No abstract

en el manejo del desprendimiento de retina complejo (DRC) acompañado de vitreorretinopatía proliferativa (VRP). Método: Estudio retrospectivo que analiza 23 ojos de 23 pacientes operados de retinectomía de 180° o 360° por DRC con VRP posterior y anterior de grado C. Resultados: Se obtuvo éxito anatómico en la reparación del DRC en el 73.91% (n = 17) y fallo en el 26.08% (n = 6). Todos los pacientes tuvieron un seguimiento mínimo de 6 meses. La agudeza visual mejor corregida media final en el grupo de éxito anatómico fue de 1.16 ± 0.38 LogMAR (Snellen 20/200), y en el grupo de fallo anatómico fue de 1.76 ±0.37 LogMAR (Snellen 20/1150; p = 0.0123). Las complicaciones que se presentaron fueron membrana epirretiniana en el 17.39% (n = 4), hemorragia subretiniana en el 13.04% (n = 3) e hipertensión ocular en el 8.69% (n = 2). Conclusiones: La retinectomía periférica es una técnica apropiada en el manejo del DRC, logrando obtener un éxito anatómico que de otro modo sería inalcanzable.

Purpose: the objective of this study is to report the anatomic and functional outcomes of retinectomy for the management of complex retinal detachment (CRD) complicated by proliferative vitreoretinopathy (PVR). Method: this was a retrospective analysis of data collected from medical records of 23 eyes from 23 patients treated with 180º and 360º retinectomy due to CRD with anterior and posterior PVR grade C. Results: anatomic retinal reattachment was successful in 73.91% of the cases (n = 17), but failed in 26.08% (n = 6). All patients had a minimum follow-up of 6 months. The mean final BCVA of success group was 1.16 ± 0.38 LogMAR vs 1.76 ± 0.37 LogMAR in the no success group (P =.0123). Of the 23 patients, 17.39% (n = 4) had epiretinal membranes, 13.04% (n = 3) subretinal hemorrhages, and 8.69% (n = 2) ocular hypertension at the follow-up. Conclusions: peripheral retinectomy for the management of complex retinal detachment is the proper technique to achieve retinal reattachment otherwise unachievable.

Macular hole retinal detachment (MHRD) for the most part develops in highly myopic eyes. Several surgical methods have been introduced to treat MHRD. We describe our experience with the autologous retinal transplant in patient with MHRD. A 49-year-old female presented with a 2-week history of a sudden decrease in the central vision in the right eye (RE). A 3-port, 25-gauge pars plana vitrectomy was performed with the ILM dye staining and peeling. Endodiathermy was applied around a 1.5-disc diameter neurosensory donor site in the supertemporal retina. The graft was cut with standard 25-gauge curved scissors. Perfluoro-n-octane (PFO) was instilled. The free graft was gently handled until its packing into the macular hole. Two months following the initial PPV, the macular hole was closed, and vision improved from 0.05 to 0.25 logMAR.