title: Indications and results of relaxing retinotomy.
abstract: The authors report their results of a consecutive series of 40 eyes undergoing relaxing retinotomy during vitrectomy to achieve retinal reattachment for the following indications: proliferative vitreoretinopathy (PVR), 21 eyes (52%); trauma, 10 eyes (25%); diabetic retinopathy, 6 eyes (15%); and expulsive choroidal hemorrhage, 3 eyes (8%). Thirty eyes (75%) had undergone previous vitreoretinal procedures. Extended tamponade was achieved in all cases with either silicone oil (27 eyes, 68%) or long-acting gas (13 eyes, 32%). Retinotomy size ranged from 45 degrees to 360 degrees. Intraoperative retinal attachment was possible in all eyes with 33 (83%) achieving total or subtotal retinal attachment including the macula for 5 months or more. Twenty-seven eyes (68%) achieved 3/200 visual acuity or better and 10 (37%) achieved 20/400 or better. Thirteen eyes (32%) failed to achieve 3/200 visual acuity secondary to recurrent detachment (18%), corneal decompensation (8%), macular dysfunction (5%), and glaucoma (3%).
authors.affiliation: William Beaumont Hospital, Royal Oak, MI.
authors.forename: D A
authors.initials: DA
authors.lastname: Iverson
authors.forename: T G
authors.initials: TG
authors.lastname: Ward
authors.forename: M S
authors.initials: MS
authors.lastname: Blumenkranz
mesh_terms: D002832:Choroid Hemorrhage / Q000150:complications; D003930:Diabetic Retinopathy / Q000150:complications; D005131:Eye Injuries / Q000150:complications; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012164:Retinal Diseases / Q000150:complications; D012189:Retrospective Studies; D014792:Visual Acuity; D014821:Vitrectomy