Article
Retinal detachment and giant tear following ocular trauma with iridodialysis and traumatic cataract – surgical approach
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Authors
Published: | September 18, 2006 |
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Outline
Text
Objective
Complicated retinal detachment may occur in some eyes after penetrating ocular injury. In this case, a primary corneal wound, iridodialysis and traumatic cataract resolved in the first operation (with scleral sutured IOL) are followed in short time by a retinal detachment with giant tear. Vitrectomy is consequently the optimal therapeutic solution.
Methods
In this video we perform three ports pars plana vitrectomy, reattachment of the retina with liquid PFC, endophotocoagulation and silicon oil tamponade.
Results
After surgery we obtained permanent reattachment of the retina.
Conclusions
Giant retinal tear may be caused in this case by the previous penetrant ocular trauma with desinsertion of the vitreous base, posttraumatic subluxated lens, traumatic cataract surgery with possible vitreous loss and the scleral suture of the IOL. The vitrectomy is important as being the unique treatment for the subsequent retinal detachment.