Unexpected Complication Related to Gas Tamponade After Macular Hole Surgery: A Case Report

Özet

We report a case report of a 55-year old man who developed an unexpected complication after 23-gauge pars plana vitrectomy (PPV) withperfl uoropropane (C3F8) gas tamponade for the full thickness macular hole (MH).On postoperative day 3, he presented with vision loss, severe pain in his operated eye. His examination revealed edema in the lower and upperlid, proptosis, gas expansion in fundus and increased intraocular pressure (IOP). Computed tomography demonstrated gas migration intothe subconjuctival and retrobulber areas. As orbital compartment syndrome (OCS) was thought to have developed, gas aspiration from thesubtenon space and vitrectomy with gas to fl uid exchange were performed. All symptoms resolved after the removal of the gas. However, visualacuity could not improve further than fi nger counting from 1 meter distance during his follow up since optical atrophy developed.Surgeons should be careful while adjusting the concentration of intraocular gas application, while patients for whom gas was applied shouldbe closely followed after surgery.