Posterior pole retinotomy for treatment of recurrent macular hole retinal detachment in highly myopic eyes: a pilot study

Wang, Xianggui; Zhou, Xuezhi; Zhu, Ying; Xu, Huizhuo

doi:10.1186/s12886-021-01973-9

Cited by 3 publications

(3 citation statements)

References 27 publications

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“…Recent studies give evidence that this technique is becoming easier to perform; indeed Tsipursky illustrates a simpler, novel and safer option that may be easily adopted in standard surgery. Moreover, if the posterior pole relaxing retinotomy achieves good success in highly myopic patients with recurrent macular hole retinal detachment [ 42 ], it is possible to extrapolate that relaxing retinotomies could be useful in recurrent and refractory full-thickness macular holes.…”

Section: Discussionmentioning

confidence: 99%

Relaxing Retinotomy in Recurrent and Refractory Full-Thickness Macular Holes: The State of the Art

Ventre,

Mus,

Maradei

et al. 2023

Life

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The prevailing standard of care for primary repair of full-thickness macular holes (FTMHs) is pars plana vitrectomy with internal limiting membrane (ILM) peeling and gas tamponade, as it gives a high closure rate of roughly 90%. On the other hand, the surgical management of recurrent and refractory FTMHs represents, so far, a demanding and debated subject in vitreoretinal surgery since various approaches have been proposed, with no consensus concerning both adequate selection criteria and the best surgical approach. In addition, the existence of multiple case series/interventional studies showing comparable results and the lack of studies with a direct comparison of multiple surgical techniques may lead to uncertainty. We present an organized overview of relaxing retinotomy technique, a surgical approach available nowadays for the secondary repair of recurrent and refractory FTMHs. Besides the history and the description of the various techniques to perform relaxing retinotomies, we underline the results and the evidence available to promote the use of this surgical approach.

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Section: Discussionmentioning

confidence: 99%

Relaxing Retinotomy in Recurrent and Refractory Full-Thickness Macular Holes: The State of the Art

Ventre,

Mus,

Maradei

et al. 2023

Life

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“…In addition to a complete vitrectomy, attention was paid to removing all traction forces [18] during surgery. Nevertheless, retinectomy was still necessary in 11 eyes due to various factors such as retinal shortening such as in eyes with high axial length [16,18,19] or proliferative tissues prove impossible to separate from the retina [20][21][22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Direct Laser Photocoagulation of the Retinal Pigment Epithelium: A Novel Method to Seal Retinal Breaks during Pars Plana Vitrectomy for Retinal Detachment

Du,

Yang,

Zha

et al. 2023

Discovery Medicine

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Background: This study evaluates the clinical effectiveness of employing direct retinal pigment epithelium (RPE) laser photocoagulation as a technique for achieving chorioretinal adhesion to effectively seal retinal breaks. Methods: A total of 20 eyes from 20 patients were enrolled in the study; all selected eyes exhibited either rhegmatogenous or combined rhegmatogenous-tractional retinal detachment. During vitrectomy, direct RPE laser photocoagulation was executed, employing a power range of 100-150 mW and a duration of 120-200 ms, targeting the peripheries where the edges of each retinal break were anticipated to settle post-reattachment. This treated area's neuroretina thickness was compared to measurements obtained after conventional transretinal laser photocoagulation. Results: Patients were followed for an average duration of 24 months, with a range of 11-46 months. A visible pigmentary reaction in the ophthalmoscopic examination was evident in the treated regions for all but one eye, where the retinal break was situated amidst myelinated nerve fibers. The study encountered no severe complications, and successful retinal reattachment was achieved in all 20 eyes. The mean best-corrected visual acuity (BCVA) at the final follow-up showed a statistically significant improvement compared to preoperative levels (p < 0.0001). A noteworthy difference in neuroretinal thickness was observed one-month post-surgery between areas treated with direct RPE and those treated with transretinal photocoagulation, measuring 217 µm and 104 µm, respectively. Conclusions: Our findings suggest that direct RPE laser photocoagulation is an effective therapeutic intervention for sealing retinal breaks.

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“…X. Wang и соавт. [24] 11 (100 %) пациентам с рецидивирующей ОСМР во время витрэктомии после кругового пилинга ВПМ провели дугообразную ретинотомию от 90 до 120° с височной стороны на расстоянии двух диаметров диска зрительного нерва от МР. Затем в витреальную полость было введено ПФОС до края ретинотомии и выполнена аспирация СРЖ с последующей тампонадой витреальной полости СМ на 1,5-3,0 мес.…”

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Surgical treatment of retinal detachment complicated by a macular hole

Fayzrakhmanov,

Shishkin,

Larina

et al. 2023

Rossijskij oftalʹmologičeskij žurnal

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Retinal detachment with a macular hole is a severe pathology leading to vision loss and disability of the patient. It is most frequently observed in myopes and causes severe damage of functional parameters of the retina. The pathogenesis of the disease is associated with tangential tractions of the inner limiting membrane and the posterior layers of the vitreous that affect the retina of the myopic eye. Modern ophthalmology uses a variety of approaches to the surgical treatment of the pathology. The final functional result primarily depends on how successful the macular hole closure and retinal reattachment are. To achieve this success, various techniques of subretinal fluid drainage can be used. The present literature review was conducted using the Pubmed search engine. We analyzed the articles published from 2000 to 2021. The analysis of research results showed the advantage of the peripheral method of drainage using a perfluoroorganic compound. This technique is relevant both in cases of the peripheral retinal tear and in subretinal fluid aspiration through the retinotomy. The peripheral method of drainage using a perfluoroorganic compound ensures a better functional outcome, which, in case of retinal detachment with a macular hole, mainly depends on the safety of the neuroreceptors of the central zone and the closure of the macular hole.

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Posterior pole retinotomy for treatment of recurrent macular hole retinal detachment in highly myopic eyes: a pilot study

Cited by 3 publications

References 27 publications

Relaxing Retinotomy in Recurrent and Refractory Full-Thickness Macular Holes: The State of the Art

Relaxing Retinotomy in Recurrent and Refractory Full-Thickness Macular Holes: The State of the Art

Direct Laser Photocoagulation of the Retinal Pigment Epithelium: A Novel Method to Seal Retinal Breaks during Pars Plana Vitrectomy for Retinal Detachment

Surgical treatment of retinal detachment complicated by a macular hole

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