Combined Large Radial Retinotomy and Circumferential Retinectomy in the Management of Advanced Proliferative Vitreoretinopathy

Lim, Andrew Keat Eu; Alexander, Sheena Mary; Lim, Kian Seng

doi:10.1097/iae.0b013e318187f14a

Cited by 20 publications

(18 citation statements)

References 5 publications

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“…Specifically, we have only included primary RRDs whereas other studies have included cases with perforating trauma or tractional RDs with notably higher risk for re-detachment. 2 , 4 , 6 , 7 , 13 , 14 , 16 – 18 In addition, the extension of retinectomy was 180 degrees in most of our cases in contrast to previously reported series that extended the retinectomy to 360 degrees by default. 1 , 16 Moreover, no comparable results regarding the timing of retinectomy have been reported in the peer-reviewed literature and this factor has been shown to play an important role on the final success rate.…”

Section: Discussioncontrasting

confidence: 91%

“…All these rates were higher or consistent with those from previous studies evaluating the outcomes of retinectomy, reporting success rates between 47% and 95%. 1 , 2 , 4 , 6 , 7 , 9 , 13 – 15 Nevertheless, comparison between different studies on retinectomy is problematic because of significant differences in the inclusion criteria and surgical techniques. Specifically, we have only included primary RRDs whereas other studies have included cases with perforating trauma or tractional RDs with notably higher risk for re-detachment.…”

Section: Discussionmentioning

confidence: 99%

“…In previous studies, functional success ranged from 25% to 68% when it was defined as a postoperative BCVA of 5/200 or better, 6 , 9 , 18 and between 10% and 51% when it was defined as a postoperative BCVA of 20/200 or better. 1 , 2 , 6 , 7 , 13 , 18 Grigoropoulos et al reported a visual stabilization or improvement in approximately 70% of cases in a series of 304 eyes, and Tan et al reported a success rate of 60% for primary retinectomy. 6 , 9 In this study, re-proliferation of preretinal membranes was the main reason of failure of the retinectomy procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Most of studies evaluating these techniques have shown the achievement of satisfactory attachment rates postoperatively. 1 – 7 Retinotomy and retinectomy were first introduced by Machemer in 1979 and were reserved for the treatment of selected RDs complicated with severe PVR when other methods had failed to achieve retinal re-attachment. 8 In recent years, there is a general trend toward the use of vitrectomy as a first option for the management of RRDs and retinectomy has gained consideration as a procedure of choice in the setting of anterior retinal shortening and grade C PVR.…”

Section: Introductionmentioning

confidence: 99%

“… 9 Previous studies reporting in retinectomy results have included complicated RDs originating from ocular trauma, tractional RDs, acute retinal necrosis and endophthalmitis, cases of notably higher risk of surgical failure. 6 , 7 The purpose of this study is to evaluate and report the anatomical and functional outcomes of eyes undergoing retinectomy for the management of purely primary RRD with grade C PVR, 10 to determine prognostic factors and to compare results with existing data in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Anatomic and functional outcomes of retinectomy for the management of complicated retinal detachment with proliferative vitreoretinopathy

Tranos¹,

Vakalis²,

Asteriadis³

et al. 2015

TCRM

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The aim of this study is to report the anatomic and functional outcomes of retinectomy for the management of rhegmatogenous retinal detachment complicated by proliferative vitreoretinopathy (PVR), comparing them with previously reported data and determining prognostic factors. Fifty-one eyes of 51 patients with established PVR grade C in which retinectomy was performed were retrospectively enrolled in the study. Primary outcome measures were anatomic success rate and final visual acuity. Secondary outcome measures were intraoperative complications, number of re-operations, and postoperative hypotony. Prognostic factors in relation to retinal re-attachment and final visual acuity were retrospectively analyzed. The rate of complete retinal re-attachment after one operation was 80% and after two operations it was 84%. At the end of the follow-up, the macula was attached in 96% of the cases. Mean LogMAR best-corrected visual acuity (BCVA) improved significantly from 2.45±0.66 preoperatively to 1.37±0.75 at the end of the follow-up (P<0.001). BCVA improved in 37 eyes (72%), remained the same in eleven eyes (22%) and worsened in three eyes (6%). Postoperative hypotony was observed in 2% of cases. Postoperative BCVA was significantly correlated with preoperative BCVA (P<0.001), extension of PVR (P=0.013), preoperative use of gas instead of silicone oil (SO) (P=0.01), and removal of SO (P=0.05). SO was left in situ in 35% of eyes. In conclusion, retinectomy is a surgical option providing good anatomical and reasonable visual outcomes in complicated retinal detachment with PVR. Better preoperative visual acuity, lesser extension of PVR, and the use of gas tamponade during the primary repair are relevant factors for a successful outcome whereas re-proliferation of epiretinal membranes seems to be the main reason of anatomical failure.

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Section: Discussioncontrasting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Anatomic and functional outcomes of retinectomy for the management of complicated retinal detachment with proliferative vitreoretinopathy

Tranos¹,

Vakalis²,

Asteriadis³

et al. 2015

TCRM

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show abstract

Principles in the Management of Proliferative Vitreoretinopathy

Nagpal¹,

Wachasundar²,

Mohan³

et al. 2021

Cutting-Edge Vitreoretinal Surgery

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Comparison of Viscoelastic Substance Injection Versus Air Filling in the Anterior Chamber During Foldable Capsular Vitreous Body (FCVB) Implant Surgery: A Prospective Randomized Controlled Trial

et al. 2021

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Introduction To compare the outcomes of viscoelastic substance injection with air filling in the anterior chamber during foldable capsular vitreous body (FCVB) implant surgery in patients with severe retinal disease. Methods Thirty eyes with severe retinal diseases were randomly divided into two groups. In the viscoelastic group, 0.15-0.2 mL of 1.7% sodium hyaluronate was injected into the anterior chamber after FCVB implantation; in the air group, the anterior chamber was maintained by filling the air after FCVB implant surgery. The eyes of treated patients were examined during a 24-week follow-up appointment. Data, including intraocular pressure (IOP), the difference between preoperative and postoperative IOP, and postoperative complications, were recorded. Results Data collected from 27 eyes were used in the final analysis. The IOP of the air group was lower than that of the viscoelastic group from the first to third postoperative day ( P < 0.01). Moreover, the difference between preoperative and postoperative IOP in the viscoelastic group was significantly smaller than that in the air group from the first to third postoperative day ( P < 0.01). After the 1st postoperative week, postoperative IOP values were similar in the two groups ( P > 0.05). Postoperative complications in the air group and the viscoelastic group included corneal blood staining (1 eye vs. 0 eyes), transient postoperative diffuse hemorrhage (5 eyes vs. 1 eye), inflammation reaction (9 eyes vs. 4 eyes), and postoperative fibrin exudation (4 eyes vs. 1 eye), respectively. Conclusion The use of viscoelastic substances in the anterior chamber during FCVB implant surgery was associated with less fluctuation in postoperative IOP and could reduce postoperative complications. Registration Number ChiCTR-TNC-00000396. Supplementary Information The online version contains supplementary material available at 10.1007/s12325-021-01840-5.

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Combined Large Radial Retinotomy and Circumferential Retinectomy in the Management of Advanced Proliferative Vitreoretinopathy

Cited by 20 publications

References 5 publications

Anatomic and functional outcomes of retinectomy for the management of complicated retinal detachment with proliferative vitreoretinopathy

Anatomic and functional outcomes of retinectomy for the management of complicated retinal detachment with proliferative vitreoretinopathy

Principles in the Management of Proliferative Vitreoretinopathy

Comparison of Viscoelastic Substance Injection Versus Air Filling in the Anterior Chamber During Foldable Capsular Vitreous Body (FCVB) Implant Surgery: A Prospective Randomized Controlled Trial

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