Selecting The Deselect

Author: Krishnendu Nandi (India)

Co-authors:

Purpose

Recurrent retinal detachment is a nightmare that every Vitreo-Retinal surgeon has to face. How to overcome these challenging cases? In this collection of cases successfully managed surgically we attempt to highlight the role of selective relaxing retinectomy

Setting/Venue

Tertiary eye care centre, Kolkata, India

Methods

Six cases of recurrent retinal detachment previously operated with silicone oil were taken up for resurgery. First membrane peeling (MP) was done under silicone oil or after removing silicone oil. After MP, PFCL used to stabilize central retina. An area of unhealthy retina then identified and relaxing retinectomy done to remove contracted unhealthy retina. Then fluid air exchange done to settle the retina in all cases. Then endolaser done and silicone oil reinjected.

Results

All six cases was then kept under follow up for 4 months. In all cases retina remained attached still last follow up.

Conlusions

We would like to ascribe the successful handling of such complicated surgical scenarios to our approach of selective relaxing retinectomy. As opposed to conventional approaches of 360 degree peripheral retinectomy or inferior peripheral retinectomy or putting 360 degree band buckle, this approach preserves the maximal amount of retinal tissue without compromising the surgical outcome thus making life easier for both the surgeon and the patient.

Financial Disclosure

Not Applicable