Peripheral 360 degrees retinectomy in complex retinal detachment.
OBJECTIVE
To report the functional and anatomical results and complications of 360 degrees peripheral retinectomy for management of complicated retinal detachment.


METHODS
Patients with complicated retinal detachment underwent pars plana vitrectomy, 360 degrees retinectomy, intraoperative endolaser, and internal tamponade with silicone oil. Postoperative visual acuity, intraocular pressure, retinal status, need for reoperation, and complications are presented.


RESULTS
Twenty eyes of 19 patients with a mean age of 32.4 years (8-75 years) underwent pars plana vitrectomy and 360 degrees peripheral retinectomy for complicated retinal detachment due to anterior proliferative vitreoretinopathy, unstable edge of retinal break, anterior hyaloidal fibrovascular proliferation, retinal incarceration in scleral wound, and 300 degrees giant retinal tear. Intraoperative reattachment was achieved in 18 eyes. Mean postoperative follow-up time was 24.2 months (2-70 months). Retina was attached in 14 eyes (70%) in the last visit. Eight eyes (40%) had 5/200 or greater visual acuity. Preoperative and postoperative visual acuities did not have significant correlation (Spearman correlation coefficient = 0.291). There was no relation between diagnosis and anatomical outcome (P > 0.2).


CONCLUSIONS
Relaxing peripheral 360 degrees retinectomy is an effective procedure for flattening the retina in complicated retinal detachments when no other option is available.
Banaee
Touka
T
Khatam-al-anbia Eye Hospital and Research Center, Mashhad University of Medical Sciences, Iran. banaeet@mums.ac.ir
Hosseini
Seyyedeh Maryam
SM
Eslampoor
Alireza
A
Abrishami
Majid
M
Moosavi
Mirnaghi
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D017075:Laser Coagulation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D012160:Retina / Q000601:surgery*; D012163:Retinal Detachment / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D012827:Silicone Oils / Q000008:administration & dosage*; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy; D055815:Young Adult
D012827:Silicone Oils