scholarly journals Karakteristik Laser Retinopexy pada Pasiendengan Tear Retina di Divisi Vitreoretina RS Cipto Mangunkusomo Periode Januari – Desember 2018

2019 ◽  
Vol 1 (2) ◽  
pp. 28-33
Author(s):  
Haves Ashan
Keyword(s):  
Retinal Detachment ◽  
Success Rate ◽  
Surgical Procedures ◽  
Retinal Tear ◽  
Good Success Rate

Retinal detachment is a serious condition that threatens vision so that it can cause complications of blindness. The only treatment for retinal detachment is surgery, where not all surgical procedures in retinal detachment cases have a good success rate. Therefore, it is very important to be able to find tears in the retina, before developing further into detachments. Retinopexy lasers performed with the aim of causing adhesion around the tear in the retina, have been recommended as an action to prevent complications of retinal detachment. Retinopexy laser has an important role in patients with retinal tear who have symptoms of floaters and flashing and persistent traction in the retina especially in the area around the retinal tear, because symptomatic retinal tear is likely to develop into a complication of retinal detachment. However, although laser retinopexy is often recommended, in fact, the effectiveness of this action is still controversial.

scholarly journals Effect of COVID-19-related lockdown on ophthalmic practice in Italy: A report from 39 institutional centers

2021 ◽  
pp. 112067212110024
Author(s):  
Roberto dell’Omo ◽  
Mariaelena Filippelli ◽  
Gianni Virgili ◽  
Francesco Bandello ◽  
Giuseppe Querques ◽  
...  
Keyword(s):  
Quantitative Analysis ◽  
Retinal Detachment ◽  
Retrospective Analysis ◽  
Surgical Procedures ◽  
Public Transportation ◽  
Rhegmatogenous Retinal Detachment ◽  
Intravitreal Injections ◽  
P Value ◽  
Academic Hospitals ◽  
Rate Ratios

Background/objectives: To compare the number of eye surgical procedures performed in Italy in the 2 months following the beginning of lockdown (study period) because of COVID-19 epidemic with those performed in the two earlier months of the same year (intra-year control) and in the period of 2019 corresponding to the lockdown (inter-year control). Methods: Retrospective analysis of surgical procedures carried out at 39 Academic hospitals. A distinction was made between elective and urgent procedures. Intravitreal injections were also considered. Percentages for all surgical procedures and incidence rate ratios (IRR) for rhegmatogenous retinal detachment (RRD) events were calculated. A p value <0.05 was considered significant. Results: A total of 20,886 versus 55,259 and 56,640 patients underwent surgery during the lockdown versus intra-and inter-year control periods, respectively. During the lockdown, only 70% of patients for whom an operation/intravitreal injection was recommended, finally underwent surgery; the remaining patients did not attend because afraid of getting infected at the hospital (23%), taking public transportation (6.5%), or unavailable swabs (0.5%). Elective surgeries were reduced by 96.2% and 96.4%, urgent surgeries by 49.7% and 50.2%, and intravitreal injections by 48.5% and 48.6% in the lockdown period in comparison to intra-year and inter-year control periods, respectively. IRRs for RRDs during lockdown dropped significantly in comparison with intra- and inter-year control periods (CI: 0.65–0.80 and 0.61–0.75, respectively, p < 0.001 for both). Conclusion: This study provides a quantitative analysis of the reduction of eye surgical procedures performed in Italy because of the COVID-19 epidemic.

Bilateral Retinal Detachment Associated With Giant Retinal Tear Following LASIK

2003 ◽  
Vol 19 (5) ◽  
pp. 611-611
Author(s):  
María Concepción Hernáez-Ortega ◽  
Enrique Soto-Pedre
Keyword(s):  
Retinal Detachment ◽  
Retinal Tear ◽  
Giant Retinal Tear

Silicone Oils and their Properties used in Rhegmatogenous Retinal Detachment Surgery

2019 ◽  
pp. 176-180
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Silicone Oil ◽  
Chemical Properties ◽  
Retinal Tear ◽  
Giant Retinal Tear ◽  
Silicone Oils ◽  
Medical Indications ◽  
Physical And Chemical ◽  
And Chemical Properties

Silicone oils are polymer structures including siloxane repeats in the center. Copolymers formed by combining these polymers at different ratios constitute different silicone structures with different physical and chemical properties. The presence of several factors such as trauma, giant retinal tear, proliferative vitreoretinopathy and retinal tear in posterior localization is the main medical indications for the use of silicone oils in the surgery of rhegmatogenous retinal detachment. Problems associated with the need for a second surgical intervention to remove silicone oil, the emulsification of silicone oil with the problem this emulsification, and the presence of foreign structure in eye globe are the most important conditions limiting the use of silicone oil.

Iatrogenic Subretinal Triamcinolone During Primary Surgical Repair of a Retinal Detachment With a Giant Retinal Tear

2020 ◽  
pp. 247412642097455
Author(s):  
Kunyong Xu ◽  
Eric K. Chin ◽  
David R.P. Almeida
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Surgical Repair ◽  
Vitreoretinal Surgery ◽  
Subretinal Space ◽  
Perfluorocarbon Liquid ◽  
Retinal Tear ◽  
Giant Retinal Tear ◽  
Mechanical Removal ◽  
Pars Plana

Purpose: We describe the outcome of a 23-year-old man undergoing vitreoretinal surgery for a macula-off rhegmatogenous retinal detachment secondary to a giant retinal tear. Methods: Patient underwent combined 25- gauge 3-port pars plana vitrectomy with scleral buckle, perfluorocarbon liquid, and perfluoropropane gas tamponade. During surgery, triamcinolone inadvertently entered the subretinal space and was retained. Results: The subretinal triamcinolone deposits spontaneously absorbed over a 2-month period. No adverse sequelae were associated with this complication. Conclusion: This may support avoiding aggressive mechanical removal of iatrogenic subretinal triamcinolone in the context of retinal detachment repair.

Good Success Rate at 6 Years following Meniscal Repair with ACLR

2014 ◽  
Vol 14 (23) ◽  
pp. 18-19
Author(s):  
M. Vinall ◽  
R. W. Westermann
Keyword(s):  
Success Rate ◽  
Meniscal Repair ◽  
Good Success Rate

Childhood Idiopathic Retinal Detachment: Surgical Procedures and Postoperative Outcomes After Long-Term Follow-Up

Retina ◽  
2010 ◽  
Vol 30 (7) ◽  
pp. 1144-1151 ◽  
Author(s):  
Guido Ripandelli ◽  
Marisa Bruno ◽  
Gaetano Cupo ◽  
Mario Stirpe
Keyword(s):  
Retinal Detachment ◽  
Surgical Procedures ◽  
Postoperative Outcomes ◽  
Long Term Follow Up

scholarly journals Bilateral Giant Retinal Tear and Sequential Vitrectomy

2017 ◽  
Vol 8 (2) ◽  
pp. 436-439
Author(s):  
Mushawiahti Mustapha ◽  
Edward Roufail Franzco
Keyword(s):  
Case Report ◽  
Retinal Detachment ◽  
Silicone Oil ◽  
Perfluorocarbon Liquid ◽  
Excellent Outcome ◽  
Retinal Tear ◽  
Giant Retinal Tear ◽  
Retinal Tears ◽  
The Right ◽  
Outcome Of Surgery

Purpose: To describe the excellent outcome of surgery for bilateral giant retinal tears (GRTs) with better options of endotamponade. Methods: This is a case report of a 62-year-old man who presented with bilateral GRTs and associated retinal detachment. The tear in the right eye was supero-temporal and silicone oil was used as an endotamponade. The tear in the left eye was infero-temporal and perfluorocarbon liquid was used as an endotamponade. Results: The outcome at 6 months after surgery was excellent with visual acuities of 6/6 in both eyes. Conclusion: Improved availability of endotamponade agents allows repair of bilateral GRTs to be done at the same time, with good surgical outcomes.

scholarly journals Missed Diagnosis of an Intraorbital Foreign Body of Homemade Fireworks Origin: A Case Report

2015 ◽  
Vol 6 (3) ◽  
pp. 448-452 ◽  
Author(s):  
Dan-dan Zhou ◽  
Kai Niu ◽  
Cheng-wei Lu ◽  
Ji-long Hao ◽  
Bing-jie Zhang ◽  
...  
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Retinal Detachment ◽  
Traumatic Injury ◽  
Vitreous Hemorrhage ◽  
Initial Assessment ◽  
Retinal Tear ◽  
Orbital Wall ◽  
Oral Steroids ◽  
The Right

Purpose: We report a rare case of traumatic injury to the eye caused by homemade fireworks in a Chinese juvenile patient with a metal ring left in the orbit after having been sutured at the Emergency Department. Methods: An 11-year-old boy presented with a traumatic injury to the right eye from homemade fireworks. Following initial assessment involving maxillofacial computed tomography (CT) and suturing at the Emergency Department, he was transferred to our department for further evaluation because of his poor sight 1 day later. On examination, a skin laceration beneath the right eyebrow was noted, but the superior orbit was not fully visible on the maxillofacial CT performed 1 day previously. Therefore, an orbital CT scan was carried out on the second day, which showed a hyperdense ring embedded in the superior border of the orbital wall; the ring was surgically removed. On postoperative day 7, a fundus examination revealed resolving vitreous hemorrhage, blunt traumatic retinal detachment, and a large retinal tear superior to the macula. The patient refused to take surgery for retinal detachment into consideration. Therefore, we opted for oral steroids and careful observation. Results: After 2 months' observation, the large retinal tear had healed and white fibrous scar tissue had developed, and the retinal detachment superior to the macula had reattached itself spontaneously. The patient's vision had further improved to 20/200. During 1 year of follow-up, he remained clinically stable. Conclusion: To avoid missing the diagnosis, a complete history of the mechanism of injury and accurate imaging still prove most useful. Complete removal of the foreign body by the emergency physician is necessary because of the ocular toxicity of an iron-containing foreign body. As evidenced by the current case, oral steroids and observation for a period of several months is a management of choice for traumatic retinal detachment and retinal tear superior to the macula associated with homemade fireworks in children.

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