gms | German Medical Science

104th DOG Annual Meeting

21. - 24.09.2006, Berlin

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Retinal detachment and giant tear following ocular trauma with iridodialysis and traumatic cataract – surgical approach

Meeting Abstract

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  • 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.18.09

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dog2006/06dog136.shtml

Published: September 18, 2006

© 2006 Neagoe 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

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.