25-gauge pars plana vitrectomy with medium-term postoperative perfluoro-n-octane for the repair of giant retinal tears

Randolph, John; Diaz, Rocio I.; Sigler, Eric J.; Calzada, Jorge I.; Charles, Steve

doi:10.1007/s00417-015-3049-4

Cited by 29 publications

(42 citation statements)

References 23 publications

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“…[4][5][6]13,14 Our reported postoperative complications were similar to previously published reports using PFO as a short-term postoperative tamponade. [4][5][6]13,14 No patients in our series developed long-lasting complications affecting final visual outcome that could be attributable to PFO. In our series, 54.1% of phakic patients developed cataract during the follow-up period, which is similar to what has been reported by Rofail and Lee.…”

Section: Discussionsupporting

confidence: 88%

“…5 Epiretinal membrane formation was recorded at 4.1% compared with 25% recorded by Rofail and Lee. 5 A mild postoperative anterior segment inflammation was found in 25% of eyes, managed with topical steroids only, compared with 30.4% in the study by Randolph et al 14 One patient had persistent PFCL droplets in the AC but this was not associated with increased inflammation or raised IOP but was troublesome to the patient as they were aware of it. Two patients developed steroid response raised IOP, one of whom developed secondary open angle glaucoma.…”

Section: Discussionmentioning

confidence: 88%

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Management of giant retinal tears with vitrectomy and perfluorocarbon liquid postoperatively as a short-term tamponade

Mikhail

Mangioris

Best

et al. 2017

Eye

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PurposeThe purpose of this study was to study outcomes after using perfluorocarbon liquid (PFCL) as a short-term postoperative vitreous substitute in eyes with retinal detachment from giant retinal tears (GRTs).Patients and methodsA retrospective consecutive case series of patients with retinal detachment from GRT, who underwent vitrectomy using PFCL as short-term postoperative retinal tamponade. PFCL was left in the eye for a mean of 6.7 days (range 7-8 days) and then replaced with gas or silicone oil (SO). The anatomical and functional outcomes and postoperative complications are reported.ResultsA total of 30 eyes of 29 patients with a follow-up of 26.8 months (range 9-55 months) were included. GRTs had a mean size of 150° (range 90°-270°) with 46.6% of eyes with a tear of >180°. Intraoperative retinal re-attachment was achieved in all cases. No cases of retinal slippage were recorded. Four eyes (13.3%) had re-detachment and further surgery required. At final review, 27 eyes (90.9%) had attached retinas, while the remaining 9.1% had SO in situ. The visual acuity improved in 70% of eyes with 41% improving at least 2 Snellen lines and 35% with visual acuity of 6/12 or better. Mild anterior uveitis developed in six eyes (20%), which resolved on topical steroids. Glaucoma developed in one eye and was controlled medically.ConclusionOur study supports the safety and efficacy of PFCL as a short-term postoperative tamponade in cases of GRTs. As it reduces retinal slippage, the use of SO as a primary tamponade decreased in significant proportion of cases.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 88%

Management of giant retinal tears with vitrectomy and perfluorocarbon liquid postoperatively as a short-term tamponade

Mikhail

Mangioris

Best

et al. 2017

Eye

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“…6 Recently, encouraging results have been reported for the use of small-gauge surgery in GRT repair, with success rates of 87-100%. [14][15][16][17] Our success rate of 97.7% compares favorably with those results. Small-gauge surgery has the added benefits of less retinal mobility with more precision, decreased surgical trauma and postoperative inflammation, reduced sclerotomy complications and shorter surgical times.…”

Section: Discussionsupporting

confidence: 82%

<p>Comparison Between Silicone Oil and Gas in Tamponading Giant Retinal Breaks</p>

Moharram¹,

Abdelhalim²,

Hamid³

et al. 2020

OPTH

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The purpose of this study is to compare anatomical and visual outcomes after using silicone oil (SO) or C 3 F 8 gas as tamponades after pars plana vitrectomy (PPV) for retinal detachment (RD) associated with giant retinal tears (GRTs). Methods: A retrospective chart review was conducted for cases that underwent PPV for GRT-associated RD. We excluded eyes that had prior vitreoretinal surgery, a history of ocular trauma or worse than grade B proliferative vitreoretinopathy (PVR). Baseline demographic and ocular characteristics, surgical details and postoperative anatomical and visual outcomes were recorded and statistically analyzed. Results: We included 88 eyes; 48 eyes had C 3 F 8 gas and 40 eyes had SO as a tamponading agent. Mean age was 39 years. All eyes underwent 23G PPV with no adjuvant scleral buckling and phacovitrectomy was performed for all phakic eyes. Final retinal reattachment was achieved in 86 eyes (97.7%). One eye from each group had recurrent RD. Postoperative vision was significantly better in the gas group (p= 0.008). Prolonged increase of IOP developed in 6 eyes in the SO group and 5 eyes in the gas group. Prolonged uveitis developed in 4 eyes in the gas group and 6 eyes in the oil group (P= 0.04). Epiretinal membranes (ERM) developed in 10 eyes in the gas group and 9 eyes in the oil group. We found no significant difference between both groups regarding postoperative glaucoma or ERM formation. Conclusion: Both agents achieved similar favorable anatomical outcomes in a series of eyes with fresh GRT-associated RD and low-grade PVR, with better visual outcome and less frequent uveitis associated with the use of gas tamponade.

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“…However, further experimental and clinical studies are required to investigate the side‐effects of this surgical approach, including foreign body response, transient elevated IOP, cataract formation and posterior capsule opacity (Randolph et al. Zhang et al. ).…”

Section: Discussionmentioning

confidence: 99%

Vitrectomy with silicone oil tamponade for retinal detachment associated with giant retinal tears: Favourable outcomes without adjuvant scleral buckling

Hocaoğlu

Karaçorlu

Ersöz

et al. 2018

Acta Ophthalmologica

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Purpose: To evaluate the outcomes of pars plana vitrectomy with silicone oil tamponade in the management of retinal detachment associated with giant retinal tears. Methods: We reviewed 45 eyes of 42 patients with primary retinal detachment associated with giant retinal tears over 10 years at a tertiary referral centre. Patients underwent 23-gauge vitrectomy without adjuvant scleral buckling by a single surgeon and had follow-up at least 6 months after silicone oil removal. Results: Mean follow-up was 37 AE 35 months. Seven eyes (16%) had grade C proliferative vitreoretinopathy, and 16 (36%) had a giant retinal tear ≥180°at baseline. The primary reattachment rate was 84%, and the overall final anatomical success rate was 98%. The mean Snellen visual acuity equivalent at the final visit was 20/58. Final visual acuity ≥20/40 was achieved in 64%. The mean duration of silicone oil tamponade was 10.5 AE 4 weeks. By the final visit, silicone oil had been removed from 44 eyes (98%). Conclusion: The high rates of anatomical and functional success support management of giant retinal tears-associated retinal detachment with vitrectomy without adjuvant scleral buckling. Removal of silicone oil at the earliest possible time helps to avoid complications such as keratopathy, glaucoma and visual loss without apparent reason.

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25-gauge pars plana vitrectomy with medium-term postoperative perfluoro-n-octane for the repair of giant retinal tears

Cited by 29 publications

References 23 publications

Management of giant retinal tears with vitrectomy and perfluorocarbon liquid postoperatively as a short-term tamponade

Management of giant retinal tears with vitrectomy and perfluorocarbon liquid postoperatively as a short-term tamponade

<p>Comparison Between Silicone Oil and Gas in Tamponading Giant Retinal Breaks</p>

Vitrectomy with silicone oil tamponade for retinal detachment associated with giant retinal tears: Favourable outcomes without adjuvant scleral buckling

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