Titel | Relaxing retinectomy in the management of retinal detachment complicated by proliferative vitreoretinopathy |
Doel | To review the anatomical and functional results of relaxing retinectomies in non-traumatic retinal detachment (RD) complicated by proliferative vitreoretinopathy (PVR). |
Methodes | In this retrospective study, we reviewed the outcome of 39 consecutive eyes that underwent relaxing retinectomies for RD complicated by PVR between 2002 and 2010 and with a minimum follow-up of 6 months. |
Resultaten | The 39 patients underwent a mean number of 2,15 vitreoretinal surgeries before retinectomy was performed (range 0-4). Mean preoperative visual acuity (VA) was 0,12. One patient had LP only. Prominent features of the surgery included membrane peeling, use of perfluorocarbon liquid (76,92%), relaxing retinectomy (mean size : 141,67°) and intraocular tamponade with silicone oil (94,88%), C3F8 (2,56%) or SF6 gaz (2,56%). Complete retinal reattachment was achieved in 100% of cases at the end of the procedure. Recurrent RD was documented in 18 patients (46,15%). Retina could be reattached by one additional surgery in 5 of these patients. Final success rate was 66,67%. Mean VA at the end of follow-up was 0,088, with a mean follow-up time of 35,15 months (range 6-92). Two patients had a final VA of LP and one other underwent an enucleation. Complications included ocular hypertension (17,95%), corneal decompensation (7,69%) and epimacular membrane development (15,38%). Three patients developed neovascular glaucoma due to chronic RD, and one of them had to be enucleated. |
Conclusie | RDs complicated by PVR and in need of a relaxing retinectomy still carry a fair functional and anatomical prognosis. |
Naam | MARINESCU |
Initialen | C |
Instituut | Université Catholique de Louvain |
Stad | 1200 Bruxelles |
Naam | NOEL |
Initialen | A |
Instituut | Université Catholique de Louvain |
Stad | 1200 Bruxelles |
Naam | GRIBOMONT |
Initialen | AC |
Instituut | Université Catholique de Louvain |
Stad | 1200 Bruxelles |