Abstract

Purpose: To describe a 2-stage technique for management of giant retinal tear (GRT) with severe proliferative vitreo-retinopathy (PVR).
Methods: A 20-year old male patient presented with 270 degree GRT with an inverted flap and extensive PVR, following penetrating injury 1 month back. Vitreo-retinal surgery was performed with removal of proliferative membranes and relaxing retinotomies. The fovea was also displaced below the optic disc due to severe traction by PVR. At the end of surgery PFCL was decided to be retained to prevent slippage of GRT and redetachment.
A second surgery was performed after 10 days, in which PFCL was replaced by silicone oil.
Results: With this 2-stage surgical technique, successful anatomical outcomes were achieved. The vision improved from PL+ve pre-operatively to 20/200 at 8 weeks post-operative.
Conclusions: PFCL tamponade for few days not only prevented slippage of GRT flap and re-detachment, but also helped the retina to regain its normal healthy state.