How to Avoid Giant Retinal Tear Slippage: New Surgical Approach

Mohamed Zidi

doi:doi:10.11648/j.ijovs.20210602.20

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How to Avoid Giant Retinal Tear Slippage: New Surgical Approach

Mohamed Zidi

Published in International Journal of Ophthalmology & Visual Science (Volume 6, Issue 2)

Received: 30 April 2021 Accepted: 31 May 2021 Published: 16 June 2021

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Abstract

Introduction: The retinal detachment (RD) by giant tear is a rare but serious clinical form. Apart from its therapeutic difficulty, during the fluid-air exchange, it poses a problem of retinal slippage which may be responsible for therapeutic failure or at best for retinal folds with serious anatomical and functional consequences. The purpose of this study is to shed light on the keys to the success of this technique. Material and methods: Retrospective study over 5 years from January 2014-December 2019 concerning 56 cases of retinal detachment by giant tear. All the patients were operated on by vitrectomy and laser endophotocoagulation of the tear edge and on 360°. The technique involved a first transient exchange of PFCL-air followed by a second exchange of silicone-air or gas-air depending on the case. Results: Intraoperatively, no cases of slipping, even in the cases of gas tamponade, have been observed. A primary retinal re-application of the RD was noticed in 87.5% of cases. The rate of retinal detachment recurrence was 12.5% (all had an advanced vitreoretinal proliferation). After recurrence surgery, the final reapplication rate was 100%. Conclusion: Mastering the PFCL-Air exchange during vitrectomy retinal detachments by giant tearing according to the technique described helps to prevent the slippage of the retina. The gas tamponade can be an alternative to silicone tamponade in some cases of giant tears selected with lower horns above the 4 – 8 meridians.

Published in	International Journal of Ophthalmology & Visual Science (Volume 6, Issue 2)
DOI	10.11648/j.ijovs.20210602.20
Page(s)	122-127
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Retinal Detachment, Giant Tear, Slippage of the Retina, Fluid-Air Exchange

References

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[9]	Kumar V, Kumawat D, Bhari A, Chandra P. Twenty-five-gauge pars plana vitrectomy in complex retinal detachments associated with giant retinal tear. Retina 2018; 38: 670-677.
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Mohamed Zidi. (2021). How to Avoid Giant Retinal Tear Slippage: New Surgical Approach. International Journal of Ophthalmology & Visual Science, 6(2), 122-127. https://doi.org/10.11648/j.ijovs.20210602.20

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ACS Style

Mohamed Zidi. How to Avoid Giant Retinal Tear Slippage: New Surgical Approach. Int. J. Ophthalmol. Vis. Sci. 2021, 6(2), 122-127. doi: 10.11648/j.ijovs.20210602.20

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AMA Style

Mohamed Zidi. How to Avoid Giant Retinal Tear Slippage: New Surgical Approach. Int J Ophthalmol Vis Sci. 2021;6(2):122-127. doi: 10.11648/j.ijovs.20210602.20

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@article{10.11648/j.ijovs.20210602.20,
  author = {Mohamed Zidi},
  title = {How to Avoid Giant Retinal Tear Slippage: New Surgical Approach},
  journal = {International Journal of Ophthalmology & Visual Science},
  volume = {6},
  number = {2},
  pages = {122-127},
  doi = {10.11648/j.ijovs.20210602.20},
  url = {https://doi.org/10.11648/j.ijovs.20210602.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20210602.20},
  abstract = {Introduction: The retinal detachment (RD) by giant tear is a rare but serious clinical form. Apart from its therapeutic difficulty, during the fluid-air exchange, it poses a problem of retinal slippage which may be responsible for therapeutic failure or at best for retinal folds with serious anatomical and functional consequences. The purpose of this study is to shed light on the keys to the success of this technique. Material and methods: Retrospective study over 5 years from January 2014-December 2019 concerning 56 cases of retinal detachment by giant tear. All the patients were operated on by vitrectomy and laser endophotocoagulation of the tear edge and on 360°. The technique involved a first transient exchange of PFCL-air followed by a second exchange of silicone-air or gas-air depending on the case. Results: Intraoperatively, no cases of slipping, even in the cases of gas tamponade, have been observed. A primary retinal re-application of the RD was noticed in 87.5% of cases. The rate of retinal detachment recurrence was 12.5% (all had an advanced vitreoretinal proliferation). After recurrence surgery, the final reapplication rate was 100%. Conclusion: Mastering the PFCL-Air exchange during vitrectomy retinal detachments by giant tearing according to the technique described helps to prevent the slippage of the retina. The gas tamponade can be an alternative to silicone tamponade in some cases of giant tears selected with lower horns above the 4 – 8 meridians.},
 year = {2021}
}

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TY - JOUR
T1 - How to Avoid Giant Retinal Tear Slippage: New Surgical Approach
AU - Mohamed Zidi
Y1 - 2021/06/16
PY - 2021
N1 - https://doi.org/10.11648/j.ijovs.20210602.20
DO - 10.11648/j.ijovs.20210602.20
T2 - International Journal of Ophthalmology & Visual Science
JF - International Journal of Ophthalmology & Visual Science
JO - International Journal of Ophthalmology & Visual Science
SP - 122
EP - 127
PB - Science Publishing Group
SN - 2637-3858
UR - https://doi.org/10.11648/j.ijovs.20210602.20
AB - Introduction: The retinal detachment (RD) by giant tear is a rare but serious clinical form. Apart from its therapeutic difficulty, during the fluid-air exchange, it poses a problem of retinal slippage which may be responsible for therapeutic failure or at best for retinal folds with serious anatomical and functional consequences. The purpose of this study is to shed light on the keys to the success of this technique. Material and methods: Retrospective study over 5 years from January 2014-December 2019 concerning 56 cases of retinal detachment by giant tear. All the patients were operated on by vitrectomy and laser endophotocoagulation of the tear edge and on 360°. The technique involved a first transient exchange of PFCL-air followed by a second exchange of silicone-air or gas-air depending on the case. Results: Intraoperatively, no cases of slipping, even in the cases of gas tamponade, have been observed. A primary retinal re-application of the RD was noticed in 87.5% of cases. The rate of retinal detachment recurrence was 12.5% (all had an advanced vitreoretinal proliferation). After recurrence surgery, the final reapplication rate was 100%. Conclusion: Mastering the PFCL-Air exchange during vitrectomy retinal detachments by giant tearing according to the technique described helps to prevent the slippage of the retina. The gas tamponade can be an alternative to silicone tamponade in some cases of giant tears selected with lower horns above the 4 – 8 meridians.
VL - 6
IS - 2
ER -

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Mohamed Zidi

Nour Ophthalmology Clinic, Casablanca, Morocco

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Plain Text BibTeX RIS

APA Style

Mohamed Zidi. (2021). How to Avoid Giant Retinal Tear Slippage: New Surgical Approach. International Journal of Ophthalmology & Visual Science, 6(2), 122-127. https://doi.org/10.11648/j.ijovs.20210602.20

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ACS Style

Mohamed Zidi. How to Avoid Giant Retinal Tear Slippage: New Surgical Approach. Int. J. Ophthalmol. Vis. Sci. 2021, 6(2), 122-127. doi: 10.11648/j.ijovs.20210602.20

Copy | Download

AMA Style

Mohamed Zidi. How to Avoid Giant Retinal Tear Slippage: New Surgical Approach. Int J Ophthalmol Vis Sci. 2021;6(2):122-127. doi: 10.11648/j.ijovs.20210602.20

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@article{10.11648/j.ijovs.20210602.20,
  author = {Mohamed Zidi},
  title = {How to Avoid Giant Retinal Tear Slippage: New Surgical Approach},
  journal = {International Journal of Ophthalmology & Visual Science},
  volume = {6},
  number = {2},
  pages = {122-127},
  doi = {10.11648/j.ijovs.20210602.20},
  url = {https://doi.org/10.11648/j.ijovs.20210602.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20210602.20},
  abstract = {Introduction: The retinal detachment (RD) by giant tear is a rare but serious clinical form. Apart from its therapeutic difficulty, during the fluid-air exchange, it poses a problem of retinal slippage which may be responsible for therapeutic failure or at best for retinal folds with serious anatomical and functional consequences. The purpose of this study is to shed light on the keys to the success of this technique. Material and methods: Retrospective study over 5 years from January 2014-December 2019 concerning 56 cases of retinal detachment by giant tear. All the patients were operated on by vitrectomy and laser endophotocoagulation of the tear edge and on 360°. The technique involved a first transient exchange of PFCL-air followed by a second exchange of silicone-air or gas-air depending on the case. Results: Intraoperatively, no cases of slipping, even in the cases of gas tamponade, have been observed. A primary retinal re-application of the RD was noticed in 87.5% of cases. The rate of retinal detachment recurrence was 12.5% (all had an advanced vitreoretinal proliferation). After recurrence surgery, the final reapplication rate was 100%. Conclusion: Mastering the PFCL-Air exchange during vitrectomy retinal detachments by giant tearing according to the technique described helps to prevent the slippage of the retina. The gas tamponade can be an alternative to silicone tamponade in some cases of giant tears selected with lower horns above the 4 – 8 meridians.},
 year = {2021}
}

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