360° Retinectomy for the Treatment of Complex Retinal Detachment

Kolomeyer, Anton M.; Григорян, Р. А.; Mostafavi, David; Bhagat, Neelakshi; Zarbin, Marco A.

doi:10.1097/iae.0b013e3181eef2c7

Cited by 42 publications

(50 citation statements)

References 33 publications

(54 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous studies reported recurrent RD after 180°–360° retinectomies from 17 to 48 %. Our study found a higher rate of recurrent RD; however, most of the studies excluded eyes with PVR greater than C2 [9, 10]. …”

Section: Discussionmentioning

confidence: 59%

“…Postoperative hypotony is a common complication after large retinectomy and previous studies have reported a 15–40 % rate in eyes that underwent a 360° retinectomy [10–13]. Additionally, Teke et al [9] reported 1.7 % phthisical eyes.…”

Section: Discussionmentioning

confidence: 99%

“…This finding may be explained by our choice of silicone oil as a tamponade. Several authors believe that silicone oil may prevent hypotony and phthisis after vitrectomy [10–12, 14]. …”

Section: Discussionmentioning

confidence: 99%

“…A total of 44.7 % of the patients needed a retinectomy greater than 270° since the first surgery; nevertheless, most of them had an improved or stabilized final vision compared to preoperative VA. In the literature, only a small number of patients achieved ambulatory vision after a large retinectomy [10, 11]. …”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of retinectomy in the treatment of severe proliferative vitreoretinopathy

Mendes¹,

Gomes

Rocha³

et al. 2015

Int J Retin Vitr

View full text Add to dashboard Cite

BackgroundTo evaluate the postoperative results and efficacy of retinectomy in the treatment of severe proliferative vitreoretinopathy (PVR).Methods The study involved 38 individuals with rhegmatogenous retinal detachment initially diagnosed with PVR grade C3 who had undergone pars plana vitrectomy combined with scleral buckle and silicone oil as a tamponade. A standard three-port pars plana vitrectomy was performed, and the extension of performing a retinectomy was decided during the procedure. The patients were followed for a minimum of 6 months after the last surgical procedure. Reoperation, postoperative hypotony and final reattachment rates were evaluated. Statistical analysis was performed with an Exact Fisher’s test.ResultsThe mean preoperative visual acuity was >1.3 logMAR. The postoperative visual acuity improved and ranged from 1.3 to 0.7 logMAR (p < 0.63). The preoperative intraocular pressure was 10.2 mmHg and postoperatively was 11.6 mmHg. Postoperative hypotony was observed in 15.8 % of the cases. The reoperation rate after the first procedure was 63.2 %. A total of 44.7 % of the patients needed a retinectomy greater than 270° for a final anatomical success. The final retinal reattachment rate was 94.7 %.ConclusionsRetinectomy can be an effective surgical procedure in the treatment of severe PVR, and it may increase the final reattachment rate.

show abstract

Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

“…This finding may be explained by our choice of silicone oil as a tamponade. Several authors believe that silicone oil may prevent hypotony and phthisis after vitrectomy [10–12, 14]. …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of retinectomy in the treatment of severe proliferative vitreoretinopathy

Mendes¹,

Gomes

Rocha³

et al. 2015

Int J Retin Vitr

View full text Add to dashboard Cite

show abstract

“…Often, perfluorodecalin is used to reattach the retina and express subretinal hemorrhage, particularly if a 360-degree retinotomy has been created. [20] In such cases, the residual peripheral retina is excised completely to forestall the development of anterior proliferative vitreoretinopathy with cyclitic membrane formation and hypotony. If retina is incarcerated in the wound or if there is an extensive retinal break, silicone oil tamponade is used typically.…”

Section: Surgical Approach: Staged Surgerymentioning

confidence: 99%

Approach to management of eyes with no light perception after open globe injury

Bhagat¹,

Turbin²,

Langer³

et al. 2016

J Ophthalmic Vis Res

Self Cite

View full text Add to dashboard Cite

Loss of light perception (LP) after open globe injury (OGI) does not necessarily mean the patient will have permanent complete visual loss. Findings that seem to be associated reliably with permanent profound vision loss after OGI include optic nerve avulsion, optic nerve transection, and profound loss of intraocular contents, which can be identified with CT/MRI imaging albeit with varying degrees of confidence. Eyes with NLP after OGI that undergo successful primary repair with intact optic nerves may be considered for additional surgery, particularly if there is: (1) recovery of LP on the first day after primary repair; (2) treatable pathology underlying NLP status (e.g., extensive choroidal hemorrhage, dense vitreous and subretinal hemorrhage); (3) NLP in the fellow eye. We counsel patients that the chance of recovering ambulatory vision under these circumstances is very low (~5%).

show abstract