title: 360 degrees retinectomy in severe anterior PVR and PDR.
abstract: We reviewed 30 cases of 360 degrees retinectomy in advanced anterior PVR or PDR with anterior traction. The preoperative visual acuity was light perception or hand motions. In all cases, a 360 degrees retinectomy with silicone oil tamponade was performed. After a mean follow-up of 10 months, the retina was attached in 83% and the visual acuity had improved in 47% of the patients. The mean visual field in patients with a visual acuity of more than counting fingers extended to 29 degrees nasally and 38 degrees temporally. Hypotony was seen in 6 patients, of whom two developed keratopathy. In conclusion, eyes with severe PDR or PVR and a preoperative low visual acuity can be treated successfully with 360 degrees retinectomy when conventional methods have failed. The patients can regain an ambulatory visual acuity and a visual field.
authors.affiliation: University Eye Hospital, Leipzig, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Faude
authors.forename: A
authors.initials: A
authors.lastname: Lambert
authors.forename: P
authors.initials: P
authors.lastname: Wiedemann
mesh_terms: D003930:Diabetic Retinopathy / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D012160:Retina / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity; D014794:Visual Fields; D018630:Vitreoretinopathy, Proliferative / Q000150:complications / Q000175:diagnosis / Q000601:surgery*