Management of combined tractional and rhegmatogenous retinal detachment, due to diabetes. A case report.

Author: Ioannis Keramidas (Greece)

Co-authors: Konstantinos Anastasilakis, Dimitra Tzakri, Eleftherios Loukovitis, Ariadni Gavriilidou, Dimos Kaniouras, Konstantinos Moschou

Purpose

To point out the technique that was used to treat a case of combined tractional and rhegmatogenous retinal detachment in a diabetic patient.

Setting/Venue

“Diathlasis” Day Care Unit, Thessaloniki, Greece

Methods

A 42 year-old diabetic woman presented with bilateral visual acuity loss (VAre:cf and VAle:1/10). Fundocsopy revealed severe proliferative diabetic retinopathy and retinal detachment due to tractional and rhegmatogenous etiology. The findings were bilateral. We performed pars plana vitrectomy, removal of the membranes and tractional elements, sealing of the retinal tears with endolaser and finally silicone oil infusion. One month later, the patient underwent the same procedure for the other eye.

Results

Postoperatively we noticed the lysis of the tractions, restoration of the anatomical structures and visual acuity improvement.

Conlusions

The vitrectomy system of small incision and bimanual technique offers specific advantages, concerning the management of demanding cases of combined tractional and rhegmatogenous retinal detachment. In cases of bilateral appearance, the timing of the second eye surgery is co-decided by the doctor and the patient.

Financial Disclosure

None

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