April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Outcomes After Inferior Retinectomy in Complex Retinal Detachment
Author Affiliations & Notes
  • Fernando Nobrega
    Medical Student, University of Alfenas (UNIFENAS), Alfenas, Brazil
  • Mario J Nobrega
    Departament of Retina and Vitreous, Sadalla Amin Ghanem Eye Hospital, Joinville, Brazil
    University of Joinville (UNIVILLE), Joinville, Brazil
  • Footnotes
    Commercial Relationships Fernando Nobrega, None; Mario Nobrega, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 2295. doi:
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      Fernando Nobrega, Mario J Nobrega; Outcomes After Inferior Retinectomy in Complex Retinal Detachment. Invest. Ophthalmol. Vis. Sci. 2014;55(13):2295.

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

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Abstract

Purpose: 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.

Methods: 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.

Results: 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%).

Conclusions: 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.

Keywords: 697 retinal detachment • 655 proliferative vitreoretinopathy • 762 vitreoretinal surgery  
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