2020Güncel Retina Dergisi (Current Retina Journal)Open access

Retinal Detachment with Giant Tear

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Abstract

Full-thickness neurosensory retinal tears of more than 90 degrees circumferentially are defined as giant retinal tears and constitute very few of rhegmatogenous retinal detachments. Management is difficult as there are highly observed intra- and postoperative complications and it technically hosts many difficulties. Primary vitrectomy with either gas or silicone oil tamponade which can be combined with scleral buckling and phacoemulsification, scleral buckling are used in the treatment. Today anatomical success rate is increased as a result of the use of perfluorocarbon liquids and micro-incisional vitrectomy techniques and with the experience of surgeons. Although functional results are variable, preoperative, and developmental proliferative vitreoretinopathy affects the results.

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Full-thickness neurosensory retinal tears of more than 90 degrees circumferentially are defined as giant retinal tears and constitute very few of rhegmatogenous retinal detachments. Management is difficult as there are highly observed intra- and postoperative complications and it technically hosts many difficulties. Primary vitrectomy with either gas or silicone oil tamponade which can be combined with scleral buckling and phacoemulsification, scleral buckling are used in the treatment. Today anatomical success rate is increased as a result of the use of perfluorocarbon liquids and micro-incisional vitrectomy techniques and with the experience of surgeons. Although functional results are variable, preoperative, and developmental proliferative vitreoretinopathy affects the results.

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Available abstract

Full-thickness neurosensory retinal tears of more than 90 degrees circumferentially are defined as giant retinal tears and constitute very few of rhegmatogenous retinal detachments. Management is difficult as there are highly observed intra- and postoperative complications and it technically hosts many difficulties. Primary vitrectomy with either gas or silicone oil tamponade which can be combined with scleral buckling and phacoemulsification, scleral buckling are used in the treatment. Today anatomical success rate is increased as a result of the use of perfluorocarbon liquids and micro-incisional vitrectomy techniques and with the experience of surgeons. Although functional results are variable, preoperative, and developmental proliferative vitreoretinopathy affects the results.

Key concepts: Proliferative vitreoretinopathy, Tamponade, Retinal detachment, Vitrectomy, Retinal Tear, Phacoemulsification, Scleral buckling, Ophthalmology

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