Dr. ATUL THADANI

, Dr. POORNACHANDRA B., DR. RUBBLE MANGLA, Dr.NARESH KUMAR YADAV

Abstract

Purpose: Through this video, we intend to demonstrate a few tips and tricks in technically challenging cases of tractional retinal detachments (TRD) with varied presentations.

Methods: All video records of patients undergoing surgery for tractional retinal detachment were reviewed. The location of TRD, areas of hyaloid separation and fibrovascular proliferation or any other challenges for detachment were noted. Grouped into different categories based on the technique used to approach. Surgical techniques in tackling causes were explored

Results: Common challenges faced during TRD surgeries included finding a correct plane for dissection, intraoperative bleed, iatrogenic retinal break, pre-existing break, and macular hole. Many patients benefited highly by restoring a good vision despite presenting at an advanced stage.

Conclusion: By utilizing the techniques exhibited in the surgical cases shown in the video, one can have a better understanding to tackle challenging cases of TRD.