Retinal detachment with PVR and subretinal strands (Tomic, Serbia) скачать в хорошем качестве

Retinal detachment with PVR and subretinal strands (Tomic, Serbia)

Zoran Tomic, Belgrade (Serbia) Case Description 60 y/o male was admitted for the treatment of tractional-rhegmatogenous retinal detachment (RD) with PVR CA4 of three months duration. He underwent previously phacoemulsification with posterior chamber intraocular lens (IOL) implantation for complicated cataract after corneal ulceration. Surgery Description 23G Pars plana vitrectomy (PPV) and peeling of epiretinal membranes (ERMs) and two subretinal strands were performed. Anterior epiretinal membranes, actually scarred posterior hyaloid (PH) at vitreous base insertion (VB) were removed bimanually with forceps and scissors. Subretinal membranes at VB were removed bimanually with two forceps through two access retinotomies. Peripheral tears were observed at 5, 7 and 8 hours and were treated with endolaser after retinal attachment with heavy liquid (PFCL) and fluid-PFCL/Air exchange (FAX) removing subretinal fluid (SRF) completely. Finally 1000cs silicone oil (SO) was injected with Air/Silicone oil exchange (ASX). Follow-up Three months later SO was successfully removed. Initial best-corrected visual acuity (BCVA) was hand motions (HM) and final BCVA two months after SO removal was 0,1.