Results of vitrectomy in giant tear retinal detachments
Zgolli, H.M.; Fekih, O.; Mabrouk, S.; Bakir, K.; Abdejelil, A.; Nacef, L.
La Tunisie Medicale 97(11): 1268-1271
2019
ISSN/ISBN: 2724-7031 PMID: 32173829 Document Number: 698347
Giant tear retinal detachments have long been recognized for their management difficulties and poor anatomical surgical prognosis. Retrospective, descriptive study of 15 patients collected from IOHRT Department A. These patients were treated for rheumatogenic retinal detachment by giant tear. All patients underwent endocular vitreoretinal surgery. A visual acuity, FO and OCT check was performed at 7 days, 21 days, 45 days and 3 months, 6 months and 1 year postoperatively. Our study included 15 eyes from 15 patients with rheumatogenic giant tear retinal detachments. The average follow-up is 9 months. The average age of the patients was 45 years. Six patients were severely short-sighted; 30% of patients had stage C vitreous proliferations at diagnosis. Immediate postoperative anatomical reapplication was achieved in 85% of patients. After 1 year, anatomical reapplication was achieved in 100% of patients. The average visual acuity was 2/10. Surgery for rheumatogenic retinal detachment caused by a giant tear is a procedure that is still considered difficult with uncertain results. The progress of endocular surgery and tamponade methods has made it possible to revolutionize the prognosis of these detachments.
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