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360° retinectomy for the treatment of complex retinal detachment.

AbstractPURPOSE:
To review the anatomical and functional outcomes of eyes that underwent 360° retinectomy for a variety of indications and compare them with previously published results.
METHODS:
Retrospective case series. We reviewed the data of 40 patients (41 eyes) who underwent pars plana vitrectomy and 360° retinectomy. The principal indication for surgery in this series was retinal detachment after penetrating trauma (26 of 41 eyes [63%]). Anatomical success was defined as complete retinal reattachment or attachment posterior to the scleral buckle, if present.
RESULTS:
Thirty of the 41 eyes (73%) had follow-up of at least 6 months after 360° retinectomy, and of these, 11 eyes (37%) had recurrent retinal detachment. Seven of the latter eyes underwent repeat pars plana vitrectomy with anatomical success in 6 eyes (86%). Overall, anatomical success was achieved in 25 of 30 eyes (83%) with follow-up of ≥ 6 months after ≥ 1 operations (including 360° retinectomy). Visual results were limited with only 4 of 35 eyes (11%) in which visual acuity could be tested achieving ambulatory vision, which may reflect the preponderance of posttraumatic retinal detachments in this series.
CONCLUSION:
The anatomical results of this series are comparable with those in the reported literature and indicate that vitrectomy with 360° retinectomy can be beneficial in the management of complex retinal detachments in otherwise unsalvageable eyes.
AuthorsAnton M Kolomeyer, Ruben A Grigorian, David Mostafavi, Neelakshi Bhagat, Marco A Zarbin
JournalRetina (Philadelphia, Pa.) (Retina) Vol. 31 Issue 2 Pg. 266-74 (Feb 2011) ISSN: 1539-2864 [Electronic] United States
PMID21124255 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Topics
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Diathermy
  • Eye Injuries, Penetrating (etiology, physiopathology, surgery)
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Intraocular Pressure (physiology)
  • Laser Coagulation
  • Male
  • Middle Aged
  • Ophthalmoscopy
  • Retinal Detachment (etiology, physiopathology, surgery)
  • Retrospective Studies
  • Scleral Buckling
  • Visual Acuity (physiology)
  • Vitrectomy
  • Young Adult

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