Inferior and Inferior Recurrent Detachments

  • Ulrich Spandau
  • Zoran Tomic


An inferior retinal detachment has a frequency of 20% and is more difficult to treat than a superior detachment. Why? Because gas and silicone oil tamponade insufficiently the inferior pole. An exception is the heavy silicone oil Densiron 68 which tamponades the inferior pole. If you do not have Densiron 68 in your surgical cupboard, then you require episcleral buckling with encircling band and/or segmental buckle in your surgical armamentarium.

Supplementary material

Video 18.1

180° retinotomy (WMV 42,093 kb)

Video 18.2

Aphakia and retinal detachment (WMV 88,175 kb)

Video 18.3

Inferior PVR detachment_buckle (WMV 107,284 kb)

Video 18.4

Inferior recurrent PVR detachment (WMV 31,032 kb)

Video 18.5

Complicated retinal detachment (WMV 110,788 kb)


  1. 1.
    Vitrectomy with silicone oil or sulfur hexafluoride gas in eyes with severe proliferative vitreoretinopathy: results of a randomized clinical trial. Silicone Study Report 1. Arch Ophthalmol. 1992;110(6):770–9.Google Scholar
  2. 2.
    Han DP, Lewis MT, Kuhn EM, et al. Relaxing retinotomies and retinectomies: Surgical results and predictors of visual outcome. Arch Ophthalmol. 1990;108:694–7.CrossRefGoogle Scholar
  3. 3.
    Federman JL, Eagle RC Jr. Extensive peripheral retinectomy combined with posterior 360° retinotomy for retinal reattachment in advanced proliferative vitreoretinopathy cases. Ophthalmology. 1990;97:1305–20.CrossRefGoogle Scholar
  4. 4.
    Zivojnovic R. Silicone oil in vitreoretinal surgery. Dordrecht: Martinus Nijhoff/Dr W Junk; 1987. p. 141–52.Google Scholar
  5. 5.
    Blumenkrantz MS, Azen SP, Aaberg T, et al. Relaxing retinotomy with silicone oil or long-acting gas in eyes with severe proliferative vitreoretinopathy. Silicone Study Report 5. The Silicone Oil Study Group. Am J Ophthalmol. 1993;116:557–64.CrossRefGoogle Scholar
  6. 6.
    Bovey EH, De Ancos E, Gonvers M. Retinotomies of 180 degrees or more. Retina. 1995;15:394–8.CrossRefGoogle Scholar
  7. 7.
    Quiram PA, Gonzales CR, Hu W, et al. Outcomes of vitrectomy with inferior retinectomy in patients with recurrent rhegmatogenous retinal detachments and proliferative vitreoretinopathy. Ophthalmology. 2006;113:2041–7.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ulrich Spandau
    • 1
  • Zoran Tomic
    • 1
  1. 1.Department of OphthalmologyUppsala University HospitalUppsalaSweden

Personalised recommendations