Premacular Cortical Vitreous in Patients With a Rhegmatogenous Retinal Detachment

Kimura, Hideya; Kuroda, Shinichiro; Nagata, Makoto

doi:10.1097/00006982-200404000-00032

Cited by 17 publications

(16 citation statements)

References 5 publications

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“…This low rate was unexpected as an undetached cortical vitreous has also been reported to be common (about 70%) in eyes with a PVD and a rhegmatogenous retinal detachment. 23,24 However, our cases with RUCV were not those with a small patch but those with a large circumferential area of vitreoretinal adhesion attached to the macula. This difference in the classification of a RUCV could explain this difference.…”

Section: Discussionmentioning

confidence: 72%

Visual outcome and complications of 25-gauge vitrectomy for rhegmatogenous retinal detachment; 84 consecutive cases

Kunikata

Nishida

2010

Eye

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Purpose To assess the visual outcome and complications of 25-gauge transconjunctival sutureless vitrectomy (25G-TSV) for rhegmatogenous retinal detachments. Methods Retrospective, consecutive, interventional case series of 84 eyes of 84 consecutive patients with RRD who underwent 25G-TSV. All surgeries were performed by a single surgeon at a single centre. Results The initial and final reattachment rates were 95.2 and 100%, respectively. The mean visual acuity improved from 0.78 logarithm of the minimum angle of resolution (logMAR) units to 0.17 logMAR units at the final examination (Po0.001). A macula-off RRD was present preoperatively in 45 of the 84 eyes, and 11 of these eyes (24.4%) developed postoperative retinal complications. Of these complications, one eye had an intraoperative choroidal detachment, five developed a postoperative macular pucker, one eye had a postoperative macular hole, and four eyes developed a retinal redetachment. The percentages of eyes developing retinal complications in the macula-on group (2.6%) was significantly lower than that in the macula-off group (P ¼ 0.004). An intraocular pressure (IOP) X35 mm Hg was detected in five eyes (6.0%) within the first postoperative week. All of these eyes had a macula-off RRD, and none of the eyes with a macula-on RRD had an elevation of the IOP (P ¼ 0.04). Conclusions Our findings indicate that 25G-TSV is a feasible treatment for RRD and leads to retinal reattachment rates comparable with those following conventional vitrectomy. However, intra-and postoperative retinal complications and postoperative elevation of the IOP can occur especially in eyes with a preoperative macula-off RRD.

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Section: Discussionmentioning

confidence: 72%

Visual outcome and complications of 25-gauge vitrectomy for rhegmatogenous retinal detachment; 84 consecutive cases

Kunikata

Nishida

2010

Eye

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“…Vitreoschisis at the foveal region was demonstrated by scanning electron microscopy in nearly one-half of autopsied eyes that apparently had undergone posterior vitreal detachment. 25 Using triamcinolone acetonide, Kimura et al 26 reported the presence of residual cortical vitreous at the macula in 66.7% of eyes with RRD during PPV. Remnants of the vitreal cortex attached to the macula may, in turn, cause traction and MH formation.…”

Section: Discussionmentioning

confidence: 99%

Macular Hole After Vitrectomy for Primary Rhegmatogenous Retinal Detachment

Fabian

Moisseiev

et al. 2012

Retina

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“…1986). Kimura et al. (2004) showed remnant vitreous at the macula using triamcinolone acetonide during vitrectomy in eyes with RD.…”

Section: Patient Detailsmentioning

confidence: 99%

“…Persistent prefoveal vitreous has been demonstrated despite spontaneous PVD in 44% of normal autopsy eyes using scanning electron microscopy (Kishi et al 1986). Kimura et al (2004) showed remnant vitreous at the macula using triamcinolone acetonide during vitrectomy in eyes with RD. Whatever the mechanism, the strongly adherent vitreous may be difficult to remove from the macula during vitrectomy, particularly with a bullous detachment.…”

mentioning

confidence: 95%