Management of complex retinal detachment through retinectomy: Anatomic and visual outcomes in Mexican population

Abstract

Purpose: the objective of this study is to report the anatomic and functional outcomes of retinectomy for the management of complex retinal detachment (CRD) complicated by proliferative vitreoretinopathy (PVR). Method: this was a retrospective analysis of data collected from medical records of 23 eyes from 23 patients treated with 180º and 360º retinectomy due to CRD with anterior and posterior PVR grade C. Results: anatomic retinal reattachment was successful in 73.91% of the cases (n = 17), but failed in 26.08% (n = 6). All patients had a minimum follow-up of 6 months. The mean final BCVA of success group was 1.16 ± 0.38 LogMAR vs 1.76 ± 0.37 LogMAR in the no success group (P =.0123). Of the 23 patients, 17.39% (n = 4) had epiretinal membranes, 13.04% (n = 3) subretinal hemorrhages, and 8.69% (n = 2) ocular hypertension at the follow-up. Conclusions: peripheral retinectomy for the management of complex retinal detachment is the proper technique to achieve retinal reattachment otherwise unachievable.