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Severe inferior retinal folding after retinectomy: an uncommon form of posterior proliferative vitreoretinopathy
Author(s) -
BARCATALI MG,
DENION E
Publication year - 2014
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2014.f099.x
Subject(s) - proliferative vitreoretinopathy , vitrectomy , retinal detachment , medicine , ophthalmology , retina , visual acuity , retinal , retinopathy , surgery , epiretinal membrane , optics , physics , diabetes mellitus , endocrinology
Purpose Relaxing retinectomy is a surgical procedure commonly used in the presence of a retinal shortening in retinal detachments with severe proliferative vitreoretinopathy (PVR. Severe inferior retinal folding (SIRF) is an uncommon form of posterior PVR observed after retinectomy. This rare complication has been described in a single publication so far. Methods A 49‐year‐old woman presented with a 180° giant retinal tear with diffuse posterior PVR. Results She was treated with pars plana vitrectomy, retinectomy, internal limiting membrane peeling, endolaser and silicone oil tamponnade. A week after the retina was completely attached. Visual acuity was counting fingers. Twenty seven days after the intervention, a recurrent PVR detachment involving the lower hemi‐retina was observed. The lower retinal edge had retracted upwards away from the retinopexy scar (SIRF). Six months after the patient underwent silicone oil removal, epi‐retinal membrane peeling, repeat inferior retinectomy, endolaser and C2F6 tamponnade. The spared retina remained attached. Visual acuity was “hand motion”. Conclusion SIRF consists in an inferior widespread epi‐retinal membrane whose massive retraction capacity overcomes retinopexy adhesion. The inferior retina ends up retracted upwards like a Venetian blind, away from the retinopexy scars. SIRF is rare. It has been described only in 5 of 254 patients after relaxing retinectomy over a 9‐year period in Gupta et al. study.