Effect of 360° Episcleral Band as Adjunctive to Pars Plana Vitrectomy and Silicone Oil Tamponade in the Management of Myopic Macular Hole Retinal Detachment

Ghoraba, Hammouda Hamdy; Mansour, Hosam Othman; Elgouhary, Sameh Mohamed

doi:10.1097/iae.0b013e3182a487ea

Cited by 10 publications

(8 citation statements)

References 22 publications

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“…Given the results of Ghoraba et al [49], the use of a 360° encircling band in combination with pars plana vitrectomy and silicone oil offers no additional effect on either the anatomical success or the rate of MH closure in the management of myopic MHRD.…”

Section: Combined Scleral Buckle?mentioning

confidence: 96%

Myopic Traction Maculopathy

Gómez-Resa

Burés-Jelstrup²,

Mateo³

2014

Microincision Vitrectomy Surgery

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Myopic traction maculopathy is a high myopia-related complication caused by several mechanisms with traction as a common pathway. Macular hole-related retinal detachment is considered to be the final stage of progressive foveoschisis. In this setting, release of all vitreous and epiretinal tractions is essential in order to achieve surgical success. Pars plana vitrectomy has proven useful in the treatment of myopic foveoschisis, with both good visual and anatomical results. However, the surgical technique for the treatment of macular hole-related retinal detachment is still a controversial issue: reoperations are common and the final visual prognosis is limited, especially in those cases with a pronounced posterior staphyloma. We must also bear in mind that a highly myopic eye has some characteristic traits that may complicate vitreoretinal surgery. In these cases, microincision vitrectomy surgery may offer some advantages compared to conventional vitrectomy.

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Section: Combined Scleral Buckle?mentioning

confidence: 96%

Myopic Traction Maculopathy

Gómez-Resa

Burés-Jelstrup²,

Mateo³

2014

Microincision Vitrectomy Surgery

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“…[2][3][4][5] Hence, several alternative techniques were introduced for MRDMH, though with no consensus to date among retina surgeons on one optimal surgical approach. [6][7][8][9][10][11][12] Some authors advocated that a longer term tamponade provided by silicone oil could improve the surgical outcome of MRDMH patients for several reasons. Firstly, silicone oil provides the desired tamponade effect while averting centrifugal overstretch of the inelastic retina around the hole.…”

Section: Introductionmentioning

confidence: 99%

“…Finally, silicone oil defers prone positioning of the patient that would be otherwise required for a long period of time and entails non-compliance of the patient. 2,7,9,[13][14][15][16][17] Nevertheless, the issue of using silicone oil mandated defining the appropriate time for its removal to avoid a recurrence of retinal detachment and to avoid silicone-oil induced complications particularly secondary glaucoma. To date, the timing of silicone oil removal is still debated.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Outcome After Silicone Oil Removal in Eyes with Myopic Retinal Detachment Associated with Macular Hole

Ghoraba

Leila

Shebl

et al. 2021

OPTH

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Purpose To assess the efficacy of pars plana vitrectomy (PPV) and silicone oil tamponade for management of myopic retinal detachment associated with macular hole (MRDMH) and to assess the anatomical and functional outcomes of this technique and its long-term validity after silicone oil removal. Methods Retrospective interventional non-comparative case series including consecutive patients who had PPV and silicone oil tamponade for MRDMH. All patients had an axial length ≥26 mm. Main outcome measures were retinal re-attachment and macular hole closure after silicone oil removal, improvement of best-corrected visual acuity (BCVA), and complications secondary to surgery. Chi square/Fisher’s exact test was used to analyze categorical variables, while One-way ANOVA/Kruskal–Wallis test was used to compare variables across the closure type and complications. Correlations between numerical variables were tested using Spearman correlation. Kaplan–Meier method was used to estimate the event-free survival. P value is significant at 0.05. Results The study included 26 eyes of 26 patients. Retinal re-attachment rate after primary and secondary surgeries was 88.4% and 100%, respectively. W-type macular hole closure occurred in 58% of eyes. Vision improved in 58% of eyes. Mean final BCVA was 0.05 decimal units, p = 0.004. Cataract and glaucoma developed in 42% and 15% of eyes, respectively. Initial BCVA, axial length and duration of silicone oil tamponade did not correlate significantly with either the type of macular hole closure or the final BCVA. Conclusion PPV and silicone oil tamponade technique promotes successful anatomical and functional outcome in MRDMH. Long-term success is maintained after silicone oil removal. High incidence of silicone oil-induced complications mandate its removal from eyes with successful retinal re-attachment.

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“…Nevertheless, we were conservative in abundant encircling band in pediatric retinal detachments until the year 2014. Previous studies 5 compared vitrectomy with and without encircling band in cases of myopic macular hole retinal detachment (MHRD) showed no statistically significant difference whether the buckle was added or not. We started to do transconjunctival PPV without additional encircling band in pediatric retinal detachment starting from June 2014.…”

Section: Discussionmentioning

confidence: 93%

<p>Comparison Between Pars Plana Vitrectomy with and without Encircling Band in the Treatment of Pediatric Traumatic Rhegmatogenous Retinal Detachment</p>

Ghoraba¹,

Mansour²,

Abdelhafez³

et al. 2020

OPTH

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Background and Objectives: To compare anatomical and visual results of pars plana vitrectomy (PPV) with or without additional encircling band in the management of pediatric traumatic rhegmatogenous retinal detachment (RD) in a tertiary referral center. Methods: A retrospective review of children diagnosed with traumatic rhegmatogenous retinal detachment treated by pars plana vitrectomy with or without encircling band. Results: One hundred thirty-nine eyes of 139 children diagnosed with traumatic rhegmatogenous retinal detachment. Surgeries were performed between May 2011 and November 2016. Patients were followed up for at least 18 months after last intervention. The included eyes were categorized into two groups. Group A (vitrectomy with additional encircling band) included 72 eyes of 72 children; 58 boys and 14 girls. Group B (vitrectomy without encircling band) included 67 eyes of 67 children; 58 boys and 9 girls. In group A, the mean age was 9.21±3.24. Attached retina was achieved in 61% (44 out of 72 eyes), of which 34 eyes remained attached after silicon oil removal, and 10 eyes remained attached under silicon oil tamponade. Recurrent RD under oil was present in 28 eyes (38.9%). In group B, the mean age was 11.06±3.64. Attached retina was present in 61.2% (41 out of 67 eyes), of which 30 eyes remained attached after oil removal, and 11 eyes remained attached under silicon oil tamponade. Recurrent RD was present in 26 eyes (38.8%). In group A, the final visual acuity (VA) ranged from NLP to 0.5; 58.7% of patients achieved VA more than counting fingers at 1 meter, and 34.6% of patients achieved VA of 0.05 or more. In group B, the final postoperative VA ranged from NLP to 0.9; 16% of patients achieved VA from counting fingers at 1 meter to 0.05, and 29.2% achieved VA of 0.05 or more. Conclusion: Although no statistically significant difference between the two groups (combined vitrectomy and encircling band versus vitrectomy alone in pediatric traumatic retinal detachment), it is wise to consider adding encircling band in severe trauma cases.

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Effect of 360° Episcleral Band as Adjunctive to Pars Plana Vitrectomy and Silicone Oil Tamponade in the Management of Myopic Macular Hole Retinal Detachment

Cited by 10 publications

References 22 publications

Myopic Traction Maculopathy

Myopic Traction Maculopathy

Long-Term Outcome After Silicone Oil Removal in Eyes with Myopic Retinal Detachment Associated with Macular Hole

<p>Comparison Between Pars Plana Vitrectomy with and without Encircling Band in the Treatment of Pediatric Traumatic Rhegmatogenous Retinal Detachment</p>

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