Indentation microsurgery: Internal searching for retinal breaks

Rosen, Paul; Wong, H C; McLeod, David

doi:10.1038/eye.1989.38

Cited by 46 publications

(18 citation statements)

References 3 publications

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“…Re-detachment seems to be more frequent within the posterior staphyloma in highly myopic patients, suggesting that there was not enough pressure effect within the stapyloma [16].…”

Section: Discussionmentioning

confidence: 98%

Primary vitrectomy with Densiron-68 for rhegmatogenous retinal detachment

Romano

Stappler

Marticorena

et al. 2008

Graefes Arch Clin Exp Ophthalmol

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“…Re-detachment seems to be more frequent within the posterior staphyloma in highly myopic patients, suggesting that there was not enough pressure effect within the stapyloma [16].…”

Section: Discussionmentioning

confidence: 98%

Primary vitrectomy with Densiron-68 for rhegmatogenous retinal detachment

Romano

Stappler

Marticorena

et al. 2008

Graefes Arch Clin Exp Ophthalmol

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“…These difficulties cause problems especially during fluid-air exchange. From the other side internal approach in PPV makes it possible to detect and localise all the retinal breaks even if they are small and anteriorly placed, especially during scleral indentation and using the lightpipe [27]. Additionally, using perfluorocarbon liquids offers the advantage of identifying breaks by searching for the subretinal fluid outflow [28].…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes of primary vitrectomy in pseudophakic retinal detachment

Nowomiejska

Kalinowska²,

Nowakowska³

et al. 2016

Ophthalmology J

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purpose. To evaluate the efficacy of primary pars plana vitrectomy (PPV) for rhematogenous retinal detachment (RD) in pseudophakic eyes. Materials and Methods. The medical records of 63 patients who had undergone PPV after phacoemulsification were reviewed retrospectively. The mean follow-up period was 10 months. Statistical analysis evaluated functional and anatomical results as well as general (diabetes, hypertension) and ocular (myopia, glaucoma, floppy iris syndrome, intraoperative complications during cataract surgery, YAG capsulotomy) conditions. results. The median period from cataract surgery to RD onset was 15 months. Retinal attachment was achieved in 92% of eyes. The final visual acuities were improved significantly from 1.7 logMAR to 0.7 logMAR. Silicon oil was used as a tamponade in 38 eyes and SF6 gas in 25 eyes. Better functional results were achieved with SF6 gas tamponade. No intraoperative complications were reported. Most of the patients were males (71%). Statistical analysis revealed that general and ocular conditions did not influence functional results. ConClusions. Primary PPV, especially with gas as a tamponade, is an effective procedure in the surgical treatment of pseudophakic RD. The advantages include good anatomical and functional outcomes and low complication rate. Neither clinical nor surgical factors have been identified as responsible for the visual outcomes.

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“…The distinct category of pseudophakic retinal detachment compared with phakic retinal detachment has a higher prevalence of missed breaks (5%-20%), resulting from the smaller size and anterior location of breaks in these eyes as well as from the incomplete peripheral fundus view due to anterior or posterior capsule fibrosis, cortical remnants, small pupil, vitreous opacities, and optical aberrations at the intraocular lens rim (8,(12)(13)(14) . All phakic patients in the current series maintained retinal attachment during follow-up (13-20 months).…”

Section: Discussionmentioning

confidence: 99%