A Case of Retinal Detachment after Encircling Band Cutting

Abstract

To improve decreased choroidal blood flow, superotemporal silicone band cutting was done in a 45-year old man who had encircling scleral buckling due to retinal detachment after vitrectomy for diabetic retinopathy four years ago. In fundus examination at one month follow-up after silicone band cutting, retinal detachment was observed at the superotemporal area regarding to the site where the band was cut. Although intravitreal gas tamponade with photocoagulation and encircling band reconstruction were executed, silicone oil tamponade was necessary for retinal reattachment. After the silicone oil tamponade, the retina has been attached. When encircling band cutting is executed, it would be safe to avoid the site of previous retinal break and to apply enough photocoagulation at the planned site two weeks prior to band cutting.