Pars plana vitrectomy combined with scleral buckle versus pars plana vitrectomy for giant retinal tear

Gutiérrez, Mario; Rodríguez, José Luis Martín; Cruz, Diego Zamora-de La; Pimentel, Mariana A. Flores; Jiménez-Corona, Aída; Novak, Linda C.; Hidalgo, Rene Cano; Graue, Federico

doi:10.1002/14651858.cd012646

Cited by 4 publications

(1 citation statement)

References 53 publications

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“…Silicone oil (SO) is one of the major tamponading agents, that are used during pars plana vitrectomy for eyes with rhegmatogenous retinal detachment (RRD). It is used with high efficacy in eyes with either simple or complex RRD [ 1 – 6 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of duration of silicone oil tamponade on foveal and parafoveal thickness in rhegmatogenous retinal detachment: a retrospective cohort study

Ewais,

Ali,

Aboalazayem

2024

Int Ophthalmol

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Purpose To detect and analyze the influence of the duration of tamponade with silicone oil on the foveal and parafoveal thickness in cases of rhegmatogenous retinal detachment. Methods This is a retrospective cohort study of 64 eyes with rhegmatogenous retinal detachment in one eye who underwent pars plana vitrectomy (PPV) with silicone oil injection during the period between January 2019 and December 2021. The patients were divided into 2 groups. Group A with early removal of the silicone oil after 3–4 months and Group B with late removal of the silicone oil (SOR) after 6–8 months. The 2 groups were compared as regards the central foveal (CFT) and parafoveal (PFT) thickness changes from baseline, just before SOR, and after SOR. Changes in best corrected visual acuity (BCVA), relative risk of severe thinning. It was conducted at Kasr Alainy Hospital. Results 64 eyes were enrolled in the study. Group A included 36 eyes, and group B included 28 eyes. The mean CFT changed insignificantly from 253 ± 52 μm to 252 ± 48 μm after SOR in group A; while it changed significantly from 211 ± 52 μm to 202 ± 46 μm after SOR in group B. The mean PFT decreased insignificantly from 299 ± 39 μm to 297 ± 40 μm in group A, while it decreased significantly from 284 ± 46 μm to 273 ± 44 μm in group B. Lines of improvement of BCVA were 4.11 ± 1.88 in group A, and 2.00 ± 1.24 in group B. Relative risk of severe foveal thinning after SOR was 14.3, and severe parafoveal thinning was 15.43, in group B compared to group A. Conclusion Longer period of silicone oil tamponade may carry a higher risk for severe foveal and parafoveal thinning after silicone oil removal. Trial registration The study was registered at clinical trial.gov under the title of (Duration of silicone oil tamponade on foveal and parafoveal thickness in Rhegmatogenous Retinal Detachment) with an ID NCT05817630 at April 2023 “retrospectively registered”.

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Section: Introductionmentioning

confidence: 99%

Impact of duration of silicone oil tamponade on foveal and parafoveal thickness in rhegmatogenous retinal detachment: a retrospective cohort study

Ewais,

Ali,

Aboalazayem

2024

Int Ophthalmol

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Pars plana vitrectomy combined with scleral buckle versus pars plana vitrectomy for giant retinal tear

Gutiérrez¹,

Rodríguez²,

Cruz³

et al. 2019

Cochrane Database of Systematic Reviews

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Predictive factors of epiretinal membrane in complicated rhegmatogenous retinal detachment tamponaded with silicone oil

Qian,

Sun,

Mijit

et al. 2023

Int J Ophthalmol

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AIM: To determine the incidence and predictive factors for epiretinal membrane (ERM) formation in eyes with complicated primary rhegmatogenous retinal detachment (RRD) tamponaded with silicone oil (SO). METHODS: This retrospective case-control study included 141 consecutive patients with (51 eyes) and without (90 eyes) ERM formation after primary pars plana vitrectomy (PPV) and SO tamponade for complicated RRD. The risk factors for ERM were assessed using logistic regression analysis. RESULTS: The prevalence of postoperative ERM was 36.2% (51/141). Multivariate logistic regression analysis showed that the risk factors for ERM in SO-tamponaded eyes included preoperative proliferative vitreoretinopathy [PVR; odds ratio (OR), 2.578; 95% confidence interval (CI) 1.580–4.205, P<0.001], preoperative choroidal detachment (OR, 4.454; 95%CI 1.369–14.498, P=0.013), and photocoagulation energy (OR, 2.700; 95%CI 1.047–6.962, P=0.040). The duration of the preoperative symptoms, intraocular SO tamponade time, giant retinal tear, preoperative vitreous hemorrhage, preoperative best-corrected visual acuity, number of breaks, quadrants of RRD, axial length, and photocoagulation points were not predictive factors for ERM formation. CONCLUSION: Preoperative PVR, choroidal detachment, and photocoagulation energy are risk factors of ERM formation after complicated RRD repair. Better ophthalmic care as well as patient education are necessary for such patients with risk factors.

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Pars plana vitrectomy combined with scleral buckle versus pars plana vitrectomy for giant retinal tear

Cited by 4 publications

References 53 publications

Impact of duration of silicone oil tamponade on foveal and parafoveal thickness in rhegmatogenous retinal detachment: a retrospective cohort study

Impact of duration of silicone oil tamponade on foveal and parafoveal thickness in rhegmatogenous retinal detachment: a retrospective cohort study

Pars plana vitrectomy combined with scleral buckle versus pars plana vitrectomy for giant retinal tear

Predictive factors of epiretinal membrane in complicated rhegmatogenous retinal detachment tamponaded with silicone oil

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