Heavy Versus Standard Silicone Oil in the Management of Retinal Detachment With Macular Hole in Myopic Eyes

Avitabile, Teresio; Bonfiglio, Vincenza; Buccoliero, Donato; Castiglione, Francesco; Reibaldi, Michele; Castaing, Marine; Mistretta, Antonio

doi:10.1097/iae.0b013e3181ec80c7

Cited by 28 publications

(32 citation statements)

References 36 publications

(56 reference statements)

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“…On the other hand, Avitabile et al [46] defended the use of Densiron as the tamponade of choice, maintaining retinal reapplication in 87% of the cases after Densiron extraction compared to 53% after standard silicone oil extraction. A fundamental step when using microincision vitrectomy surgery is choosing a low-viscosity silicone oil to facilitate both injection and extraction.…”

Section: Macular Hole Retinal Detachmentmentioning

confidence: 98%

Myopic Traction Maculopathy

Gómez-Resa

Burés-Jelstrup²,

Mateo³

2014

Microincision Vitrectomy Surgery

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Myopic traction maculopathy is a high myopia-related complication caused by several mechanisms with traction as a common pathway. Macular hole-related retinal detachment is considered to be the final stage of progressive foveoschisis. In this setting, release of all vitreous and epiretinal tractions is essential in order to achieve surgical success. Pars plana vitrectomy has proven useful in the treatment of myopic foveoschisis, with both good visual and anatomical results. However, the surgical technique for the treatment of macular hole-related retinal detachment is still a controversial issue: reoperations are common and the final visual prognosis is limited, especially in those cases with a pronounced posterior staphyloma. We must also bear in mind that a highly myopic eye has some characteristic traits that may complicate vitreoretinal surgery. In these cases, microincision vitrectomy surgery may offer some advantages compared to conventional vitrectomy.

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Section: Macular Hole Retinal Detachmentmentioning

confidence: 98%

Myopic Traction Maculopathy

Gómez-Resa

Burés-Jelstrup²,

Mateo³

2014

Microincision Vitrectomy Surgery

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“…Success rates with vitrectomy appear in general to be better than those following a simple pneumatic procedure, especially if all epiretinal membranes are successfully removed during the former operation [ 29 ]. The value of removing ILM remains somewhat uncertain [ 29 ], although a relatively recent report [ 35 ] in which "double peeling" of cortical vitreous and ILM with triamcinolone and trypan blue, respectively, demonstrated higher reattachment rates and better visual acuities in the cases managed in this fashion.…”

Section: Vitrectomy For Myopic Rrds Due To Macular Holesmentioning

confidence: 93%

Retinal Detachment

Wilkinson

2013

Pathologic Myopia

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“…Silicone oil has a success rate ranging from 66.6% to 100% [53, 54, 65, 66]. High-density silicone oils were compared with standard silicone oil by Avitabile et al [67] and Mete et al [68]. The former reported a better anatomical success rate with Densiron than silicone oil in situ, whereas the latter stated that silicone oil and Densiron seemed equally good surgical options since no statistically significant difference in RD was detected.…”

Section: Current Trends In the Treatment Of Vitreoretinal Diseasesmentioning

confidence: 99%

Tamponade or Filling Effect: Changes of Forces in Myopic Eyes

Semeraro

Morescalchi

Russo

et al. 2014

BioMed Research International

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Myopia is the most common ocular abnormality. Its high and growing prevalence has contributed to a recent surge in surgical interest in the disorder, since retinal detachment in eyes with high myopia differs from that in emmetropic eyes or eyes with low myopia. The myopic eye, because of its specific anatomy, poses special challenges that need to be overcome to ensure the appropriate use of vitreous substitutes. However, intraocular tamponades have shown great potential for revolutionizing retinal detachment surgery and vitreomacular surgery in general in myopic eyes. We provide an updated review of the clinical use of vitreous substitutes in the myopic eye, paying particular attention to analyzing the ideal function of endotamponade agents and comparing the effects of these agents on the physical and biological properties of the eye.

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Heavy Versus Standard Silicone Oil in the Management of Retinal Detachment With Macular Hole in Myopic Eyes

Abstract: Pars plana vitrectomy with densiron is a preferred surgical procedure for the repair of macular hole retinal detachment in highly myopic eyes with posterior staphyloma.

Cited by 28 publications

References 36 publications

Myopic Traction Maculopathy

Myopic Traction Maculopathy

Retinal Detachment

Tamponade or Filling Effect: Changes of Forces in Myopic Eyes

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