A Crushed Flower- Retinal detachment with proliferative vitreoretinopathy
Author: Shaheeda Mohamed (Hong Kong)
Co-authors: Chi Wai Tsang
The video shows the steps to flatten the retina in an eye with open funnel retinal retinal detachment with proliferative vitreoretinopathy.
The patient presented to the hospital with chronic retinal detachment, dense cataract, and a small pupil, and a vision of light perception.
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.
Postoperatively, the retina reattached, and the unaided vision under silicone oil improved to 2/60.
Although these cases are extremely challenging, the video shows how the surgeon can tackle such cases, resulting in a good outcome.
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