Purchase this article with an account.
Fernando Nobrega, Mario J Nobrega; Outcomes After Inferior Retinectomy in Complex Retinal Detachment. Invest. Ophthalmol. Vis. Sci. 2014;55(13):2295.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To evaluate anatomical and visual outcomes after retinectomy in patients operated on retinal detachment and proliferative vitreoretinopathy in a referential eye-care centre in Joinville, southern Brazil.
Retrospective, non-comparative, consecutive case series. Cases included all patients with retinal detachment and grade C posterior proliferative vitreoretinopathy examined and operated from May 2002 to May 2013. The initial surgery, performed in all the eyes, included pars plana vitrectomy, 360-degree scleral buckling, laser endophotocoagulation around the retinal tears and silicone oil infusion or gas tamponade in the vitreous cavity.
Twenty four patients underwent inferior retinectomy. Fourteen (58,3%) were men and the mean age was 46,9 years-old (range 12-72 yo). Follow-up varied between 119 days and 3664 days (medium 1298,7 days). Fifteen (62,5%) had the retina attached at the last examination and nine (37,5%) had a recurrent retinal detachment after retinectomy. Visual acuity improved in 13 patients (54,1%), stabilized in 5 patients (20,8%) and decreased in 6 patients (25%).
Silicone oil removal provided good anatomical and visual results in most of the patients. Nevertheless, 3 cases had unfavorable outcomes, particularly one with a severe and unexplained vision loss. Surgeons must be aware of this possibility and analyse the costs and benefits of silicone oil extraction. Prospective and comparative studies are required to assess properly not only the advantage of removing silicone oil but also the safety and efficacy of a previous prophylactic peripheral laser photocoagulation in patients with complex retinal detachments.
This PDF is available to Subscribers Only