Long-term Clinical Results of Vitrectomy and Scleral Buckling in Treatment of Rhegmatogenous Retinal Detachment

Schmidt, Ilka; Plange, Niklas; Rössler, Gernot; Schellhase, Hannah; Koutsonas, Antonis; Walter, Peter; Mazinani, Babac

doi:10.1155/2019/5416806

Cited by 19 publications

(16 citation statements)

References 33 publications

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“…Die durchschnittliche Symptomdauer bis zur Vorstellung in der Klink war in der vorliegenden Untersuchung geringer als in der Literatur beschrieben [11,20,21]. Ein Vergleich mit Gesundheitssystemen, in denen der Hausarzt als Gatekeeper vor einem Facharztbesuch fungiert, ist jedoch nur bedingt aussagekräftig.…”

Section: Diskussionunclassified

“…Eine Amotio retinae ist ein ophthalmologischer Notfall und führt unbehandelt zu einem progredienten Visusverlust [ 7 , 10 , 16 , 21 , 24 ]. Die häufigste Form ist dabei eine rhegmatogene Amotio retinae.…”

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“…Ziel der primär operativen Therapie ist das Wiederanlegen der Netzhaut [ 24 ]. Ein anatomischer Erfolg wird dabei in 85–90 % der Operationen erreicht [ 9 , 16 , 17 , 21 ]. Der funktionelle Erfolg ist v. a. abhängig von einer Mitbeteiligung der Makula [ 6 , 13 ].…”

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Amotio-retinae-Versorgung während der Corona-Pandemie

2020

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Amotio-retinae-Versorgung während der Corona-Pandemie Suchten Patienten mit Netzhautablösung während der Corona-Pandemie später den Augenarzt auf? Ergebnisse aus einer deutschen Universitätsaugenklinik Eine Netzhautablösung stellt einen ophthalmologischen Notfall dar. Eine Verzögerung der Diagnose oder Therapie kann die Visusprognose reduzieren. Aus aktuellen Presseberichten geht hervor, dass Notfallpatienten beispielsweise mit Myokardinfarkt oder Apoplex aus Angst vor einer Ansteckung mit dem Coronavirus erst deutlich verspätet einen Arzt aufsuchen und somit die Diagnose und Therapie verschleppen. Die vorliegende Arbeit untersucht, ob die Corona-Pandemie Auswirkung auf die Versorgung und den präoperativen Visus von Patienten mit Netzhautablösung hatte.

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Section: Diskussionunclassified

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Amotio-retinae-Versorgung während der Corona-Pandemie

2020

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“…2007; Schmidt et al. 2019). Strabismus and diplopia have been reported in up to 50% of patients 3–6 months after EX surgery (Smiddy et al.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of strabismus surgery with retained or removed scleral explant after retinal detachment surgery

Christakopoulos

Larson

Vinding³

et al. 2021

Acta Ophthalmologica

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Purpose To compare, in a larger study population, the outcomes of strabismus surgery in patients who either had the scleral explant (EX) retained or removed after surgery for retinal detachment. Methods A comparative retrospective study includes data from 2 centres. Surgical outcome, motor success, sensory success, the number of secondary operations for strabismus and complications were compared between the two groups. Motor success was defined as horizontal deviation of ≤6 prism diopters (PD) and vertical deviation of ≤6PD. Sensory success was defined as no diplopia without use of prism. Results Forty‐seven patients were included in the study; 70% had retained the EX and 74% had vertical strabismus. Horizontally, the final alignment was equal between the 2 groups, 4 PD vs.5 PD in the EX removed group. The patients with retained EX were referred with a significant lower mean vertical deviation and had a significant lower post‐operative mean vertical deviation of 2 PD vs. 3 PD in the EX‐removed group. The rates of motor success (76% vs. 71%) and sensory success (79% vs. 93%) did not differ significantly between the EX‐retained and EX‐removed groups. No patients underwent more than 2 operations. Two complications occurred in the EX‐retained group: a subconjunctival cyst and an exposed EX. In the EX‐removed group, 2 patients with retinal re‐detachment were found in the follow‐up period. Conclusion Good surgical outcomes including high motor and sensory success were obtained regardless of the presence of the EX. Retinal re‐detachment was observed in two patients with previously removed EX.

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“…Lee et al [3] reported that a rRRD is rare at 2.3% at ≥6 months after PPV. However, there is very little information on late rRRDs, especially rRRDs that develop >10 years after the initial surgery, and most of these cases were treated by scleral buckling [4, 5].…”

Section: Introductionmentioning

confidence: 99%

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

Baba

Tatsumi

Oshitari

et al. 2021

Case Rep Ophthalmol

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Purpose: 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). Methods: Four cases of a recurrent RRD had undergone scleral buckling surgery and vitrectomy. Patients: 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. Conclusions: 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.

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Long-term Clinical Results of Vitrectomy and Scleral Buckling in Treatment of Rhegmatogenous Retinal Detachment

Cited by 19 publications

References 33 publications

Amotio-retinae-Versorgung während der Corona-Pandemie

Amotio-retinae-Versorgung während der Corona-Pandemie

A comparative study of strabismus surgery with retained or removed scleral explant after retinal detachment surgery

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

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