Successful management of iatrogenic tear in vitrectomy for retinopathy of prematurity-related retinal detachment: a case report

Tratamento bem-sucedido de rotura iatrogênica em vitrectomia para descolamento de retina por retinopatia da prematuridade: relato de caso

ABSTRACT

Retinal detachment related to retinopathy of prematurity is a surgical challenge, and vitrectomy can directly release transvitreal traction resulting from fibrous proliferation. The presence of iatrogenic breaks is a poor prognostic factor and has been considered a dismal prognosis. We report a case of premature female baby that underwent a 3-port 23-Gauge pars plana vitrectomy for stage 4A retinopathy of prematurity, with intraoperative progressive rhegmatogenous detachment complication. Lensectomy, extensive membrane dissection and vitreous shaving, followed by a posterior retinotomy, fluid air exchange, extensive peripheral photocoagulation and C3F8 15% injection were performed. Successful anatomical result was obtained.

Keywords:
Retinopathy of prematurity; Vitrectomy; Retina; Retinal detachment; Aphakia