Scleral Buckling versus Vitrectomy for Retinal Detachment Repair: Comparison of Visual Fields and Nerve Fiber Layer Thickness

2015 ◽  
Vol 235 (1) ◽  
pp. 10-17 ◽  
Author(s):  
Chryssanthi Koutsandrea ◽  
Menelaos Kanakis ◽  
Dimitrios Papaconstantinou ◽  
Dimitrios Brouzas ◽  
Ioannis Ladas ◽  
...  
Keyword(s):  
Visual Field ◽  
Retinal Detachment ◽  
Nerve Fiber ◽  
Visual Fields ◽  
Visual Field Loss ◽  
Scleral Buckling ◽  
Fiber Layer ◽  
Mean Values ◽  
Nerve Fiber Layer ◽  
Significant Difference

Purpose: To compare visual field loss and retinal nerve fiber layer (RNFL) defects in cases of rhegmatogenous retinal detachment (RRD) treated with scleral buckle (SB) versus pars plana vitrectomy (PPV) and C3F8 injection. Methods: This was a prospective, comparative interventional study of 50 eyes with primary RRD, treated with PPV (25 eyes) or SB (25 eyes). All measurements took place at least 9 months following successful and uncomplicated surgical treatment. The visual field total deviation (TD) values for preoperative attached and detached areas were calculated and compared separately. The optic nerve head morphology was studied with Heidelberg retinal tomography (HRT), and the RNFL using spectral-domain optical coherence tomography. Results: The preoperative detached areas demonstrated more affected TD values (in dB) compared to the preoperative attached areas (-6.9 ± 5.2 vs. -4.3 ± 3.3 for the SB group and -9.6 ± 5.2 vs. -7.8 ± 5.1 for the PPV group; p = 0.001) in both groups. The preoperative attached areas of the SB group showed better TD values (calculated mean values) compared to the preoperative attached areas of the PPV group (-4.3 ± 3.3 vs. -7.8 ± 5.1, p = 0.007). The RNFL and HRT values showed no statistically significant difference between the two groups. Conclusions: It seems that the preoperative detached retina, despite successful reattachment, suffers permanent damage as a result of the detachment, irrespective of the method of treatment. In the PPV group, the postoperative functionality of the preoperative attached areas was detected to be worse compared to the postoperative functionality of the preoperative attached areas of the SB group. We postulate that this fact could be attributed to an additional traumatizing factor (possibly fluid-air exchange or gas injection) in patients with RRD treated with PPV.

scholarly journals Peripapillary Retinal Nerve Fiber Layer Vascular Microcirculation in Eyes With Glaucoma and Single-Hemifield Visual Field Loss

2017 ◽  
Vol 135 (5) ◽  
pp. 461 ◽  
Author(s):  
Chieh-Li Chen ◽  
Karine D. Bojikian ◽  
Joanne C. Wen ◽  
Qinqin Zhang ◽  
Chen Xin ◽  
...  
Keyword(s):  
Visual Field ◽  
Nerve Fiber ◽  
Retinal Nerve Fiber Layer ◽  
Visual Field Loss ◽  
Fiber Layer ◽  
Nerve Fiber Layer ◽  
Retinal Nerve Fiber

scholarly journals Re: Concept and application of relaxing radial retinectomy for retinal detachment with advanced proliferative vitreoretinopathy

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Anna Grabowska ◽  
James E. Neffendorf ◽  
Tom H. Williamson
Keyword(s):  
Visual Field ◽  
Retinal Detachment ◽  
Nerve Fiber ◽  
Clinical Experience ◽  
Retinal Nerve Fiber Layer ◽  
Proliferative Vitreoretinopathy ◽  
Review Article ◽  
Fiber Layer ◽  
Nerve Fiber Layer ◽  
Recent Review Article

AbstractThe following is a response to the recent review article by Girsang and colleagues (Int J Retina Vitreous. 2020;6:46), who describe concept and application of relaxing radial retinectomy for retinal detachment with advanced proliferative vitreoretinopathy. We discuss the distribution of the retinal nerve fiber layer, an aspect not touched on by the authors, and the importance of its consideration in determining visual field outcomes when performing retinectomy. Moreover, we share our clinical experience with both radial and circumferential retinectomy and discuss scenarios where the combination of both is more effective.

Nerve Fiber Layer Thickness in Glaucoma Patients With Asymmetric Hemifield Visual Field Loss

2006 ◽  
Vol 15 (4) ◽  
pp. 275-280 ◽  
Author(s):  
Vandana Badlani ◽  
Mahnaz Shahidi ◽  
Akbar Shakoor ◽  
Deepak P. Edward ◽  
Ruth Zelkha ◽  
...  
Keyword(s):  
Visual Field ◽  
Nerve Fiber ◽  
Layer Thickness ◽  
Visual Field Loss ◽  
Fiber Layer ◽  
Nerve Fiber Layer ◽  
Nerve Fiber Layer Thickness

Predicting Subsequent Visual Field Loss in Glaucomatous Subjects With Disc Hemorrhage Using Retinal Nerve Fiber Layer Polarimetry

2005 ◽  
Vol 14 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Pinakin Gunvant ◽  
Yufeng Zheng ◽  
Edward A Essock ◽  
Philip P Chen ◽  
David S Greenfield ◽  
...  
Keyword(s):  
Visual Field ◽  
Nerve Fiber ◽  
Retinal Nerve Fiber Layer ◽  
Visual Field Loss ◽  
Fiber Layer ◽  
Disc Hemorrhage ◽  
Nerve Fiber Layer ◽  
Retinal Nerve Fiber

scholarly journals The effect of longstanding silicone oil on retina choroid and optic nerve in eyes with retinal detachment: an optical coherence tomography study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Umut Karaca ◽  
Murat Kucukevcilioglu ◽  
Ali Hakan Durukan ◽  
Dorukcan Akincioglu
Keyword(s):  
Retinal Detachment ◽  
Nerve Fiber ◽  
Silicone Oil ◽  
Automatic Segmentation ◽  
Retinal Layer ◽  
Inner Plexiform Layer ◽  
Fiber Layer ◽  
Nerve Fiber Layer ◽  
Retinal Layers ◽  
Significant Difference

Abstract Background The study aims to evaluate peripapillary retinal nerve fiber layer thickness (RNFL-T), central macular thickness (MT), choroidal thickness (CT), and thickness of each retinal layer after automatic segmentation in patients who underwent retinal detachment (RD) repair with longstanding silicone oil tamponade. Methods We enrolled 33 patients who underwent complicated primary rhegmatogenous RD surgery and followed up with a long-term silicone tamponade were included in this retrospective comparative (case–control) study. RNFL-T, CT, and thickness of each retinal layer after automatic segmentation analysis were measured after the longstanding silicone removal surgery. Results The mean silicone oil removal time was 15.1 ± 15.2 (7–70) months. The overall average thickness of the RNFL was 90.7 ± 13.6 μm in the operated eyes and 118.3 ± 35.6 μm in the sound eyes, with a statistically significant difference. The overall average central MT was 186.3 ± 57.7 μm and was significantly lower in the operated eyes than in the sound eyes. Inner retinal layers of the study group showed a significant thinning in the nerve fiber layer, ganglion cell layer, inner plexiform layer, and inner nuclear layer as compared to that of the sound eyes. The subfoveal CT was 213.7 ± 86.6 μm in the study eyes and 217.7 ± 115.5 μm in the control eyes. There was no significant difference between the study eyes and controls. Conclusion The effects of silicone oil on the retina remain uncertain; however, morphological results in our study have shown direct or indirect silicone oil–induced toxicity, especially in the inner retinal layers.

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