scholarly journals Retinal Detachment Surgery at Nepal Eye Hospital

2009 ◽  
Vol 48 (174) ◽  
pp. 107-10
Author(s):  
O K Malla ◽  
S Shrestha ◽  
S P Shrestha ◽  
R N Byanju ◽  
D B Karki
Keyword(s):  
Risk Factors ◽  
Visual Acuity ◽  
Retinal Detachment ◽  
Retrospective Analysis ◽  
Promising Result ◽  
Scleral Buckling ◽  
Retinal Break ◽  
Retinal Detachment Surgery ◽  
Postoperative Visual Acuity ◽  
Lattice Degeneration

Introduction:Retinal diseases are one of the important causes of blindness in Nepal. This study is done with objectives of fi nding the outcome of retinal detachment surgery. Methods:A retrospective analysis of 110 patients who underwent retinal detachment surgery over fi ve year period was conducted in Nepal.Results:Retinal re-attachment was achieved in 94.4 % and postoperative visual acuity of 6/36 to 6/6 was achieved in 52.7% (As possible risk factors, myopia was present in 34.5% ophkia in 29%, trauma in 9%, and lattice) degeneration was 5.4%. Conclusions:The study has shown a promising result for the retinal detachment surgery.Key Words: retinal break, retinal detachment, scleral buckling, vitrectomy

scholarly journals Four Cases of Rhegmatogenous Retinal Detachment That Recurred More than 10 Years after Initial Reattachment by Pars Plana Vitrectomy

2021 ◽  
pp. 219-226
Author(s):  
Takayuki Baba ◽  
Tomoaki Tatsumi ◽  
Toshiyuki Oshitari ◽  
Shuichi Yamamoto
Keyword(s):  
Retinal Detachment ◽  
Functional Outcomes ◽  
Pars Plana Vitrectomy ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Retinal Break ◽  
Corrected Visual Acuity ◽  
Lattice Degeneration ◽  
Pars Plana ◽  
Best Corrected Visual Acuity

<b><i>Purpose:</i></b> The purpose of this report was to present our findings in 4 cases of rhegmatogenous retinal detachment (RRD) that recurred 10, 11, 12, and 17 years after a reattachment surgery by pars plana vitrectomy (PPV). <b><i>Methods:</i></b> Four cases of a recurrent RRD had undergone scleral buckling surgery and vitrectomy. <b><i>Patients:</i></b> The recurrence of the RRD was observed 10–17 years after the successful attachment by PPV. The macula was detached in all cases, and none of the eyes had severe proliferative vitreoretinopathy. The cause of the recurrence was a new retinal break in 3 eyes and a reopening of an old retinal break in the other eye. The new breaks had a punched-out shape and had neither a horseshoe tear nor an atrophic hole associated with lattice degeneration. PPV combined with scleral buckling was performed, and a reattachment was achieved in all cases. The best-corrected visual acuity (BCVA) at the last visit ranged from 20/30 to 20/25, but the BCVA in 1 eye was 20/200 because of amblyopia. <b><i>Conclusions:</i></b> We experienced 4 rare cases of a recurrent retinal detachment 10–17 years after the primary RRD. PPV and scleral buckling were effective and the anatomical and the functional outcomes were good.

Risk Factors for Redetachment and Worse Visual Outcome after Silicone Oil Removal in Eyes with Complicated Retinal Detachment

2007 ◽  
Vol 17 (4) ◽  
pp. 627-637 ◽  
Author(s):  
F. Goezinne ◽  
E.C. La Heij ◽  
T.T.J.M. Berendschot ◽  
A.T.A. Liem ◽  
F. Hendrikse
Keyword(s):  
Risk Factors ◽  
Visual Acuity ◽  
Retinal Detachment ◽  
Silicone Oil ◽  
Surgical Techniques ◽  
Visual Outcome ◽  
Oil Removal ◽  
Silicone Oil Removal ◽  
Male Sex ◽  
Anatomic Success

Purpose The goal of this study was to identify risk factors for redetachment and/or a worse visual outcome after silicone oil removal (SOR) for complicated retinal detachment. Methods The authors retrospectively analyzed 287 consecutive eyes with SOR between January 1999 and December 2003. Results Anatomic success after SOR was achieved in 81% of the eyes. The overall anatomic success at the end of follow-up was 94%. Postoperative ocular hypertension was found in 8% of the eyes, hypotony in 6% of the eyes, and keratopathy in 29% of the eyes. After SOR 43% of the eyes had an improvement in visual acuity of at least two Snellen lines. After multivariate analysis, male sex, the presence of preoperative rubeosis, and proliferative diabetic retinopathy (PDR) were found to be risk factors for recurrent retinal detachment. Male sex, preoperative visual acuity of <0.1 Snellen lines, PDR, the performance of three more operations, any size of retinectomy, and hypotony were found to be associated with a poor visual outcome of Snellen visual acuity <0.1. Conclusions Retinal detachment after SOR in the current unselected series of eyes occurred in approximately 20%, which is comparable to the Silicone Oil Study reports, published approximately 20 years ago. However, preoperative selection was then made, and less than 50% of the silicone oil-filled eyes had SOR. The higher overall anatomic success in the current study may be due to improved vitreoretinal surgical techniques.

scholarly journals Visual Outcomes of Macula-Involving Rhegmatogenous Retinal Detachment in Patients with and Without Age-Related Macular Degeneration

2022 ◽  
Author(s):  
P. Barrett Paulk ◽  
Dala Eloubeidi ◽  
John O. Mason III ◽  
Christine A. Curcio ◽  
Jason N. Crosson ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Retinal Detachment ◽  
Macular Degeneration ◽  
Rhegmatogenous Retinal Detachment ◽  
Age Related Macular Degeneration ◽  
Light Perception ◽  
Postoperative Visual Acuity ◽  
Age Related ◽  
Functional Vision ◽  
Better Than

Abstract Background Patients presenting with macula-off rhegmatogenous retinal detachment (RRD) with concomitant age-related macular degeneration (AMD) and their treating physicians would benefit from knowledge regarding the visual prognosis after repair. The prognosis for such patients is not well known. The purpose of this study is to compare visual outcomes in macula-off RRD in eyes with AMD versus a group of comparison eyes without AMD. Methods This was a retrospective chart review of 1,149 patients. A total of 191 eyes met study criteria, 162 non-AMD eyes (controls) and 29 AMD eyes. The main outcome measure was postoperative visual acuity in control eyes versus AMD eyes, and this was compared using Fisher’s exact test. Results There was a statistically significant difference in postoperative visual acuity by AMD status, with those without AMD having a higher frequency of Count Fingers (CF), Hand Motion (HM), Light Perception (LP), or No Light Perception (NLP) vision (p = 0.023). More specifically 5.56% of non-AMD eyes and 3.45% of AMD eyes were 20/40 or better, 77.16% of non-AMD and 55.17% of AMD eyes were worse than 20/40 and better than 20/200, 10.49% of non-AMD eyes and 37.93% of AMD eyes were 20/200 or worse, and there were 11 eyes in the non-AMD group with CF, HM, LP, or NLP vision while there was only 1 eye in the AMD group with CF vision. Conclusions Though postoperative visual acuity was worse in the non-AMD group with a higher frequency of patients having final vision of CF, HM, LP, or NLP, this is not likely a clinically significant finding. Rather, it is a function of the difference in sample size and composition between the two groups. Importantly, this study suggests AMD patients can expect similar outcomes to non-AMD patients after RRD repair. Our study suggests that approximately 58% of patients with AMD can expect to maintain functional vision better than 20/200. We conclude that AMD patients can achieve functional vision after RRD surgery, similar to those without AMD. These findings may be helpful in guiding realistic expectations of AMD patients with RRD.

Materials Used in Conventional Retinal Detachment Surgery and Properties

2019 ◽  
pp. 163-167
Keyword(s):  
Side Effects ◽  
Retinal Detachment ◽  
Gold Standard ◽  
Scleral Buckling ◽  
Retinal Detachment Surgery ◽  
Vitreoretinal Traction ◽  
Materials Used ◽  
Basic Features ◽  
Surgical Manipulation

The main fulcrum of the Conventional Retinal Detachment (RD) surgeon is to reattach the retina by reducing the vitreoretinal traction with the technique of externally collapsing the sclera. Conventional RD or scleral buckling surgery with a long history, there are two basic methods in which explants and implants are used. Nowadays, the more commonly used method is explanted. Basic features of explant material to be used in scleral buckling surgery; ease of surgical manipulation, effective collapse, and minimal tissue side effects. These explant materials can be used separately as permanent and absorbable (temporary) materials. Silicone biomaterial from these explants appears to be the most appropriate option and is considered the gold standard.

CLINICAL RISK FACTORS FOR PROLIFERATIVE VITREORETINOPATHY AFTER RETINAL DETACHMENT SURGERY

Retina ◽  
1994 ◽  
Vol 14 (5) ◽  
pp. 417-424 ◽  
Author(s):  
PHILIPPE GIRARD ◽  
GÉRARD MIMOUN ◽  
IOANIS KARPOUZAS ◽  
GUY MONTEFIORE
Keyword(s):  
Risk Factors ◽  
Retinal Detachment ◽  
Proliferative Vitreoretinopathy ◽  
Clinical Risk Factors ◽  
Retinal Detachment Surgery ◽  
Clinical Risk

Persistent Subretinal Fluid Mimicking Central Serous Retinopathy after Scleral Buckling Surgery: Possible Vortex Vein Compression Role

2017 ◽  
Vol 27 (2) ◽  
pp. e54-e56 ◽  
Author(s):  
Chiara Giuffrè ◽  
Adriano Carnevali ◽  
Marco Codenotti ◽  
Eleonora Corbelli ◽  
Luigi A. De Vitis ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Indocyanine Green Angiography ◽  
Serous Retinal Detachment ◽  
Subretinal Fluid ◽  
Scleral Buckling ◽  
Central Serous Retinopathy ◽  
Retinal Detachment Surgery ◽  
Encircling Band ◽  
Vortex Vein ◽  
Sd Oct

Purpose To describe the case of a woman who developed persistent subretinal fluid in the macular region after the placement of encircling band for retinal detachment surgery, possibly due to vortex vein compression. Methods Case report. Results A 66-year-old woman diagnosed with central serous retinopathy presented with poor vision and metamorphopsia in the left eye (LE). Her visual acuity had deteriorated to 20/100 in LE after retinal detachment surgery with scleral buckling 8 months before. Multimodal imaging including fundus autofluorescence and fluorescein angiography disclosed a gravitational hyperfluorescent area involving the macular region that appeared to originate from the superotemporal quadrant in correspondence with the buckling. This area corresponded to a serous retinal detachment on structural spectral-domain optical coherence tomography (SD-OCT). Interestingly, on indocyanine green angiography, the encircling band of the scleral buckling appeared located at the emergence of the superotemporal vortex vein. Based on these findings, the patient was diagnosed with gravitational serous retinal detachment secondary to vortex vein compression. Successful rapid visual recovery and decrease of retinal fluid on SD-OCT was achieved with prompt surgery of scleral buckling removal, confirming the diagnosis. Conclusions Choroidal veins can be obliterated during retinal detachment surgery, especially when retinal breaks are posterior to the equator. Indocyanine green angiography is the gold standard to study choroidal circulation and in our case allowed us to visualize the compression of the superotemporal vortex vein at the site of scleral buckling.

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