Authors: Daniel Vilaplana, Vladimir Poposki, S. Beckers, Isaac Alarcon, M. Castilla, Barcelona, Spain

Advantages:

A 26-year-old man with questionable light perception in the right for many months (the patient was unaware of this). He also had uveitis episodes in this eye and HIV positivity as a consequence of his drug addiction. A total chronic non-rhegmatogenous retinal detachment with extensive areas of epiretinal and subretinal fibrosis was observed. Retinal contraction and shortening with a high degree of PVR was managed by removing epiretinal and subretinal proliferations and performing extensive retinotomies and retinectomies.

Methods:

Our surgical technique consist of the following steps: scleral buckle, phacoemulsification, vitrectomy, epiretinal proliferation extraction, extensive retinotomy, peripheral retinectomy, invertion of the retinal flap to remove subretinal proliferation, introduction of perfluorocarbon liquid, intraocular laser photocoagulation, direct exchange of perfluorocarbon liquid with silicone oil 5000Cs.

Effectiveness / Safety:

Following the proposed steps we can repair very difficult cases that otherwise would be impossible.