Elective Vitrectomy Procedure Results in Detached Retina

Case Overview

This case involves a sixty-year-old female patient who presented for an elective vitrectomy for the removal of excess vitreous humor. Before the procedure, the patient was advised that the voided space would be filled with a synthetic replacement fluid to prevent retinal detachment. The patient eventually suffered a detached retina and permanent vision loss in the afflicted eye. The surgeon failed to place an adequate amount of synthetic fluid in the eye that resulted in destabilization of the retinal attachments.

Questions to the Ophthalmology expert and their responses

What are the major complications of this procedure?

The major complications of vitrectomy are bleeding, infection, and retinal detachment.

How should they be avoided?

If possible, blood thinners should be discontinued preoperatively. Intraoperatively, adequate IOP must be maintained. A drop in pressure that causes globe collapse is a major risk factor for the development of a choroidal hemorrhage. Eyes should be meticulously washed with a dilute povidone-iodine solution before the operation. Immediately after the operation, subconjunctival or topical antibiotics should be administered before the eye is patched. Topical antibiotic drops should be prescribed for at least one week after the procedure. Retinal detachment can occur during vitrectomy if an iatrogenic retinal break is made during the procedure (similar to when an inadvertent retinal touch causes a break or sclerotomy tear). These detachments should be repaired in a manner similar to primary retinal detachment repair.

About the expert

This board certified ophthalmologist has over 35 years of clinical experience, including over 2000 surgeries involving retinal tears and detachments. In addition, he has over 25 years of case review experience working with plaintiffs and defense attorneys. Finally, he has formerly headed and founded his own ophthalmological private practice.

E-001032

Specialties:

Ophthalmology

Michael Talve stands at the forefront of legal innovation as the CEO and Managing Director of Expert Institute. Under his leadership, the Expert Institute has established itself as a vital player in the legal technology arena, revolutionizing how lawyers connect with world-class experts and access advanced legal technology. Michael's role involves not only steering the company's strategic direction but also ensuring the delivery of unparalleled intelligence and cutting-edge solutions to legal professionals. His work at Expert Institute has been instrumental in enhancing the capabilities of attorneys in case preparation and execution, making a significant impact on the legal industry's approach to expert consultation and technological integration. Michael's vision and execution have positioned the Expert Institute as a key facilitator in the intersection of law and technology.