Increased Reoperation Rate in Surgical Treatment of Rhegmatogenous Retinal Detachment with Coexistent Macular Hole

2018 ◽  
Vol 2 (3) ◽  
pp. 187-191 ◽  
Author(s):  
Mehdi Najafi ◽  
Jamin S. Brown ◽  
Kevin I. Rosenberg
Keyword(s):  
Surgical Treatment ◽  
Retinal Detachment ◽  
Macular Hole ◽  
Rhegmatogenous Retinal Detachment ◽  
Reoperation Rate

Extrascleral Filling Using Endoillumination the First Experiencethe

2020 ◽  
pp. 43-49
Author(s):  
V.Y. Markevich ◽  
◽  
T.A. Imshenetskaya ◽  
O.A. Yarmak ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Silicone Oil ◽  
Subretinal Fluid ◽  
Crystalline Lens ◽  
Vitreous Cavity ◽  
Macular Area ◽  
General Group ◽  
Anatomical Outcome

Purpose. To study the effectiveness of extrascleral filling (ESF) using endoillumination in the surgical treatment of patients with primary rhegmatogenous retinal detachment (RRD). Material and methods. The material for the study was the data of a comprehensive clinical examination and surgical treatment by ESF method using endoillumination in 17 patients (17 eyes) with RRD. In 7 cases (41%), the macular area was involved in the detachment process. In 5 cases (29.4%), local scleral filling was performed. In the remaining 12 cases (70.6%), the local ESF was supplemented with a circling silicone element. Surgical intervention was supplemented by transscleral drainage of subretinal fluid (SRF) in 10 cases (59%) and pneumatic retinopexy with SF6 gas 50% in 8 cases (48%). Results. In the general group of patients, best corrected visual acuity (BCVA) increased from 0.35 to 0.46. In the subgroup of patients with a detached macular area, the positive dynamics is more pronounced, BCVA increased from 0.1 to 0.28. The progression of proliferative vitreoretinopathy caused the recurrence of retinal detachment in two patients (11.8%). Recurrences were diagnosed after 3 and 5 months, respectively. In both cases, a vitrectomy with tamponade of the vitreous cavity with silicone oil 5000 Cst was performed. The percentage of successful anatomical outcome after the first operation in our study was 82%. The percentage of successful achievement of the final anatomical result was 94%. In two cases, additional injection of SF6 gas into the vitreous cavity was required. Conclusion. This type of surgical treatment is an effective method of surgical treatment of patients with RRD. In our study, the successful anatomical outcome after the first operation was recorded in 82% of patients, which correlates with the data of the authors who also used this method (83–92%). Surgeons who performed surgical treatment using this technique in our study note improved workplace ergonomics when visualizing the fundus using an operating microscope and endoillumination compared with indirect ophthalmoscopy. Other teams of authors came to this conclusion as well. In our study, there were no complications associated with the introduction of a light pipe into the vitreous cavity (iatrogenic crystalline lens injury, endophthalmitis), which indicates the safety of this type of surgical treatment.

The urgency of surgical treatment for rhegmatogenous retinal detachment

2021 ◽  
Author(s):  
Nicolas Feltgen ◽  
Josep Callizo ◽  
Lars-Olof Hattenbach ◽  
Hans Hoerauf
Keyword(s):  
Surgical Treatment ◽  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment

Characteristics and management of macular hole developing after rhegmatogenous retinal detachment repair

2021 ◽  
Author(s):  
Mehmet Giray Ersoz ◽  
Mumin Hocaoglu ◽  
Isil Sayman Muslubas ◽  
Serra Arf ◽  
Murat Karacorlu
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
Rhegmatogenous Retinal Detachment

Macular hole and rhegmatogenous retinal detachment

2011 ◽  
Vol 90 (1) ◽  
pp. e74-e74
Author(s):  
Stefan Mennel ◽  
Nadia Kicova ◽  
Josep Callizo
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
Rhegmatogenous Retinal Detachment

scholarly journals Full-Thickness Macular Hole Formation in the Postoperative Period After Initial Vitrectomy for Rhegmatogenous Retinal Detachment

2017 ◽  
Vol 8 (3) ◽  
pp. 595-601 ◽  
Author(s):  
Hirotsugu Takashina ◽  
Akira Watanabe ◽  
Hiroshi Tsuneoka
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
Postoperative Period ◽  
Rhegmatogenous Retinal Detachment ◽  
Yttrium Aluminum Garnet ◽  
Cataract Extraction ◽  
Internal Limiting Membrane ◽  
Full Thickness ◽  
Retinal Break ◽  
Full Thickness Macular Hole

Background and Objective: To evaluate full-thickness macular hole (MH) formation in the postoperative period after initial vitrectomy for rhegmatogenous retinal detachment (rRD). Materials and Methods: We retrospectively reviewed the medical records of 4 consecutive eyes that required additional vitrectomy for full-thickness MH between April 2013 and March 2016 after undergoing an initial vitrectomy for rRD. Results: Epiretinal membrane (ERM) was identified by preoperative optical coherence tomography or intraoperative dye staining in each case. Photocoagulation of retinal breaks prior to initial vitrectomy was performed in Cases 1, 2, and 3 (4–16 days), with yttrium-aluminum-garnet capsulotomy after cataract extraction also performed prior to the retinal break formation in Case 3. At the initial vitrectomy, there was a superior retinal break which crossed the equator in Case 2, and an intentional hole was created in Cases 1 and 4. The mean interval from the initial vitrectomy until MH formation was 27.5 ± 15.8 months. As with Case 2, the intervals in Cases 1 and 4, in which an intentional hole was created, were clearly shorter than in those in Case 3. Finally, MH closure was achieved after an additional vitrectomy (removal of the internal limiting membrane with ERM and gas tamponade) and best-corrected visual acuity improved in each case. Conclusion: ERM was identified in the cases examined in our study. The presence of an intentional hole might shorten the interval of MH formation after vitrectomy for rRD.

Surgical Treatment of Retinal Detachment Owing to Macular Hole

2000 ◽  
Vol 15 (2) ◽  
pp. 122-127 ◽  
Author(s):  
Thomas J. Wolfensberger ◽  
Michel Gonvers
Keyword(s):  
Surgical Treatment ◽  
Retinal Detachment ◽  
Macular Hole

scholarly journals Rhegmatogenous retinal detachment due to a macular hole in a patient with pars planitis: a case report

2014 ◽  
pp. 59
Author(s):  
Panagiotis Stavrakas ◽  
Angeliki Androu ◽  
Paris Tranos ◽  
Evgenia Kontou ◽  
Ilias Georgalas ◽  
...  
Keyword(s):  
Case Report ◽  
Retinal Detachment ◽  
Macular Hole ◽  
Rhegmatogenous Retinal Detachment ◽  
Pars Planitis
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