부산대학교 도서관

This article provides a review of giant retinal tears (GRTs) with a focus on trauma. GRTs are retinal tears that extend 3 or more clock hours and often lead to retinal detachment. They can occur spontaneously, secondary to vitreoretinopathies, or as a result of trauma. Risk factors for GRTs include trauma, high myopia, surgery, hereditary vitreoretinopathies, and developmental anomalies. Treatment typically involves vitrectomy, with improved surgical outcomes in recent years. The use of perfluorocarbon liquids (PFCLs) in GRT management is discussed, with high success rates reported. Complications such as re-detachment, proliferative vitreoretinopathy (PVR), and cataract formation can occur. Prophylactic treatment of the fellow eye after a unilateral GRT is recommended. The management of GRTs involves vitrectomy, internal tamponade, and peripheral retinal photocoagulation, but there is ongoing debate about the use of silicone oil versus gas tamponades and scleral buckling. Further research is needed to understand the nuances of treating traumatic GRTs. The document also includes a list of references related to the management and treatment of giant retinal tears, providing a comprehensive overview of the current research and knowledge on the topic. [Extracted from the article]