Common complications of retinal detachment surgery include.
1. Uveitis
Uveitis can occur after retinal surgery because it involves the uvea. Therefore, hormones should be used locally or systemically after surgery.
2.Endophthalmitis
It is less common. The germs may be brought into the eye through the drainage port. Treat as usual and make vitrectomy if necessary.
3.Ocular segment ischemia
Caused by surgical injury to the posterior long ciliary artery or anterior ciliary artery after surgery. Mild ischemia is more common and does not affect the prognosis of surgery, while severe ischemia can have serious consequences and eventually lead to ocular atrophy.
4. Subretinal fluid accumulation
It may be caused by intraoperative failure to release water, exudation caused by condensation or electrocoagulation, poor closure or omission of lacunae and generation of new lacunae. A comprehensive examination should be made, and systemic or local hormones should be used for exudate reactions, while other cases should be treated symptomatically.
5.Secondary glaucoma
The treatment is based on the specific situation. Those caused by pupillary block can be laser iris perforation or iris circumferential cut; those caused by choroidal exudation can be scleral incision and hormone; those with unknown cause can be treated with medication first, and those with persistent high IOP can be considered for filtration surgery.
6.Macular folds
It is easy to occur in the temporal side of the retina with large fissure and degeneration area, large condensation range, preoperative proliferative vitreoretinal lesions, and re-operation. Macular anterior membrane is usually present. Vitreous cutting and membrane peeling can be done.
7.Proliferative vitreoretinopathy
It is a serious complication and an important reason for failure of retinal detachment repositioning surgery. It is mainly prevented. Retinal detachment surgery should be performed as early as possible to cure once and reduce intraoperative damage. Treatment as vitrectomy.
8.Sympathetic uveitis
Less frequently occurs. Symptomatic treatment.
9, diplopia
Truncated muscles not sutured in place, too much pressure filled under the rectus muscle, scleral and muscle adhesions, etc. can cause diplopia. Symptomatic treatment.
10.Cycloplegia
Generally, the pain lasts for several months and then gradually decreases or disappears; in case of severe eye pain, it can be closed with procaine behind the ball, and if it still cannot be relieved, the ring tie can be removed.
11.Exposure or infection of the pressurized material
Foreign body rejection reaction. Poor suturing, displacement of the pressurized material, and poor coverage of the fascia and conjunctiva of the eye are related factors. If the pressure is exposed for a long time from the surgery and the retinal fissure has healed, the pressure is removed. Infection of the pressor should generally be removed, along with anti-infection.