Giant Retinal Tears

Successful Outcomes of 25- and 23-Gauge Vitrectomies for Giant Retinal Tear Detachments

“…With additional surgeries, the highest success rate was better than 90%. 22,23 Although there are no reports of case series of giant retinal tear treated with MIVS, we achieved an anatomical success rate of more than 90% after the initial surgery with MIVS, which suggests that even MIVS has similar results as reported by Chang et al 6 Although the follow-up period in our patients was 6 months or more with a mean of 12 months, the number of treated patients was sufficient for us to conclude that MIVS as a primary surgery for giant retinal tear had better but not significantly better success rates than that with conventional 20-gauge PPV as reported recently by Lee et al 1 (71 of 99, 71.7%; P = .12, Fisher's exact probability test) and Al-Khairi et al 23 (92 of 117, 78.6%; P = .26, Fisher's exact probability test).…”

“…The highest primary success rate for giant retinal tear treated by 20-gauge PPV was that of Chang et al, who first introduced 20-gauge PPV using PFCL without scleral buckling in 1989. 6 Their rate was 94% with a minimum follow-up period of 6 months. Thus, the use of 20-gauge PPV to treat giant retinal tear has made the reattachment rate high using PFCL without buckling.…”

Successful Outcomes of 25- and 23-Gauge Vitrectomies for Giant Retinal Tear Detachments

“…With additional surgeries, the highest success rate was better than 90%. 22,23 Although there are no reports of case series of giant retinal tear treated with MIVS, we achieved an anatomical success rate of more than 90% after the initial surgery with MIVS, which suggests that even MIVS has similar results as reported by Chang et al 6 Although the follow-up period in our patients was 6 months or more with a mean of 12 months, the number of treated patients was sufficient for us to conclude that MIVS as a primary surgery for giant retinal tear had better but not significantly better success rates than that with conventional 20-gauge PPV as reported recently by Lee et al 1 (71 of 99, 71.7%; P = .12, Fisher's exact probability test) and Al-Khairi et al 23 (92 of 117, 78.6%; P = .26, Fisher's exact probability test).…”

“…The highest primary success rate for giant retinal tear treated by 20-gauge PPV was that of Chang et al, who first introduced 20-gauge PPV using PFCL without scleral buckling in 1989. 6 Their rate was 94% with a minimum follow-up period of 6 months. Thus, the use of 20-gauge PPV to treat giant retinal tear has made the reattachment rate high using PFCL without buckling.…”

Management of Subfoveal Perfluorocarbon Liquid: A Review

“…It is different from saline in refractive index and is immiscible with water, blood, and silicone oil. Since its first use by Stanley Chang to reattach the retina in eyes with proliferative vitreoretinopathy (PVR) and giant tear retinal detachment (RD), PFCL has become widely used for primary or recurrent RD complicated by a giant retinal tear, PVR, or penetrating ocular trauma [1, 2]. It is also used to float a dislocated crystalline lens or intraocular lens and to evacuate hemorrhage from the subretinal or suprachoroidal space.…”

Surgery for Retinal Detachment in Patients With Giant Retinal Tear: Etiologies, Management Strategies, and Outcomes

“…retinal tears constituted 17% to 30% of the studied population. 9,[11][12][13][14][15] In the current study, a history of nonpenetrating blunt trauma was present in 22% of eyes. A history of high myopia was the single most identifiable etiology in the study population (25%).…”

Successful Outcomes of 25- and 23-Gauge Vitrectomies for Giant Retinal Tear Detachments

“…With additional surgeries, the highest success rate was better than 90%. 22,23 Although there are no reports of case series of giant retinal tear treated with MIVS, we achieved an anatomical success rate of more than 90% after the initial surgery with MIVS, which suggests that even MIVS has similar results as reported by Chang et al 6 Although the follow-up period in our patients was 6 months or more with a mean of 12 months, the number of treated patients was sufficient for us to conclude that MIVS as a primary surgery for giant retinal tear had better but not significantly better success rates than that with conventional 20-gauge PPV as reported recently by Lee et al 1 (71 of 99, 71.7%; P = .12, Fisher's exact probability test) and Al-Khairi et al 23 (92 of 117, 78.6%; P = .26, Fisher's exact probability test).…”

“…The highest primary success rate for giant retinal tear treated by 20-gauge PPV was that of Chang et al, who first introduced 20-gauge PPV using PFCL without scleral buckling in 1989. 6 Their rate was 94% with a minimum follow-up period of 6 months. Thus, the use of 20-gauge PPV to treat giant retinal tear has made the reattachment rate high using PFCL without buckling.…”

Management of Subfoveal Perfluorocarbon Liquid: A Review

“…It is different from saline in refractive index and is immiscible with water, blood, and silicone oil. Since its first use by Stanley Chang to reattach the retina in eyes with proliferative vitreoretinopathy (PVR) and giant tear retinal detachment (RD), PFCL has become widely used for primary or recurrent RD complicated by a giant retinal tear, PVR, or penetrating ocular trauma [1, 2]. It is also used to float a dislocated crystalline lens or intraocular lens and to evacuate hemorrhage from the subretinal or suprachoroidal space.…”

Surgery for Retinal Detachment in Patients With Giant Retinal Tear: Etiologies, Management Strategies, and Outcomes

“…retinal tears constituted 17% to 30% of the studied population. 9,[11][12][13][14][15] In the current study, a history of nonpenetrating blunt trauma was present in 22% of eyes. A history of high myopia was the single most identifiable etiology in the study population (25%).…”

Successful Outcomes of 25- and 23-Gauge Vitrectomies for Giant Retinal Tear Detachments

“…With additional surgeries, the highest success rate was better than 90%. 22,23 Although there are no reports of case series of giant retinal tear treated with MIVS, we achieved an anatomical success rate of more than 90% after the initial surgery with MIVS, which suggests that even MIVS has similar results as reported by Chang et al 6 Although the follow-up period in our patients was 6 months or more with a mean of 12 months, the number of treated patients was sufficient for us to conclude that MIVS as a primary surgery for giant retinal tear had better but not significantly better success rates than that with conventional 20-gauge PPV as reported recently by Lee et al 1 (71 of 99, 71.7%; P = .12, Fisher's exact probability test) and Al-Khairi et al 23 (92 of 117, 78.6%; P = .26, Fisher's exact probability test).…”

“…The highest primary success rate for giant retinal tear treated by 20-gauge PPV was that of Chang et al, who first introduced 20-gauge PPV using PFCL without scleral buckling in 1989. 6 Their rate was 94% with a minimum follow-up period of 6 months. Thus, the use of 20-gauge PPV to treat giant retinal tear has made the reattachment rate high using PFCL without buckling.…”

Management of Subfoveal Perfluorocarbon Liquid: A Review

“…It is different from saline in refractive index and is immiscible with water, blood, and silicone oil. Since its first use by Stanley Chang to reattach the retina in eyes with proliferative vitreoretinopathy (PVR) and giant tear retinal detachment (RD), PFCL has become widely used for primary or recurrent RD complicated by a giant retinal tear, PVR, or penetrating ocular trauma [1, 2]. It is also used to float a dislocated crystalline lens or intraocular lens and to evacuate hemorrhage from the subretinal or suprachoroidal space.…”

Surgery for Retinal Detachment in Patients With Giant Retinal Tear: Etiologies, Management Strategies, and Outcomes

“…retinal tears constituted 17% to 30% of the studied population. 9,[11][12][13][14][15] In the current study, a history of nonpenetrating blunt trauma was present in 22% of eyes. A history of high myopia was the single most identifiable etiology in the study population (25%).…”