Pars Plana Vitrectomy with ILM Peeling Combined with Scleral Buckling and Antiinflammatory Treatment for the Management of Retinal Detachment with PVR


SCIENTIFIC POSTER

Pars Plana Vitrectomy with ILM Peeling Combined with Scleral Buckling and Antiinflammatory Treatment for the Management of Retinal Detachment with PVR by Nur Acar, Turkey


ABSTRACT

Purpose:

The purpose of this study is to evaluate the anatomical and functional outcomes of pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling, and silicone oil tamponade (SO) combined with scleral buckling in eyes with rhegmatogenous retinal detachment (RRD) with proliferative vitreoretinopathy(PVR). Pre- and postoperative inflammation is controlled with medical treatment.

Methods:

Retrospective, interventional study. 16 eyes operated for the treatment of RRD with grade D PVR are examined. Patients younger than age of 16 are excluded. Eyes with DRP, AMD, glaucoma and other vascular diseases are not included in the study.All eyes underwent PPV with ILM peeling under HPFCL at least in the macular area, scleral buckling, 360 degree argon laser photocoagulation, and SO tamponade. A brilliant blue dye is used for peeling of ILM. Relaxing retinotomy is performed in 14 eyes.All phakic eyes had phacoemulsification combined with PPV. Corticosteroids (CS) are used preoperatively, in the infusion fluid,and postopreatively.Redetachment rates, and functional outomes are evaluated.

Results:

No major intraoperative complication is noted.Preretinal hemorrhage is cleaned when occurred during RRT. All eyes were followed-up for at least 6 months. The mean age of the patients were 62.16+/-4.56. All patients were males.In all eyes retina was attached completely, and SO was removed in 14 eyes after a mean period of 5.07+/1.32 months after PPV. In one eye (6.25%) SO was attemted to be removed, but exchanged for a new one due to RD intraoperatively. In one eye (6.25%) SO was left in situ due to the risk of hypotony.Visual aacuity increased in all eyes.

Conclusion:

Pars plana vitrectomy with ILM peeling, and silicone oil tamponade combined with scleral buckling enables retinal attachment, and increases functional outcomes in eyes with RRD with existing PVR. Pre- and postoperative control of inflammation with corticosteroids is necessary, and compliments a proper surgical technique for the management of PVR. Further prospective studies are warrented. 


CONTACT DETAILS

 

Nur Acar
Istanbul, Turkey
Email: nuracarr@gmail.com
Work Phone: +905353949539