Retinochoroidectomy for Recurrent PVR

In this surgical video, Dr. Abhishek Sheemar and Mahesh Shanmugam perform a retinochoroidectomy to manage a patient with diminished vision due to bomb blast trauma. Since the patient had experienced multiple incidences of postoperative detachment with proliferative retinopathy (PVR), a retinochoroidectomy was performed to prevent scar tissue from migrating to the healthy retina. Next, they removed the silicone oil, peeled the preretinal membranes and flattened the retina with perfluorocarbon liquid. A trough was created around the scar tissue via diathermy, and the scar tissue was removed with a cutter. At 2 months postop, the patient had a BCVA of 6/24 with normal IOP and an attached retina.

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