First Author: K.Anastasilakis GREECE
Co Author(s): A. Mourgela K. Manthos D. Kaniouras P. Zotta N. Kiriakidou K. Moschou
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To present the management of a total retinal detachement in a case with a giant retinal tear 8 clock-hours long.
Department of Vitreoretinal Surgery, Diathlasis Day-Case Unit, Thessaloniki, Greece
A 48 year-old patient presented with reduced visual acuity at the level of light perception. Clinical examination revealed total retinal detachment, an 8 clock hour long giant retinal tear and folding of the superior half of the retina onto the inferior one. 25g vitrectomy with chandelier endoillumination, heavy liquid injection, endolaser retinopexy and silicone oil tamponade was performed.
Visual acuity improved at 0.2-0.3 Snellen. The retina remained attached and no proliferative vitreoretinopathy occured. A minor downwards translocation of the macula was observed due to the retinal folding.
25g vitrectomy offers significant advantages in the management of difficult cases of retinal detachement secondary to giant tears with a satisfactory anatomical and functional result.