Corneal surface changes after pars plana vitrectomy and scleral buckling
was performed in both eyes as an initial intervention and resulted in postoperative retinal attachment in the right eye (Figures 3, 4, 5).
(SB), primary pars plana vitrectomy (PPV), and pneumoretinopexy (PR) are the surgical procedures to treat primary rhegmatogenous retinal detachment (RRD).
Optional surgical procedures include: 1) laser surgery or photocoagulation; 2) cryosurgery; 3) vitrectomy; 4) pneumatic retinopexy; and, 5) scleral buckling
. Retinal detachments do not get better without treatment.
In the first decade the patient underwent lensectomy, vitrectomy and scleral buckling
in each eye for total retinal detachment.
In the upper nasal quadrant a dome shaped lesion was detected, which arose with a differential diagnosis with scleral buckling
extrusion, tumor, dermoid, ocular cysticercosis, and abscess (Figure 1(a)).
Out of 21, 19(90.47%) eyes underwent pars plana vitrectomy with silicone oil (SO) and 2(9.52%) underwent primary scleral buckling
Different surgical interventions were undertaken depending on the type of retinal detachment and sixteen (25%) cases underwent scleral buckling
& rest required vitrectomy.
, pneumatic retinopexy and pars plana vitrectomy are effective at reducing tractional forces and are often combined with cryopexy or laser photocoagulation to create a fluid barrier and seal the retina (see Figure 4).
Contributed by ophthalmologists from Europe, the US, and Israel, the 19 chapters address the surgical and nonsurgical management of vitreoretinal disorders, including diabetic retinopathy; diabetic macular edema, with discussion of the use of anti-vascular endothelial growth factor drugs and diagnosis; proliferative diabetic retinopathy; the complications and management of diabetic vitrectomy; retinal venous occlusions; rhegmatogenous retinal detachment, including vitrectomy, scleral buckling
materials, and pneumatic retinopexy; the use of prophylaxis for retinal detachment; retinal detachment due to giant tears or dialysis; macular hole surgery; vitrectomy for epiretinal membranes; Irvine-Gass syndrome; and endophthalmitis.
Exclusion criteria were: 1) duration of the retinal detachment longer than one month, 2) complicated retinal detachment in which SBS could not be performed (multiple retinal tears localized in more than 2 quadrants, gigantic tear, posterior tear, unreachable for scleral buckling
, extensive proliferative vitreoretinopathy), therefore indicated for vitrectomy, 3) associated ocular pathology (amblyopia, cataract, glaucoma, corneal or macular diseases) or a history of a previous eye surgery or ocular trauma, 4) systemic diseases such as: diabetes, neurological diseases.
* The hospital will be equipped to undertake advanced diagnosis and treatment involving laser photocoagulation and surgical management involving vitrectomy, scleral buckling
and intravitreal injections under one roof, serving the needy in their neighborhood.