Emphysema following vitrectomy with fluid–gas exchange: description of a rare complication

Eduardo F Damasceno,1 Nadyr Damasceno,2 Soraya Horowitz,2 Marcio Mortera Rodrigues3 1Universidade Federal Fluminense, Niterói, Brazil; 2Hospital Naval Marcílio Dias, Rio de Janeiro, Brazil; 3Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil Purpose: To report a c...

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Autores principales: Damasceno EF, Damasceno N, Horowitz S, Rodrigues MM
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Lenguaje:EN
Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:25ab32fd7843462eab408af16313fa992021-12-02T01:09:12ZEmphysema following vitrectomy with fluid–gas exchange: description of a rare complication1177-5483https://doaj.org/article/25ab32fd7843462eab408af16313fa992014-02-01T00:00:00Zhttp://www.dovepress.com/emphysema-following-vitrectomy-with-fluidndashgas-exchange-description-a15767https://doaj.org/toc/1177-5483 Eduardo F Damasceno,1 Nadyr Damasceno,2 Soraya Horowitz,2 Marcio Mortera Rodrigues3 1Universidade Federal Fluminense, Niterói, Brazil; 2Hospital Naval Marcílio Dias, Rio de Janeiro, Brazil; 3Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil Purpose: To report a case of subcutaneous emphysema involving the orbit, mediastinum, and face after pars plana vitrectomy with fluid–gas exchange. Methods: Case report of a 55-year-old man who presented with bilateral eyelid and face edema and dysphagia in the immediate postoperative period after pars plana vitrectomy. Orbital and chest computed tomographies were performed, revealing emphysema of the orbit and soft tissue of the face, extending from the neck to the upper chest. Results: The patient with a retinal detachment in the right eye underwent 23-gauge vitrectomy surgery with fluid–gas exchange and an implantation of silicone oil. The patient had a previous history of facial trauma for more than 20 years with an orbital fracture. After surgery, the patient developed emphysema of the orbit, soft tissue of the face and upper chest. Systemic prophylactic antibiotics associated with antibiotics and steroid drops performed a satisfactory evolution. Conclusion: The fluid–gas exchange during pars plana vitrectomy in patients with orbital fracture can lead to emphysema of the face, chest, and soft tissue. Keywords: vitrectomy complications, fluid–gas exchange, orbital emphysema, mediastinal emphysema, face emphysema, orbit fractureDamasceno EFDamasceno NHorowitz SRodrigues MMDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 401-403 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Damasceno EF
Damasceno N
Horowitz S
Rodrigues MM
Emphysema following vitrectomy with fluid–gas exchange: description of a rare complication
description Eduardo F Damasceno,1 Nadyr Damasceno,2 Soraya Horowitz,2 Marcio Mortera Rodrigues3 1Universidade Federal Fluminense, Niterói, Brazil; 2Hospital Naval Marcílio Dias, Rio de Janeiro, Brazil; 3Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil Purpose: To report a case of subcutaneous emphysema involving the orbit, mediastinum, and face after pars plana vitrectomy with fluid–gas exchange. Methods: Case report of a 55-year-old man who presented with bilateral eyelid and face edema and dysphagia in the immediate postoperative period after pars plana vitrectomy. Orbital and chest computed tomographies were performed, revealing emphysema of the orbit and soft tissue of the face, extending from the neck to the upper chest. Results: The patient with a retinal detachment in the right eye underwent 23-gauge vitrectomy surgery with fluid–gas exchange and an implantation of silicone oil. The patient had a previous history of facial trauma for more than 20 years with an orbital fracture. After surgery, the patient developed emphysema of the orbit, soft tissue of the face and upper chest. Systemic prophylactic antibiotics associated with antibiotics and steroid drops performed a satisfactory evolution. Conclusion: The fluid–gas exchange during pars plana vitrectomy in patients with orbital fracture can lead to emphysema of the face, chest, and soft tissue. Keywords: vitrectomy complications, fluid–gas exchange, orbital emphysema, mediastinal emphysema, face emphysema, orbit fracture
format article
author Damasceno EF
Damasceno N
Horowitz S
Rodrigues MM
author_facet Damasceno EF
Damasceno N
Horowitz S
Rodrigues MM
author_sort Damasceno EF
title Emphysema following vitrectomy with fluid–gas exchange: description of a rare complication
title_short Emphysema following vitrectomy with fluid–gas exchange: description of a rare complication
title_full Emphysema following vitrectomy with fluid–gas exchange: description of a rare complication
title_fullStr Emphysema following vitrectomy with fluid–gas exchange: description of a rare complication
title_full_unstemmed Emphysema following vitrectomy with fluid–gas exchange: description of a rare complication
title_sort emphysema following vitrectomy with fluid–gas exchange: description of a rare complication
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/25ab32fd7843462eab408af16313fa99
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AT damascenon emphysemafollowingvitrectomywithfluidndashgasexchangedescriptionofararecomplication
AT horowitzs emphysemafollowingvitrectomywithfluidndashgasexchangedescriptionofararecomplication
AT rodriguesmm emphysemafollowingvitrectomywithfluidndashgasexchangedescriptionofararecomplication
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