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Long-term surgical result of retinal detachment due to acute retinal necrosis

Session Details

Session Title: Vitreoretinal Surgery IV

Session Date/Time: Friday 27/09/2013 | 16:30-18:00

Paper Time: 16:30

Venue: Hall 3 (Level 0)

First Author: C.Aras TURKEY

Co Author(s):    Y. Ozyazgan   D. Ucar   A. Sarici        

Abstract Details

Purpose:

to present long term clinical results of retinal detachment associated with acute retinal necrosis treated by pars plana vitrectomy and silicone oil injection

Setting:

Department of Ophthalmology of Cerrahpasa Medical School of Istanbul University and Dunya Eye Hospital

Methods:

Sixteen eyes of 15 cases with complicated retinal detachment associated with acute retinal necrosis underwent cataract extraction with phacoemulsification combined with intraocular lens implantation, pars plana vitrectomy and silicone oil injection. Necrotic retinal areas was debrided with retinectomy to the border of healthy retina

Results:

; Mean age of patients was 41,6 years. Mean follow up time was 2.53 years ranging from 6 months to 5 years. Mean visual acuity was 0.14 at postoperative period. Etiology for acute retinal necrosis was Varicella Zoster in 13 eyes and Herpes Simplex type 1 in 3 eyes. Retinal reattachment were achieved intraoperatively in all cases. Silicone oil was removed from 15 eyes 3 months after surgery.Retina was attached in 14 eyes at the end of follow up time. Retinal detachment recurred in 2 eyes after silicone oil removal and developed phitisis bulbi in spite of reoperation. One eye developed progressive corneal opacification.

Conclusions:

Vitrectomy and silicone oil injection is an effective approach in complicated retinal detachment associated with acute retinal necrosis and gives stable results in long -term

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