Peripheral 360° Retinectomy in Complex Retinal Detachment

Abstract

Relaxing peripheral 360 degrees retinectomy is an effective procedure for flattening the retina in complicated retinal detachments when no other option is available.

Retinotomy with retinal turnover to remove subretinal membranes under direct visualization for proliferative vitreoretinopathy

“…Additional surgeries were performed for pucker removal in eight eyes (42.1%), a result within the 10% to 63% range in previous reports 3,4,9–12,14,16,21,22…”

“…This was achieved by SO remaining in most of the eyes at the final visit. Oil remaining in the eyes was unavoidable, like that of other reports on retinotomy 3–5,9,10,12–14,16,21–24…”

“…The SO removal rate in previous reports ranged from 0% to 73.7%,3–5,9,10,12–14,16,21–24 and in some reports reinstillation of SO was required because ocular hypotension developed after oil removal 3,4. In the present study, one eye that showed corneal decompensation due to SO in the anterior chamber had normal IOP during the follow-up and IOP of 10.1 mmHg at the final visit.…”

360° Retinectomy for the Treatment of Complex Retinal Detachment

“…Use of relaxing retinectomy in the management of complex RDs has been described by many authors, most recently by Banaee et al 5,6,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] Machemer et al 26 identified three main indications for relaxing retinotomy: contraction of the edges of a large retinal tear, taut subretinal strands preventing retinal reattachment, and retinal incarceration in a wound. They suggested use of right-angled scissors to perform the relaxing retinotomy because they thought that the vitrectomy probe creates irregular edges.…”

“…Visual acuity is HM, and the IOP is 2 mmHg. measured, 1 eye (2.6%) had a low IOP (,5 mmHg) and 12 eyes (31%) had elevated IOP (range: [22][23][24][25][26][27][28][29][30][31][32][33][34][35]. Among the eyes with elevated IOP, 4 eyes (33%) were treated successfully with glaucoma medications.…”