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Published on Dec 30, 2010
This patient had 3 previous retinal detachment surgeries and the most recent one involved a 180 degree inferior retinectomy and laser. These were all done elsewhere.
This video shows a complex retinal detachment repair. Initially the hazy intraocular lens is removed. Next a macular pucker is removed and the anterior proliferative vitreoretinopathy (scar tissue) is cut. Even with those two maneuvers the retina does not reattach. A 360 degree retinectomy is performed (cutting the retina 360 degrees in the periphery) and this allows the retina to be attached with perfluoron, laser and subsequent silicone oil.