VT0020 : DOUBLE TROUBLE – RECURRENT RETINAL DETACHMENT WITH PVR & MACULAR HOLE

Abstract

Purpose: To report the use of retinal autografts for the management of recurrent retinal detachments (RD) complicated by proliferative vitreoretinopathy (PVR) and macular hole
Methods: Video based report of two cases with recurrent RD complicated by PVR and macular hole, where PVR membranes were peeled and retinal autograft was used for hole closure followed by retinal re-attachment using silicone oil.
Results: Two cases of recurrent retinal detachments with PVR and macular hole where the ILM was already peeled underwent repeat vitrectomy with retinal autograft placement over the macular hole. Postoperatively graft integration was seen on imaging. To conclude Autologous retinal grafting can be performed in complicated macular holes (with RD) when other alternative methods are not possible, this technique can provide anatomical and functional improvement with closure rate similar to other methods and we expand the use of this technique in recurrent retinal detachments with macular holes

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