Strategy for the Management of Complex Retinal Detachments

Adelman, Ron A.; Parnes, Aaron; Sipperley, Jack O.; Ducournau, D

doi:10.1016/j.ophtha.2013.01.056

Cited by 91 publications

(54 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It provided the anatomical and visual outcomes of the two treatment groups at 12 months postoperatively, which was longer than the previous similar studies that involved PVR cases [4,17]. There were limitations of the study.…”

Section: Discussionmentioning

confidence: 99%

“…PVR occurs in 5-10 % of all RRD and is implicated in 75 % of the redetachment after surgery [1]. Currently, there is no consensus on standard of care for the treatment of RRDs with PVR [2][3][4]. Although scleral buckle (SB) is commonly performed for PVR [5], the effectiveness of SB in the management of PVR is uncertain [2,6].…”

Section: Introductionmentioning

confidence: 99%

“…Studies comparing surgical techniques in retinal detachment complicated with PVR, however, are less common [4,16,17]. These studies involved patients with different grades of PVR and the results were conflicting [4,17]. It would be preferred that additional data come from prospective, randomized trials.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Combined pars plana vitrectomy–scleral buckle versus pars plana vitrectomy for proliferative vitreoretinopathy

Lai

Chan

et al. 2015

Int Ophthalmol

View full text Add to dashboard Cite

The purpose of the study is to evaluate the surgical outcomes of combined pars plana vitrectomy-scleral buckle (PPV-SB) versus pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment complicated with proliferative vitreoretinopathy (PVR). One thousand one hundred and seventy four patients with rhegmatogenous retinal detachment surgery between January 2002 and December 2013 were retrospectively reviewed. Patients with grade C PVR treated with either combined PPV-SB or PPV alone were included in the study. Study outcomes included single surgery anatomic success rate and postoperative visual outcome at 12 months postoperatively. Seventy-seven patients with grade C PVR were identified for analysis. At the end of 12-month follow-up, 80.5 % eyes (33/41) in the PPV-SB group and 58.3 % eyes (21/36) in the PPV group achieved single surgery anatomical success. In a multiple logistic regression model, none of the baseline variables (age, gender, macula status, grade of PVR, extent of detachment, presence of vitreous hemorrhage, lens status, status of high myopia) nor types of retinal detachment surgery (use of scleral buckle, barrier endolaser, 360 degree endolaser, cryopexy, retinectomy, tamponade agent, phacoemulsification) had significant effect on single surgery anatomical success. The post-treatment mean logMAR visual acuity of the PPV-SB group was 1.58 ± 0.58 and the PPV group was 1.57 ± 0.61. There was no significant difference in the postoperative visual acuity between the two groups (P = 0.849). For patients with grade C PVR, PPV-SB did not demonstrate a superiority over PPV alone in achieving single surgery anatomical success.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Combined pars plana vitrectomy–scleral buckle versus pars plana vitrectomy for proliferative vitreoretinopathy

Lai

Chan

et al. 2015

Int Ophthalmol

View full text Add to dashboard Cite

show abstract

“…While some surgeons consider it a beneficial procedure to help attachment of the retina because it minimizes vitroretinal tractional forces, others consider it a real cause of posterior retinal slippage due to its role in changing ocular contour and scleral shortening relative to retina. Alternatively, some surgeons consider it only in recurrent cases [2,4-8,13,14]. …”

Section: Introductionmentioning

confidence: 99%

The outcome of surgical management for giant retinal tear more than 180°

Dabour

2014

BMC Ophthalmol

View full text Add to dashboard Cite

BackgroundTo evaluate the surgical outcome for management of giant retinal tear (GRT) more than 180° by combined pars plana vitrectomy (PPV), encircling scleral buckle, 360° Laser endophotocoagulation, and silicon oil tamponade.MethodsThis was a Prospective, interventional case series study. Twenty four eyes of 23 patients suffering from GRT more than 180° underwent PPV combined with encircling scleral buckle and 360° laser retinopexy of the peripheral retina followed by silicon oil tamponade. All patients were followed up for at least six months.ResultsComplete anatomical success (retinal attachment after silicone oil removal) was achieved in 20 (83.3%) eyes at the end of follow-up, while incomplete anatomical success (retinal redetachment under or after removal of silicon oil) occurred in four (16.7%) eyes. At the end of follow-up period (mean of 13.7 months + 6.5), improvement of best-corrected visual acuity was achieved in 22 (91.7%) eyes. Preoperative best-corrected visual acuity ranged from HM to 0.15 while postoperative visual acuity ranged from HM to 0.9. Retinal slippage did not occur in any case. Additionally, removal of the clear crystalline lens in phakic eyes was not necessary in the primary intervention.ConclusionsGRT more than 180° can be effectively treated with PPV coupled with encircling scleral buckle, 360° laser retinopexy and silicon oil tamponade with no incidence of retinal slippage. In this complex procedure, concurrent encircling buckle the primary intervention may contribute to high chance of success.

show abstract

“…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). Kod postojanja uznapredovalog PVR-a, gigantskih ruptura i ruptura raspoređenih u više od dva kvadranta, okularne hipotonije i najčešće kod pacijenata sa pseudofakijom, PPV preuzima primat (26). Rezultati naše studije pokazuju korelaciju sa trenutnim preporukama u lečenju RAR.…”

Section: Diskusijaunclassified

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

Jovanović¹,

Jovanovic²,

Karadžić³

2018

Medicinski podmladak

View full text Add to dashboard Cite

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.

show abstract

Strategy for the Management of Complex Retinal Detachments

Cited by 91 publications

References 18 publications

Combined pars plana vitrectomy–scleral buckle versus pars plana vitrectomy for proliferative vitreoretinopathy

Combined pars plana vitrectomy–scleral buckle versus pars plana vitrectomy for proliferative vitreoretinopathy

The outcome of surgical management for giant retinal tear more than 180°

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

Contact Info

Product

Resources

About