LONG TERM FOLLOW-UP OF THE MACULAR ANATOMICAL AND FUNCTIONAL OUTCOME IN CASES OF RETINOTOMY AND RETINECTOMY

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Ophthalmology, Faculty of Medicine, Alexandria University

2 Departments of Ophthalmology, Faculty of Medicine, University of Alexandria, Egypt

3 Department of ophthalmology, faculty of medicine , Alexandria university

Abstract

Retinal Detachment is defined as detachment of the inner retinal layers from the retinal
pigment epithelium beneath them. Rhegmatogenous retinal detachment (RRD) is the most common type.
Proliferative vitreoretinopathy (PVR) involves the growth and contraction of cellular membranes within the vitreous cavity and on both the epiretinal and subretinal surfaces, following rhegmatogenous retinal detachment or a penetrating injury. PVR is the leading cause of visual impairment after surgical treatment for rhegmatogenous RD.
Surgical techniques during vitrectomy
• Alleviate retinal traction and providetamponade to aid in the treatment of retinal breaks.
• Remove proliferative tissue that could cause recurrent contraction and retinal
detachment (RD).
• Relaxing retinotomies or retinectomies are considered if the above measures are
insufficient to relieve traction, usually in cases with severe subretinal proliferation or
vitreous base contraction.
• Large retinotomies may render scleral buckling unnecessary.

AIM OF THE WORK:
The aim of this study was to assess the long term anatomical and functional outcome after
silicone oil removal in macula of eyes which had retinotomy and/or retinectomy done for
treatment of retinal detachment.

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