Program list

SYMPOSIUM: WEAPONS CHOICES
SECTION: Retinotomies and Retinectomies
Moderators: Claudio Azzolini, Suvad Karcic
Monday, September 15th, 2003 ; 11:00 - 13:00

THREE HUNDRED SIXTY DEGREES RETINOTOMY IN SEVERE PVR
Khaled El-Rakhawy,MD
Cairo University, Egypt

Purpose: To report the anatomical and functional results of extensive (360-degree) retinotomy in eyes with retinal detachment (RD) complicated by severe proliferative vitreoretinopathy (PVR).
Method: This series includes 44 eyes with RD complicated by very severe PVR where epiretinal and/or subretinal membrane removal together with less extensive retinotomy has failed to achiever retinal reattachment due to extensive anterior PVR and/or intrinsic retinal shortening. Three hundred and sixty degree retinotomy was then performed before condemning these eyes as inoperable.
Results: Succesful intraoperative retinal reattachment was achieved in 36 eyes (81.8 %). Eyes with attached retina were followed up for a period between 12 and 55 months ( mean 26 months). Redetachment occurred in 5 eyes due to recurrent PVR . All eyes with attached retina had some degree of visual improvement
Conclusion: 360-degree retinotomy is helpful in achieving retinal reattachment and visual improvement in some eyes with severe PVR which could not be treated by other simpler methods.