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Repair of a Complex Retinal Detachment With Proliferative Vitreoretinopathy in an Eye With Extreme Scleral Thinning
Arch Ophthalmol. 1998;116:812-814.
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The repair of complicated retinal detachments (RDs) entails substantial mechanical stresses on the globe due to ocular rotation for exposure, elevated intraocular pressure with infusion fluids and tamponades, and scleral alterations with buckling. We successfully repaired a total RD with grade C proliferative vitreoretinopathy in an eye with extreme scleral attenuation by strengthening the sclera prior to vitrectomy without the use of scleral buckling.
Report of a Case
A 60-year-old man with a phthisical left eye due to an unrepaired RD after cataract surgery 10 years earlier was referred with a total RD in his right eye. Three years prior to being referred to us, the patient had undergone uneventful extracapsular cataract surgery with posterior chamber intraocular lens implantion in the right eye. Nine months later, a rhegmatogenous RD was successfully repaired using an encircling silicone sponge exoplant with visual recovery to 20/70. Six months prior to examination, a Staphylococcus epidermidis buckle infection necessitated . . . [Full Text of this Article]
Comment
Reprints: Donald J. D'Amico, MD, Retina Service, Massachusetts Eye & Ear Infirmary, 243 Charles St, Boston, MA 02114-3096.
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