ABSTRACT
INTRODUCTION: Giant tear retinal detachments have long been recognized for their management difficulties and poor anatomical surgical prognosis. METHOD: Retrospective, descriptive study of 15 patients collected from IOHRT Department A. These patients were treated for rheumatogenic retinal detachment by giant tear. All patients underwent endocular vitreoretinal surgery. A visual acuity, FO and OCT check was performed at 7 days, 21 days, 45 days and 3 months, 6 months and 1 year postoperatively. RESULTS: Our study included 15 eyes from 15 patients with rheumatogenic giant tear retinal detachments. The average follow-up is 9 months. The average age of the patients was 45 years. Six patients were severely short-sighted; 30% of patients had stage C vitreous proliferations at diagnosis. Immediate postoperative anatomical reapplication was achieved in 85% of patients. After 1 year, anatomical reapplication was achieved in 100% of patients. The average visual acuity was 2/10. CONCLUSION: Surgery for rheumatogenic retinal detachment caused by a giant tear is a procedure that is still considered difficult with uncertain results. The progress of endocular surgery and tamponade methods has made it possible to revolutionize the prognosis of these detachments.
Subject(s)
Retinal Detachment/complications , Retinal Detachment/surgery , Retinal Perforations/complications , Retinal Perforations/surgery , Vitrectomy , Adult , Female , Follow-Up Studies , Fundus Oculi , Humans , Male , Middle Aged , Prognosis , Retinal Detachment/diagnosis , Retinal Detachment/epidemiology , Retinal Perforations/diagnosis , Retinal Perforations/epidemiology , Retrospective Studies , Tomography, Optical Coherence , Treatment Outcome , Visual Acuity , Vitrectomy/adverse effects , Vitrectomy/methods , Vitrectomy/statistics & numerical dataABSTRACT
Malignant glaucoma remains a challenging complications of ocular surgery. It has been reported to occur spontaneously or after any ophthalmic procedure, it is most commonly encountered after glaucoma surgery. The clinical diagnosis is made in the setting of a patent peripheral iridotomy and axial flattening of the anterior chamber. Intraocular pressure is usually elevated, but it may be normal in some cases. The exact etiology of this condition is not fully understood, several mechanisms have been proposed. This review discusses pathophysiology, differential diagnosis, imaging modalities, and current treatment strategies for this rare form of secondary glaucoma.
