First Author: A.Grabowska UK
Co Author(s): L. da Cruz D. Charteris
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Many surgeons advocate the use of scleral buckling in more severe PVR. This video shows an internal approach and the use of basic surgical techniques to treat a rhegmatogenous retinal detachment complicated by PVR.
Moorfields Eye Hospital
A single case of rhegmatogenous retinal detachment complicated by PVR treated with vitreoretinal surgical techniques is presented. The surgery is performed by one surgeon using 23G setup with BIOM wide angle viewing system.
Lensectomy is performed at the begining of surgery. Following vitrectomy surface epiretinal membranes are peeled using a 23G delamination scissors and a 23G endgripping forceps. A reattachment test is perfomed by fluid – air exchange. Persistence of retinal detachment under air is followed by further peel and removal of subretinal membranes. 6 clock hours retinectomy is performed leaving no tractions at the horns. Silicone oil 1300 is used as a tamponade agent.
The use of primary peripheral retinectomy in this case seems to give acceptable results without the need for an encircling buckle.