Retinal detachment in the eye with the choroidal coloboma

Introduction. Choroidal coloboma is a congenital defect caused by an inadequate closure of embryonic fissure. About 40% of the eyes with the choroidal coloboma (CHC) develop the retinal detachment (RD). It is extremely difficult to manage these cases due to the lack of pigmentation at the site of choroidal coloboma. Outline of Cases. This is a case series of five patients with CHC and RD who were successfully operated using one of two different surgical techniques: pars plana vitrectomy (PPV) + silicone oil internal tamponade and/or scleral buckle with encircling band with laser photocoagulation (SB+EB+LPC) around the coloboma. The purpose of this paper is to present how to successfully handle patients with CHC, who have concurrent retinal detachment in the same eye and to compare two different techniques and indications for the predominant use of one of them in a specific case. Conclusion. Both surgical techniques can be applied with equal success in the operation of retinal detachment in eyes with the chorioidal coloboma. Which one will be used depends only of the posterior segment of eye findings. We use scleral buckling in cases with RD accompanied by CHC when the peripheral break is evident and there are no breaks in the coloboma itself. We also perform, 2-3 days after surgery, laser burns around the coloboma, which is our modification of this technique. In all other cases it is indicated to perform PPV+silicon oil internal tamponade.

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Pars plana vitrectomy with/without encircling scleral band for treatment of retinal detachment associated with buphthalmos

International Journal of Retina and Vitreous ◽

10.1186/s40942-021-00310-y ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Hammouda Hamdy Ghoraba ◽

Sameh Mohamed El Gouhary ◽

Ali Ahmed Ali Ghali ◽

Mohamed Ahmed Abdelhafez ◽

Adel Galal Zaky ◽

...

Keyword(s):

Retinal Detachment ◽

Pars Plana Vitrectomy ◽

Silicone Oil ◽

Case Series ◽

Social Consequences ◽

Phthisis Bulbi ◽

Encircling Band ◽

Pars Plana ◽

Anatomical Success

Abstract Background To evaluate the results of pars plana vitrectomy (PPV) and silicone oil (SO) tamponade with or without encircling scleral band for repair of rhegmatogenous retinal detachment (RRD) in children with buphthalmos. Patients and methods Retrospective comparative nonrandomized interventional case series including consecutive patients who underwent PPV with or without encircling band and SO tamponade for RRD associated with buphthalmos. Results The study included 19 eyes of 19 children. Mean age was 8 years, range 3–16 years. Mean follow-up period was 28 months, range 19–63 months. Globe survival has been achieved in 15 out of 19 eyes (79%). Phthisis bulbi was reported in four cases (22%). Eight patients (42%) achieved ambulatory vision. Most eyes initially achieved anatomical success. Conclusion Despite the poor visual and anatomical results of RRD repair in eyes with buphthalmos, globe survival might be the rationale for surgery in such cases. Globe preservation could avoid the psychological and social consequences of phthisis bulbi in non-operated children.

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Outcomes of 27 gauge pars plana vitrectomy for a variety of posterior segment diseases

Journal of the Pakistan Medical Association ◽

10.47391/jpma.12262 ◽

2021 ◽

Vol 71 (11) ◽

pp. 2570-2575

Author(s):

Muhammad Amer Awan ◽

Fiza Shaheen ◽

Kholood Janjua

Keyword(s):

Retinal Detachment ◽

Pars Plana Vitrectomy ◽

Tertiary Care ◽

Operating Time ◽

Retinal Vasculitis ◽

Posterior Segment ◽

Care Hospital ◽

Silicon Oil ◽

Operative Complications ◽

Pars Plana

Objective: To report our experience with 27 gauge (27G) pars plana vitrectomy (PPV) system for a variety of simple to complex posterior segment disorders Methods: Single center, Retrospective, Cohort study. Data of 665 eyes of 574 patients that underwent 27G PPV for a variety of indications from July 2015 to June 2019 at a tertiary care hospital was analyzed. Results: Common surgical indications included; Diabetic tractional retinal detachment (196, 29.5%), vitreous haemorrhage (191, 28.7%), full thickness macular hole (80, 12%), epiretinal membrane (66, 9.9%), endophthalmitis (26, 3.9%), tractional diabetic macular edema (14, 2.1%), ectopia lentis (11, 1.7%), dropped lens matter (13, 2%) and others (68, 10.2%). Mean operating time was 62 ± 37 minutes. With the exception of 2 cases where 20G fragmatome was utilized, no case required conversion to 20 gauge system while a 25G trocar was used for the silicon oil injection. Per-operative complications included; iatrogenic retinal tear (2 eyes, 0.3%) and supra choroidal silicon oil migration (1 eye, 0.15%). Post-operative complications were raised IOP (7 eyes, 1%), endophthalmitis (1 eye, 0.15%), hemorrhagic occlusive retinal vasculitis (1 eye, 0.15%) and retinal detachment (2 eyes, 0.3%). Mean Visual Acuity improved from 1.62 ± 0.68 logarithm of minimum angle of resolution (logMAR) to 0.4 ± 0.38 logMAR (P <0.001). Conclusion: With 3 months follow up time, 27 G PPV has proved to be a safe and effective system for both simpler and complex retinal pathologies requiring significant surgical manipulation. Continuous...

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A Case of Retinal Detachment in Retinitis Pigmentosa

European Journal of Ophthalmology ◽

10.1177/112067210701700433 ◽

2007 ◽

Vol 17 (4) ◽

pp. 677-679 ◽

Cited By ~ 3

Author(s):

M.N. Demir ◽

N. Ünlü ◽

Z. Yalniz ◽

M.A. Acar ◽

F. Örnek

Keyword(s):

Retinal Detachment ◽

Retinitis Pigmentosa ◽

Pars Plana Vitrectomy ◽

Rhegmatogenous Retinal Detachment ◽

Silicone Oil ◽

Young Patients ◽

Scleral Buckling ◽

Oil Removal ◽

Pars Plana ◽

The Right

Purpose To report case of retinitis pigmentosa in association with rhegmatogenous retinal detachment. Methods An eight year old boy complained of a sudden visual loss. The patient had night blindness, bone spicule-like hyperpigmentation, pale optic disc in both eyes, and the retina was totally detached in the right eye. Results He was initially treated with conventional scleral buckling surgery, then pars plana vitrectomy with silicone tamponade was performed and retinal reattachment was established. After the phacoemulsification combined with silicone oil removal the final visual acuity of counting fingers was obtained. Conclusions The association of retinitis pigmentosa and rhegmatogenous retinal detachment is uncommon in young patients.

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Modified Controlled Encircling Scleral Buckle for Retinal Detachment

Journal of VitreoRetinal Diseases ◽

10.1177/2474126417725218 ◽

2017 ◽

Vol 1 (5) ◽

pp. 314-316 ◽

Cited By ~ 2

Author(s):

Dimitra Skondra ◽

Corey Westerfeld ◽

Demetrios G. Vavvas

Keyword(s):

Retinal Detachment ◽

Case Series ◽

Scleral Buckling ◽

Scleral Buckle ◽

Objective Measurements ◽

Determining Factor

During encircling scleral buckle placement, the ends of the element are tightened to achieve a shortened radius of the eye. The determining factor of the final buckle height is subjective using usually a combination of the buckle height visualized with the degree of scleral indentation and can be difficult to be taught early on to trainees. Here, we describe a case series in which a modified controlled encircling scleral buckle technique that simplifies and standardizes the achievement of reproducible buckle height of about a 1 mm is objective and easy to be taught. This novel encircling scleral buckling technique successfully achieves a good postoperative scleral buckle height in a reproducible and standardized fashion using objective measurements and it is easier to be taught to trainees.

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Anatomical and functional outcomes of surgery of rhegmatogenous retinal detachment

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v2i2.3720 ◽

1970 ◽

Vol 2 (2) ◽

pp. 132-137 ◽

Cited By ~ 1

Author(s):

H Sharma ◽

SN Joshi ◽

JK Shrestha

Keyword(s):

Visual Acuity ◽

Retinal Detachment ◽

Success Rate ◽

Pars Plana Vitrectomy ◽

Rhegmatogenous Retinal Detachment ◽

Case Series ◽

Scleral Buckling ◽

Pars Plana ◽

A Prospective Study ◽

Physiological Outcome

Introduction: Rhegmatogenous retinal detachment (RRD) is a potentially blinding condition. Objective: To evaluate the anatomical and functional outcome of surgery of RRD. Materials and methods: A prospective study of interventional case series was designed including 50 consecutive patients with RRD in a tertiary level eye center in Kathmandu. The patients underwent scleral buckling (SB) or pars plana vitrectomy (PPV) according to the proliferative vitreo-retinopathy (PVR) changes. All the patients had at least 3 months of follow-up. The anatomical and physiological outcome measures were primary retinal reattachment and improvement in visual acuity respectively. The surgery was considered successful when there was attachment of retina after the first surgery. Results: The mean age of these patients at the time of presentation was 46.24 ± 19.82 years. Of 50, sixty-six percent of the patients underwent SB and 34 % underwent PPV. Primary surgical success rate was 88 %. While comparing the initial best corrected visual acuity (BCVA) with the final, 72% had an improvement, 12 % unchanged and 16 % had a deteriorated visual acuity. Conclusion: The visual acuity improves and the anatomical success rate is high in the majority of the patients after surgery for rhegmatogenous retinal detachment. Keywords: rhegmatogenous retinal detachment; scleral buckling; pars plana vitrectomy; anatomical outcome; physiological outcome DOI: 10.3126/nepjoph.v2i2.3720 Nep J Oph 2010;2(2) 132-137

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Montgomery and informed consent during Covid-19: Pneumatic retinopexy versus pars plana vitrectomy or scleral buckling for retinal detachment repair

Medico-Legal Journal ◽

10.1177/0025817220984009 ◽

2021 ◽

pp. 002581722098400

Author(s):

G Kiew ◽

AV Poulson ◽

DK Newman ◽

P Alexander ◽

MP Snead

Keyword(s):

Retinal Detachment ◽

Pars Plana Vitrectomy ◽

Case Series ◽

Scleral Buckling ◽

Success Rates ◽

Retrospective Case ◽

Pneumatic Retinopexy ◽

Co Morbidity ◽

Pars Plana ◽

The Uk

Recent reports suggest that the use of an outpatient-based procedure (pneumatic retinopexy, PR) for retinal detachment repair should be encouraged within the UK, especially in light of Covid-19 and possible restrictions/competing demands on access to operating theatres. It is therefore essential that patients receive comprehensive information about the risks and benefits of this approach compared with a formal surgical repair either by pars plana vitrectomy (PPV) and/or scleral buckling (SB). We report a retrospective case series of retinal detachments (RD) satisfying the strict selection criteria for PR but who were managed with formal surgery. Single-operation success rate for PPV/SB at six months follow-up was 93.8% in our study, higher than published primary success rates for PR (60–80%). When counselling patients for possible PR, the ease, speed and potentially reduced co-morbidity of an outpatient-based procedure needs to be balanced against its significantly higher failure rate in comparison with primary PPV/SB.

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MODIFIED SCLERAL BUCKLING WITH A NON-CONTACT WIDE ANGLE VIEWING SYSTEM AND A 25G CHANDELIER ENDOILLUMINTOR

Annals of King Edward Medical University ◽

10.21649/akemu.v21i4.761 ◽

2016 ◽

Vol 21 (4) ◽

pp. 219 ◽

Cited By ~ 1

Author(s):

Tehmina Jahangir ◽

Haroon Tayyab ◽

Muhammad Naeem ◽

Qasim Lateef ◽

Asad Aslam Khan

Keyword(s):

Retinal Detachment ◽

Silicone Oil ◽

Sampling Technique ◽

Scleral Buckling ◽

Wide Angle ◽

Department Of Ophthalmology ◽

Scleral Buckling Procedure ◽

Pars Plana ◽

Silicone Oil Tamponade ◽

Convenience Sampling

AbstractPurpose:To evaluate the outcome of scleral buckling surgery using a wide angle non-contact viewing system and chandelier endoillumination for per-operative fundus visualization in patients with non-complex rhegmatogenous retinal detachments.Materials and Methods:This was a prospective, interventional study carried out at the Department of Ophthalmology, Mayo Hospital Lahore over a period of six months. Non-probability convenience sampling technique was employed. Fifteen eyes of fifteen pati-ents underwent modified scleral buckling procedure for rhegmatogenous retinal detachment using a 25G Awh Chandelier (inserted into the sclera through the pars plana) and wide angle viewing system to view the fundus intraoperatively instead of the conventional Indirect Ophthalmoscope.Results:The mean age of the patients in this study group was 41.9 12.4 years. Out of fifteen patients, 13 had flat retinas postoperatively. Two patients had to undergo pars plana vitrectomy with silicone oil tamponade due to development of retinal detachment secon-dary to PVR.Conclusion:Modified scleral buckling with the con-current use of a chandelier light and wide angle viewing system provides an easier and more convenient means of visualizing the fundus under panoramic viewing conditions intraoperatively.Key Words:Wide angle viewing system. Retinal detachment. Scleral buckling. Endoillumination.

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Factors Affecting the Outcome of Scleral Buckling Surgery for Primary Rhegmatogenous Retinal Detachment

Journal of Ophthalmology ◽

10.1155/2018/9016302 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4

Author(s):

Ritesh Shah ◽

Raghunandan Byanju ◽

Sangita Pradhan ◽

Sudha Ranabhat

Keyword(s):

Visual Acuity ◽

Retinal Detachment ◽

Rhegmatogenous Retinal Detachment ◽

Surgical Techniques ◽

Scleral Buckling ◽

Correct Selection ◽

Success Rates ◽

Scleral Buckle ◽

Preoperative Visual Acuity ◽

Anatomical Success

Introduction. Scleral buckle surgery retains a special place in treatment of retinal detachment despite development of new and advanced vitreoretinal surgical techniques. The outcome of any retinal detachment surgery depends on correct selection of patient, type and nature of detachment, and the expertise. This study aims to evaluate various other parameters that determine the outcome of scleral buckle surgery. Method. Records of 55 patients with primary rhegmatogenous retinal detachment treated with scleral buckling over a duration of 18 months that had a minimum of 3-month follow-up were retrospectively reviewed. Preoperative and postoperative characteristics were recorded. Parameters that were evaluated to determine the outcome were best-corrected visual acuity (BCVA), anatomical success, and complications. Results. A total of 51 eyes of 50 patients that met the inclusion criteria were included. Mean age was 41 ± 19.9 years (range: 9 to 83). Primary anatomical success was achieved in 80.4%. Parameters significantly associated with the anatomical outcome of surgery were status of lens, preoperative visual acuity, and extent of retinal detachment. There was a significant improvement of visual acuity postoperatively. Conclusion. Scleral buckle surgery is a highly effective surgery in uncomplicated retinal detachment cases, and single surgery success rates are better in cases with good preoperative visual acuity, partial detachment, and clear crystalline lens.

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Outcome of scleral buckling with or without gas tamponade for recurrent retinal detachment in post-vitrectomy eyes

BMC Ophthalmology ◽

10.1186/s12886-021-01873-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jun-Xing Bai ◽

Xiao-Jian Zhang ◽

An-Li Duan ◽

Xiao-Yan Peng

Keyword(s):

Retinal Detachment ◽

Functional Outcomes ◽

Rhegmatogenous Retinal Detachment ◽

Silicone Oil ◽

Intraoperative Complications ◽

Scleral Buckling ◽

Gas Tamponade ◽

Pars Plana ◽

Air Tamponade

Abstract Background Treatment of recurrent retinal detachment (re-RD) following vitrectomy (post-gas/air tamponade and post-silicone oil removal) is challenging. Previously reported treatment is commonly revision pars plana vitrectomy (PPV) combined with tamponade, which is invasive and a burden both economically and emotionally when compared with scleral buckling (SB). The purpose of this study is to report anatomical and functional outcomes of SB with or without gas tamponade in eyes with recurrent retinal detachment (re-RD) that previously underwent PPV at least once. Methods We retrospectively reviewed the medical records of 14 patients (14 eyes) who underwent PPV at least once and were treated with SB after re-RD. Preoperative characteristics, intraoperative complications, and postoperative data were assessed. The final anatomical and functional outcomes were analyzed. Results The original PPV was performed for primary rhegmatogenous retinal detachment in 11 eyes, macular hole retinal detachment in 2 eyes, and myopic foveoschisis in 1 eye. Previously, 3 eyes underwent one PPV with gas tamponade, and the remaining 11 (79%) eyes underwent 2–5 operations. Seven eyes underwent the procedure with gas injection. At the last follow-up, 13 eyes achieved total retinal attachment and 1 eye had re-RD. The postoperative intraocular pressure was within the normal range, except in 1 eye (6 mmHg). The finest postoperative best-corrected visual acuity (BCVA) was 20/25. There was a significant improvement in BCVA from 20/160 ± 20/63 at baseline to 20/80 ± 20/50 at the last visit in the 13 successfully treated eyes (P = 0.025). Conclusions SB can be effective for re-RD after PPV in specific cases.

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