ArticleIndian journal of ophthalmology2022
Jet stream related iatrogenic retinal breaks during vitreo-retinal surgery.
Article in Indian journal of ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Is the Laminar Flow From the Vitrectomy Infusion Cannula Potentially Harmful?Translational vision science & technology · 2025Article
- CARING: Cannula for Alleviation of Retinal Injury Caused by Needle Fluidic Gashing.Bioengineering (Basel, Switzerland) · 2024Article
- Commentary: Iatrogenic retinal breaks secondary to jet stream injury.Indian journal of ophthalmology · 2022Article
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7 authors.
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Abstract
purposeTo evaluate the causes of jet stream injury (JSI)-related iatrogenic retinal breaks (IRBs) during vitreoretinal surgery (VRS).
methodsThe precise surgical environment, which includes the indication and type of surgical procedure, retina status, details of instrumentation and fluidic parameters, and characteristics of the jet responsible for the IRB, was noted from case records. The nature of IRB and its healing and impact on anatomical and visual outcomes were analyzed.
resultsFive eyes of five patients with complete documentation of both the JSI and the IRB were included. Two cases were operated for macular hole, and one each for vitreous hemorrhage, retinal detachment, and endophthalmitis. One case had infusion-fluid-related JSI, while four developed it because of injection of surgical adjuncts (drugs, PFCL, and dye). JSI developed in two cases when the vitreous cavity was filled with fluid, while it was air-filled in three cases. In four cases, the fluid migrated into subretinal space, necessitating further maneuvers following which the breaks healed, but were directly responsible for vision loss in two cases.
conclusionJSI related IRBs are rare but may be directly responsible for vision loss if they impact the macula. The balance between jet stream velocity, its distance from the retinal surface, the intervening media (vitreous cavity), and retinal health play an important role. It can occur because of both infusion as well as injection jets. Precautions must be taken in cases vulnerable to complications with suggested modifications in the surgical technique.
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