Complicated retinal detachment and its management with pars plana vitrectomy.
AUTOR(ES)
Huamont, F U
RESUMO
Fifty patients with retinal detachment accompanied by vitreous haemorrhage, perforating eye injuries, intraocular foreign bodies, massive preretinal retraction,.giant tears greater than 180 degrees, and proliferative retinopathies underwent pars plana vitrectomy, cryocoagulation, scleral buckling, and intravitreal gas injection. Intraoperative complications included minimal to moderate bleeding and iatrogenic retinal tears, but no retinal dialysis was produced at the pars plana sclerotomy site. Postoperative complications included recurrent vitreous haemorrhage, rubeosis, haemolytic, erythroclastic, or neovascular glaucoma, transient increase of intraocular pressure, uveitis, and macular pucker. Phthisis bulbi occurred in 6 eyes; in 3 of these eyes enucleation was required. Successful reattachment was accomplished in 56% of these complicated retinal detachments, most of which had been considered inoperable by conventional techniques. Visual improvement was achieved in 46% of eyes. Follow-up ranged from 6 to 29 months.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1043113Documentos Relacionados
- Management of endophthalmitis with pars plana vitrectomy.
- Sclerotomy for pars plana vitrectomy.
- Management of persistent hyperplastic primary vitreous by pars plana vitrectomy.
- Long-term results of pars plana vitrectomy in the management of complicated uveitis.
- Retinal detachment with breaks in the pars plana.