A Crushed Flower- Retinal detachment with proliferative vitreoretinopathy

Author: Shaheeda Mohamed (Hong Kong)

Co-authors: Chi Wai Tsang

Purpose

The video shows the steps to flatten the retina in an eye with open funnel retinal retinal detachment with proliferative vitreoretinopathy.

Setting/Venue

The patient presented to the hospital with chronic retinal detachment, dense cataract, and a small pupil, and a vision of light perception.

Methods

The surgical steps to tackle such a case are demonstrated, including small pupil phacoemulsification, peeling of the proliferative vitreoretinopathy membranes, internal limiting membrane peeling, bimanual dissection of vitreous bands, 360 degree retinectomy, endolaser, direct perfluorocarbon-silicone oil exchange, and managing intraoperative complications.

Results

Postoperatively, the retina reattached, and the unaided vision under silicone oil improved to 2/60.

Conlusions

Although these cases are extremely challenging, the video shows how the surgeon can tackle such cases, resulting in a good outcome.

Financial Disclosure

Nil

Comments

-