Long-term Post-operative perfusion outcomes in giant retinal tears treated with and without scleral buckling (original) (raw)
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Long-term postoperative perfusion status in giant retinal tears: a case report
Background Information about long term perfusional status of patients who have undergone successful surgery for giant retinal tear (GRT) macula-off rhegmatogenous retinal detachment (RRD) is limited. Purpose To examine long term perfusional, structural, and functional outcomes in normal control eyes and the eyes treated for different degrees of GRT-associated extensions of RRD. Methods One emmetropic normal eye (control), one healthy highly myopic eye (control myopic), and three eyes surgically treated for GRT (surgical), were included in the study for a long-term comparison of study outcomes. The surgical eyes were classified based on the degree of GRT-associated RRD extension as follows: One eye with GRT-associated RRD extension 270°. Structural, functional, and perfusional outcomes were compared with those of control eyes. Results All three included eyes were phakic and the condition was monocular. The mean age of the patients was 48.67 ± 8.50 years (range, 39–55 years). All thr...
2021
Background: Currently there remains controversy in the surgical management of rhegmatogenous retinal detachment (RRD) due to giant retinal tears (GRTs), a potentially blinding condition. To clarify which surgical technique is better depending on the origin and magnitude of the giant tear this study aimed to analyze the anatomical and functional outcomes. To analyze trans- and postoperative surgical complications, we used long-term final postoperative structural, optical coherence tomography (OCT) and correlated the results with the final postoperative best-corrected visual acuity (BCVA) in three different groups of eyes.Methods: Seventy-six consecutive eyes of 66 patients from three participant institutions were recruited and classified according to the degree of GRT-associated RRD extension as follows: group 1, 42 eyes with GRT-associated RRD extension < 180°; group 2, 23 eyes with GRT-associated RRD extension = 180°–270°; and group 3, 11 eyes with GRT-associated RRD extension &...
Ophthalmic surgery, lasers & imaging retina
To evaluate etiologies, management, and outcomes for patients with giant retinal tears undergoing initial surgery at a single institution. Noncomparative, retrospective, consecutive case series at a university referral center including 79 eyes of 77 patients. Blunt trauma constituted 22% of cases. All patients underwent pars plana vitrectomy with gas or silicone oil tamponade. Eighty-five percent (67 eyes) underwent an encircling scleral buckle. Perfluorocarbon liquids were used in 71% (61 eyes). Eighteen percent (14 eyes) underwent re-operation for recurrent retinal detachment. Ninety-two percent (73 eyes) achieved anatomic success with one or more surgical procedures. Visual acuity at last follow-up was at least 20/400 in 84.9% of patients (28 of 33) with 3 clock hours compared to 65.2% (30 of 46) with tears greater than 3 clock hours. Patients with giant retinal tear undergoing surgery achieved high rates of anatomic success, but re-operations were frequent. Better visual outcome...
Surgical success in the management of retinal detachment secondary to a giant retinal tear
Ophthalmology Journal
Giant retinal tears (GRT) are defined as full-thickness circumferential tears of more than 90 degrees of the retina associated with vitreous detachment [1]. The incidence of GRT is rare and is associated with rhegmatogenous retinal detachments (RD) in approximately 1.5% of cases [2]. Although GRT can be idiopathic, it's often associated with various comorbidities, such as ocular trauma, high myopia, aphakia, pseudophakia, collagen-related genetic mutations, young age, and male sex [1, 3, 4]. Innovations in micro incisional surgery and surgical supplies have improved the prognosis of patients with GRT [5]. The use of perfluorocarbon this article is available in open access under Creative Common attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially
Anatomical and functional outcome of scleral buckling in primary rhegmatogenous retinal detachment
IP innovative publication pvt. ltd, 2019
Purpose: To study the anatomical and functional outcomes, complications and reasons for failure of scleral buckling in primary rhegmatogenous retinal detachment Design: Prospective Observational Study Materials and Methods: 17 eyes of 16 consecutive patients who had undergone scleral buckling for rhegmatogenous retinal detachment at a tertiary care teaching Ophthalmic Institute in South India from January 2015 were taken up for the study. Important points like history of trauma, spectacle use and cataract surgery were noted from the history. Detailed evaluation including snellen visual acuity converted to Logmar vision, Slit Lamp Evaluation, Fundus examination, Applanation tonometry etc were done and documented before surgery and the same parameters were again noted during the follow up examinations on the first post operative day and then at 2 weeks, 4 weeks, 3months and 6 months. Surgical parameters like number and location of breaks, macular status, type of buckling etc were also recorded diligently. Results: 15 Out of the 17 eyes (88%) achieved anatomical success with the retina attached at 4 weeks of post operative follow up. The cause of failure in the remaining 2 cases was missed retinal breaks and were rescued by vitrectomy. The mean average pre operative vision was 2.23 which improved to a mean average vision of 1.49, 1.30, 1.15, 1.04, 1.01 at 1st post operative day, 2weeks, 4 weeks, 3months and 6 months respectively. The change was found to be significant. The macula on RRDs (4 eyes) had better visual improvement with mean pre op Logmar vision improving from 0.842 to a post op Logmar vision of 0.37 and 0.15 at 4 weeks and 6 months respectively.
Giant Retinal Tear Management at Referral Eye Hospital
International Journal of Retina
Introduction: to report the characteristics, management and outcome in giant retinal tear (GRT) associated retinal detachment patients at Cicendo Eye Hospital Methods: this retrospective study was performed on medical records who had undergone retinal detachment surgery between January 2014 and March 2017. Age, sex, etiologies, size of GRT, quadrant involvement, lens status, proliferative vitreo-retinopathy (PVR), managements and outcomes were evaluated in association with giant retinal tears Result: Twenty-six patients (23 males, 3 females) age between 11-59 years with follow up from 2 months to 18 months were enrolled in this study. Twenty-five eyes have retinal detachment with macular involvement and 11 patients had high myopia. Majority of patients had 90° of GRTs. Most retinal tears were located at temporal quadrant (73%). Nineteen patients had undergone pars plana vitrectomy (PPV) and 7 patients had combined PPV with encircling buckle. Fifteen patients had used heavy liquid, 2...
Vojnosanitetski pregled, 2016
Background/Aim. Rhegmatogenous retinal detachment is a potentially blinding condition of the posterior segment of the eye. Currently, the only treatment modality is surgery and surgical options include scleral buckling, pars plana vitrectomy and pneumoretinopexy. Many factors may influence the outcome of the surgery. Well defined indications are essential for achieving the best postoperative results. The aim of this study was to assess anatomical and functional outcome of treatment with scleral buckling for macula-off rhegmatogenous retinal detachments. Methods. This prospective, nonrandomized, interventional study included consecutive patients underwent scleral buckling for macula-off retinal detachment in the tertiary centre for vitreoretinal surgery. Results. A total of 168 consecutive patients (mean age 58.2 ± 13.9 years) were included in the study. Postoperatively, anatomical success was achieved in 152 (90.5%) of the patients. Parameters that influenced the anatomical success included the number of retinal breaks