Posters

Transscleral approach to subretinal membrane removal

Poster Details

First Author: N.Pozdeyeva RUSSIA

Co Author(s):    I. Grigorieva   A. Voskresenskaya   Y. Batkov                       

Abstract Details



Purpose:

Assessment of efficacy and safety of surgical treatment for total retinal detachment using transscleral approach for subretinal membrane removal

Setting:

Cheboksary branch of S. Fyodorov Eye Microsurgery Federal State Institution, Russia

Methods:

We report a case of a 36-year old patient with posttraumatic aniridia, aphakia, total retinal detachment, subretinal cords, grade C3 PVR. After establishing 25-ga access into the vitreous cavity, subretinal fluid was externally drained via additional inferior-temporal scleral incision 9 mm from the limbus. For better visualization chandelier illumination was used. In the absence of retinal tears single-use serrated forceps were employed to extract dense ring-shaped subretinal membrane through the scleral incision. Pars plana vitrectomy with posterior hyaloid and epiretinal membrane removal was performed. Vitreous cavity was tamponaded with perfluorocarbon (PFC) for 5 days followed by endoscopic laser photocoagulation and PFC-air exchange

Results:

Visual acuity improved from counting fingers to 0.3. Two-year follow-up confirmed full anatomic retinal reattachment and stable visual functions

Conclusions:

Transscleral extraction of subretinal membranes could be effectively coupled with pars plana vitrectomy in surgical treatment for complicated retinal detachment

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