Vitrectomy for Difficult Retinal Detachment (PVR)

  • Ulrich Spandau
  • Heinrich Heimann


The following chapter describes step-by-step the surgical management of a difficult retinal detachment (PVR stage C) with vitrectomy; in addition, the surgical technique of a 180 deg. retinotomy is explained.


Vitrectomy for difficult retinal detachment (PVR) Vitrectomy Difficult retinal detachment PVR retinal detachment Encircling band Subretinal membranes Retinotomy 

Supplementary material

Video 13.1

PVR stage D (WMV 84881 kb)

Video 13.2

PVR detachment (WMV 240994 kb)

Video 13.3

Peeling techniques for PVR detachment (WMV 227707 kb)

Video 13.4

Acute retinal necrosis (WMV 40322 kb)

Video 13.5

Surgery for total retinal detachment for morning glory (WMV 117442 kb)

Video 13.6

Iridectomy (WMV 19634 kb)

Video 13.7

Special techniques for the anterior chamber (WMV 47266 kb)

Video 13.8

Silicone oil injection (WMV 6704 kb)

Video 13.9

Surgery of a Cerclage (WMV 90608 kb)

Video 13.10

Cerclage removal (WMV 35711 kb)

Video 13.11

Subretinal peeling (WMV 31699 kb)

Video 13.12

Removal of subretinal membranes (WMV 9306 kb)

Video 13.13

Retinotomy (WMV 27064 kb)


  1. 1.
    Vitrectomy with silicone oil or sulfur hexafluoride gas in eyes with severe proliferative vitreoretinopathy: results of a randomized clinical trial. Silicone study report 1. Arch Ophthalmol. 1992;110(6):770–9.Google Scholar
  2. 2.
    Ingrid Kreissig. A Practical Guide to Minimal Surgery for Retinal Detachment. Thieme, Germany ISBN 9783131606914.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ulrich Spandau
    • 1
  • Heinrich Heimann
    • 2
  1. 1.University Eye HospitalUppsalaSweden
  2. 2.Royal Liverpool University HospitalLiverpoolUK

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