Session Title: Free Paper Session 1: Vitreoretinal Surgery I
Session Date/Time: Thursday 07/09/2017 | 09:00-10:30
Paper Time: 09:36
Venue: Room 111
First Author: : V.Yarmak BELARUS
Co Author(s): : T. Imshenetskaya I. Zabarouski
To evaluate the surgical results after treatment of recurrent retinal detachments with PVR on patient's single eye.
Belarusian medical academy of postgraduate education
Prospective study of patients affected by recurrent retinal detachment complicated by PVR on single eye after primary scleral buckling 8 eyes or pars plana vitrectomy 4 eyes. 10 patients had grade C PVR, 2 patients – grade B PVR. Recurrent retinal detachment had giant retinal tears (≥ 5 clock hours) in 5 cases and multiple tears in 4 cases. Preoperatively and on 10-14 days after the surgery, patients were underwent full clinical examination including ultrasonography (B-scan), and optical coherence tomography (OCT), when the optical media transparency was sufficient. The surgical procedure consisted of vitrectomy (23G), membrane peeling, fluid-air exchange, sparing laser endophotocoagulation, silicone oil tamponade, encircling scleral buckling and was combined with scleral buckle in 2 patients. Perfluoro-n-OCT-Ane (PFO) tamponade was use intraoperatively.
In our study we sought the optimal surgical approach for repair retinal detachment. We established on the usage of encircling scleral buckling surgery for all patients with recurrent retinal detachment. Three patients (3 eyes) with high myopia. Preoperative best corrected visual acuity (BCVA) ranged from hand motion to 20/200, postoperative BCVA improved in 8 eyes, did not change in two eyes. Retinal reattachment with silicone oil tamponade was achieved in all 12 eyes.
The recurrent retinal detachment can be successfully treated with combined scleral buckle surgery and pars plana vitrectomy with sparing laser endophotocoagulation and silicon oil tamponade. Terms of silicone oil removal in patient’s single eye should be strictly individual. Supporting (delicate) encircling band with scleral buckling procedures are the treatment of choice for the majority of retinal detachment, complicated by PVR.