Abstract
We reviewed 30 cases of 360° retinectomy in advanced anterior PVR or PDR with anterior traction. The preoperative visual acuity was light perception or hand motions. In all cases, a 360° retinectomy with silicone oil tamponade was performed. After a mean follow-up of 10 months, the retina was attached in 83% and the visual acuity had improved in 47% of the patients. The mean visual field in patients with a visual acuity of more than counting fingers extended to 29° nasally and 38° temporally. Hypotony was seen in 6 patients, of whom two developed keratopathy. In conclusion, eyes with severe PDR or PVR and a preoperative low visual acuity can be treated successfully with 360° retinectomy when conventional methods have failed. The patients can regain an ambulatory visual acuity and a visual field.
Similar content being viewed by others
References
Aaberg TM. Management of anterior and posterior proliferative vitreoretinopathy. XLV Edward Jackson memorial lecture. Am J Ophthalmol 1988; 106: 519¶ 32.
Machemer R. Schneiden der Netzhaut: eine Behandlungsmöglichkeit zur Wiederanlegung der Netzhaut. Klin Monatsbl. Augenheilkd 1979; 175: 597¶ 601.
Zivojnovic R, Mertens DAE, Peperkamp E. Das flüssige Silikon in der Amotiochirurgie II. Bericht über 280 Fälle: weitere Entwicklung der Technik. Klin Monatsbl Augenheilkd 1982; 181: 444¶ 52.
Haut J, Seigle P, Larricart P, Flamand M, Vachet JM. Circular subtotal retinectomy and inferior semicircular retinotomy: preliminary report. Ophthalmologica 1985; 191: 65¶ 74.
Machemer R, Aaberg TM, Freeman HM, Irvine AR, Lean JS, Michels RM. An updated classification of retinal detachment with proliferative vitreoretinopathy. Am J Ophthalmol 1991;112: 159¶ 65.
Blumenkranz MS, Azen SP, Aaberg TM, Boone DC, Lewis H, Radtke N, Ryan SJ. Relaxing retinotomy with silicone oil or long-acting gas in eyes with severe proliferative vitreoretinopathy. Silicone study report 5. Am J Ophthalmol 1993; 116: 557¶ 64.
Machemer R., McCuen BW II, de Juan E Jr. Relaxing retinotomies and retinectomies. Am J Ophthalmol 1986;102: 7¶ 12.
Bourke RD, Cooling RJ. Vascular consequences of retinectomy. Arch Ophthalmol 1996; 114: 155¶ 60.
Nanda SK, Abrams GW. Relaxing retinotomies and retinectomies. In: Lewis H, Ryan SJ, editors. Medical and surgical retina. Mosby year book. St. Louis Missouri. 1994: 146¶ 71.
Federman JL, Eagle RC Jr.Extensive peripheral retinotomy combined with posterior 360° retinotomy for retinal reattachment in advanced proliferative vitreoretinopathy cases. Ophthalmology 1990; 97: 1305¶ 20.
Iverson DA, Ward TG, Blumenkranz MS. Indications and results of relaxing retinotomy. Ophthalmology 1990; 97: 1298¶ 304.
Morse LS, McCuen II BW, Machemer R. Relaxing Retinotomies. Analysis of anatomic and visual results. Ophthalmology 1990; 97: 642¶8.
Barr CC, Lai MY, Lean JS, Linton KLP, Trese M, Abrams 0, Ryan SJ, Azen SP. Postoperative intraocular pressure abnormalities in the silicone study. Ophthalmology 1993; 100: 1629¶ 35.
Lewis H, Aaberg TM, Abrams GW. Causes of failure after initial vitreoretinal surgery for severe proliferative vitreoretinopathy. Am J Ophthalmol 1991; 111: 8¶ 14.
Lewis H, Abrams GW, Williams GA. Anterior hyaloidal fibrovascular proliferation after diabetic vitrectomy. Am J Ophthalmol 1987; 104: 607¶ 13.
Ulbig MR, Hykin PG, Foss AJ, Schwartz SD, Hamilton PA. Anterior hyaloidal fibrovascular proliferation after extracapsular cataract extraction in diabetic eyes. Am J Ophthalmol 1993; 115: 321¶ 6.
Kirchhof B. Retinectomy lowers intraocular pressure in otherwise intractable glaucoma: preliminary results. Ophthalmic Surg 1994; 25: 262¶ 7.
Rights and permissions
About this article
Cite this article
Faude, F., Lambert, A. & Wiedemann, P. 360° retinectomy in severe anterior PVR and PDR. Int Ophthalmol 22, 119–123 (1998). https://doi.org/10.1023/A:1006254721964
Issue Date:
DOI: https://doi.org/10.1023/A:1006254721964