Combined Temporal Phacoemulsification and Pars Plana Vitrectomy for the Treatment of Cataract and Giant Retinal Tear in a Buphthalmic Eye

1999 ◽  
Vol 30 (8) ◽  
pp. 687-688
Author(s):  
Felix K Jacobi ◽  
Sima Pavlovic
2020 ◽  
Vol 237 (09) ◽  
pp. 1070-1078
Author(s):  
Antonia M. Joussen ◽  
Bert Müller ◽  
Bernd Kirchhof ◽  
Theodor Stappler ◽  
Oliver Zeitz

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.


Author(s):  
Mario Gutierrez ◽  
Jose L Rodriguez ◽  
Diego Zamora-De la Cruz ◽  
Mariana Aracely Flores Pimentel ◽  
Aida Jimenez-Corona ◽  
...  

2021 ◽  
Vol 14 (6) ◽  
pp. e241354
Author(s):  
Parrina Sehgal ◽  
Subina Narang ◽  
Deepak Chandra

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.


Author(s):  
Mario Gutierrez ◽  
Jose L Rodriguez ◽  
Diego Zamora-de La Cruz ◽  
Mariana Aracely Flores Pimentel ◽  
Aida Jimenez-Corona ◽  
...  

2013 ◽  
Vol 13 (2) ◽  
pp. 68-70
Author(s):  
Kalpana Badami Nagaraj ◽  
Srilatha Tirumale ◽  
K S Sriprakash ◽  
C S Savitha ◽  
Chaitra Jayadev

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.


Retina ◽  
2018 ◽  
Vol 38 (4) ◽  
pp. 670-677 ◽  
Author(s):  
Vinod Kumar ◽  
Devesh Kumawat ◽  
Anju Bhari ◽  
Parijat Chandra

2020 ◽  
pp. 247412642097455
Author(s):  
Kunyong Xu ◽  
Eric K. Chin ◽  
David R.P. Almeida

Purpose: We describe the outcome of a 23-year-old man undergoing vitreoretinal surgery for a macula-off rhegmatogenous retinal detachment secondary to a giant retinal tear. Methods: Patient underwent combined 25- gauge 3-port pars plana vitrectomy with scleral buckle, perfluorocarbon liquid, and perfluoropropane gas tamponade. During surgery, triamcinolone inadvertently entered the subretinal space and was retained. Results: The subretinal triamcinolone deposits spontaneously absorbed over a 2-month period. No adverse sequelae were associated with this complication. Conclusion: This may support avoiding aggressive mechanical removal of iatrogenic subretinal triamcinolone in the context of retinal detachment repair.


2003 ◽  
Vol 13 (2) ◽  
pp. 192-195 ◽  
Author(s):  
N. Ünlü ◽  
H. Kocaoğlan ◽  
M.A. Acar ◽  
M. Sargin ◽  
B.S. Aslan ◽  
...  

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.


2018 ◽  
Vol 11 (1) ◽  
pp. e228052
Author(s):  
Sagnik Sen ◽  
Raghav Dinesh Ravani ◽  
Prateek Kakkar ◽  
Atul Kumar

This case report describes a 26-year-old man presenting with a giant retinal tear (GRT) with retinal detachment (RD) following implantation of iris-fixated anterior chamber phakic intraocular lens (AC-PIOL) for high myopia and occurrence of intraoperative aberrations during vitrectomy due to the presence of AC-PIOL in situ. Posterior chamber PIOL have been well reported to be associated with GRT with RD. Very few reports exist of GRT with RD following AC-PIOL. Moreover, the presence of iris-fixated AC-PIOL, in this case, led to the formation of ghost images intraoperatively especially during crucial steps like induction of posterior vitreous detachment which has never been reported.


2020 ◽  
Vol 37 (1) ◽  
Author(s):  
Muhammad Amer Awan ◽  
Javeria Muid

Purpose:  To report the preferences and trends in managing Rhegmatogenous retinal detachment (RRD) in Pakistan. Study Design:  Cross sectional survey. Place and Duration of Study:  Shifa International Hospital, Islamabad, from December 2018 to January 2019. Method:  A survey was conducted in which the vitreo-retinal (VR) surgeons were asked to respond to 10 questions. The questions were meant to assess their practice and management strategies in treating RRD. Duration of survey was 1 month. Results:  Sixty-two VR surgeons of Pakistan responded to this survey. Most of the VR surgeons belonged to Punjab (56%) followed by Sindh (25%). Regarding their primary practice setting 50% of VR surgeons worked both in government and private practice, 30% practiced in academic/university hospital and 20% of them had only private practice. Seventy percent of VR surgeons in Pakistan preferred local anaesthesia. In non-posterior vitreous detachment (PVD) RRD, majority (69%) performed segmental buckling (SB) with or without encirclement. In pseudophakic superior macula on RRD with a single retinal tear 50% preferred pars plana vitrectomy (PPV) followed by SB in 25% and pneumatic retinopexy in 18%. In inferior macula off RRD with a retinal tear at 7 0’clock position, 56% of the VR surgeon performed PPV alone or combined with SB. Conclusion:  There is an increased trend towards PPV as a primary procedure for RRD in Pakistani VR surgeons. Local anaesthesia is the preferred anesthesia. Key Words:  Rhegmatogenous retinal detachment, Retinal break, Pars Plana Vitrectomy, Pneumatic Retinopexy.


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