Abstract

Retinal detachment associated with complications like choroidal detachment ,hypotony ,Giant retinal tear,PVR etc usually have poor surgical outcomes.The golden standard procedure of choice in such complicated RDs giving steroids to resolve hypotony and then Scleral buckling combined with vitrectomy with intra-operative perfluoro-carbon liquids (PFCL) and silicone oil tamponade.However sometimes waiting for hypotony to resolve before operating may cause delay which may lead to PVR and in turn increase the chances of failure.The latest weapon in the armamentarium of the vitreoretinal surgeons is the use of short- and inter-mediate-term post-operative PFCL tamponade. This technique has shown promising results for the treatment of chronic and complicated RRD.This video shows Management of a complicated RRD associated with CD,Hypotony&GRT in 2 stages.1st stage Vitrectomy with short term use of PFCL tamponade for 4 days followed by 2nd stage PFCL exchange and Silicone oil Tamponade.