Retina Maze Runner

Author: Erika Jean Salvame (Philippines)

Co-authors: Jocelyn Sy, Kristine Pormida

Purpose

Video Presentation of Approach to Complicated Mixed Diabetic Retinal Detachment Highlighting steps and instrumentation.

Setting/Venue

Single Center Tertiary Hospital in the Philippines

Methods

Case Presentation

Results

A 28 year old type 1 diabetic male came in with chronic blurring of vision. Both eyes had had chronic complex tractional and rhegmatogenous retinal detachment. The right eye underwent scleral buckling, phacoemulsfication with posterior capsule intraocular lens and bimanual pars plana vitrectomy with silicone oil injection. Intraoperative instrumentation was varied based on presenting pathology and orientation of the membranes to avoid iatrogenic tearing. Retina was successfully attached and silicone endotamponade was inserted. Postoperatively, visual acuity improved and patient regained functional independence. This video highlights the steps and techniques utilize to approach a complex retinal detachment leading to good outcomes.

Conlusions

Bimanual pars plana vitrectomy under chandelier endoillumination with scleral buckling and phacoemulsification can lead to successful outcomes and improve lifestyles of our patients, even in chronic complex retinal detachment cases. Utmost care and multiple techniques should be employed intraoperatively depending on presentation of retinal detachment to achieve maximized outcomes.

Financial Disclosure

Department of Health Eye Center, East Avenue Medical Center: Ongoing Vitreo-Retina Fellowship