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Marta Haugstad, Stefan Moosmayer, Ragnheiður Bragadόttir
PURPOSE: The aim of the study was to evaluate the anatomical success of surgical management of primary rhegmatogenous retinal detachment (RRD) and to compare the anatomical outcomes from different surgical techniques. METHODS: During 2012, 517 consecutive eyes (514 patients) were operated by 11 surgeons at the Department of Ophthalmology, Oslo University Hospital. Patient records were retrospectively analysed with no exclusions. Main outcome measures were primary and final anatomical success...
November 18, 2016: Acta Ophthalmologica
Agostino S Vaiano, Elisabet Coronado Quitllet, Gaetano Zinzanella, Giacomo De Benedetti, Guido Caramello
PURPOSE: To assess the reproducibility and accuracy of ultrasound (US) measurements in determining the distance between corneoscleral limbus and retinal break and its relation with the distance measured by indirect ophthalmoscopy, in patients undergoing a laser retinopexy procedure. METHODS: Forty-four patients with a single retinal break, scheduled for laser a retinopexy procedure (26 phakic patients and 18 pseudophakic patients), underwent 5 repeated measurements by high-resolution US and 3 measurements (at the time of the laser procedure, 1 and 3 months) by indirect ophthalmoscopy with scleral indentation of the corneoscleral limbus-retinal break distance with a caliper...
October 17, 2016: Retina
Rahul N Khurana, Charles C Wykoff, Alok S Bansal, Kunihiko Akiyama, James D Palmer, Eric Chen, Louis K Chang, James C Major, Chengqing Wu, Rui Wang, Daniel E Croft, Tien P Wong
PURPOSE: To describe the clinical and optical coherence tomography findings associated with the development of full-thickness macular holes after rhegmatogenous retinal detachment (RRD) repair. METHODS: Retrospective, interventional case series. All patients who developed full-thickness macular holes after successful RRD repair from 3 clinical practices were reviewed. All cases of combined/simultaneous full-thickness macular hole and RRD were excluded. The main outcome measure was the presence of an epiretinal membrane at time of diagnosis of macular hole...
September 14, 2016: Retina
Jennifer Ling, Jila Noori, Farhad Safi, Andrew W Eller
PURPOSE: To identify the characteristics predictive of unfavorable outcomes for pneumatic retinopexy (PR) in the repair of pseudophakic rhegmatogenous retinal detachments (RD). METHODS: A retrospective chart review was performed at a single institution to identify patients who underwent PR in pseudophakic eyes. Pre- and postoperative data were reviewed and analyzed to evaluate predictive factors of failure. RESULTS: Forty-four patients met the study criteria...
September 6, 2016: Seminars in Ophthalmology
Erhan Yumusak, Kemal Ornek, Fatma Ozkal
A 21-year-old woman developed simultaneous rhegmatogenous retinal detachment after laser in situ keratomileusis (LASIK) in both eyes. She underwent pars plana vitrectomy surgery combined with endolaser photocoagulation and silicone oil tamponade in the right eye. A week later, pneumatic retinopexy was done in the left eye. As the retinal tear did not seal, 360° scleral buckling surgery was performed and retina was attached. Bilateral simultaneous rhegmatogenous retinal detachment after LASIK for correction of myopia can be a serious complication...
May 2016: Case Reports in Ophthalmology
Hamouda Hamdy Ghoraba, Adel Galal Zaky, Amin Faisal Ellakwa
OBJECTIVE: The aim of this study was to report and compare the anatomic and functional results of primary vitrectomy with and without 360° encircling scleral buckle (SB) for the treatment of rhegmatogenous retinal detachment (RRD) due to inferior retinal break(s). BACKGROUND: A variety of options, including SB, pars plana vitrectomy (PPV) with or without SB, and pneumatic retinopexy have been described as methods to repair RRDs. The use of additional SB with vitrectomy for RRD associated with inferior breaks has been a recent controversy after the introduction of transconjunctival cannula systems...
2016: Clinical Ophthalmology
Peng Yan, Samuel Minaker, Efrem D Mandelcorn
BACKGROUND AND OBJECTIVE: Localization of retinal breaks in rhegmatogenous retinal detachment (RRD) after pneumatic retinopexy (PR) can be challenging once the retina is reattached. Laser can be applied to the pigmented and always-attached ora serrata in the meridian of the retinal breaks prior to pneumatic retinopexy, resulting in subsequent rapid localization of the breaks even in the presence of a gas bubble or media opacity. PATIENTS AND METHODS: Ten cases of indirect laser photocoagulation marking at the ora prior to intraocular gas injection in PR for RRD...
June 1, 2016: Ophthalmic Surgery, Lasers & Imaging Retina
Uriel Rubin, Cornelis De Jager, Moayed Zakour, J Thomas Gonder
BACKGROUND/PURPOSE: To present a case of a patient with simultaneous bilateral retinal detachments treated successfully with bilateral pneumatic retinopexy. STUDY DESIGN: Case report. RESULTS: This is a case of an otherwise healthy 49-year-old woman with no remarkable ocular history that presented with simultaneous phakic superior bilateral rhegmatogenous retinal detachments. Treatment on the day of presentation included laser retinopexy of the inferior lattice degeneration in the left eye and bilateral intravitreal injection of 0...
May 5, 2016: Retinal Cases & Brief Reports
Hyun Seung Yang, Yoon Jeon Kim, June-Gone Kim
OBJECTIVE: Despite the availability of minimally invasive intraoperative prophylactic sclerotomy-site laser retinopexy and 360-degree laser retinopexy to reduce the incidence of retinal detachment (RD), RD is still prevalent in macular surgery. We investigated the efficacy and safety of a new prophylactic laser retinopexy method, the intraoperative septated circumferential barrier laser (SCBL), to prevent clinically significant RD during complete phacovitrectomy in macular surgery. DESIGN: Retrospective case-control study...
April 2016: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
Gian Marco Tosi, Pierluigi Esposti, Napoleone Romeo, Davide Marigliani, Gabriele Cevenini, Patrizio Massimo, Elisabetta Nuti, Giulia Esposti, Guido Ripandelli
The aim of the study is to evaluate the clinical characteristics of intraoperative retinal breaks (RBs) and postoperative retinal detachment (RRD) in patients undergoing pars plana vitrectomy (PPV) for macular disorders, who were treated preoperatively with prophylactic peripheral laser retinopexy.This observational cohort study comprised of 254 patients who underwent macular surgery and were preoperatively subjected to prophylactic laser retinopexy anterior to the equator. The main outcome measures were the incidence and characteristics of intraoperative RBs and postoperative RRD...
April 2016: Medicine (Baltimore)
Thomas J Wubben, Cagri G Besirli, David N Zacks
Retinal detachment is an important cause of visual loss. Currently, surgical techniques, including vitrectomy, scleral buckle, and pneumatic retinopexy, are the only means to repair retinal detachment and restore vision. However, surgical failure rates may be as high as 20%, and visual outcomes continue to vary secondary to multiple processes, including postoperative cystoid macular edema, epiretinal membrane formation, macular folds, and, ultimately, photoreceptor death. Therefore, pharmacotherapies are being sought to aid the success rates of modern surgical techniques and reduce or slow the degeneration of photoreceptors during retinal detachment...
July 2016: Ophthalmology
J Campos-Pavón, J Sambricio, I Redondo-García
CLINICAL CASE: The case is presented of a 56 year-old patient diagnosed with rhegmatogenous retinal detachment and on treatment with hydroxychloroquine (HCQ). A Spectral Domain-Optical Coherence Tomography (SD-OCT) was performed that showed changes in the outer retina in the eye with macular detachment, as well as the «flying saucer» sign in the other eye. After a complete retinopexy the «flying saucer» sign was still present. DISCUSSION: SD-OCT could be used as a test in order to reveal HCQ toxicity in the event of retinal detachment...
September 2016: Archivos de la Sociedad Española de Oftalmología
Ahmed Elshewy
PURPOSE: The aim is to describe tools and techniques that can be used to deal with total retinal detachment (open funnel) and associated proliferative vitreoretinopathy due to a 360-degree giant retinal break following ocular trauma. Setting/Venue: The video (available at www. was created at the Ophthalmology Department, Faculty of Medicine Kasr Al Ainy, Cairo University Hospital, Cairo, Egypt. METHODS: A 16-year-old female patient presented to the Cairo University Hospital after blunt ocular trauma...
2016: Ophthalmologica. Journal International D'ophtalmologie
Joseph A Anaya, Chirag P Shah, Jeffrey S Heier, Michael G Morley
PURPOSE: To provide visual and anatomic outcomes for patients with retinal detachment (RD) in whom primary pneumatic retinopexy (PR) failed. DESIGN: Retrospective, single-center, consecutive case series. PARTICIPANTS: Eyes with RD that failed a primary PR. METHODS: Anatomic and functional outcomes were evaluated for patients receiving treatment for failed PR. Three secondary procedures were compared, including repeat PR, pars plana vitrectomy (PPV), and combined scleral buckle (SB) plus PPV (SB+PPV)...
May 2016: Ophthalmology
Wilson J Heriot
PURPOSE: To develop an animal model to test the hypothesis that immediate adhesion of the retina to the choroid (retinopexy) can be created by elimination of the water separating the retina from the retinal pigment epithelium (RPE) prior to photocoagulation. The retina and RPE are hydrophobic lipoprotein structures separated intraoperatively by a thin layer of fluid despite surgical drainage. If the RPE and retina are contacting, heating should create a unified local coagulum and achieve instantaneous fusing of the retina and RPE, thus sealing the subretinal space around the retinal tear...
April 2016: Graefe's Archive for Clinical and Experimental Ophthalmology
Donald J D'Amico
PURPOSE OF REVIEW: This article describes the author's personal observations on different preferences in surgical technique and surgical setting between vitreoretinal specialists in the USA and Europe. These impressions, although clearly subjective, derive from the author's extensive experience with, and connection to, many vitreoretinal centers and surgeons around the world in a wide variety of venues. RECENT FINDINGS: Although the results of surgery and the availability of information and instrumentation are quite comparable on both sides, vitreoretinal surgeons in the USA are more likely to use local anesthesia, an outpatient setting, perform phakic vitrectomy, use gas as opposed to oil as a tamponade, use pneumatic retinopexy for certain cases, place an anterior chamber lens for secondary implantation, and perform intravitreal injections in the office or exam room...
May 2016: Current Opinion in Ophthalmology
Lyndon Tyler, Michael Singer, Darren Bell
PURPOSE: To report long-term outcomes in patients with vitreomacular traction injected with intravitreal ocriplasmin. METHODS: Interventional case series. PATIENTS: A 64-year-old woman and a 46-year-old woman. RESULTS: In Case 1, a 64-year-old woman with focal vitreomacular traction with impending macular hole presented with a visual acuity of 20/80 +1 and was injected with ocriplasmin 11 days later. Visual acuity continued to improve and stabilized through 60 weeks of follow-up with a final visual acuity of 20/50...
February 4, 2016: Retinal Cases & Brief Reports
Javad Nouri Hajari
Surgical approaches for rhegmatogenous retinal detachment (RRD) have evolved rapidly in the past century. This has resulted in an increase in the anatomical success rate from zero per cent in the beginning of the 1900s to now almost 100 per cent. Rhegmatogenous retinal detachment is regarded as an acute eye disease that needs immediate treatment. With the increasing number of cataract surgeries and an increased elderly population, the numbers of RRD occurrences are increasing. The aim of this thesis is to create knowledge on how treatment and care of RRD patients can be optimized...
March 2016: Acta Ophthalmologica
P Noohi, M J Abdekhodaie, Y L Cheng
The purpose of this study was to develop a computational model to simulate the dynamics of intraocular gas behavior in pneumatic retinopexy (PR) procedure. The presented model predicted intraocular gas volume at any time and determined the tolerance angle within which a patient can maneuver and still gas completely covers the tear(s). Computational fluid dynamics calculations were conducted to describe PR procedure. The geometrical model was constructed based on the rabbit and human eye dimensions. SF6 in the form of pure and diluted with air was considered as the injected gas...
2015: Physical Biology
C Auchère Lavayssiere, A-L Lux, A Degoumois, M Stchepinsky Launay, E Denion
INTRODUCTION: Circumferential (360°) endophotocoagulation is frequently implemented during vitrectomies for retinal detachment. This photocoagulation may result in neurotrophic keratitis by damaging the ciliary nerves in the suprachoroidal space on their way to the pupil. We report a series of 4 cases of neurotrophic keratitis following a circumferential endophotocoagulation. PATIENTS AND METHODS: A retrospective observational case series of 4 non-diabetic patients having presented with a neurotrophic keratitis following a retinal detachment treated with vitrectomy and circumferential endophotocoagulation (532 nm) at Caen University Hospital...
February 2016: Journal Français D'ophtalmologie
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