Anatomical and functional outcomes of retinectomies in retinal detachments complicated by proliferative vitreoretinopathy

Abstract

Relaxing retinectomies have good and encouraging anatomical and functional outcomes. This surgery can be effectively carried out with trans conjunctival sutureless vitrectomy technique.

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“…Others also noted the complications similar to those seen in our study. In a study by Adhi et al [15], the most common intraoperative complication associated with retinectomy was intraocular hemorrhage (80 eyes; 21.62%). In addition, subretinal PFCL was seen in 14 (3.78%) eyes, SO in the anterior chamber, in 32 (8.65%) eyes, hypotony (< 5 mm Hg), in 24 (6.49%) eyes, optic atrophy, in 16 (4.32%) eyes, and secondary glaucoma, in 57 (15.41%) eyes.…”

“…Adhi et al [15] assessed anatomical and functional outcomes of retinectomies in retinal detachments complicated by proliferative vitreoretinopathy in 370 eyes. The extent of retinectomies varied from up to 90° in 126 (34.05%) cases and 180° in 105 (28.38%) to 360° in 139 (37.57%) cases.…”

Outcomes of Retinectomy in Rhegmatogenous Retinal Detachment with Proliferative Vitreoretinopathy

“…Proliferative vitreoretinopathy is the main cause of failure in retinal detachment surgeries. 7,8 The complete removal of preretinal membranes and traction of the retina in severe PVR (PVR grade C) is not possible without relaxing retinectomies. 9 This study shows the effect of retinectomy in primary RRD surgery with advanced PVR C. The rate of anatomical success in this study after the first retinectomy was 72.5%, and the final success rate after the second and third retinectomies was 97.5%, which is comparable with previous national and global studies carried out to evaluate the result of retinectomy with a success rate between 52% to 98.8%.…”

“…9 This study shows the effect of retinectomy in primary RRD surgery with advanced PVR C. The rate of anatomical success in this study after the first retinectomy was 72.5%, and the final success rate after the second and third retinectomies was 97.5%, which is comparable with previous national and global studies carried out to evaluate the result of retinectomy with a success rate between 52% to 98.8%. 5,7,[10][11][12][13] This diversity in the results are attributed to the differences in the severity of the pathology, the degrees of retinectomy extension, the inclusion and exclusion criteria and surgical approaches. The rate of reoperation after the first procedure in this study was 27.5%.…”

“…Other national and global studies showed a recurrent detachment rate of 17 to 48% after 180°-360° retinectomies. 5,7,14 The retinectomy causes exposure of retinal pigment epithelium, with subsequent migration of pigment and inflammatory cells on the retinal surface, enhancing postoperative PVR. [15][16][17] The improvement in the best corrected visual acuity (BCVA) in this study is comparable to the study performed by Tranos et al, in which the BCVA improved by 72%, remained the same by 22%, and worsened in 6%, 6 while Grigoropoulas et al in their series reported a less favourable outcome with improvement in VA in 138 eyes (45%), stabilisation in 73 eyes (24%), and deterioration in 89 (29%).…”