scholarly journals CHARACTERISTICS OF RETINAL DETACHMENT PATIENTS WITH PROLIFERATIVE VITREORETINOPATHY AT Dr. SOETOMO GENERAL ACADEMIC HOSPITAL

Author(s):  
Ifan Romadhon Lukmana ◽  
Sauli Ari Widjaja ◽  
Wimbo Sasono ◽  
Muhammad Firmansjah ◽  
Ima Yustiarini ◽  
...  

Introduction: The aim of this study is to evaluate the incidence and characteristics of retinal detachment patients with proliferative vitreoretinopathy. Methods: Retrospective review of medical record from primary retinal detachment (RD) patients with proliferative vitreoretinopathy (PVR) between 2013 and 2017 at Outpatient Department of Ophthalmology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Result: : The number of RD patients with PVR at Dr. Soetomo General Academic Hospital in 2013-2017 was 80 patients (21%), consisting of 59 men and 21 women with mean of  age was 47.5 ± 14.3 years. The characteristics of the subjects were phakic 72.5%, aphakic 1.25%, high myopia 23.75%, history of trauma 18.75% and affected to right eye 60%. Retinal characteristics were break conditions in the retina (located at superotemporal  (34%), horseshoe tear (56%), and single break (60%)), macula off (90%), area of detachments were 4 quadrants (43,75%),  PVR conditions were grade B PVR (45%), mean duration of RD was 156 days, mean  length of surgery waiting list was 61.1 days. The majority of treatment types were vitrectomy (70,4%), majority of tamponade using silicone oil (59.3%), majority of pre-operative and post-operative visual acuity were less than 3 meters counting finger, pre-operative (91.25%) , post-operative 1 month (76%) and 6 months (52.5%), and the majority of post-operative retinal reattachment were 77.3%. Conclusion: The results of this study indicate the number of RD patients with PVR was lower than previous studies. Various results of patient characteristics can be used as guidelines for ophthalmologists in determining actions and explaining the prognosis of the disease. Further research with a larger sample size and prospective methods will be better able to provide better results. Keywords: retinal detachment, proliferative vitreoretinopathy, characteristic pvr

2006 ◽  
Vol 13 (01) ◽  
pp. 42-46
Author(s):  
SYED ABID HASSAN NAQVI ◽  
SOHAIL SHEHZAD ◽  
OMAR ZAFAR

Objective: The objective of study to assess the success of pars planavitrectomy with use of silicone Oil for internal tamponade in traumatic rhegmatogenous R D with severe PVR. Setting& Period: This study was carried out in department of Ophthalmology Military Hospital Rawalpindi. Material &Methods: Fifteen cases with severe proliferative vitreoretinopathy (PVR Grade C, according to up dated retina SocietyClassification of 1991) was included in study. All the patients had traumatic rhegmatogenous retinal detachment withhistory of blunt ocular trauma, without globe rupture, outcome of the treatment was assessed by post operativeanatomical and physiological success. Results: Anatomical success was encouraging in-spite of advance disease andtechnically difficult and complicated intra-ocular maneuvers.


2019 ◽  
Vol 3 (6) ◽  
pp. 466-473
Author(s):  
Jessica L. Cao ◽  
Andrew W. Browne ◽  
Thomas Clifford ◽  
Sumit Sharma ◽  
Vivek Patel

Purpose: Silicone oil (SO) is often used as an intraocular tamponade in repairs of retinal detachments. It may be associated with complications such as cataract, glaucoma, keratopathy, subretinal migration of oil, fibrous epiretinal and sub retinal proliferations, and oil emulsification. The purpose of this report is to describe a rare phenomenon of intraocular silicone oil migration into the cerebral ventricles, which may later be mistaken for intraventricular hemorrhages on neuroimaging. Methods: Case report with literature review. Results: A patient with a history of retinal detachment repair with intraocular SO presented with headaches. Neuroimaging revealed SO migration to the cerebral ventricles. The patient was treated conservatively with symptom management and headaches resolved. Conclusions: We present a case of intraocular SO migration to the cerebral ventricles and review the current literature. We also propose two mechanisms for this phenomenon.


2008 ◽  
Vol 246 (7) ◽  
pp. 943-948 ◽  
Author(s):  
Francesco Boscia ◽  
Claudio Furino ◽  
Nicola Recchimurzo ◽  
Gianluca Besozzi ◽  
Giancarlo Sborgia ◽  
...  

2016 ◽  
Vol 21 (4) ◽  
pp. 219 ◽  
Author(s):  
Tehmina Jahangir ◽  
Haroon Tayyab ◽  
Muhammad Naeem ◽  
Qasim Lateef ◽  
Asad Aslam Khan

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.


Viral retinitis of which incidence is 0.63/1000000 per year, is necrotizing, vaso-occlusive retinopathy. In practice, 90 % of cases are acute retinal necrosis in which etiological agents are Varicella-Zoster Virus and Herpes Simplex Virus and Cytomegalovirus retinitis. 65 % of patients with viral retinitis develop a retinal detachment. Retinal detachment due to viral retinitis is almost-always rhegmatogenous and tractional and associated with proliferative vitreoretinopathy. Pars plana vitrectomy combined with silicone oil injection is the most commonly used techniques for the treatment of retinal detachment associated with viral retinitis. Optic atrophy, chronic cystoid macular edema, epiretinal membrane, proliferative vitreoretinopathy, and hypotony are the most commonly seen complications that are limiting functional improvement.


2019 ◽  
Author(s):  
Qiulu Chen ◽  
Wenying Wang ◽  
Liting Hu ◽  
Lina Zhang ◽  
Yuna Ma ◽  
...  

Abstract BackgroundTraction retinal detachment is one of the serious complications of proliferative diabetic retinopathy (PDR) and poses a serious threat to the visual acuity of patients.The purpose of this paper is to investigated the risk factors of tractional retinal detachment (TRD) in non-silicone oil tamponade eyes after vitrectomy for PDR.MethodsWe performed a retrospective review of patients with postoperative TRD who underwent vitrectomy with non -silicone oil tamponade (C3F8, sterilized air or BSS) for PDR. The clinical information, including laboratory tests and the history of ocular treatment, was determined and compared to the control group to analyze their significance.ResultsThe control group consisted of 28 patients who underwent vitrectomy with non-silicone oil tamponade for PDR immediately one proceeding and one following the surgery of each of the 14 patients (TRD group) with postoperative TRD. The history of photocoagulation, serum albumin, blood urea nitrogen and serum creatinine were significantly associated with TRD. The logistic regression analysis indicated that lower serum albumin concentration was the major systemic risk factor for the occurrence of TRD (P = 0.027).ConclusionThe main systemic risk factor related to TRD was serum albumin in patients with PDR who underwent vitrectomy with non-silicone oil tamponade. Preoperative albumin supplementation may reduce the risk of postoperative TRD.


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