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Management of Giant Retinal Tear with microincision vitrectomy and metallic retinal tacks fixation-a case report
BACKGROUND: Giant retinal tear is usually challenging among retinal detachment with recurrent rate up to 45%. Here we presented a case of giant retinal tear being treated by microincision vitrectomy and retinal tacks fixation. CASE PRESENTATION: A 53-year-old male presented to our hospital with blur...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198422/ https://www.ncbi.nlm.nih.gov/pubmed/30348129 http://dx.doi.org/10.1186/s12886-018-0938-4 |
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author | Chang, Yo-Chen Chiu, Li-Yi Kao, Tzu-En Cheng, Wen-Hsin Chen, Ting-An Wu, Wen-Chuan |
author_facet | Chang, Yo-Chen Chiu, Li-Yi Kao, Tzu-En Cheng, Wen-Hsin Chen, Ting-An Wu, Wen-Chuan |
author_sort | Chang, Yo-Chen |
collection | PubMed |
description | BACKGROUND: Giant retinal tear is usually challenging among retinal detachment with recurrent rate up to 45%. Here we presented a case of giant retinal tear being treated by microincision vitrectomy and retinal tacks fixation. CASE PRESENTATION: A 53-year-old male presented to our hospital with blurred vision of his right eye for one week with floaters and obscured sensation over nasal visual field. Ocular examination showed a 120 degree giant tear with large inverted flap and retinal detachment of his right eye. The BCVA was only naming digit. Under the impression of giant retinal tear with retinal detachment, 23-gauge pars plana vitrectomy were performed using Constellation high speed vitrectomy system and Topcon non-contact wide angle viewing system. During surgery, the vitreous was removed and perfluorocarbon liquids (PFCL) was injected to help unfolding the large inverted retinal flap. Three retinal tacks were applied to help fixating the large inverted retinal flap. Then, fluid-gas exchange, endolaser photocoagulation and intraocular silicone oil tamponade were performed as well. Initial reattachment of his right retina was achieved and his best corrected visual acuity improved to 0.3 of his right eye postoperatively. There was no recurrent retinal detachment during follow up period of 19 months. CONCLUSIONS: Primary microincision vitrectomy using wide-angle viewing system with intraoperative perfluorocarbon liquids (PFCL) assistant, retinal tacks fixation and intraocular silicone oil tamponade appears to be safe and feasible for managing giant retinal tear with retinal detachment. |
format | Online Article Text |
id | pubmed-6198422 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-61984222018-10-31 Management of Giant Retinal Tear with microincision vitrectomy and metallic retinal tacks fixation-a case report Chang, Yo-Chen Chiu, Li-Yi Kao, Tzu-En Cheng, Wen-Hsin Chen, Ting-An Wu, Wen-Chuan BMC Ophthalmol Case Report BACKGROUND: Giant retinal tear is usually challenging among retinal detachment with recurrent rate up to 45%. Here we presented a case of giant retinal tear being treated by microincision vitrectomy and retinal tacks fixation. CASE PRESENTATION: A 53-year-old male presented to our hospital with blurred vision of his right eye for one week with floaters and obscured sensation over nasal visual field. Ocular examination showed a 120 degree giant tear with large inverted flap and retinal detachment of his right eye. The BCVA was only naming digit. Under the impression of giant retinal tear with retinal detachment, 23-gauge pars plana vitrectomy were performed using Constellation high speed vitrectomy system and Topcon non-contact wide angle viewing system. During surgery, the vitreous was removed and perfluorocarbon liquids (PFCL) was injected to help unfolding the large inverted retinal flap. Three retinal tacks were applied to help fixating the large inverted retinal flap. Then, fluid-gas exchange, endolaser photocoagulation and intraocular silicone oil tamponade were performed as well. Initial reattachment of his right retina was achieved and his best corrected visual acuity improved to 0.3 of his right eye postoperatively. There was no recurrent retinal detachment during follow up period of 19 months. CONCLUSIONS: Primary microincision vitrectomy using wide-angle viewing system with intraoperative perfluorocarbon liquids (PFCL) assistant, retinal tacks fixation and intraocular silicone oil tamponade appears to be safe and feasible for managing giant retinal tear with retinal detachment. BioMed Central 2018-10-22 /pmc/articles/PMC6198422/ /pubmed/30348129 http://dx.doi.org/10.1186/s12886-018-0938-4 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Chang, Yo-Chen Chiu, Li-Yi Kao, Tzu-En Cheng, Wen-Hsin Chen, Ting-An Wu, Wen-Chuan Management of Giant Retinal Tear with microincision vitrectomy and metallic retinal tacks fixation-a case report |
title | Management of Giant Retinal Tear with microincision vitrectomy and metallic retinal tacks fixation-a case report |
title_full | Management of Giant Retinal Tear with microincision vitrectomy and metallic retinal tacks fixation-a case report |
title_fullStr | Management of Giant Retinal Tear with microincision vitrectomy and metallic retinal tacks fixation-a case report |
title_full_unstemmed | Management of Giant Retinal Tear with microincision vitrectomy and metallic retinal tacks fixation-a case report |
title_short | Management of Giant Retinal Tear with microincision vitrectomy and metallic retinal tacks fixation-a case report |
title_sort | management of giant retinal tear with microincision vitrectomy and metallic retinal tacks fixation-a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198422/ https://www.ncbi.nlm.nih.gov/pubmed/30348129 http://dx.doi.org/10.1186/s12886-018-0938-4 |
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