Pars plana vitrectomy combined with scleral buckle versus pars plana vitrectomy for giant retinal tear

AbstractDue to their complexity, globe ruptures are highly compromising traumas for the patient. This is due on the one hand to the eye injury itself with the accompanying loss of vision and on the other hand due to the need for extended treatment with uncertain prognosis and the resulting psychological stress. Globe ruptures are among the prognostically most unfavorable injuries due to the force and peak pressure impacting the eye. Furthermore, contusional retinal necrosis may be of significance prognostically. In the present review, we discuss treatment of globe ruptures involving retinal surgery. We discuss the primary sugery, its chronological planning and extent as well as the necessity for follow-up interventions. We also discuss the origin of traumatic retinal detachment with differential diagnosis of giant retinal tear versus oradialysis as well as secondary sequelae of traumas such as formation of macular holes and their treatment. On this basis, the use of buckling surgery versus pars-plana vitrectomy is discussed. Further focus is set on the role of the iris lens diaphragm in surgery of globe ruptures.

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Rhegmatogenous retinal detachment with giant retinal tear in a child with Marfan’s syndrome: a rare ocular emergency

BMJ Case Reports ◽

10.1136/bcr-2020-241354 ◽

2021 ◽

Vol 14 (6) ◽

pp. e241354

Author(s):

Parrina Sehgal ◽

Subina Narang ◽

Deepak Chandra

Keyword(s):

Retinal Detachment ◽

Pars Plana Vitrectomy ◽

Rhegmatogenous Retinal Detachment ◽

Marfan’S Syndrome ◽

Marfan's Syndrome ◽

Retinal Tear ◽

Giant Retinal Tear ◽

Pars Plana ◽

23 Gauge ◽

The Right

A 7-year-old boy with Marfanoid habitus presented with sudden and painless decrease in the vision of the right eye. Ocular examination revealed rhegmatogenous retinal detachment with 360° giant retinal tear in the right eye and small peripheral retinal breaks with lattice degeneration in the left eye. The patient underwent a 23-gauge pars plana vitrectomy with scleral buckling in the right eye and laser around the breaks in the left eye. At 1-week follow-up visit, the child presented with similar complaints in the left eye as were seen in the right eye. This was later managed effectively with 23-gauge pars plana vitrectomy only. So, with our case report, we would like to highlight the need for aggressive screening in children who are diagnosed with Marfan’s syndrome and the need for prophylactic treatment in the unaffected eye.

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Subretinal crystalline lens – an unusual complication of blunt trauma

Asian Journal of Ophthalmology ◽

10.35119/asjoo.v13i2.53 ◽

2013 ◽

Vol 13 (2) ◽

pp. 68-70

Author(s):

Kalpana Badami Nagaraj ◽

Srilatha Tirumale ◽

K S Sriprakash ◽

C S Savitha ◽

Chaitra Jayadev

Keyword(s):

Blunt Trauma ◽

Pars Plana Vitrectomy ◽

Crystalline Lens ◽

Vitreous Cavity ◽

Unusual Complication ◽

Retinal Tear ◽

Giant Retinal Tear ◽

Pars Plana ◽

Indian Male

We describe the case of a 65-year-old Indian male with a subretinal crystalline lens; an unusual complication of blunt trauma. The patient underwent a three port pars plana vitrectomy during which the subretinal location of the crystalline lens under the inferior giant retinal tear was confirmed. The lens was maneuvered into the vitreous cavity and appropriately managed.

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