Management of retinal detachment with severe proliferative vitreoretinopathy

Kathrin Rac

Meeting:  2015 RANZCO


Date:      -

Session Title: Film

Session Time:      -

Chronic retinal detachment is often associated with proliferative vitreoretinopathy. Retinal detachment repair in these cases is often challenging and often requires membrane peeling and retinectomy. Vitrectomy, scleral buckling, with silicone oil or gas is often not adequate to remove retinal traction. This video demonstrates methods of retinectomy technique to improve adherence and prevent complicating rotational issues. A retinectomy was performed using heavy liquid for tamponade which prevents rotation of the free flap of retina during laser improving adherence of the retinal edge. Prior to completing the retinectomy a bridging segment was temporarily left behind to prevent rotation of the flap whilst completing cutting of the atrophic retina. This also improves the final alignment of the retina, minimizing distortion and improving visual outcomes.