Complications of vitreoretinal surgery

Belin, Peter J.; Parke, David W.

doi:10.1097/icu.0000000000000652

Cited by 24 publications

(19 citation statements)

References 60 publications

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“…Vitrectomy is the most frequently performed vitreoretinal surgery, used for the treatment of many posterior segment disorders. Nuclear sclerotic cataract formation is one of the most common complications of vitrectomy, progressing, in particular, in the first few years following vitrectomy [ 19 , 20 ]. In contrast to cataract surgeries, RD repair is considered an ophthalmic emergency.…”

Section: Resultsmentioning

confidence: 99%

Retinal detachment during COVID-19 era: a review of challenges and solutions

Roshanshad

Binder

2021

Spektrum Augenheilkd.

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Summary Background Since the beginning of the Coronavirus disease 2019 (COVID-19) pandemic, there have been obstacles in the proper diagnosis and management of many diseases. We evaluated the changes in retinal detachment (RD) presentation and surgery during the COVID-19 pandemic and propose solutions to minimize the detrimental effects of lockdown on RD diagnosis. Materials and methods PubMed, Embase, Scopus, Web of Science, and Google Scholar were searched for relevant articles with the keywords “Retinal detachment” AND “Coronavirus OR COVID-19 OR SARS OR MERS.” Results The COVID-19 lockdown was associated a 53–66% reduction in RD presentation. The decrease in the rate of macula-on RD, the increase in the mean duration of symptoms, and the rise in the number of patients with proliferative vitreoretinopathy were all suggestive of a delayed presentation of RD. Moreover, a drop of 56–62% in RD repair surgeries was observed. However, the most frequently performed ophthalmic surgery changed from cataract surgery in April 2019 to RD repair in April 2020. Using phacovitrectomy instead of vitrectomy alone can reduce the number of operations in ophthalmology centers, decrease the use of personal protective equipment by 50%, and cut costs per patient by 17–20%. Also, developing a well-organized telemedicine system can decrease unnecessary visits and delayed presentations. Conclusion Delay in RD presentation and surgery is associated with a poorer prognosis. Optimizing the guidelines of RD management and developing a well-organized telemedicine system can minimize the impact of lockdown on RD management.

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Section: Resultsmentioning

confidence: 99%

Retinal detachment during COVID-19 era: a review of challenges and solutions

Roshanshad

Binder

2021

Spektrum Augenheilkd.

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“…However, because of individual variability in the surgical anatomy that each case presents, diabetic vitrectomy continues to be one of the most difficult conditions to treat. In addition, it has postoperative consequences such as rhegmatogenous retinal detachment, development of cataracts, proliferation of diabetic fibrovascular membranes, vitreous hemorrhage, appearance of epiretinal membranes, elevated intraocular pressure, and neurovascular glaucoma[ 35 - 37 ].…”

Section: The Importance Of Looking For New Therapeutic Targets In Diabetic Retinopathy: Actual Therapiesmentioning

confidence: 99%

Cellular targets in diabetic retinopathy therapy

Rodriguez¹,

Millán²,

Ortega³

2021

WJD

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Despite the existence of treatment for diabetes, inadequate metabolic control triggers the appearance of chronic complications such as diabetic retinopathy. Diabetic retinopathy is considered a multifactorial disease of complex etiology in which oxidative stress and low chronic inflammation play essential roles. Chronic exposure to hyperglycemia triggers a loss of redox balance that is critical for the appearance of neuronal and vascular damage during the development and progression of the disease. Current therapies for the treatment of diabetic retinopathy are used in advanced stages of the disease and are unable to reverse the retinal damage induced by hyperglycemia. The lack of effective therapies without side effects means there is an urgent need to identify an early action capable of preventing the development of the disease and its pathophysiological consequences in order to avoid loss of vision associated with diabetic retinopathy. Therefore, in this review we propose different therapeutic targets related to the modulation of the redox and inflammatory status that, potentially, can prevent the development and progression of the disease.

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“…Безусловно, ВЭ является операцией выбора при наличии тотальных и субтотальных отслоек сетчатки, отслоек с множественными разрывами, расположенными в разных квадрантах глазного дна, гигантскими разрывами и выраженным нарушением прозрачности оптических сред. Тем не менее ВЭ ассоциируется с отно-сительно высоким процентом осложнений, варьирующим в зависимости от предпочтительного тампонирующего агента, и его применение у пациентов с прозрачным хрусталиком, интактной макулой и высокими зрительными функциями нежелательно [15,16]. Кроме того, рецидивы после ВЭ составляют, по данным разных авторов, от 13,3% до 20,9% [7,8,10,13].…”

Section: актуальностьunclassified

Long-term outcomes combined minimally invasive laser surgical technique for local rhegmatogenous retinal detachment

Doga¹,

Shkvorchenko²,

Kryl³

et al. 2021

Russian Journal of Clinical Ophthalmology

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Aim: to evaluate the long-term clinical efficacy of the combined (laser plus surgical) minimally invasive technique for rhegmatogenous retinal detachment (RRD). Patients and Methods: treatment results of 41 patients (41 eyes) with local RRD resulting from horseshoe retinal tear were analyzed. All patients underwent wide-field optical coherence tomography (OCT) to localize and measure pathological vitreoretinal adhesions at the site of retinal tear. The next step was a combined laser surgical procedure that included Nd: YAG dissection of pathological vitreoretinal adhesion zone, pneumatic retinopexy (10% C3F8), and barrier laser retinal photocoagulation (LRP) after reattachment. Postoperatively, eye exams were performed after 3 and 7 days, 3, 6, 12, 18, and 24 months. Results: complete reattachment was achieved in 38 patients (92.7%) on day 2 or 3. No reattachment was seen in three patients (7.3%); of them, subretinal gas migration was observed in two patients (4.9%), and partial reattachment was detected in one patient (2.4%) with pseudophakia. Recurrent RRD occurred in 3 patients (7.9%) because of new inferior retinal breaks. In four patients (10.5%), postoperative wide-field OCT of the area of the initial retinal tear performed after reattachment revealed additional pathological vitreoretinal adhesions in the adjacent areas (that were not identified preoperatively). These patients underwent additional LRP around the areas of pathological vitreoretinal adhesions. No recurrent RRDs were seen during follow-up. Conclusion: combined minimally invasive laser surgical technique for local PPDs demonstrated high efficacy (92.7%). This technique was the effective in local retinal detachment resulting from a single superior horseshoe retinal tear in patients with crystalline lens. In some cases, pseudophakia is a technical obstacle to this procedure. Postoperative wide-field OCT is recommended to detect additional pathological vitreoretinal adhesions and to perform LRP around them to reduce the risks of recurrent RRDs greatly. Keywords: rhegmatogenous retinal detachment, optical coherence tomography, Nd: YAG laser retinotomy, vitreoretinal traction. For citation: Doga A.V., Shkvorchenko D.O., Kryl L.A. et al. Long-term outcomes combined minimally invasive laser surgical technique for local rhegmatogenous retinal detachment. Russian Journal of Clinical Ophthalmology. 2021;21(2):63–68. DOI: 10.32364/2311-7729-2021-21-2-63-68.

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Complications of vitreoretinal surgery

Cited by 24 publications

References 60 publications

Retinal detachment during COVID-19 era: a review of challenges and solutions

Retinal detachment during COVID-19 era: a review of challenges and solutions

Cellular targets in diabetic retinopathy therapy

Long-term outcomes combined minimally invasive laser surgical technique for local rhegmatogenous retinal detachment

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