title: Peripheral 360 Degree Retinotomy, Anterior Flap Retinectomy, and Radial Retinotomy in the Management of Complex Retinal Detachment.
abstract: OBJECTIVE
  To compare the outcomes for patients with rhegmatogenous retinal detachment (RRD) and patients with retinal detachment (RD) following penetrating injury after combined 360 degree retinotomy, anterior flap retinectomy, and radial retinotomy for the management of advanced proliferative vitreoretinopathy (PVR).
  
  
  METHODS
  Retrospective, comparative, interventional case series.
  
  
  METHODS
  Twenty-four eyes (60%) of 24 patients diagnosed with RRD and 16 eyes (40%) of 16 patients diagnosed with RD after penetrating injury whose surgery involved 360 degree retinotomy, anterior flap retinectomy, and radial retinotomy for the management of advanced PVR (grade D) were included in the analysis. The primary outcome was anatomic surgical success. Secondary outcomes were change in visual acuity (VA) and postoperative complications.
  
  
  RESULTS
  The mean number of previous interventions in the RRD and trauma groups were 1.04 and 1.31, respectively (P = .13). After 51.5 (± 52.7) months of mean follow-up, the complete retinal reattachment rates for the RRD and trauma groups were 79% (19/24) and 75% (12/16), respectively (P > .99). The final mean VA was 2.2 logMAR (20/2000) in both groups, with improvement in the RRD group (P = .04). The most common postoperative complications in the RRD and trauma groups, respectively, were persistent hypotony in 6 eyes (25%) and 5 eyes (31%) (P = .73), corneal damage in 8 eyes (29%) and 6 eyes (38%) (P = .34), and epiretinal membrane in 5 eyes (20.8%) and 4 eyes (25%) (P > .99).
  
  
  CONCLUSIONS
  Only 25% of the eyes (10/40) had VA of 20/200 or better. The aim of peripheral 360 degree retinotomy, anterior flap retinectomy, and radial retinotomy is to obtain retinal reattachment, which is otherwise unachievable.
authors.affiliation: Istanbul Retina Institute, Istanbul, Turkey.
authors.forename: Mumin
authors.initials: M
authors.lastname: Hocaoglu
authors.affiliation: Istanbul Retina Institute, Istanbul, Turkey. Electronic address: murat.karacorlu@istanbulretina.com.
authors.forename: Murat
authors.initials: M
authors.lastname: Karacorlu
authors.affiliation: Istanbul Retina Institute, Istanbul, Turkey.
authors.forename: Isil Sayman
authors.initials: IS
authors.lastname: Muslubas
authors.affiliation: Department of Ophthalmology, Bezmialem Vakif University, School of Medicine, Istanbul, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Ozdemir
authors.affiliation: Istanbul Retina Institute, Istanbul, Turkey.
authors.forename: Serra
authors.initials: S
authors.lastname: Arf
authors.affiliation: Department of Biostatistics, Bezmialem Vakif University, School of Medicine, Istanbul, Turkey.
authors.forename: Omer
authors.initials: O
authors.lastname: Uysal
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D015807:Eye Injuries, Penetrating / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D011183:Postoperative Complications; D012160:Retina / Q000293:injuries* / Q000503:physiopathology; D012163:Retinal Detachment / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D013524:Surgical Flaps; D014792:Visual Acuity / Q000502:physiology; D018630:Vitreoretinopathy, Proliferative / Q000601:surgery