Posterior relaxing retinotomies: analysis of anatomic and visual results.
Fifteen eyes with complicated retinal detachments--11 with proliferative vitreoretinopathy (C3 D3), 2 with posterior segment trauma, and 2 with inflammatory retinopathy--were treated with vitrectomy, membrane peeling, and large posterior retinotomy. All posterior relaxing retinotomies were circumferential, including temporal quadrants in all cases. With a minimum follow up of 6 months, 12 eyes (80%) were attached posterior to the retinotomy. Reproliferation resulted in redetachment in 3 eyes (20%). Visual acuity improved in 53%, remained unchanged in 20%, and decreased in 27%. Of the 11 eyes that achieved stable or improved visual acuity, 5 (45%) achieved 20/400 to 20/25 vision, 5 achieved counts fingers perception, and 1 patient remained stable at hand motion perception. Of all the eyes undergoing surgery, hypotony (intraocular pressure < 5 mm Hg) occurred in 6 eyes (40%); 3 of these were among the 12 eyes with attached retinas.
Alturki
W A
WA
Department of Ophthalmology, Louisiana State University Medical Center, School of Medicine, New Orleans.
Peyman
G A
GA
Paris
C L
CL
Blinder
K J
KJ
Desai
U R
UR
Nelson
N C
NC
D000293:Adolescent; D000328:Adult; D000368:Aged; D002675:Child, Preschool; D003452:Cryosurgery; D005128:Eye Diseases / Q000601:surgery; D005260:Female; D006801:Humans; D008028:Light Coagulation; D008297:Male; D008875:Middle Aged; D012160:Retina / Q000503:physiopathology / Q000601:surgery*; D012163:Retinal Detachment / Q000503:physiopathology / Q000601:surgery*; D012164:Retinal Diseases / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000601:surgery