Encircling Scleral Buckling With Inferior Indentation for Recurrent Retinal Detachment in Highly Myopic Eyes

Ripandelli, Guido; Rossi, Tommaso; Scarinci, Fabio; Stirpe, Mario

doi:10.1097/iae.0000000000000389

Cited by 12 publications

(8 citation statements)

References 20 publications

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“…No significant difference was observed among groups treated with 20G PPV with adjuvant EB (79.0%) when compared with eyes treated with 20G without EB (78.7%) and 23/25G without EB (87.7%) [15]. Ripandelli et al [16] described the benefit form additional buckle with inferior indentation in recurrent retinal detachment in highly myopic eyes. Based on the results of our analysis, there is no need for primary adjuvant buckle (EB) in all myopic eyes.…”

Section: Discussionmentioning

confidence: 96%

Results of pars plana vitrectomy for primary rhegmatogenous retinal detachment with PVR grades A and B in high-myopic eyes

et al. 2019

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Purpose To evaluate the results of pars plana vitrectomy (PPV) without adjuvant buckling procedures for the primary rhegmatogenous retinal detachment (RRD) with PVR grades A and B in high-myopic eyes. Methods A retrospective review included 291 eyes treated for primary RRD from 2008 to 2016. The single surgery success rate (SSSR), the total number of surgeries, outcomes and complications were analysed between group of 67 eyes with high axial myopia (group A) and group of 224 eyes without high myopia (group B). Results The mean follow-up was 30.6 ± 22.8 months. The SSSR in group A was 82.1% and in group B was 86.2% (p [ 0.05). The final reattachment rate and number of required surgeries were in group A 96.3% (3.1 surgeries) and in group B 96.0% (2.8 surgeries). The initial BCVA improved in group A from 1.58 to 0.58 LogMAR at year 3; and in group B from 1.21 to 0.34 LogMAR. In match-pair analysis of macula-off RRD, no significant difference of the CRT between groups A and B was observed within 3 years of follow-up. Conclusion The anatomical success of primary PPV for RRD did not differ between high-myopic and nonhigh-myopic eyes in PVR grades A and B. However, functional results of high-myopic eyes are worse compared to eyes without high axial myopia.

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Section: Discussionmentioning

confidence: 96%

Results of pars plana vitrectomy for primary rhegmatogenous retinal detachment with PVR grades A and B in high-myopic eyes

et al. 2019

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“…[ 14 19 ] Despite meticulous shaving, vitreous collagen fibers intertwining with the outer retina represent a scaffold for reproliferation, a prerequisite for retinal stiffening and PVR. [ 32 ]…”

Section: Risk Factors Relating To Redetachmentmentioning

confidence: 99%

“…re-RD occurring in highly myopic eyes frequently entails a guarded prognosis and its treatment usually consists of extensive inferior retinotomy[ 79 ] or tamponade with HSO, in addition to being technically challenging and functionally disappointing. In a study by Guido Ripandelli et al .,[ 32 ] they retrospectively evaluated data from 255 eyes of 237 highly myopic patients having re-RD after primary SB (40%), primary PPV (40%), and multiple surgeries (20%). Results of their study gave a high reattachment rate of 90% in the post-SB group, 90% in the post-PPV group, and 85% in the post-multiple surgery group.…”

Section: Management Of Recurrent Retinal Detachmentmentioning

confidence: 99%

Management of recurrent rhegmatogenous retinal detachment

Nagpal¹,

Chaudhary²,

Wachasundar³

et al. 2018

Indian J Ophthalmol

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Rhegmatogenous retinal detachment (RRD) repair is one of the most common vitreoretinal surgeries a surgeon performs. In an ideal scenario, RRD can be repaired with a single surgical intervention; however, despite excellent skill, flawless technique, and the introduction of high-end technology, up to 10% of cases require additional interventions to ultimately repair recurrent detachments. It is thus important to study the outcomes of multiple interventions to understand whether performing repeat vitrectomy on patients with a history of failed surgeries is worthwhile. Thus, recurrent retinal detachment (re-RD) remains a significant challenge for vitreoretinal surgeons as well as the patients considering the economic and the emotional burden of undergoing multiple interventions. The advent of microincision vitrectomy system, perfluorocarbon liquids, and effective intraocular tamponades has opened new doors for managing re-RDs. In this article, we have reviewed and summarized the various causes and approaches for management for optimal anatomical and functional outcomes.

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“…Alternatively, standard small gauge instruments can be slightly bent to reach the peripheral retina without damaging the lens. Despite all these precautions, total removal of vitreous is arduous in phakic myopic eyes, since intraoperative complete posterior vitreous detachment may be even unachievable in some eyes due to strong vitreoretinal adhesion and posterior shifting of the vitreous base [ 81 ]. To further remove vitreous fibers, which may represent a scaffold for proliferation, the Diamond Dusted Membrane Scraper (Synergetics) or the FINESSE Flex loop (Alcon, Fort Worth, TX, USA) may be used to brush peripheral retina.…”

Section: Introductionmentioning

confidence: 99%

“…To further remove vitreous fibers, which may represent a scaffold for proliferation, the Diamond Dusted Membrane Scraper (Synergetics) or the FINESSE Flex loop (Alcon, Fort Worth, TX, USA) may be used to brush peripheral retina. Since myopic eyes have a more posterior vitreous base, a thinner sclera and incomplete posterior vitreous detachment, a scleral buckling in addition to pars plana vitrectomy has been proposed in order to provide a better adherence even after tamponade removal [ 81 , 82 ]. However, this combined approach may lead to higher incidence of cataract [ 71 ] and no strong evidence demonstrated significant advantages over pars plana vitrectomy alone.…”

Section: Introductionmentioning

confidence: 99%

Vitrectomy in high myopia: a narrative review

et al. 2017

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Pathologic myopia is associated with degenerative changes of the globe, especially at the posterior pole. Eyes affected by pathologic myopia have higher odds to undergo posterior segment surgery and, in those eyes, vitreoretinal surgery is challenging. Many practical tips and tricks can make the surgical procedures simpler, significantly preventing sight-threatening intra- and post-operative complications. Moreover, novel surgical techniques and technological advancements (i.e. ad-hoc instrumentation, minimally invasive vitreoretinal surgery, filters, dye staining, intraoperative optical coherence tomography and 3-dimensional surgery) may play role in highly myopic eyes. The aim of the present work is to review practical tips and tricks, novel surgical techniques and technological advancements.Electronic supplementary materialThe online version of this article (doi:10.1186/s40942-017-0090-y) contains supplementary material, which is available to authorized users.

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Encircling Scleral Buckling With Inferior Indentation for Recurrent Retinal Detachment in Highly Myopic Eyes

Cited by 12 publications

References 20 publications

Results of pars plana vitrectomy for primary rhegmatogenous retinal detachment with PVR grades A and B in high-myopic eyes

Results of pars plana vitrectomy for primary rhegmatogenous retinal detachment with PVR grades A and B in high-myopic eyes

Management of recurrent rhegmatogenous retinal detachment

Vitrectomy in high myopia: a narrative review

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