Retinal Detachment in Axial Myopia

Author(s):  
Richard L. Lindstrom
Retina ◽  
1996 ◽  
Vol 16 (1) ◽  
pp. 3-6 ◽  
Author(s):  
GUIDO RIPANDELLI ◽  
BERNARDO BILLI ◽  
ROMOLO FEDELI ◽  
MARIO STIRPE

2004 ◽  
Vol 43 (154) ◽  
Author(s):  
Sudesh Subedi

Lattice degeneration is an important predisposing factor for retinal detachment. A cross sectional study of221 patients and 405 eyes with axial myopia of 25mm (–3.oo diopters) or more, was conducted with anobjective to find out prevalence of lattice degeneration of the retina among them. Of 221 patients, 48 (21.7%)had the lattice degeneration consisting of 35 uniocular (72.9%) and 13 binocular patients (27.1%). Of 139males, 36 (25.89%) had lattice degeneration; of 82 females, 12 (14.63%) had lattice degeneration (RR=1.26;95%CI=1.03-1.55; p=0.049). Axial length was from 25mm to 35.77mm (mean=27.63mm, SD 1.98). Thegreatest prevalence of lattice degeneration.9% (16 of 73 eyes) was found in eyes with axial length of 26mmto 26.99 mm (-6.0D to –8.97.0D), and the least incidence was 8.6% (8 of 93 eyes) in eyes with axial length25mm to 25.99 mm (-3.0 D to –5.97.0 D). Over all prevalence of lattice degeneration was 15% (61 of 405eyes) of eye(s) with axial length of 25 mm (-3.0 D) or more. In the age groups below 40 years, the prevalenceof lattice degeneration was highest 85.24% (59 of 61 eyes). The lattice degeneration of retina is moreprevalent in males of age less than 40 years with moderate axial myopia.Key Words: Lattice degeneration, axial myopia, retinal detachment.


1985 ◽  
Vol 55 ◽  
Author(s):  
Miguel F. Refojo

ABSTRACTImplants are essential for the repair of retinal detachments. The implant buckles the wall of the eye and apposes the detached retina with the choroid, thus restoring light sensitivity to the retina. The scleral buckling also relieves traction on the retina from a shrinking vitreous body. The implant materials most commonly used are solid silicone rubber and silicone sponges, but both types have some disadvantages. A poly(hydroxyethyl acrylate-co-methyl acrylate) hydrogel implant with improved properties of softness and antibiotic absorption is also available for retinal detachment surgery. Proliferative vitreoretinopathy involves various conditions of retinal detachment complicated by vitreous fibrosis, which, after vitrectomy, may be treated with intraocular injection of fluids that support the retina against the choroid. For conditions requiring a long-term implant, silicone oil although controversial is the material of choice. Many other substances have been investigated but none better has yet been found.


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