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Episcleral surgery without retinal sealing of the breaks

Session Details

Session Title: Quick Fire Free Paper Session 01

Session Date/Time: Thursday 26/09/2013 | 08:30-10:30

Paper Time: 09:50

Venue: Hall G1 (Level 2)

First Author: M.Chizzolini ITALY

Co Author(s):    S. Miorin   G. Paolo           

Abstract Details

Purpose:

We show that our technique of episcleral surgery doesn’t need the sealing of the retinal breaks with cryotherapy or laser

Setting:

Ospedale di Camposampiero, Padova

Methods:

Epiretinal surgery is still the main choice in case of regmatogenous retinal detachment. One of the critical point is the sealing of the retinal break: criotherapy or laser after surgery? The first is made intraoperatively before the flattening of the retina and can cause a dispersion of the retinal pigment epithelium in the vitreous cavity, which can give rise to vitreoretinal proliferation. The second one is more effective for the prevention of vitreoretinal proliferation but it is hard to apply in the post-operative period becouse of patient’s pain and the tamponade, which is often the cause of incomplete treatment of the break.We performed the episcleral surgery with an encircling element and segmental scleral buckling with a strong indentation of the break without any retinal sealing

Results:

Our statistics highlight that our technique doesn’t need the retinal sealing of the breaks. After a 1 year follow-up the re-detachment percentage with this technique can be compared to the classical one with the use of cryo or laser to seal the break

Conclusions:

In the present work we show that our technique doesn’t need the retinal sealing as our statistics highlight and that means a less stimulus for vitreoretinal proliferation, a good anathomic result and most of all a better functional recovery for the patient

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