Anatomic and Visual Outcomes of 23-G Vitrectomy without Scleral Buckling for Primary Rhegmatogenous Retinal Detachment

2013 ◽  
Vol 23 (3) ◽  
pp. 417-422 ◽  
Author(s):  
Marta S. Figueroa ◽  
Inés Contreras ◽  
Susana Noval ◽  
L. Wu ◽  
J. F. Arevalo ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Visual Outcomes

scholarly journals Scleral Buckling for Rhegmatogenous Retinal Detachment Associated with Pars Planitis

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Yong-Kyu Kim ◽  
Wontae Yoon ◽  
Jae Kyoun Ahn ◽  
Sung Pyo Park
Keyword(s):  
Retinal Detachment ◽  
High Myopia ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Surgical Approaches ◽  
Success Rates ◽  
Visual Outcomes ◽  
Pars Planitis ◽  
Preoperative Risk Factors ◽  
Anatomical Success

Purpose. To evaluate the surgical outcome of scleral buckling (SB) in rhegmatogenous retinal detachment (RRD) patients associated with pars planitis.Methods. Retrospective review of RRD patients (32 eyes of pars planitis RRD and 180 eyes of primary RRD) who underwent SB. We compared primary and final anatomical success rates and visual outcomes between two groups.Results. Primary and final anatomical success were achieved in 25 (78.1%) and 31 (96.8%) eyes in the pars planitis RRD group and in 167 eyes (92.7%) and 176 eyes (97.7%) in primary RRD group, respectively. Both groups showed significant visual improvement (p<0.001) and there were no significant differences in final visual acuity. Pars planitis RRD group was associated with higher rate of postoperative proliferative vitreoretinopathy (PVR) development (12.5% versus 2.8%,p=0.031). Pars planitis and high myopia were significant preoperative risk factors and pseudophakia was borderline risk for primary anatomical failure after adjusting for various clinical factors.Conclusions. Pars planitis associated RRD showed inferior primary anatomical outcome after SB due to postoperative PVR development. However, final anatomical and visual outcomes were favorable. RRD cases associated with pars planitis, high myopia, and pseudophakia might benefit from different surgical approaches, such as combined vitrectomy and SB.

scholarly journals Anatomical and visual outcomes of scleral buckling surgery in rhegmatogenous retinal detachment

2020 ◽  
Vol 27 (2) ◽  
pp. 100
Author(s):  
MohammadM Shehadeh ◽  
RajK Sharma ◽  
MohammadT Akkawi ◽  
AmmarA Aghbar ◽  
Jamal Qaddumi
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Visual Outcomes

scholarly journals Surgical repair of primary non-complex rhegmatogenous retinal detachment in the modern era of small-gauge vitrectomy

2021 ◽  
Vol 6 (1) ◽  
pp. e000651
Author(s):  
Omar Moinuddin ◽  
Rebhi O Abuzaitoun ◽  
Min W Hwang ◽  
Sanjana K Sathrasala ◽  
Xing D Chen ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Case Series ◽  
Scleral Buckling ◽  
Retrospective Case ◽  
Visual Outcomes ◽  
Small Gauge ◽  
Surgical Treatments ◽  
Modern Era ◽  
Anatomic Success

ObjectiveTo report anatomic and visual outcomes of pars plana vitrectomy (PPV), as well as scleral buckling (SB) and PPV/SB as surgical treatments for the management of primary, non-complex rhegmatogenous retinal detachment (RRD).Methods and analysisData from 751 eyes that underwent PPV, SB or combined PPV/SB as a surgical treatment for primary non-complex RRD with at least 3 months of follow-up were analysed to determine rates of single surgery anatomic success (SSAS) and final anatomic success (FAS). Patients or the public were not involved in the design, conduct or reporting of this research.ResultsPPV accounted for 89.0% (n=668), PPV/SB for 6.8% (n=51) and SB for 4.2% (n=32) cases. Overall SSAS (91.2% PPV, 84.3% PPV/SB, 93.8% SB; p=0.267) and FAS (96.7% PPV, 94.1% PPV/SB and 100.0% SB; p=0.221) were reported for the three surgical groups. SSAS and FAS were similar for lens status, macular detachment status and the presence or absence of inferior retinal breaks for each of the PPV, PPV/SB and SB groups.ConclusionsIn this large, single institution, retrospective case series, we report surgical outcomes for patients with primary non-complex RRD managed with PPV, SB or PPV/SB in the modern era of small-gauge vitrectomy. We demonstrate that primary PPV without adjunct SB provides excellent anatomic and visual outcomes irrespective of lens status, macular involvement or pathology location.

Primary vitrectomy without scleral buckling for rhegmatogenous retinal detachment

1996 ◽  
Vol 234 (9) ◽  
pp. 561-568 ◽  
Author(s):  
Heinrich Heimann ◽  
Norbert Bornfeld ◽  
Wilko Friedrichs ◽  
Horst Helbig ◽  
Ulrich Kellner ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Primary Vitrectomy

scholarly journals Management of Rhegmatogenous Retinal Detachment during COVID-19 Pandemic

2021 ◽  
Vol 1 (1) ◽  
pp. 77-79
Author(s):  
Adel G. AlAkeely ◽  
Abeer Habeeb
Keyword(s):  
Retinal Detachment ◽  
Conventional Treatment ◽  
Rhegmatogenous Retinal Detachment ◽  
Medical Personnel ◽  
Good Alternative ◽  
Pneumatic Retinopexy ◽  
Visual Outcomes ◽  
Hospital Beds

Patients with primary Rhuegmatougenous Retinal detachment during COVID-19 pandemic were more likely to present late, have macula involving disease secondary and to show poor visual outcomes. Pneumatic Retinopexy (PR) is a procedure that eliminates the need for admission and limits the duration of contact with patients. Hence, more feasible during periods of shortage in hospital beds and medical personnel in the pandemic. In our experience, we successfully performed pneumatic retinopexy on two confirmed COVID-19 cases with favourable visual outcomes. We would recommend retina surgeons be familiar with such procedure as it may be a good alternative to conventional treatment while minimizing the risk of transmitting COVID-19.

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