Rhegmatogenous retinal detachment treatment guidelines

García‐Arumí, José; Martínez-Castillo, Vicente; Boixadera, Anna; Blasco, Hugo; Marticorena, Joaquín; Zapata, Miguel Ángel; Macià, C.; Distéfano, Laura; Rafart, J.M.; Berrocal, María H.; Zambrano, Andrea; Rui­z–Moreno, J.M.; Figueroa, Marta S.

doi:10.1016/j.oftale.2013.02.002

Cited by 10 publications

(13 citation statements)

References 143 publications

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“…Tada je neophodno izvršiti operaciju. U hirurškom lečenju ablacije retine koriste se: operacija klasičnom metodom ("scleral buckle" operacija), pars plana vitrektomija (PPV) i pneumoretinopeksija (9,10).…”

Section: Uvodunclassified

“…Rezultati naše studije pokazuju zastupljenost oko 15% bolesnika s pseudofakijom i 2% bolesnika s afakijom u ispitivanoj grupi sa RAR, što je u korelaciji sa rezultatima drugih autora (5). Uz operaciju katarakte, primena Nd: YAG laser kapsulotomije potencijalno utiče na nastanak ablacije retine, povećavajući, po nekim autorima, učestalost između 3,8 i 4,9 puta (21), mada nije postignut konsenzus o ovom pitanju (9). Ranta i saradnici su pokazali da petogodišnja kumulativna učestalost javljanja RAR nakon primene kapsulotomije iznosi 2% (22), što je značajnije manje od naših rezultata učestalosti od 5,4% u ispitivanom uzorku.…”

Section: Diskusijaunclassified

“…Pravi i odgovarajući odabir hirurške metode koja će se sprovesti u lečenju RAR predstavlja individualnu odluku operatora, donetu na osnovu preoperativnih klinič-kih nalaza i afiniteta hirurga prema određenoj hirurškoj metodi, što dalje predstavlja značajan prediktivni faktor koji utiče na konačni anatomski uspeh i postoperativni funkcionalni ishod operacije (9). Na osnovu preporuka, klasična metoda se koristi u slučajevima nekomplikovanih RAR, kod postojanja manjeg broja ruptura lokalizovanih u najviše dva kvadranta, u odsustvu PVR-a ili postojanju početnog stadijuma i najčešće kod pacijenata sa providnim sočivom (25).…”

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“…Ovakvi rezultati su uporedivi sa ostalim studijama koje pokazuju da se uspešnost klasične metode kretala u opsegu 75-91% (9,27,28), kao i rezultatima domaćih autora u čijoj studiji je uspešnost iznosila 90,5% (29). Za razliku od klasične metode, naši rezultati pokazaju nešto manju uspešnost PPV metode u odnosu na rezultate ostalih studija, u kojima se uspešnost kretala u rasponu 75-100% (9,30,31). Posledica manjeg anatomskog uspeha PPV metode mogu biti kliničke karakteristike obolelog oka, s obzirom na to da je primena ove metode indikovana kod komplikovanijih slučajeva, tj.…”

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“…kod većeg broja ruptura koje su raspoređene u više od dva kvadranta i prisustva uznapredovalog oblika PVR-a. Prisustvo uznapredovalog oblika PVR-a se povezuje sa značajnim anatomskim neuspehom operacija, čak i nakon primene PPV metode, kada se uspešnost kreće u opsegu 55-71% (9). Iako naši rezultati nisu pokazali statistički značajan uticaj prisustva PVR-a na uspešnost operacije, zbog malog broja pacijenata u ovoj grupi, prisustvo PVR-a nesumnjivo predstavlja jedan od najznačajnijih faktora za neuspeh operacije (32).…”

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Significance of clinical parameters and treatment methods for prognosis and postoperative outcome of rhegmatogenous retinal detachment

Jovanović¹,

Jovanovic²,

Karadžić³

2018

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Results: Scleral buckle was method of choice in treatment of 56.65% patients, while PPV was performed in 43.35% of patients. Retina was successfully reapplied at 88.7% of patients treated with scleral buckle and 67% operated with PPV method. Parameters that influenced the anatomical success included: number of retinal ruptures (p = 0.022) and macular attachment (p < 0.001). Statistically significant increase in postoperative visual acuity, compared to the measured preoperative visual acuity (p < 0.001) was shown. Functional success was evaluated using postoperative visual acuity and depended on: macular attachment, number of retinal ruptures and type of performed surgery.Conclusion: The presented results show that patients with RRD can have a good anatomical and functional recovery, especially those cases with a single retinal rupture and macula-on. Therefore, it is important to urgently refer patients with RRD to the surgical treatment, before it comes to the separation of the macula, in order to achieve better postoperative results.

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Significance of clinical parameters and treatment methods for prognosis and postoperative outcome of rhegmatogenous retinal detachment

Jovanović¹,

Jovanovic²,

Karadžić³

2018

Medicinski podmladak

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Functional connectivity density alterations in middle‐age retinal detachment patients

et al. 2021

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Objective Middle‐age patients with retinal detachment (RD) exhibit a loss of visual information, and previous studies of functional magnetic resonance imaging (fMRI) have demonstrated abnormal spontaneous activity in the RD brain. Therefore, this study assessed changes in local functional connectivity density (lFCD) and long‐range functional connectivity density (longFCD) in middle‐age RD patients during resting‐state FC. Methods In total, 32 middle‐age patients with RD (18 men and 14 women), and 32 age‐, sex‐, and education‐matched normal controls (NCs) (18 men and 14 women) were recruited and underwent functional magnetic resonance examination in the resting state. Two‐sample t test was performed to compare lFCD and longFCD between groups. Receiver operating characteristic (ROC) curves were generated to distinguish middle‐age RD patients from NCs. Results Compared with NCs, middle‐age RD patients demonstrated increased lFCD values in the right inferior temporal gyrus, and increased longFCD values in the bilateral inferior frontal gyri, left superior and middle frontal gyrus, bilateral inferior temporal gyri, and left cerebellum posterior lobe. Middle‐age RD patient exhibited decreased lFCD values in the left cuneus, right lingual gyrus, and left middle frontal gyrus. They also had lower longFCD values in the left lingual gyrus and left inferior occipital gyrus. ROC curve analysis showed excellent accuracy of the specific areas under the curve. Conclusion Our results reveal that middle‐age RD patients exhibited variations of binarized lFCD and longFCD in specific brain areas, which provides insight into the pathological mechanism of RD patients with acute visual loss.

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Long-term Clinical Results of Vitrectomy and Scleral Buckling in Treatment of Rhegmatogenous Retinal Detachment

Schmidt

Plange

Rössler³

et al. 2019

The Scientific World Journal

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Purpose. Most studies about retinal detachment cover a limited follow-up period. The purpose of this research is to assess the long-term results after pars plana vitrectomy (PPV) and scleral buckle (SB) surgery in patients with rhegmatogenous retinal detachment (RRD). Methods. 155 patients with RRD are treated either with SB or PPV with a mean follow-up of more than 5 years. Retrospective analysis of patient data with RRD was performed between January 2006 and June 2008 at a tertiary eye clinic. Results. Overall primary success rate was 85.2% (PPV: 84.6%, SB: 89.5%; p=0.57). 90.5% of redetachments appeared within the first 124 days. No significant different success rate was found for vitrectomy with and without additional encircling band (p=0.09). No advantage of a supplemental encircling band in cases of preoperative inferior breaks was seen (p=0.81). Patients of SB group were treated more frequently in follow-up time because of epiretinal membrane (ERM) (SB: 15.5% versus PPV: 7.3%). No patient of the PPV group without intraoperative use of endolaser cerclage (14.7%) had any peeling surgery postoperatively. Conclusion. Redetachment rates of both methods are comparable in a clinical setting where PPV is considered a suitable method for pseudophakic patients and in complex cases and SB was performed in younger phakic patients with clearly identified retinal tears. PPV seems to show a more heterogenous pattern of complications. No advantage of a supplemental encircling band could be found in these case series of patients with primary RRD. No relevant long-term risk of redetachment was seen after SB.

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Rhegmatogenous retinal detachment treatment guidelines

Cited by 10 publications

References 143 publications

Significance of clinical parameters and treatment methods for prognosis and postoperative outcome of rhegmatogenous retinal detachment

Significance of clinical parameters and treatment methods for prognosis and postoperative outcome of rhegmatogenous retinal detachment

Functional connectivity density alterations in middle‐age retinal detachment patients

Long-term Clinical Results of Vitrectomy and Scleral Buckling in Treatment of Rhegmatogenous Retinal Detachment

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