Microsurgery of Retinal Detachment (Vitreous Surgery Excluded) Advantages, Disadvantages, Limitations, Results

2015 ◽  
pp. 208-213 ◽  
Author(s):  
Mireille Bonnet
Keyword(s):  
Retinal Detachment ◽  
Vitreous Surgery

Complications of Endodrainage Retinotomies Created during Vitreous Surgery for Complicated Retinal Detachment

Ophthalmology ◽  
1989 ◽  
Vol 96 (3) ◽  
pp. 358-363 ◽  
Author(s):  
H. Richard McDonald ◽  
Hilel Lewis ◽  
Thomas M. Aaberg ◽  
Gary W. Abrams
Keyword(s):  
Retinal Detachment ◽  
Vitreous Surgery

scholarly journals Two Cases of Rhegmatogenous Retinal Detachment Associated with Asteroid Hyalosis

2018 ◽  
Vol 9 (1) ◽  
pp. 49-54
Author(s):  
Yoshitaka Okuda ◽  
Keigo Kakurai ◽  
Takaki Sato ◽  
Seita Morishita ◽  
Masanori Fukumoto ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Posterior Vitreous Detachment ◽  
Vitreous Surgery ◽  
Retinal Surface ◽  
Case Presentation ◽  
Corrected Visual Acuity ◽  
Vitreous Cortex ◽  
Asteroid Hyalosis ◽  
Flap Tear

Background: To report two cases of rhegmatogenous retinal detachment (RRD) associated with asteroid hyalosis (AH). Case Presentation: Two patients presented with RRD originating from a flap tear. Case 1 involved a 62-year-old male who was found to have bullous RRD in his left eye originating from a flap tear. During vitreous surgery, a thick vitreous cortex was found to have strongly adhered to the entire retinal surface, from the center to the periphery. A bimanual method was then used in conjunction with the vitrectomy to create an artificial posterior vitreous detachment. After surgery, the retina was successfully reattached, and his corrected visual acuity (VA) improved. Case 2 involved a 70-year-old male who was found to have localized RRD in his left eye originating from a flap tear. During vitreous surgery, a thick vitreous cortex was found to have strongly adhered to the entire retinal surface. After surgery, the retina was successfully reattached, and his corrected VA improved. Conclusions: RRD associated with AH presents with stronger vitreoretinal adhesion compared to typical RRD, thus requiring a more complicated surgical technique to properly treat the patient.

scholarly journals A Case of Retinal Detachment with Unique Optical Coherence Tomography Findings after Gamma Knife® Radiosurgery Treatment for Choroidal Melanoma

2018 ◽  
Vol 9 (1) ◽  
pp. 23-29
Author(s):  
Daisaku Kimura ◽  
Teruyo Kida ◽  
Takaki Sato ◽  
Masanori Fukumoto ◽  
Ryohsuke Kohmoto ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Retinal Detachment ◽  
Gamma Knife ◽  
Choroidal Melanoma ◽  
Optical Coherence ◽  
Retinal Break ◽  
Vitreous Surgery ◽  
Radiation Retinopathy ◽  
Vitreoretinal Traction ◽  
Mri Scans

Purpose: To report a case of retinal detachment with unique optical coherence tomography (OCT) findings after Gamma Knife® (GK; Elekta Instrument AB, Stockholm, Sweden) treatment for choroidal melanoma (CM). Case Report: A 48-year-old woman underwent GK therapy for CM in her right eye from the macula to the temporal side. While the tumor subsequently shrank, the patient developed radiation retinopathy, which was treated with laser photocoagulation. The tumor lesions later subsided; however, her visual acuity (VA) decreased 8 years after the initial treatment. Although the tumor lesions in the right eye had become scarred, a bullous retinal detachment with fixed folds occurred in the superior-nasal quadrants. OCT examination revealed a preretinal membrane, vitreoretinal traction, and an inner retinal break; however, no outer retinal break was clearly detectable. MRI scans showed no increase in tumorous lesions, and 123I-IMP SPECT imaging showed no photon accumulation. Thus, it was determined that there was no tumor activity. The corrected VA in her right eye was light perception, and it was determined that there was no indication for vitreous surgery. Conclusion: In this case, an inner retinal break was formed by the vitreoretinal traction around the scarred tumor and radiation retinopathy, thus suggesting the possibility of the development of a rhegmatogenous retinal detachment presumably complicated with an outer retinal break.

scholarly journals Vitreous surgery for macular hole-related retinal detachment after phacoemulsification cataract extraction: 10-year retrospective review

Eye ◽  
2012 ◽  
Vol 26 (8) ◽  
pp. 1058-1064 ◽  
Author(s):  
Q Zheng ◽  
S Yang ◽  
Y Zhang ◽  
R Wu ◽  
J Pang ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
Retrospective Review ◽  
Cataract Extraction ◽  
Vitreous Surgery

Hybrid 20/23-G pars plana vitrectomy in endophthalmitis and trauma: a strategic approach

2017 ◽  
Vol 28 (1) ◽  
pp. 94-97
Author(s):  
Daraius Shroff ◽  
Priyanka Gupta ◽  
Charu Gupta ◽  
Neelam Atri ◽  
Ranjan Dutta ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Retinal Detachment ◽  
Silicone Oil ◽  
Vitreous Surgery ◽  
Safety And Efficacy ◽  
Suprachoroidal Space ◽  
Strategic Approach ◽  
Pars Plana ◽  
Silicone Oil Tamponade ◽  
Difficult Cases

Purpose: To assess the safety and efficacy of hybrid vitreous surgery combining active 23-G ports with a sutured 20-G 6-mm infusion cannula for performing vitrectomy in endophthalmitis and trauma. Methods: This is a retrospective analysis of 10 eyes with endophthalmitis and 10 eyes with trauma requiring vitreous surgery, having corneal clarity suitable for vitrectomy and best-corrected visual acuity (BCVA) greater than or equal to light perception. All patients underwent hybrid 20/23-G vitrectomy. Intraoperative notes were analyzed for peroperative complications. The BCVA and retinal status at 3 months were analyzed. Results: In the endophthalmitis group, patients ranged from 5 to 85 years of age and showed varied etiologies. Retinal detachment was present in 5 eyes, which received silicone oil tamponade. Mean preoperative logMAR visual acuity (VA) was 2.29 ± 0.45, which improved to 1.10 ± 0.72 at 3 months postoperatively (p<0.001). Trauma cases ranged from 21 to 75 years of age. Retinal detachment was present in 9 out of 10 eyes, all of which received silicone oil tamponade. Preoperative logMAR VA was 2.26 ± 0.71, which improved to 1.33 ± 0.50 postoperatively (p<0.001). At 3 months postsurgery, the retina was attached in all eyes in both groups. Conclusions: The longer sutured 20-G cannula was easier to visualize through fibrin, exudates, and hemorrhage and did not slip out or enter the suprachoroidal space in any of our cases. The 23-G active ports and vitrectomy cutter enhanced safety and efficacy. Hybrid vitrectomy enabled safe surgery in these difficult cases.

Vitreous Surgery for Bilateral Bullous Retinal Detachment in Vogt-Koyanagi-Harada Syndrome

2002 ◽  
Vol 33 (6) ◽  
pp. 508-510
Author(s):  
Satoko Gaun ◽  
Yasuo Kurimoto ◽  
Yusuke Komurasaki ◽  
Nagahisa Yoshimura
Keyword(s):  
Retinal Detachment ◽  
Vitreous Surgery ◽  
Bullous Retinal Detachment

Vitrectomy for Retinal Detachment

2009 ◽  
Author(s):  
Daniel A. Brinton ◽  
Charles P. Wilkinson
Keyword(s):  
Retinal Detachment ◽  
Penetrating Trauma ◽  
Subretinal Fluid ◽  
Vitreous Hemorrhage ◽  
Scleral Buckling ◽  
Scleral Buckle ◽  
Vitreous Surgery ◽  
Retinal Breaks ◽  
Vitreoretinal Degeneration ◽  
Treat All

Following the introduction of closed vitrectomy techniques by Robert Machemer in the early 1970s, complicated retinal detachments became one of the important indications for vitreous surgery. Most of these were due to proliferative diabetic retinopathy (PDR) or to proliferative vitreoretinopathy (PVR), frequently following failure of routine scleral buckling procedures. As experience in vitreoretinal surgery expanded, the advantages of these techniques in the management of more routine types of retinal detachment became apparent. The popularity of vitrectomy for primary retinal detachments continues to grow, particularly with regard to pseudophakic cases. Indications for performing a vitrectomy rather than a scleral buckle or a pneumatic retinopexy are summarized in Chapter 10. Virtually all authorities note that a vitrectomy is required (along with a broad scleral buckle) in eyes with severe PVR, and the technique is also clearly indicated for cases due to PDR, detachments associated with major vitreous hemorrhage or scarring from penetrating trauma, and those with giant retinal tears. On the other hand, few would suggest a vitrectomy to repair a very shallow and small retinal detachment due to a single break that could be easily closed with a scleral buckle or pneumatic procedure. Between these two extremes, indications remain a matter of personal choice of the surgeon, and they are influenced by his or her training and experiences with a variety of techniques. Most surveys demonstrate a growing popularity of vitrectomy for an increasing percentage of cases. The goals of vitrectomy for retinal detachment are to… 1. Remove axial opacities such a 1. s vitreous hemorrhage or debris. 2. Eliminate vitreoretinal, epiretinal, or subretinal traction. 3. Identify and treat all retinal breaks. 4. Internally reattach the retina. 5. Facilitate placement of a large intraocular tamponade. 6. Avoid complications associated with scleral buckling surgery…. The usual sequence of events includes removal of vitreous gel and epiretinal membranes, identification of retinal breaks, internal removal of subretinal fluid, laser therapy to all responsible breaks and areas of significant vitreoretinal degeneration, and placement of an internal tamponade with gas or silicone oil. Vitrectomy is frequently combined with placement of a scleral buckle.

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