Artikel
Vitreo-retinal surgery for exudative retinal detachment
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Veröffentlicht: | 22. September 2004 |
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Gliederung
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Up to now treatment of exudative retinal detachment is still a challenge in vitreoretinal surgery.
The goal of the therapy is to reach a permanent reattachment of the retina as well as a removal of the exudative component. There are different reasons for exudation, therefore the decision of the optimal treatment is important for a success. In this videoclip we present two different cases of an exudative retinal detachment and the vitreo retinal surgical techniques.
The first case demonstrates a 40-year-old patient with an exudative retinal detachment following a retinal pigment epithial tear. After a core vitrectomy we performed a cut down drainage to remove the subretinal fluid. After the retina was reattached we continued with vitrectomy and finish the surgery with a gas tamponade of C2F6. After resorption we documented a completely attachted retina.
The second case presents a 32-year-old women with an exudative retinal detachment due to morning-glory syndrome. Following a standard a pars-plana vitrectomy we drained subretinal fluid through a fissure in the optic disc. Finally we applied an autologe platelet concentrate on the optic disc to support the closure of the hole and perform a fluid gas exchange. During follow-up a localized retinal distance was noticed. Whether it is a retinal detachment or retinoschsis is not yet clearly differenciated.
We present different surgical techniques for successful reattachment in cases of exudative retinal detachment.