Abstract | PURPOSE: 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.
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Authors | Anton M Kolomeyer, Ruben A Grigorian, David Mostafavi, Neelakshi Bhagat, Marco A Zarbin |
Journal | Retina (Philadelphia, Pa.)
(Retina)
Vol. 31
Issue 2
Pg. 266-74
(Feb 2011)
ISSN: 1539-2864 [Electronic] United States |
PMID | 21124255
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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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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