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Surgical Treatment of Chemotic Conjunctival Prolapse Following Vitreoretinal Surgery

Surgical Treatment of Chemotic Conjunctival Prolapse Following Vitreoretinal Surgery Abstract • The development of marked conjunctival chemosis following vitreoretinal surgery may be due to extensive intraoperative cryopexy, prolonged surgical time, removal of edematous corneal epithelium, and postoperative face-down posturing for an intraocular gas bubble. The fine suspensory attachments of the conjunctival fornix may be disrupted by the hydraulic dissection of marked chemosis, leading to prolapse of the conjunctiva through the eyelids. This problem can be successfully managed by a combination of conjunctival fornix sutures to invaginate the prolapsed conjunctiva and temporary suture tarsorrhaphy. References 1. Michels RG. Vitreous Surgery . St Louis, Mo: CV Mosby Co; 1981:379-380. 2. Boniuk I. Complications related to cryotherapy . In: Waltman SR, Krupin T, eds. Complications in Ophthalmic Surgery . Philadelphia, Pa: JB Lippincott Co; 1980:315. 3. Buckman G, Levine MR. Treatment of prolapsed conjunctiva . Ophthalmol Plast Reconstr Surg . 1986;2:33-39.Crossref 4. Biglan AW, Chang A, Hiles DA. Prolapse of conjunctiva following external levator resection . Ophthalmol Surg . 1980;11:581-583. 5. Duke-Elder S. System of Ophthalmology . St Louis, Mo: CV Mosby Co; 1965;8:42-46. 6. Beard C, Quickert MH. Anatomy of the Orbit . 2nd ed. New York, NY: Aesculapius Publishers Inc; 1977:12. 7. Hawes MJ, Dortzbach RK. The microscopic anatomy of the lower eyelid retractors . Arch Ophthalmol . 1982;100:1313-1318.Crossref 8. Beard C. Complications of ptosis surgery . Ann Ophthalmol . 1972;4:671-675. 9. Laval J, Schneider J. Modified Snellen suture for prolapsed chemosed conjunctiva . Arch Ophthalmol . 1947;38:375-377.Crossref 10. Barrett CV. Modified Snellen sutures for persistent prolapsed chemosed conjunctiva: a case report . Am J Ophthalmol . 1956;42:774-776. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Surgical Treatment of Chemotic Conjunctival Prolapse Following Vitreoretinal Surgery

Archives of Ophthalmology , Volume 108 (6) – Jun 1, 1990

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Publisher
American Medical Association
Copyright
Copyright © 1990 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1990.01070080134052
Publisher site
See Article on Publisher Site

Abstract

Abstract • The development of marked conjunctival chemosis following vitreoretinal surgery may be due to extensive intraoperative cryopexy, prolonged surgical time, removal of edematous corneal epithelium, and postoperative face-down posturing for an intraocular gas bubble. The fine suspensory attachments of the conjunctival fornix may be disrupted by the hydraulic dissection of marked chemosis, leading to prolapse of the conjunctiva through the eyelids. This problem can be successfully managed by a combination of conjunctival fornix sutures to invaginate the prolapsed conjunctiva and temporary suture tarsorrhaphy. References 1. Michels RG. Vitreous Surgery . St Louis, Mo: CV Mosby Co; 1981:379-380. 2. Boniuk I. Complications related to cryotherapy . In: Waltman SR, Krupin T, eds. Complications in Ophthalmic Surgery . Philadelphia, Pa: JB Lippincott Co; 1980:315. 3. Buckman G, Levine MR. Treatment of prolapsed conjunctiva . Ophthalmol Plast Reconstr Surg . 1986;2:33-39.Crossref 4. Biglan AW, Chang A, Hiles DA. Prolapse of conjunctiva following external levator resection . Ophthalmol Surg . 1980;11:581-583. 5. Duke-Elder S. System of Ophthalmology . St Louis, Mo: CV Mosby Co; 1965;8:42-46. 6. Beard C, Quickert MH. Anatomy of the Orbit . 2nd ed. New York, NY: Aesculapius Publishers Inc; 1977:12. 7. Hawes MJ, Dortzbach RK. The microscopic anatomy of the lower eyelid retractors . Arch Ophthalmol . 1982;100:1313-1318.Crossref 8. Beard C. Complications of ptosis surgery . Ann Ophthalmol . 1972;4:671-675. 9. Laval J, Schneider J. Modified Snellen suture for prolapsed chemosed conjunctiva . Arch Ophthalmol . 1947;38:375-377.Crossref 10. Barrett CV. Modified Snellen sutures for persistent prolapsed chemosed conjunctiva: a case report . Am J Ophthalmol . 1956;42:774-776.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jun 1, 1990

References