FOLDABLE CAPSULAR VITREOUS BODY IMPLANTATION IN A PRE-PHTHISICAL EYE: A PRELIMINARY SHORT-TERM CASE REPORT
Sh Skhirtladze1, G Petriashvili2, N Nikolaishvili3
11"Akhali Mzera" Eye Clinic, Tbilisi, Georgia.
Objective:
To report the surgical technique and short-term anatomical outcomes of foldable capsular vitreous body (FCVB) implantation in a pre-phthisical eye with chronic retinal and uveal detachment.
Methods:
A 35-year-old male with a blind eye secondary to long-standing total retinal detachment was evaluated. The eye had no light perception, sensory exotropia, and severe hypotony. Although the patient did not report significant ocular pain, progressive hypotony, uveal detachment, and early pre-phthisical changes raised concern for future ocular atrophy and cosmetic deformity. A 23-gauge chandelier-assisted pars plana vitrectomy with 360° retinectomy was performed, followed by implantation of a foldable capsular vitreous body filled with silicone oil.
Results:
At six-month follow-up, B-scan ultrasonography and ultrasound biomicroscopy demonstrated reattachment of the choroid and ciliary body. Intraocular pressure stabilized between 9-10 mmHg. The FCVB remained well positioned, with no evidence of inflammation, extrusion, or device-related complications.
Conclusion:
This preliminary short-term report suggests that FCVB implantation may serve as a globe-preserving option in selected pre-phthisical eyes lacking visual potential. Longer follow-up and larger studies are required to assess long-term safety and durability.
