Ophthalmic Evaluation and Management of Traumatic Accidents Associated with Retinal Breaks and Detachment: A Retrospective Study

Nuzzi, Raffaele; Buschini, Elisa; Actis, Alessandro Guido

doi:10.5301/ejo.5000088

Cited by 4 publications

(2 citation statements)

References 22 publications

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“…However, it is important to distinguish RD in early adulthood and childhood, as in young adults especially, congenital eye diseases can still play a role and trauma-related injuries often occur in this age group. [14][15][16][17] In addition, children below 6 years of age who present with RD are a special challenge to vitreoretinal surgeons because the particularities of the vitreous and the primary growth of the eye have to be considered. Therefore, we investigated and compared the various causes, clinical and anatomic characteristics, surgical approaches, and outcomes of RD in childhood and in early adulthood to obtain more insight into differences between the two age groups.…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics and surgical outcome of pediatric and early adulthood retinal detachment

Eibenberger

Sacu

Rezar‐Dreindl

et al. 2020

European Journal of Ophthalmology

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Objective: The aim of this study was to evaluate and compare the underlying pathologies, demographic and retinal detachment characteristics in pediatric and early adulthood retinal detachment. Methods: Patients with rhegmatogenous, serous, or tractional retinal detachment aged 0–26 years were retrospectively reviewed. The preschool group (n = 4) comprised children aged 0–6 years, the pediatric group (n = 19) comprised children aged 7–16 years, and the early adulthood group (n = 13) aged 17–26 years. Demographic information and retinal detachment characteristics, type of surgery, and intraocular tamponade were analyzed. Postoperatively, the functional outcome, anatomic success, and ocular adverse events were evaluated. Due to the low patient number in the preschool group, statistical analysis was performed for pediatric group and early adulthood group only. Results: All causes of retinal detachment were present in the pediatric group, but only rhegmatogenous retinal detachment in the early adulthood group. In both groups, the main type of surgical intervention was pars plana vitrectomy (pediatric group: 52%, early adulthood group: 38%; p = 0.36). The type of intraocular tamponade varied statistically significantly between the groups (p = 0.014). Silicone oil was the main intraocular tamponade in the pediatric group (48%), whereas no tamponade (54%) followed by gas tamponade (46%) in the early adulthood group. Final attachment rate was similar in both groups (pediatric group: 89%, early adulthood group: 100%; p = 0.35). Re-detachment occurred significantly sooner in the pediatric group (1.3 ± 0.3 months) than in the early adulthood group (4.3 ± 1.4 months; p = 0.03). Conclusion: In pediatric and early adulthood retinal detachment, pars plana vitrectomy appeared as a successful surgical intervention. Re-attachment rate and re-treatment were similar in both groups with a better functional outcome observed in cases of retinal detachment in early adulthood and poorer results in young children.

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Section: Introductionmentioning

confidence: 99%

Clinical characteristics and surgical outcome of pediatric and early adulthood retinal detachment

Eibenberger

Sacu

Rezar‐Dreindl

et al. 2020

European Journal of Ophthalmology

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“…OGI is often accompanied by corneal injury, iris prolapse, 3 traumatic cataracts, 4 and retinal detachment. 5 Currently, surgery is the main treatment for OGI. 6 Even with surgical suture, OGI causes severe damages to vision and even blindness in some circumstances.…”

Section: Introductionmentioning

confidence: 99%

Altered spontaneous brain activity patterns in patients with unilateral acute open globe injury using amplitude of low-frequency fluctuation: a functional magnetic resonance imaging study

Tan¹,

Huang²,

Ye³

et al. 2016

NDT

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ObjectiveThe aim of this study was to evaluate altered spontaneous brain activities in patients with unilateral acute open globe injury (OGI) using amplitude of low-frequency fluctuation (ALFF) method and its relationship with their clinical manifestations.Patients and methodsA total of 18 patients with acute OGI (16 males and two females) and 18 healthy controls (HCs, 16 males and two females) closely matched in age, sex, and education were recruited in this study. The ALFF method was used to evaluate the altered spontaneous brain activities. The relationships between the mean ALFF signal values of different brain regions and the clinical features were evaluated by correlation analysis. Acute OGI patients were distinguished from HCs by receiver operating characteristic curve.ResultsCompared with HCs, acute OGI patients had significantly higher ALFF values in the left cuneus, left middle cingulum cortex, and bilateral precuneus. Furthermore, the age of OGI patients showed a negative correlation with the ALFF signal value of the left middle cingulum cortex (r=−0.557, P=0.016) and a negative correlation with the mean ALFF signal value of the bilateral precuneus (r=−0.746, P<0.001). The ALFF signal value of the bilateral precuneus was negatively correlated with the duration of OGI (r=−0.493, P=0.038) and positively correlated with the vision acuity of the injured eye (r=0.583, P=0.011).ConclusionAcute OGI mainly induces dysfunction in the left cuneus, left middle cingulum cortex, and bilateral precuneus, which may reflect the underlying pathologic mechanisms of abnormal brain activities in OGI patients.

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Traumatic retinal detachment: A contemporary update

Chauhan,

Dave,

de Ribot

et al. 2024

Survey of Ophthalmology

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Ophthalmic Evaluation and Management of Traumatic Accidents Associated with Retinal Breaks and Detachment: A Retrospective Study

Abstract: Detailed clinical history, well-done preoperative examination, early diagnosis, and prompt parasurgical or surgical repair are significant prognostic factors for better visual outcome and lower incidence of relapse.

Cited by 4 publications

References 22 publications

Clinical characteristics and surgical outcome of pediatric and early adulthood retinal detachment

Clinical characteristics and surgical outcome of pediatric and early adulthood retinal detachment

Altered spontaneous brain activity patterns in patients with unilateral acute open globe injury using amplitude of low-frequency fluctuation: a functional magnetic resonance imaging study

Traumatic retinal detachment: A contemporary update

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