الفهرس | Only 14 pages are availabe for public view |
Abstract The aim of the work is to discuss the conditions in which relaxing retinotomies and retinectomies are performed, to discuss the intra and post operative complications of such procedures and to assess the anatomical and functional follow up. We conclude our study on 50 eyes of 50 patients with RRD complicated with grade C PVR from patients attending Minia university hospital to undergo pars plana vitrectomy, relaxing retinotomies and retinectomies and long acting tamponade using silicone oil. By the 6 month postoperative period we obtained retinal attachment in 82% of cases and improvement of the visual functions in about 34% of cases and it is reasonably a good percentage. Finally we can conclude that relaxing retinotomies and retinectomies can stand hand by hand with passive membrane dissection in the management of RRD complicated with PVR. And the following recommended: 1- Long term follow up period. 2- The use of triamcinolone actenoid for better visualization and good dissection of membranes. 3- Investigations to inhibit the cellular proliferation, especially in the area of pharmacologic therapy which may prevent recurrence of intra-ocular proliferation with are the most common problem after relaxing retinotomies and retinectomies. |