Open Funnel Detachment

Chronic rhegmatogenous retinal detachments are known to carry a poor visual prognosis; those that adopt a funnel appearance are more difficult to reattach, as proliferative vitreoretinopathy configuration in a ring pattern around the funnel is difficult to remove. In this video, Dr. Zackery Oakey discusses the case of a 63-year-old man who underwent cataract surgery 6 months prior to presentation and who lost significant vision 3 months after surgery. On the initial surgical approach, he was found to have significant proliferative vitreoretinopathy and an open funnel. A retinectomy was carried out. Single-handed initial peeling was attempted, but a chandelier had to be utilized for a bi-manual technique.

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