Vitreous cavity lavage with a bended-needle system for postoperative vitreous cavity hemorrhage.

IF 2.3 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2025-01-17 DOI:10.1097/IAE.0000000000004403

Mingyue Luo, Chan Wu, Youxin Chen, Shiqun Lin, Yan Zhou, Xingyu Xiao, Rongping Dai

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Abstract

Purpose: To present a novel bended-needle drainage system in vitreous cavity lavage (VCL) for postoperative vitreous cavity hemorrhage (POVCH).

Methods: This retrospective case series include all patients with POVCH who received VCL with the bended-needle drainage system at ophthalmology department of Peking Union Medical College Hospital from January 2022 to May 2024. Patients adopted a supine position that allows preparation and draping. Balanced salt solution was injected with a 30 Ga needle. One bended 25 Ga needle was used to drain the blood. Primary outcomes include the visual acuity and short-term post-procedure complications. Secondary outcomes include preoperative and postoperative intraocular pressure (IOP) and long-term complications.

Results: Three patients with POVCH received the procedure, with two cases of proliferative diabetic retinopathy and one case of primary central nervous system lymphoma. All patients recovered well after the procedure with minimal complications. Long-term prognosis largely depends on the primary retinal conditions.

Conclusions: In conclusions, VCL with the bended-needle system is safe and effective to manage POVCH with an outpatient surgery, which potentially benefits patients with similar conditions.

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.