gms | German Medical Science

104th DOG Annual Meeting

21. - 24.09.2006, Berlin

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Vitreo-retinal surgery for tractional detachment in proliferative diabethic retinopathy

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.18.11

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dog2006/06dog138.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

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.