Surgical success in the management of retinal detachment secondary to a giant retinal tear

Background: The purpose of this study was to describe anatomical and visual outcomes after scleral buckling, pars plana vitrectomy, the use silicone oil as a tamponade in management retinal detachment associated with giant tears (GRT). Material methods: A retrospective descriptive chart review conducted for cases an initial presentation rhegmatogenous detachments GRT. Patients underwent surgical by single surgeon had follow-ups at least 12 months. Results: We included 32 eyes patients. All 23G vitrectomy buckling tamponade. Lensectomy performed all phakic eyes. Mean pre-operative best-corrected acuity (BCVA) 20/800, post-operative 20/40 (20/20-LP). mean follow-up 18 Fourteen (45%) grade C proliferative vitreoretinopathy, five (16%) GRT more than 180º. primary reattachment rate 93%, overall final success 100%. Transient intraocular pressure (IOP) elevation found 6 (19%), removal surgery, no patient required antihypertensive management. Conclusion: High rates support GRT-associated lensectomy, par Removal helps avoid complications secondary its emulsification, such glaucoma band keratopathy.