Ability to drive after surgery for retinal detachment

Schrader, Wolfgang; Hauptmann, Silke; Hamburger, Günter

doi:10.1007/s003470050383

Cited by 3 publications

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“…In fact, causative breaks of RD can occur at or within the border of the laser scars in approximately two-thirds of those that later experience RD. 9 In our experience we have found several strategies to prevent this complication, including the demarcation of aberrant intense laser marks with lighter applications, avoidance of heavy confluent linear laser at the border of the posterior vitreous base, extension of laser to the ora serrata, and the creation of a wide margin of laser around suspicious areas. The histopathology of lattice degeneration, for example, reveals its full extent is not always clinically apparent, and even a wide margin of laser does not ensure complete coverage of the involved retina.…”

Section: Discussionmentioning

confidence: 99%

Retinal Detachment and Epiretinal Membrane Development in Fellow-Eye Laser Prophylaxis

Wingelaar,

Smith

2023

Journal of VitreoRetinal Diseases

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Purpose: To determine the safety and efficacy of fellow-eye laser prophylaxis (FELP) in reducing the rate of retinal detachment (RD) in patients undergoing repair of a primary RD. Methods: Retrospective data were collected on the fellow eyes of consecutive patients undergoing primary RD repair. Patients lacking peripheral retinal pathology in the fellow eye or with less than 3 years of follow-up were excluded. Ninety-eight consecutive patients were identified who underwent FELP as compared with 28 who did not. No patient had symptoms in their fellow eye upon presentation. Rates of RD and epiretinal membrane (ERM) formation in the treatment group were compared with the control group. Results: Three of 98 (3.1%) patients developed RD despite having FELP compared with 5 of 28 (17.9%) in the control group ( P = .005). In the FELP group, 16 (16.3%) patients developed ERM vs 7 of 28 (25.0%) in the group that did not receive prophylactic laser ( P = .29). No patients in either the FELP or control group required surgery for ERM. Conclusions: Prophylactic laser to the fellow eye of patients undergoing primary RD repair reduced the risk of RD without significant risk of ERM formation.

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Section: Discussionmentioning

confidence: 99%

Retinal Detachment and Epiretinal Membrane Development in Fellow-Eye Laser Prophylaxis

Wingelaar,

Smith

2023

Journal of VitreoRetinal Diseases

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Diplopie nach Amotiooperation mit Cerclage

Gruber

Langmann

Lindner

et al. 2002

Spektrum Augeheilkd

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Bleibende Doppelbilder nach Cerclageoperationen bei Amotio retinae

et al. 2003

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We recommend avoiding unnecessary preparation of the muscles when placing the encircling band (without destruction of the Tenon or periorbital tissue), motility exercises after the operation and full refractive correction for sensory compensation of deviations as early as possible. In addition, antiphlogistic drugs should be used to avoid scarring and treatment with prism lenses. Removal of the encircling band does not seem to improve the motility as the disorder is mainly caused by hypertrophic scarring, neither does mitomycin C or the application of viscoelastic substances.

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Ability to drive after surgery for retinal detachment

Abstract: Driving ability may be temporarily restricted by double vision in 15% of patients after successful buckling for retinal detachment. Permanent driving ability is mainly impaired by macular involvement in retinal detachment. The type of buckling procedure is of minor importance.

Cited by 3 publications

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Retinal Detachment and Epiretinal Membrane Development in Fellow-Eye Laser Prophylaxis

Retinal Detachment and Epiretinal Membrane Development in Fellow-Eye Laser Prophylaxis

Diplopie nach Amotiooperation mit Cerclage

Bleibende Doppelbilder nach Cerclageoperationen bei Amotio retinae

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