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102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

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Vitreo-retinal surgery for exudative retinal detachment

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  • corresponding author E. Reinthal - Eberhard-Karls-Universität Tübingen, Universitäts-Augenklinik, Abt. I, Tübingen
  • S. Grisanti - Eberhard-Karls-Universität Tübingen, Universitäts-Augenklinik, Abt. I, Tübingen
  • F. Gelisken - Eberhard-Karls-Universität Tübingen, Universitäts-Augenklinik, Abt. I, Tübingen
  • D. Besch - Eberhard-Karls-Universität Tübingen, Universitäts-Augenklinik, Abt. I, Tübingen
  • K. U. Bartz-Schmidt - Eberhard-Karls-Universität Tübingen, Universitäts-Augenklinik, Abt. I, Tübingen

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogDO.10.08

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dog2004/04dog092.shtml

Published: September 22, 2004

© 2004 Reinthal et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

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.