The effect of duration of macular detachment on results after the scleral buckle repair of primary, macula-off retinal detachments

Hassan, Tarek; Sarrafizadeh, Ramin; Ruby, Alan; Garretson, Bruce R.; Kuczynski, Barbara; Williams, George A.

doi:10.1016/s0161-6420(01)00886-7

Cited by 153 publications

(125 citation statements)

References 20 publications

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“…Several pre-and postoperative factors such as the long duration of macular detachment, alterations in retinochoroidal circulation, and ciliary edema have been reported to be associated with poor visual outcomes of the scleral buckling surgery. [26][27][28][29][30] Our results revealed that the mean comaand spherical-like aberrations at 3 postoperative months were 0.385 ± 0.267 and 0.271 ± 0.156, respectively. Pesudovs et al revealed that coma-and spherical-like aberrations for 6-mm pupils in patients with various types of spherical intraocular lenses (IOLs) were 0.37-0.51 and 0.36-0.60, respectively.…”

Section: Discussionmentioning

confidence: 53%

Changes in Higher-Order Aberrations after Scleral Buckling Surgery for Rhegmatogenous Retinal Detachment

et al. 2008

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Design: Prospective observational comparative case series. Participants:The study included 67 eyes of 67 RD patients undergoing scleral buckling surgery, and the fellow normal eyes comprised the control group.Twenty-seven eyes were treated with segmental buckling procedure and 40 eyes received encircling buckling procedure alone. Methods:Hartmann-Shack wavefront analysis was performed at 2 weeks, 1 month, and 3 months postoperatively. Main Outcome Measures: Time course of changes in HOAs.Results: The scleral buckling surgery significantly increased HOAs at 2 weeks (p <

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Section: Discussionmentioning

confidence: 53%

Changes in Higher-Order Aberrations after Scleral Buckling Surgery for Rhegmatogenous Retinal Detachment

et al. 2008

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“…26 Surgeons have been reassured by publications that show no difference in visual recovery in patients with foveal off RRD and varying duration of symptoms in the first week [27][28][29][30][31] or first 10 days. 32 This has lead to Ross et al 29 suggesting that macular off RRD can wait for a scheduled operating list. However, our study did not demonstrate findings in agreement with this, as patients operated within 1-3 days of symptoms did better than those with a longer duration of symptoms.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of rhegmatogenous retinal detachment and their relationship to visual outcome

Williamson

Shunmugam

Rodrigues

et al. 2013

Eye

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Aims To examine pre-operative characteristics of rhegmatogenous retinal detachment (RRD) and their relationship to visual acuity (VA) following surgery. Methods Review of prospectively completed electronic database. Baseline characteristics, retinal drawings and outcomes were analysed. Results In all, 847 eyes from 847 patients with a mean age of 62.2 years, 60% males, and 56% right eyes were studied. Mean follow-up was 9.6 months. Preoperative VA correlated with final VA (r 2 ¼ 0.21, Po0.0001). Median postoperative VA was 6/9 (Logmar 0.18, quartiles ¼ 0.0-0.48) and was significantly related to anatomical success: 70.15% achieved 0.18 or better with fully attached retina and primary success, whereas only 8.33% achieved this when the retina was not fully attached at final follow-up (failure) (Po0.0001). Univariate analysis found multiple variables associated with achieving 0.18 postoperative vision, however, multivariate analysis revealed only primary anatomical success with surgery; absence of proliferative vitreo-retinopathy (PVR), betterpresenting VA and fewer quadrants of detachment were associated with a better visual outcome (r 2 ¼ 0.26, Po0.0001). Patients with a clinically attached fovea achieved better vision than patients with a clinically detached fovea, independent of the visual loss duration. With foveal detachment however, postoperative VA was better in patients with 1-3 days of visual loss compared with 4-6 days (P ¼ 0.013). Conclusions Failure of primary surgery, PVR, extensive RRD and poor-presenting VA are risk factors for poorer visual outcome following surgery for RRD. Fovea off RRD at presentation achieved poorer postoperative VA than fovea attached and visual outcome was poorer when there was a longer duration of visual symptoms.

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“…12 Retinal tears have been reported in 7.3-14% of patients with a PVD. 6 Although an RRD may be present or may develop after a PVD, subjective flashes and/or floaters can be absent. Considering that in The Netherlands, many RRD patients initially present at their GP's office, it is important that GP's are familiar with the complexity and variations of symptoms associated with an RRD and have adequate knowledge concerning the implications of these symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 The following predictors were found to be risk factors for functional and anatomic success after primary RRD repair: more than 6 days of visual loss, 4 macular involvement and the size of detachment area. [3][4][5][6][7][8][9] As all these factors are dependent on the time interval between the first symptoms noted by the patient and the timing of surgery, we decided to investigate the reasons for treatment delay.…”

Section: Introductionmentioning

confidence: 99%

Patient ignorance is the main reason for treatment delay in primary rhegmatogenous retinal detachment in The Netherlands

Goezinne

Heij

Berendschot

et al. 2008

Eye

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The effect of duration of macular detachment on results after the scleral buckle repair of primary, macula-off retinal detachments

Cited by 153 publications

References 20 publications

Changes in Higher-Order Aberrations after Scleral Buckling Surgery for Rhegmatogenous Retinal Detachment

Changes in Higher-Order Aberrations after Scleral Buckling Surgery for Rhegmatogenous Retinal Detachment

Characteristics of rhegmatogenous retinal detachment and their relationship to visual outcome

Patient ignorance is the main reason for treatment delay in primary rhegmatogenous retinal detachment in The Netherlands

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