Outcomes of Vitrectomy Combined with Scleral Buckling for Eyes with Early Recurrence of Simple Rhegmatogenous Retinal Detachment Previously Treated by Pars Plana Vitrectomy

Figure 1

Findings in a 71-year-old Japanese woman with a recurrent rhegmatogenous retinal detachment after successful attachment by pars plana vitrectomy. She was treated by a second surgery with vitrectomy and encircling scleral buckling. (a) Ultra-wide-field fundus image showing a retinal break at the superotemporal area and rhegmatogenous retinal detachment (RRD). Her best-corrected visual acuity (BCVA) was 20/30. (b) Ultra-wide-field fundus image after the initial surgery showing retinal scar and attached retina. (c) The recurrence of RRD was observed at 2 weeks after the initial surgery. Ultra-wide-field fundus image shows inferior retinal detachment. The cause of the RRD was a new small break at the inferonasal retina. Her BCVA was 20/60. (d): Ultra-wide-field fundus image after a reoperation by vitrectomy and encircling buckle. Reattached retina and the protrusion of encircling buckle can be seen. Her visual acuity was 20/25 at seven months after the reoperation.

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