Vitrectomy in sickling retinopathy: report of five cases

M. H. Goldbaum, G. A. Peyman, K. C. Nagpal, M. F. Goldberg, G. K. Asdourian

Research output: Contribution to journalArticle

Abstract

The unique problems encountered in sickle patients include the need to remove peripheral vitreous if perfusing sea fans which can bleed after vitrectomy are present at the time of surgery. However, peripheral vitrectomy is riskier than central vitrectomy alone. If visualization of the sea fans is sufficient, it is safer to close the sea fans prior to vitrectomy in order to obviate the need for peripheral vitrectomy; then, only central vitrectomy is performed. When sea fans cannot be closed prior to vitrectomy, peripheral vitreous is removed to allow early photocoagulation of the sea fans before they bleed again. Four case presentations illustrate these principles. Vitrectomy relieved severe vitreous traction that complicated retinal detachment in the fifth patient, thereby eliminating the need for a tight encircling structure, which can be poorly tolerated in patients with SC hemoglobin.

Original languageEnglish (US)
Pages (from-to)92-102
Number of pages11
JournalOphthalmic surgery
Volume7
Issue number4
StatePublished - Dec 1 1976
Externally publishedYes

ASJC Scopus subject areas

  • Ophthalmology

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  • Cite this

    Goldbaum, M. H., Peyman, G. A., Nagpal, K. C., Goldberg, M. F., & Asdourian, G. K. (1976). Vitrectomy in sickling retinopathy: report of five cases. Ophthalmic surgery, 7(4), 92-102.