Giant retinal tear - To buckle or not - Author: Flávio Lopes MD

Описание: This is a video shared by Dr Flavio Lopes from Feira de Santana, Brazil

In this video we discuss the role of encircling band with vitreorretinal surgery in cases of GRT.

Some surgeons prefer placing a scleral buckle to support the vitreous base and reduce the risk of recurrent RD in cases of GRT. However, studies show that success rate is no reduce by not placing the buckle in these cases. So, placing an encircling band before vitrectomy surgery in GRT is optional.

Tip#1 - The key point is to use a wide angle system and perform radical base removal.

GRT are usually associated with total PVD and the vitreous removal is a easy step in this surgery. The flap tends to be mobile and care should be taken to prevent accidental and unnecessary bites on the retinal.

Tip#2 - You can keep the flap down with PFCL bubble to perform radical excision of the vitreous base.

The anterior retinal flap to which the vitreous is adherent should be excised as much as possible. If the same is left behind, it can get fibrosed and also exert traction on the ciliary body.

We recommend place a buckle if you aren´t able to perform lens removal and IOL placement in the same time.
Another situation that an encircling band may be necessary is in cases of GRT and PVR.

Video:
Flávio Lopes MD
Feira de Santana 🇧🇷
Edition and text:
Filipe Lucatto MD 🇧🇷
Juliana Prazeres MD 🇧🇷
[email protected]

Special thanks - Andre Maia MD (Retina Clinic)