gms | German Medical Science

Purpose: To report a surgical procedure and the outcome of foldable capsular vitreous body implantation in a patient with pre phthisical eye with chronic retinal and uveal detachment.

Methods: 35 years old male patient had the history of chronic retinal detachment. No light perception, sensory exotropia and severe hypotony was noted. Slit lamp examination revealed 360 degrees posterior synechia and crystalline lens opacification. B-scan showed total retinal detachment and sectorial choroidal effusion. 23 gauge chandelier assisted pars plana vitrectomy was done. 360 endodiathermy was performed and was proceeded with total retinectomy. Fluid-air exchange was done. 5 mm scleral incision was made 4 mm from the limbus and pre folded FCVB device was introduced through scleral incision. After FCVB became sufficiently filled with a silicone oil, the tube was placed in sub-Tenon’s pocket superotemporaly.

Results: At the 2 years follow-up, ultrasound (B SCAN) and UBM demonstrated choroidal and cilliary body reatechment. Stable (9–10 mmHg) intraocular pressure was achieved. FCVB showed excellent biocompatibility and stable positioning within the eye.

Conclusion: Silicone oil-filled FCVB implantation has shown to be effective and safe procedure in our case as a vitreous substitute over 2 years observation period. Postoperative intraocular pressure remained stable (10 mmHg) during follow up time.