scholarly journals On functional results of treatment of recurrent rhegmatogenous retinal detachment after multiple endovitreal interventions

2019 ◽  
Vol 12 (2) ◽  
pp. 5-10
Author(s):  
Andrei D. Shchukin
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Present Report ◽  
Vitreoretinal Surgery ◽  
Functional Results ◽  
Scleral Buckling ◽  
City Hospital ◽  
Results Of Treatment ◽  
The City ◽  
Retinal Photocoagulation

The present report is an extension of the study, in which on a large clinical material, the ratio of procedures used at this time for retinal detachment was shown, and the frequency of relapses after extrascleral and endovitreal surgeries was analyzed. The purpose of the study is to determine the terms of relapse occurrence, and to estimate visual function after multiple endovitreal procedures. Materials and methods. The study was carried out in the Ophthalmological Center of the City Hospital No. 2 of St. Petersburg. The data of 116 case histories of 23 patients (28 eyes) repeatedly admitted to the department of vitreoretinal surgery of the center and operated (2 to 7 times) for recurrent rhematogenous retinal detachment in 2015-2016 were analyzed. Results. Multistage endovitreal surgery in patients with recurrent retinal detachment in most cases (78.6%) leads to significant decrease of visual functions; in incomplete retinal adherence in the lower segments after extrascleral surgery, additional scleral buckling or barrier laser retinal photocoagulation can be used.

Primary Vitrectomy Surgery in Rhegmatogenous Retinal Detachment; Indications and Techniques

2019 ◽  
pp. 197-200
Keyword(s):  
Retinal Detachment ◽  
Visual Loss ◽  
Rhegmatogenous Retinal Detachment ◽  
Vitreoretinal Surgery ◽  
Scleral Buckling ◽  
Primary Vitrectomy ◽  
Advantages And Disadvantages ◽  
Instruments And Techniques ◽  
Vitrectomy Surgery ◽  
State Of Art

Retinal detachment is one of the most important causes of visual loss. Scleral buckling, pneumatic retinopexy, or primary vitrectomy techniques are the state of art treatment approaches for retinal detachment. Novel improvements in instruments and techniques of vitreoretinal surgery have led primary vitrectomy to be more preferable for retinal detachment surgery. Performing primary vitrectomy in selected patients, considering the advantages and disadvantages has a significant impact in terms of prognosis.

scholarly journals Successful Surgical Treatment of Traumatic Macular Hole With Total Rhegmatogenous Retinal Detachment in a Child- a Case Report

2021 ◽  
Author(s):  
Sławomir Cisiecki ◽  
Karolina Boninska ◽  
Maciej Bednarski
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
Rhegmatogenous Retinal Detachment ◽  
Functional Results ◽  
Scleral Buckling ◽  
Case Presentation ◽  
Hand Motion ◽  
Silicon Oil ◽  
Flap Technique ◽  
Morphologic Characteristics

Abstract Background: To investigate the surgical results and morphologic characteristics of pediatric traumatic macular hole with total rhegmatogenous retinal detachment.Case presentation: The 4-year-old-male patient underwent scleral buckling surgery combined with vitrectomy with the inverted ILM flap technique and silicon oil tamponade for five months. Complete ophthalmic examination was performed preoperatively and 7 days, 1, 3, 6, 9 and 12 months after surgery. Successful retinal reattachment was achieved and the macular hole was successfully closed. Visual acuity improved from Hand Motion at the initial visit to 20/80 (0.6 LogMAR) postoperatively.Conclusions: Scleral buckling surgery and vitrectomy with the inverted ILM flap technique appeared to give effective anatomical and functional results in this case.

Rhegmatogenous Retinal Detachment in Children

2020 ◽  
pp. 29-35
Author(s):  
O.V. Diskalenko ◽  
◽  
O.A. Konikova ◽  
V.V. Brzheskiy ◽  
◽  
...  
Keyword(s):  
Visual Acuity ◽  
Surgical Treatment ◽  
Retinal Detachment ◽  
Treatment Efficacy ◽  
Rhegmatogenous Retinal Detachment ◽  
Clinical Course ◽  
Vitreoretinal Surgery ◽  
Scleral Buckling ◽  
Stickler Syndrome ◽  
Pediatric Practice

Purpose. To study the etiological structure of rhegmatogenous retinal detachment, the efficacy and outcomes of its surgical treatment in pediatric practice. Material and Methods. A retrospective series of cases in one vitreoretinal center in 2015–2019 was presented. The age of the children with rhegmatogenous retinal detachment (57 patients / 66 eyes) was from 0 to 18. Surgical treatment included vitreoretinal and scleral buckling techniques. Results. Rhegmatogenous retinal detachment in 30.3% of cases developed against the background of ROP, in 24.2% – against the background of Stickler‘s syndrome, in 12.1% – against the background of myopia, in 12.1% – against the background of trauma, and in 21.3 % – against the background of other reasons. On average, the anatomical treatment efficacy was 77.4%. The leading factors of an unfavorable outcome of treatment were the duration of presence of retinal detachment (OR 21.44; CI 3.76– 122.16) and 3–5 stages ROP (OR 2.56; CI 0.76–8.44). Visual acuity exceeding the blindness threshold (Vis > 0.02) was maintained or achieved in 72% of cases. Conclusions. The specificity of the clinical course and adherence to surgical treatment of children with rhegmatogenous retinal detachment is determined by its etiology. Key words: retinal detachment in children, Stickler syndrome, retinopathy of prematurity, scleral buckling, vitreoretinal surgery.

Long-term results of treatment of relapses of rhegmatogenous retinal detachment after primary vitreoretinal surgery using scleral buckle

2020 ◽  
pp. 115-116
Author(s):  
E.A. Kocheva ◽  
◽  
M.M. Shishkin ◽  
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Vitreoretinal Surgery ◽  
Long Term Results ◽  
Scleral Buckle ◽  
Results Of Treatment

Актуальность. Рецидивы регматогенной отслойки сетчатки (РОС) после витрэктомии (ВРХ)являются одной из основных проблем, с которой сталкивается хирург, и составляют от 5 до 40%[1, 2, 3, 4]. Среди причин рецидивов РОС, определяющее значение имеет прогрессирование передней пролиферативной витреоретинопатии (ПВР) [5, 6]. Цель. Оценить эффективность кругового эписклерального пломбирования (КЭП) в лечении рецидивов РОС после ВРХ. Материал и методы. С 2015 г. под наблюдением находилось 12 пациентов (12 глаз), прооперированных по поводу рецидива РОС после ВРХ. Основной причиной рецидивов РОС было прогрессирование ПВР. На 3 авитреальных и 2 глазах с эндотампонадой силиконовым маслом (СМ) выполнили КЭП с повторной ВРХ и эндотампонадой(заменой) СМ. На 6 глазах с СМ и 1-м авитреальном глазу выполнили только КЭП. После реоперации в сроки 2-6 месяцев пациентам с тампонадой СМ оно было удалено. Результаты. В отдаленном периоде у всех 12пациентов сохраняется благоприятный анатомический и функциональный результат. МКОЗ составляет 0,248±0,064. У 7 пациентов (58,3%) положительный результат был достигнут только наложением КЭП. У остальных (n=5) наличие КЭП оптимизировало выполнение повторной ВРХ и только в двух случаях потребовалось выполнение локальной ретинотомии. Еще у одного из них(8,4%) сохраняется ограниченная плоская локальная отслойка на центральном скате вала вдавления. Выводы. Применение КЭП при рецидивах РОС на авитреальных глазах патогенетически обосновано. В основе эффективности КЭП лежит ослабление круговых тракций и отчасти переднего смещения, являющихся основной причиной рецидивов. Также положительный результат кругового пломбирования достигается за счет уменьшения объема витреальной полости, что обеспечивает достижение конгруэнтности укороченной сетчатки относительно сформированного вала вдавления.

scholarly journals Scleral Buckling: A Review of Clinical Aspects and Current Concepts

2022 ◽  
Vol 11 (2) ◽  
pp. 314
Author(s):  
Matteo Fallico ◽  
Pietro Alosi ◽  
Michele Reibaldi ◽  
Antonio Longo ◽  
Vincenza Bonfiglio ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Functional Results ◽  
Scleral Buckling ◽  
Clinical Aspects ◽  
Indirect Ophthalmoscopy ◽  
Retinal Breaks ◽  
Valuable Treatment ◽  
Type Of Surgery ◽  
Phakic Eyes

Scleral buckling represents a valuable treatment option for rhegmatogenous retinal detachment repair. The surgery is based on two main principles: the closure of retinal breaks and the creation of a long-lasting chorioretinal adhesion. Buckles are placed onto the sclera with the purpose of sealing retinal breaks. Cryopexy is usually performed to ensure a long-lasting chorioretinal adhesion. Clinical outcomes of scleral buckling have been shown to be more favorable in phakic eyes with uncomplicated or medium complexity retinal detachment, yielding better anatomical and functional results compared with vitrectomy. Several complications have been described following scleral buckling surgery, some of which are sight-threatening. Expertise in indirect ophthalmoscopy is required to perform this type of surgery. A great experience is necessary to prevent complications and to deal with them. The use of scleral buckling surgery has declined over the years due to increasing interest in vitrectomy. Lack of confidence in indirect ophthalmoscopy and difficulties in teaching this surgery have contributed to limiting its diffusion among young ophthalmologists. The aim of this review is to provide a comprehensive guide on technical and clinical aspects of scleral buckling, focusing also on complications and their management.

scholarly journals Modern extrascleral surgery in the treatment of regmatogenous retinal detachment: efficacy evaluation and functional results

2020 ◽  
Vol 12 (4) ◽  
pp. 23-28
Author(s):  
Andrey D. Shchukin
Keyword(s):  
Visual Acuity ◽  
Surgical Treatment ◽  
Retinal Detachment ◽  
20Th Century ◽  
Functional Results ◽  
Independent Method ◽  
City Hospital ◽  
Efficacy Evaluation ◽  
Basic Principles ◽  
The City

The basic principles of extrascleral surgery, which are currently used in the treatment of regmatogenous retinal detachment (RD), have not changed much since their heyday in the 7080s of the 20th century, and they remain relevant both as an independent method to treat this disease in certain clinical cases, and in combination with vitrectomy. The aim is to evaluate the efficacy of RD extrascleral treatment methods (anatomical result, visual acuity), as well as the frequency and timing of the relapses. Materials and methods. The study was carried out at the vitreoretinal department of the Ophthalmological Center of the City Hospital No. 2 of St. Petersburg. A sample of 466 patients with RD, operated with extrascleral methods in 20152016 has been analyzed. Anatomical results, visual acuity, number and timing of relapses have been assessed. Results. The efficacy of extrascleral surgery reaches 89%, RD recurrence after surgical treatment occurs in 21% of patients.

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