Pars plana vitrectomy for acute retinal necrosis Satoshi Okinami 1 , Ikki Arai 1 , Munenori Yoshida 1 , Miyo Matsumura 2 , Wakako Ido 2 , Kenichi Kato 2 , Takashi Iide 2 1Dept of Ophthalmol, Fac of Med, Kyoto Univ 2Dept of Ophthalmol, Prefectural Amagasaki Hosp pp.61-66
Published Date 1990/1/15
DOI https://doi.org/10.11477/mf.1410900012
  • Abstract
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We treated 7 eyes in 7 cases with acute retinal necrosis by pars plana vitrectomy. In 6 eyes with retinal detachment, retinal reattachment was attained in 5 eyes with additional scleral buckling procedure and temporary use of silicone oil. Retinal detachment recurred in 3 eyes after removal of silicone oil, necessitating further surgical interven-tion. Final visual acuity of 20/200 or better was attained in 2 eyes in the whole series. Although retinal detachment eventually developed in 1 eye after prophylactic laser photocoagulation and in 1 eye after vitrectomy to relieve severe vitreous opacity, we advocate prophylactic laser photocoagulation for eyes with localized fundus lesions and less vitreous opacity. Eyes with exten-sive retinal necrosis and severe vitreous opacity will have to he treated by vitrectomy with intravitreal infusion of acyclovir and endolaser photocoagulation. When retinal detachment has developed, prompt vitrectomy with scleral buckling procedure and intravitreal silicone oil is indicated.

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