gms | German Medical Science

104. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft e. V. (DOG)

21. - 24.09.2006, Berlin

Vitreo-retinal surgery for tractional detachment in proliferative diabethic retinopathy

Meeting Abstract

  • R. Neagoe - Emergency Eye Clinic Hospital, Vitreo-retinal Department, Bucharest
  • L. Olah - Emergency Eye Clinic Hospital, Vitreo-retinal Department, Bucharest
  • S. Roata-Moale - Emergency Eye Clinic Hospital, Vitreo-retinal Department, Bucharest
  • L. Ghidanac - Emergency Eye Clinic Hospital, Vitreo-retinal Department, Bucharest

Deutsche Ophthalmologische Gesellschaft e.V.. 104. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft (DOG). Berlin, 21.-24.09.2006. Düsseldorf, Köln: German Medical Science; 2006. Doc06dogDO.18.11

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dog2006/06dog138.shtml

Veröffentlicht: 18. September 2006

© 2006 Neagoe et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

Treatment of tractional retinal detachment with complete removal of fibrovascular membranes is still a challenge in vitreo-retinal surgery. The permanent reattachment of the retina as an anatomical result is followed by functional best results depending of the previous macular involvement. The posterior hyaloid face should be removed and initial or supplemental panretinal laser photocoagulation should be performed to prevent reproliferation.

Methods

In this video we present different vitreo-retinal surgical techniques adapted to every case, with segmentation and lamination proceedings.

Results

In all the cases we obtained fibrovascular membranes removal and complete reattached retina.

Conclusions

The goal of this surgical therapy is carefully remove of the membranes, avoiding iatrogenous retinal breaks, performed with one of the two techniques: delamination refers to the separation of the retina from the extraretinal proliferation. This dissection proceeds from posterior to anterior. Fibrovascular tissue often bridge separate retinal zones. Segmentation refers to cutting of the fibrovascular tissue bridge into small separate islands of tissue.