scholarly journals Association Between Recent Use of Fluoroquinolones and Rhegmatogenous Retinal Detachment: A Population-Based Cohort Study

2013 ◽  
Vol 58 (2) ◽  
pp. 197-203 ◽  
Author(s):  
Shu-Chen Kuo ◽  
Yung-Tai Chen ◽  
Yi-Tzu Lee ◽  
Nai-Wen Fan ◽  
Shih-Jen Chen ◽  
...  
BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e052513
Author(s):  
Reinhard Angermann ◽  
Anna Lena Huber ◽  
Markus Hofer ◽  
Yvonne Nowosielski ◽  
Stefan Egger ◽  
...  

ObjectivesTo investigate the effect of clinical, methodological and logistic factors on operating room (OR) efficiency in the surgical management of primary rhegmatogenous retinal detachment (RRD).DesignMonocentric retrospective register cohort study.SettingSingle tertiary centre in the western region of Austria.ParticipantsWe audited patients diagnosed with primary RRD who were treated between January 2014 and August 2019. In total, 783 eyes of 776 consecutive patients were included in this study. Various risk factors affecting OR time efficiency and anatomical success after pars plana vitrectomy (PPV) procedures and scleral buckle (SB) surgery were analysed.Primary and secondary outcome measuresOR efficiency was the primary outcome measure. Secondary outcome measures were the primary success rate after PPV procedures and SB surgery.ResultsPPV was performed in 641 (81.9%) eyes and SB surgery in 142 (18.1%) eyes. Mean surgical times in PPV and SB under retrobulbar anaesthesia (RA) were 74.0 (±32.6) min and 62.1 (±24.6) min (p<0.001), respectively, while under general anaesthesia (GA), these values were 112.0 (±52.0) min and 76.0 (±22.5) min (p<0.001), respectively. A regression analysis revealed the following main risk factors for prolonged OR time for the surgical management of RRD with PPV (all p<0.001): presence of a giant tear (β=24.01; 32%), proliferative vitreoretinopathy (PVR)-C (β=16.43; 22%), surgery postponed for 72 hours after diagnosis (β=21.40; 29%), GA (β=23.64; 32%) or surgery performed by a trainee (β=17.35; 23%). PVR (p=0.022) in PPV cases, after-hours settings (p=0.006) and surgeon experience (p=0.030) in SB cases were independent risk factors for reduced success rates.ConclusionsOR coordinators should consider various independent clinical (giant tear, PVR-C, advanced detachment), methodological (PPV vs SB) and logistic (GA vs RA, after-hours setting and surgeon experience) factors to improve the success rate and surgical management planning of RRD accurately while optimising OR resources and staff efficiency.


Eye ◽  
2020 ◽  
Vol 34 (10) ◽  
pp. 1909-1915
Author(s):  
M. Choi ◽  
S. J. Byun ◽  
D. H. Lee ◽  
K. H. Kim ◽  
K. H. Park ◽  
...  

2021 ◽  
Vol 13 (2) ◽  
pp. 51-61
Author(s):  
Ashjan Yousef Bamahfouz ◽  
Serene Jouhargy ◽  
Mohammed Almalki ◽  
Osama Alamri ◽  
Raed Alsulami ◽  
...  

Introduction: The aim of this study was to present the clinical presentation and short-term outcomes of uncomplicated rhegmatogenous retinal detachment managed by pneumatic retinopexy at a tertiary eye hospital in western Saudi Arabia. Materials and methods:  This one-armed retrospective cohort study evaluated selected cases of rhegmatogenous retinal detachment managed by pneumatic retinopexy between 2017 and 2018. Data were collected on patient demographics, preoperative ophthalmic assessment, surgical details, follow up at six months postoperatively, complications and the need for additional surgery. Anatomic success was defined as retinal attachment at 6 months and functional success was defined as vision >20/200 at six months postoperatively. The association of lens status and concomitant laser treatment to anatomical success rates were evaluated. Results: The study sample consisted of 15 eyes with rhegmatogenous retinal detachment in the upper quadrant. In 14 cases, C3F8 gas was used. Anatomic and functional success was noted in 73.3% [95% confidence interval (CI) 51.0: 95.7] and 86.7% (95% CI 69.2; 100) of eyes, respectively. The association between anatomical success and lens status was not significant [RR = 4.5 (95% CI 0.6 ; 37.5), P=0.1]. There was no significant association between anatomical success and concomitant laser treatment. [RR = RR = 1.7 (95% CI 0.7 ; 4.0), P=0.2]. A 2nd retinal surgery was not required in 33.3% of eyes (95% CI 9.5 ; 57.2).  Conclusion: If stringent selection criteria are used for managing rhegmatogenous retinal detachment with pneumatic retinopexy,  anatomical and functional success by six months postoperatively is achieved in the majority of cases. Additional surgeries could further improve outcomes.


2011 ◽  
Vol 52 (5) ◽  
pp. 2551 ◽  
Author(s):  
Danny Mitry ◽  
Linda Williams ◽  
David G. Charteris ◽  
Brian W. Fleck ◽  
Alan F. Wright ◽  
...  

Retina ◽  
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kosacki Julie ◽  
Gallice Mathilde ◽  
Palombi Karine ◽  
Labarere José ◽  
Creuzot-Garcher Catherine ◽  
...  

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