients who developed intraoperative choroidal detachments during 23-gauge vitrectomy after the infusion cannula was accidentally partially disinserted. During surgery, the infusion line was disconnected from the partially disinserted cannula and was reconnected to another fully inserted cannula. After resuming infusion into the vitreous cavity, the partially disinserted 23-gauge cannula was left in position and was used to immediately drain the choroidal detachment that had formed intraoperatively. In all 4 patients, the surgery then proceeded without complication.

Figures in this Article

Sign In to Access Full Content

Username

Password

Forgot Your Password?

Don't have Access?

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Place holder to copy figure label and caption

Grahic Jump Location

View Large | Save Figure | Download Slide (.ppt) | View in Article Context

Figure. A, A choroidal detachment secondary to partial disinsertion of the inferotemporal infusion cannula is noted. B, The infusion line is disconnected while leaving the partially disinserted cannula in the same position, and the infusion is connected superotemporally. Choroidal fluid is allowed to drain through the partially disinserted cannula (corkscrew arrow) while the superonasal cannula is plugged. C, After resolution of the choroidal detachment, a new trocar is placed inferonasally (arrow), and the inferotemporal cannula is removed. D, The infusion line is connected to the inferonasal cannula, and the surgery can proceed as planned.

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Correspondence

Submit a Letter

CME

Accreditation Information

The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit^TM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 Credit^TM.

Note: You must get at least of the answers correct to pass this quiz.

Clear Answers | Save For Later

You have not filled in all the answers to complete this quiz

The following questions were not answered:

Sorry, you have unsuccessfully completed this CME quiz with a score of

The following questions were not answered correctly:

Commitment to Change (optional):

Indicate what change(s) you will implement in your practice, if any, based on this CME course.

Your quiz results:

The filled radio buttons indicate your responses. The preferred responses are highlighted

For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes

Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).

Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.

All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.

Instructions

Thank you for submitting a comment on this article. It will be reviewed by JAMA Ophthalmology editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.

Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.

* = Required Field

Comment Author(s)* (if multiple authors, separate names by comma)

Example: John Doe

Affiliation & Institution*

Disclosure of Any Conflicts of Interest* Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.

Please disclose any conflicts of interest or check the box below.

No potential conflicts or relevant financial interests

Comment Title*

Comment*

Get Audio Code

Submit Cancel

Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Print
PDF
Email

AMA

You must be logged in and have an account to share content.

Return to: A Novel Method of Draining Intraoperative Choroidal Detachments During 23-Gauge Pars Plana Vitrectomy

This feature is provided as a courtesy. By using it you agree that that you are requesting the material solely for personal, non-commercial use, and that it is subject to the AMA's Terms of Use. The information provided in order to email this article will not be shared, sold, traded, exchanged, or rented. Please refer to The JAMA Network's Privacy Policy for additional information.

© 2013 American Medical Association. All Rights Reserved.
Share
Get Citation

Witkin AJ, Fineman M, Ho AC, Spirn M. A Novel Method of Draining Intraoperative Choroidal Detachments During 23-Gauge Pars Plana Vitrectomy. Arch Ophthalmol. 2012;130(8):1048-1050. doi:10.1001/archophthalmol.2012.1472.

Download citation file:

RIS (Zotero)

EndNote

BibTex

Medlars

ProCite

RefWorks

Reference Manager

© American Medical Association
Get Permissions
Get Alerts

Processing your request... Please Wait.
Submit a Letter
Submit a Comment

Sign In to Access Full Content

Username

Password

Forgot Your Password?

Full Content is available to subscribers

A Novel Method of Draining Intraoperative Choroidal Detachments During 23-Gauge Pars Plana Vitrectomy

ABSTRACT

Figures in this Article

Topics

Sign In to Access Full Content

Don't have Access?

Figures

Tables

Interactive Graphics

Video

References

Correspondence

Sign In

Don't have Access?

Sign In to Access Full Content

Related Content

JAMA Ophthalmology

Content

Services

The JAMA Network

Sites

AMA Publishing Group Journals

Information For

Services

Content Resources

Other Resources

Sign In

Register for a FREE personal account

Want to Subscribe?

Don't have Access?

Forgot Your Password?