Gas Expansion Three Days after Pars Plana Vitrectomy with Sulfur Hexafluoride 20% Tamponade following Carbon Monoxide Toxicity and Oxygen Therapy

Purpose. To report an unusual case of gas expansion following oxygen therapy in a patient with sulfur hexafluoride (SF6) 20% tamponade after pars plana vitrectomy. Case Report. A 40-year-old man came to the clinic with severe ocular pain and redness and also vision decrease in his left eye three day...

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Main Authors: Mojtaba Abrishami, Mehrdad Motamed Shariati, Ali Bolouki, Ghodsieh Zamani
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2022/5035361
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author Mojtaba Abrishami
Mehrdad Motamed Shariati
Ali Bolouki
Ghodsieh Zamani
author_facet Mojtaba Abrishami
Mehrdad Motamed Shariati
Ali Bolouki
Ghodsieh Zamani
author_sort Mojtaba Abrishami
collection DOAJ
description Purpose. To report an unusual case of gas expansion following oxygen therapy in a patient with sulfur hexafluoride (SF6) 20% tamponade after pars plana vitrectomy. Case Report. A 40-year-old man came to the clinic with severe ocular pain and redness and also vision decrease in his left eye three days after uncomplicated 23-gauge pars plana vitrectomy, internal limiting membrane peeling combined with phacoemulsification, and using 20% SF6 injection as a tamponade agent due to significant cataract and a full-thickness macular hole. In ophthalmic examinations of his left eye, high intraocular pressure (approximately 70 mmHg), a flat anterior chamber, and a gas-filled vitreous cavity were found. The patient had been hospitalized the day before due to carbon monoxide poisoning and had undergone oxygen therapy with a pure 100% mask for three hours. Conclusion. It seems that oxygen therapy or carbon monoxide poisoning increases the volume of gas in the patient’s vitreous cavity and the nonexpansile percentage of SF6 expands.
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publishDate 2022-01-01
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-a8db8c336f2341a9ab828d3cce88591f2025-02-03T05:53:34ZengWileyCase Reports in Ophthalmological Medicine2090-67302022-01-01202210.1155/2022/5035361Gas Expansion Three Days after Pars Plana Vitrectomy with Sulfur Hexafluoride 20% Tamponade following Carbon Monoxide Toxicity and Oxygen TherapyMojtaba Abrishami0Mehrdad Motamed Shariati1Ali Bolouki2Ghodsieh Zamani3Eye Research CenterEye Research CenterEye Research CenterEye Research CenterPurpose. To report an unusual case of gas expansion following oxygen therapy in a patient with sulfur hexafluoride (SF6) 20% tamponade after pars plana vitrectomy. Case Report. A 40-year-old man came to the clinic with severe ocular pain and redness and also vision decrease in his left eye three days after uncomplicated 23-gauge pars plana vitrectomy, internal limiting membrane peeling combined with phacoemulsification, and using 20% SF6 injection as a tamponade agent due to significant cataract and a full-thickness macular hole. In ophthalmic examinations of his left eye, high intraocular pressure (approximately 70 mmHg), a flat anterior chamber, and a gas-filled vitreous cavity were found. The patient had been hospitalized the day before due to carbon monoxide poisoning and had undergone oxygen therapy with a pure 100% mask for three hours. Conclusion. It seems that oxygen therapy or carbon monoxide poisoning increases the volume of gas in the patient’s vitreous cavity and the nonexpansile percentage of SF6 expands.http://dx.doi.org/10.1155/2022/5035361
spellingShingle Mojtaba Abrishami
Mehrdad Motamed Shariati
Ali Bolouki
Ghodsieh Zamani
Gas Expansion Three Days after Pars Plana Vitrectomy with Sulfur Hexafluoride 20% Tamponade following Carbon Monoxide Toxicity and Oxygen Therapy
Case Reports in Ophthalmological Medicine
title Gas Expansion Three Days after Pars Plana Vitrectomy with Sulfur Hexafluoride 20% Tamponade following Carbon Monoxide Toxicity and Oxygen Therapy
title_full Gas Expansion Three Days after Pars Plana Vitrectomy with Sulfur Hexafluoride 20% Tamponade following Carbon Monoxide Toxicity and Oxygen Therapy
title_fullStr Gas Expansion Three Days after Pars Plana Vitrectomy with Sulfur Hexafluoride 20% Tamponade following Carbon Monoxide Toxicity and Oxygen Therapy
title_full_unstemmed Gas Expansion Three Days after Pars Plana Vitrectomy with Sulfur Hexafluoride 20% Tamponade following Carbon Monoxide Toxicity and Oxygen Therapy
title_short Gas Expansion Three Days after Pars Plana Vitrectomy with Sulfur Hexafluoride 20% Tamponade following Carbon Monoxide Toxicity and Oxygen Therapy
title_sort gas expansion three days after pars plana vitrectomy with sulfur hexafluoride 20 tamponade following carbon monoxide toxicity and oxygen therapy
url http://dx.doi.org/10.1155/2022/5035361
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