Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Hyoung-Seok Kim
Kims Eye Hospital, South Korea
Posters & Accepted Abstracts: J Clin Exp Ophthalmol
Purpose: The purpose of this study is to report the outcomes of relaxing retinectomy for retinal detachment in patients with proliferative vitreoretinopathy (PVR). Methods: Eighty-six cases of relaxing retinectomy for PVR with a minimum follow-up of six months were retrospectively reviewed. The outcomes included achievement of complete retinal reattachment, PVR recurrence, the mean number of additional operations, visual acuity and incidence of postoperative complications. We analyzed the influence of intraoperative factors including lens status, retinectomy extent, additional scleral buckling, and tamponade agent on successful retinal reattachment. Results: Complete retinal reattachment was achieved in 65 eyes (75.6%) without an additional surgery. PVR recurred in 23 eyes (26.7%) and an additional operation was performed in 20 eyes (23.3%). Seventy-eight (90.7%) eyes showed complete retinal reattachment and 56 eyes (65.1%) had visual acuity of 0.02 or more at the final follow-up visit. Hypotony was the major complication and developed in 11 eyes (12.8%). Eyes undergoing smaller (<180Ë?) retinectomy or silicone oil tamponade had higher primary anatomical success rates than larger (â?¥180Ë?) retinectomy or gas tamponade (p=0.039 and 0.016, respectively). Conclusions: Relaxing retinectomy is a useful technique for retinal detachment with PVR, but risk of recurrent proliferation or hypotony should be considered.