Giant retinal tears after prior pars plana vitrectomy: management strategies and outcomes

Retrospective statistical study a collection of all patients with post intra vitreal injection (IVI) endophthalmitis in last 10 year period between 2010–2019 in eye department of Tobruk medical center -Tobruk and eye department of Alwahda hospital - Derna. We aim in this study to review the microbiology, clinical characteristics, diagnosis, and management strategies of post-intra vitreal injection endophthalmitis, by comparing our results with the different studies designs and treatment protocols. There were 9 patients of the after intra vitreal injections endophthalmitis cases. The age average is 70 years, 6 cases are females and 3 casees are male, all of them were practice post intravitreal Avastin injection endophthalmitis. There were 8 patients had Diabetes mellitus (DM), 2 patients had cardiovascular disease and 1 patient had hepatitis C as a systemic disease. The most common causative organism after intra vitreous injection endophthalmitis is Coagulase-negative staphylococci (CNS) 100% from the 56% positive causative organisms and 44% are no detected microorganisms, the outcome of cases which managed with pars-plana-vitrectomy (PPV) improved significantly about 60 Letters (> 3 Lines) and cases managed without PPV > 15 Letters (> 3 Lines). The cases of post intraocular endophthalmitis which diagnosed and treated early with PPV give a good result and can save the vision. The cases of acute POE in the first 3 day had significant better function (P value = 0.02).

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The Management of Giant Retinal Tears with Silicone Oil

European Journal of Ophthalmology ◽

10.1177/112067210301300211 ◽

2003 ◽

Vol 13 (2) ◽

pp. 192-195 ◽

Cited By ~ 8

Author(s):

N. Ünlü ◽

H. Kocaoğlan ◽

M.A. Acar ◽

M. Sargin ◽

B.S. Aslan ◽

...

Keyword(s):

Pars Plana Vitrectomy ◽

Silicone Oil ◽

Functional Results ◽

Ocular Surgery ◽

Giant Retinal Tear ◽

Perfluorocarbon Liquids ◽

Retinal Tears ◽

History Of ◽

Pars Plana ◽

Silicone Oil Tamponade

Purpose To report the surgical success of vitrectomy with silicone oil tamponade in the treatment of retinal detachment associated with giant retinal tears due to various factors. Methods We retrospectively evaluated 21 eyes of 21 patients with retinal tears 90° or greater that underwent vitrectomy, with injection of perfluorocarbon liquids and silicone oil tamponade. Eight eyes (38.1%) had previous ocular surgery (4 aphakia-pseudophakia, 4 pars plana vitrectomy), 4 eyes (19.0%) had a history of trauma (blunt injuries in 2 and penetrating injury in 2), 3 (14.3%) had high myopia. Six eyes (28.6%) had no known condition predisposing to development of giant retinal tear. Results Retinal attachment was obtained in 17 (80.5%) of 21 eyes, with a mean follow-up of 12.5 months. Visual acuity improved in 15 eyes (71.4%). Conclusions Pars plana vitrectomy with silicone oil tamponade proved highly effective in giant retinal tears in terms of anatomical and functional results.

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Retinal Detachment after Vitrectomy; Risk Factors, Pathogenesis, Clinic, and Management

Güncel Retina Dergisi (Current Retina Journal) ◽

10.37783/crj-0220 ◽

2020 ◽

pp. 201-205

Keyword(s):

Risk Factors ◽

Retinal Detachment ◽

Pars Plana Vitrectomy ◽

Surgical Instruments ◽

Entry And Exit ◽

Retinal Breaks ◽

Entry Points ◽

Retinal Tears ◽

Vitreous Traction ◽

Pars Plana

Intraoperative iatrogenic retinal tears leading to postoperative retinal detachments secondary to vitrectomy are an important sight-threatening complication of pars plana vitrectomy. Peripheral vitreous traction and retinal tears that incompletely removed, surgical instruments causing shrinkage on the basis of vitreous and incarceration of the vitreous to the entry points of the surgical instruments during entry and exit can be counted among the main causes of tears. In addition, small ruptures that may have been missed before the operation may cause retinal detachment after PPV. In order to reduce postoperative RD, it is based on the principle of detecting and treating the retinal breaks, if it is formed. Removing the peripheral vitreous completely without traction during PPV is important in preventing the formation of new tears.

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International multi-center study of iatrogenic retinal tears in pars plana vitrectomy

International Journal of Ophthalmology ◽

10.18240/ijo.2019.06.19 ◽

2019 ◽

Vol 12 (6) ◽

Cited By ~ 1

Keyword(s):

Pars Plana Vitrectomy ◽

Retinal Tears ◽

Pars Plana ◽

Multi Center Study ◽

Center Study

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Surgical outcomes of 27-gauge pars plana vitrectomy with short-term postoperative tamponade of perfluorocarbon liquid for repair of giant retinal tears

International Ophthalmology ◽

10.1007/s10792-017-0613-4 ◽

2017 ◽

Vol 38 (4) ◽

pp. 1505-1513 ◽

Cited By ~ 6

Author(s):

Zhaotian Zhang ◽

Yantao Wei ◽

Xintong Jiang ◽

Shaochong Zhang

Keyword(s):

Surgical Outcomes ◽

Pars Plana Vitrectomy ◽

Perfluorocarbon Liquid ◽

Short Term ◽

Retinal Tears ◽

Pars Plana

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Primary rhegmatogenous retinal detachment: evaluation of a minimally restricted face-down positioning after pars plana vitrectomy and gas tamponade

International Journal of Ophthalmology ◽

10.18240/ijo.2021.06.21 ◽

2021 ◽

Vol 14 (6) ◽

pp. 936-939

Author(s):

Kiichiro Kusaba ◽

◽

Tsuneaki Handa ◽

Yukihiko Shiraki ◽

Takuya Kataoka ◽

...

Keyword(s):

Postoperative Complications ◽

Retinal Detachment ◽

Success Rate ◽

Pars Plana Vitrectomy ◽

Rhegmatogenous Retinal Detachment ◽

Gas Tamponade ◽

Retinal Tears ◽

Pars Plana ◽

Anatomical Success ◽

Anatomical Success Rate

AIM: To evaluate the safety and efficacy of a minimally restricted face-down postoperative positioning following pars plana vitrectomy (PPV) with gas tamponade for primary rhegmatogenous retinal detachment (RRD). METHODS: Patients with primary RRD treated with PPV and gas tamponade and followed up for at least 6mo were selected for the study. All phakic eyes underwent simultaneous cataract surgery. The patients were required to be in a postoperative position that prevented downward flow of retinal tears. Patients with macular detachment were positioned face-down for only a couple of hours. The patients were assessed for preoperative and postoperative best-corrected visual acuity (BCVA), anatomical retinal reattachment rate, and postoperative complications. RESULTS: In total, 40 eyes of 39 patients with primary RRD were included in the study. A single tear was present in 30 eyes (75.0%), multiple retinal tears were present in nine eyes (22.5%), and oral dialysis was present in one eye (2.5%). The anatomical success rate was 90.0% (36 cases) after the primary surgery, and the final anatomical success rate was 100%. The BCVA improved significantly (P<0.001) from 0.75 logarithm angle of resolution (logMAR) preoperatively to 0.12 logMAR at the final visit. Postoperative complications included intraocular pressure elevation (≥25 mm Hg) in 11 patients (27.5%), fibrin formation in two patients (5.0%), pupillary capture of the intraocular lens in two patients (5.0%), and posterior synechia in one patient (2.5%). CONCLUSION: A minimally restricted face-down and flexible postoperative positioning after PPV and gas tamponade for primary RRD is effective and safe.

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