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