Transscleral approach to subretinal membrane removal

Poster Details

First Author: N.Pozdeyeva RUSSIA

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

Abstract Details


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


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


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


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


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

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