April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Retinotomies and Retinectomies: When and How? Technique, Results and Complications. An Update
Author Affiliations & Notes
  • Marcelo Zas
    Ophthalmology, Hospital de Clinicas, School of Medicine, University of Buenos Aires, Ciudad Autonoma, Argentina
  • Arturo Alezzandrini
    Ophthalmology, Hospital de Clinicas, School of Medicine, University of Buenos Aires, Ciudad Autonoma, Argentina
  • Lucas Adamo
    Ophthalmology, Hospital de Clinicas, School of Medicine, University of Buenos Aires, Ciudad Autonoma, Argentina
  • Matias Iglicki
    Ophthalmology, Hospital de Clinicas, School of Medicine, University of Buenos Aires, Ciudad Autonoma, Argentina
  • Carmen N Demetrio
    Ophthalmology, Hospital de Clinicas, School of Medicine, University of Buenos Aires, Ciudad Autonoma, Argentina
  • Gaston Gomez Caride
    Ophthalmology, Hospital de Clinicas, School of Medicine, University of Buenos Aires, Ciudad Autonoma, Argentina
  • Juan Pablo Francos
    Ophthalmology, Hospital de Clinicas, School of Medicine, University of Buenos Aires, Ciudad Autonoma, Argentina
  • Liliana Coletti
    Ophthalmology, Hospital de Clinicas, School of Medicine, University of Buenos Aires, Ciudad Autonoma, Argentina
  • Paola Rinaudo
    Ophthalmology, Hospital de Clinicas, School of Medicine, University of Buenos Aires, Ciudad Autonoma, Argentina
  • Pablo Chiaradia
    Ophthalmology, Hospital de Clinicas, School of Medicine, University of Buenos Aires, Ciudad Autonoma, Argentina
  • Footnotes
    Commercial Relationships Marcelo Zas, None; Arturo Alezzandrini, None; Lucas Adamo, None; Matias Iglicki, None; Carmen Demetrio, None; Gaston Gomez Caride, None; Juan Pablo Francos, None; Liliana Coletti, None; Paola Rinaudo, None; Pablo Chiaradia, None
  • Footnotes
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Investigative Ophthalmology & Visual Science April 2014, Vol.55, 2294. doi:
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      Marcelo Zas, Arturo Alezzandrini, Lucas Adamo, Matias Iglicki, Carmen N Demetrio, Gaston Gomez Caride, Juan Pablo Francos, Liliana Coletti, Paola Rinaudo, Pablo Chiaradia; Retinotomies and Retinectomies: When and How? Technique, Results and Complications. An Update. Invest. Ophthalmol. Vis. Sci. 2014;55(13):2294.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: To assess the techniques, indications, and complications of relaxing retinotomies and retinectomies for complicated retinal detachment (RD) with severe proliferative vitreoretinopathy (PVR).

Methods: We studied 36 patients of complicated retinal detachment with severe PVR in a noncomparative retrospective study. Follow up was at least 12 months. Techniques included scleral buckling, vitrectomy 23 and 25 g (MIVS), membrane peeling, relaxing retinotomy and/or retinectomy and intraocular tamponade with silicon oil (SO).

Results: Retina was reattached in 30 (83 %) of our cases. Retinal detachment was recurrent in 6 eyes in follow-up. Visual acuity (VA) was light perception in 28 (77%) eyes and hand motion in 8 (22%) eyes in the preop. and was better than 4/60 in 20 eyes (66 %) in the postop. Intraoperative complications included bleeding, iatrogenic retinal breaks, recurrent fibrous proliferation and subretinal SO.

Conclusions: Retinotomy and retinectomy can improve the therapeutic effect of complicated retinal detachment in PVR cases. Complications of these maneuvers are high and should be manage properly.

Keywords: 762 vitreoretinal surgery • 655 proliferative vitreoretinopathy • 763 vitreous  
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