Aphakic Retinal Detachment

Benson, William E.

doi:10.1001/archopht.1975.01010020255001

Cited by 77 publications

(10 citation statements)

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“…According to previous studies, retinal detachment has a strong bilateral tendency, varying from 10 to 20% depending on the criteria of selecting the patients and the length of follow-up (Schepens & Marden 1961;Delaney & Oates 1978;Folk & Burton 1982;. In aphakic detachment series, the risk of bilaterality has been reported to be higher (Benson et al 1975;Folk & Burton 1983;.The interval between the detachment in the first and second eye usually covers a period of several years (Delaney & Oates 1978). Patients may, however, also present with simultaneous retinal detachment in both eyes at the initial examination.…”

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confidence: 99%

Simultaneous, bilateral rhegmatogenous retinal detachment

Krohn

Seland

2000

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: To examine the incidence, the preoperative findings and the surgical outcome of patients presenting with simultaneous, bilateral retinal detachment. Methods: A retrospective analysis of the medical records of patients undergoing surgery for rhegmatogenous retinal detachment between 1990 and 1998. Results: During this period a total of 827 operations for rhegmatogenous retinal detachment were done in 791 consecutive patients. Eighteen patients (2.3%) had simultaneous, bilateral retinal detachment, giving an annual incidence of 0.35 patients per 100 000 population. They all presented with unilateral symptoms. Compared with the group of unilateral or consecutive, bilateral retinal detachments, patients suffering from simultaneous, bilateral retinal detachments were significantly younger, with a mean age of 40.3 years. Thirteen patients had multiple, round retinal holes associated with lattice degeneration. Sixteen patients were myopic, ranging from ª3 to ª9.25 diopters. The retina was reattached in 35 (97%) of the 36 eyes operated on during the study period. Conclusion: Simultaneous, bilateral retinal detachment is usually found in relatively young, myopic patients with round, atrophic retinal holes, presenting with unilateral visual symptoms.Key words: retinal detachment -bilateral -simultaneous -retinal break -myopia -lattice degeneration -incidence -age -symptoms -surgery. Acta Ophthalmol. Scand. 2000; 78: 354-358 Copyright c Acta Ophthalmol Scand 1999. ISSN 1395-3907 A severe eye disease threatening both eyes is the most challenging situation in ophthalmological practice. This is especially so in the case of vitreoretinal disorders, where bilateral morbidity is the rule rather than a rare exception. In the course of time retinal degenerations or detachment in one eye often necessitate prophylactic or curative treatment of the fellow eye. There are several reports in the literature concerning the frequency of bilateral involvement. Lattice degeneration is present in about 6% of the population and is bilateral in approximately 50% of the affected patients (Glasgow et al. 1993). Among patients with unilateral retinal detachment retinal degenerative changes were found in 63-90% and retinal breaks in about 20% of the undetached fellow eyes (Merin et al. 1971;Ciurlo et al. 1980). According to previous studies, retinal detachment has a strong bilateral tendency, varying from 10 to 20% depending on the criteria of selecting the patients and the length of follow-up (Schepens & Marden 1961;Delaney & Oates 1978;Folk & Burton 1982;. In aphakic detachment series, the risk of bilaterality has been reported to be higher (Benson et al. 1975;Folk & Burton 1983;.The interval between the detachment in the first and second eye usually covers a period of several years (Delaney & Oates 1978). Patients may, however, also present with simultaneous retinal detachment in both eyes at the initial examination. To bring further knowledge on the clinical course of simultaneous, bilateral retinal detachment, an eight-...

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Simultaneous, bilateral rhegmatogenous retinal detachment

Krohn

Seland

2000

Acta Ophthalmologica Scandinavica

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“…Cases YAG capsulotomies were done in 29.5% of the 1,000 patients, with average interval from cataract procedure to the YAG treatment of 16 months. Two patients with retinal detachment had had a YAG capsulotomy.…”

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confidence: 99%

Retinal detachment following cataract surgery with capsulorhexis

Kelley

1996

American Journal of Ophthalmology

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“…When first reports referring to pilocarpine [Posner, 1962;Scialfa, 1964] came to knowledge in the 1960's, new speculations arose to explain the basic mechanism risk factors ofthe miot ic-induced RD as degenerative changes in the peripheral structure of the retina and pathological circumstances in the vitreoretinal stability. The risk of RD in the second eye has been reported to be grater in aphakic RD patients [Benson et al, 1975], Pape and Forbes [1978] studied a series of 14 eyes in 13 patients in whom RD occurred during miotic therapy within 2 months or less. Most detachments were rhegmatogenous and oc curred in detachment-prone eyes because of myopia (62%), aphakia (24%), ipsilateral lattice degeneration (38%), or retinal pathol ogy in the other eye (50%).…”

Section: Discussionmentioning

confidence: 99%

Retinal Detachment during Glaucoma Therapy

Puustjärvi¹

1985

Ophthalmologica

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Miotic-induced retinal detachment (RD) is a condition that is not recognized as such by common consent. Clinically it has been shown that all miotic agents, whether strong or weak, can precipitate an RD, if there are additional contributing factors like high myopia, peripheral lattice degeneration of the retina, pathological vitreoretinal changes and previous history of an RD in the other eye, which all increase the basic risk of RD. Pilokarpin lameller 11 mg® represents a form of miotic therapy having initially only a moderate accommodative and miotic effect, which further declines to a level of steady state during the next hours. Because the time interval after which a new Pilokarpin lameller unit is required lasts up to 1 week, the total amount of accommodation and miosis is much smaller than when applying daily 2% pilocarpine drops. However, it seems important, before the start of any kind of miotic therapy, to perform a careful examination and management of virtually all detachment-prone patients. This case report deals with an RD which occurred after 2 days of treatment with Pilokarpin lameller (Ocusert®) 11 mg in a myopic patient who had a juvenile type of glaucoma and previous history of an RD in the other eye.

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Aphakic Retinal Detachment

Cited by 77 publications

References 7 publications

Simultaneous, bilateral rhegmatogenous retinal detachment

Simultaneous, bilateral rhegmatogenous retinal detachment

Retinal detachment following cataract surgery with capsulorhexis

Retinal Detachment during Glaucoma Therapy

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