Retinal detachment in south India—presentation and treatment outcomes

Jalali, Subhadra; Yorston, David; Shah, Nikunj J; Das, Taraprasad; Majji, Ajit B; Hussain, Nazimul; Nutheti, Rishita

doi:10.1007/s00417-004-1085-6

Cited by 23 publications

(30 citation statements)

References 19 publications

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“…Reflecting on the diverse nature of the Indian population and variable regional services, the current study was conducted to investigate patterns and attributes of RD in Northern India. We found a higher number of pseudophakic patients, macula off detachments and bilateral RDs than other developing nations like Kenya (Yorston et al, 2002), South Africa (Peters, 1995), Nepal (Malla et al, 2009), Pakistan (Jamil et al, 2012), south India (Jalali et al, 2005) and other developed nations (Mitry et al, 2010). Discussing reasons and implications for the same is beyond the scope of this study (unpublished data).…”

Section: Discussionmentioning

confidence: 48%

“…Although a notable study regarding patterns of RD from southern India has been done (Jalali et al, 2005), there is a void of information from Northern India. Reflecting on the diverse nature of the Indian population and variable regional services, the current study was conducted to investigate patterns and attributes of RD in Northern India.…”

Section: Discussionmentioning

confidence: 99%

“…Reports from other developing nations have echoed the need for better structuring and strengthening of programs for managing rather a less prioritized pathology like retinal detachment (RD) (Jalali et al, 2005;Yorston et al, 2002) . However, literature still lacks data regarding RD in India, more so from the northern region (Jalali et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Clinical Patterns and risk factors for rhegmatogenous retinal detachment at a tertiary eye care centre of northern India

et al. 2017

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Purpose: To identify patterns and risk factors for rhegmatogenous retinal detachment (RD) in northern India. Methods: This was a retrospective study conducted at a tertiary care centre in northern India. 378 consecutive records of patient, operated between January 2011 to June 2012 were included for analysis. Clinical history, signs and risk factors of RD were evaluated. Comparison was done with available literature from other developing nations. Results: Mean age of the patients was 40.12 + 20.43 years (Range 12-85 years); 81% were male and half of the patients presented after 1 month of visual symptoms. Retinal breaks were discovered commonly in the temporal region, while no break was found in10% of the patients. PVR more than grade C was seen in a third of the patients. Prior surgery for cataract was found to be the most common identifiable risk factor for RD (40%). Bilateral RD was seen in 13% of the patients. Conclusion: Pseudophakia is the commonest risk factor for RD. If no retinal break is discovered pre operatively, the surgeon should seek a retinal break temporally during surgery. Bilateral RD is a serious concern for rural northern India, probably linked to delayed presentation.Keywords : retinal detachment in northern India, risk factors for retinal detachment, bilateral retinal detachment, rhegmatogenous retinal detachment Takkar Et al Rhegmatogenous retinal detachment in Northern India Nepal J Ophthalmol 2017; 9(17): 60-65

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Section: Discussionmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical Patterns and risk factors for rhegmatogenous retinal detachment at a tertiary eye care centre of northern India

et al. 2017

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“…The anatomical outcomes were comparable to a large study with various grades of PVR (71%) in normal eyes with RRD done at our center. 7 As most eyes with albinism may not have normal visual acuity due to nystagmus and foveal hypoplasia, 8 comparison with visual outcomes with non-albinotic cases would be irrelevant. At the last follow-up, all eyes showed improvement or stabilization of vision.…”

Section: Discussionmentioning

confidence: 99%

Surgical challenges and outcomes of rhegmatogenous retinal detachment in albinism

Sinha

Chhablani

Shah

et al. 2015

Eye

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Purpose To report the outcomes and surgical difficulties during rhegmatogenous retinal detachment (RRD) repair in patients with albinism. Methods Retrospective analysis of 10 eyes of 9 patients with albinism that underwent RRD repair was performed. Collected data included demographic details, preoperative examination details, surgical procedure, surgical difficulties, anatomical, and visual outcomes. Outcome measures were retinal reattachment and visual acuity at the last follow-up. Results Mean preoperative best-corrected visual acuity (BCVA) was logMAR (Logarithm of the Minimum Angle of Resolution) 2.15 (range 0.9-3.0) with preoperative localization of causative break in six eyes. One eye had proliferative vitreoretinopathy grade C1 preoperatively. Four eyes underwent scleral buckling (SB) and six underwent 20G pars plana vitrectomy (PPV) with silicone oil injection. Intraoperative complication as iatrogenic retinal break occurred in four eyes. For retinopexy during vitrectomy, endolaser delivery was possible in three out of six eyes, whereas three eyes had cryopexy. The mean follow-up was 12 months in SB group (range 1-12; median 12 months) and 5.33 months (range 1-12; median 3 months) in PPV group. Among vitrectomized eye, two eyes had recurrence at 3 months with oil in situ. Rest of the eyes had attached retina at last follow-up. Mean BCVA at last follow-up was logMAR − 1.46 (range 0.7-2.0) with mean improvement of − 0.57 logMAR. Conclusions Identification of break, induction of posterior vitreous detachment, and endolaser delivery may be difficult during RRD repair in patients with albinism. The incidence of PVR appeared less in these eyes. Both SB and PPV were efficacious and appear to be good surgical techniques for use in this patient population.

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“…The Ophthalmic Procedure Assessment of the American Academy of Ophthalmology recommended that fovea-on RD should be operated on as soon as possible, preferably within 24 hours. 12 Another problem is that more than two thirds of new patients (68%, 4 75%, 13 and 86.8% 14 ) according to the previous reports already have macula-off RD when they visited the outpatient clinic of the operating facilities. Quinn et al 15 reported that avoidable delays in presentation of patients with RD to a tertiary referral center caused by inadequate referral pathway and inadequate public awareness of ophthalmic emergencies should be eliminated.…”

mentioning

confidence: 98%

Quick Referral and Urgent Surgery to Preempt Foveal Detachment in Retinal Detachment Repair

Kikushima¹,

Imai²,

Hirano³

et al. 2014

Asia-Pacific Journal of Ophthalmology

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Retinal detachment in south India—presentation and treatment outcomes

Cited by 23 publications

References 19 publications

Clinical Patterns and risk factors for rhegmatogenous retinal detachment at a tertiary eye care centre of northern India

Clinical Patterns and risk factors for rhegmatogenous retinal detachment at a tertiary eye care centre of northern India

Surgical challenges and outcomes of rhegmatogenous retinal detachment in albinism

Quick Referral and Urgent Surgery to Preempt Foveal Detachment in Retinal Detachment Repair

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