Pars Plana Vitrectomy With Medium-Term Postoperative Perfluoro-N-Octane for Recurrent Inferior Retinal Detachment Complicated by Advanced Proliferative Vitreoretinopathy

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

doi:10.1097/iae.0b013e31826a6978

Cited by 40 publications

(40 citation statements)

References 29 publications

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“…In light of this difficulty, PVR can further complicate an inferior re-detachment after PPV. Furthermore, the silicone oil tamponade left in the eye during PPV for inferior retinal detachment may lead to the sequestration of retinal epithelium pigment cells over the inferior retina resulting in new PVR [ 16 , 17 ]. Alternatively a scleral buckle (SB) can in theory offer good support to the retina, however this technique remains technically demanding with an increase in potential intraoperative and postoperative complications [ 18 – 20 ].…”

Section: Introductionmentioning

confidence: 99%

Inferior retinotomy and silicone oil tamponade for recurrent inferior retinal detachment and grade C PVR in eyes previously treated with pars plana vitrectomy or scleral buckle

et al. 2015

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BackgroundOne of the most challenging problems in vitro-retinal surgery is the recurrence of retinal detachment in the context of high-grade proliferative vitreoretinopathy (PVR). The aim of our retrospective study was to assess the surgical outcomes of pars plana vitrectomy, 180° inferior retinotomy and silicone oil tamponade combined with phacoemulsification and IOL implantation for recurrent inferior retinal detachment with grade C PVR in phakic eyes. The study was carried out at tertiary referral centre - University Hospital of Rome “Tor Vergata”.MethodsRetrospective analysis of 33 eyes affected by recurrent inferior retinal detachment and grade C PVR after primary encircle scleral buckling (SB group – 12 eyes), or pars plana vitrectomy (PPV group – 21 eyes). All patients subsequently underwent PPV and silicone oil tamponade at our Institution. The first outcome measure was retinal reattachment, and second outcomes were reoperation rates, best-corrected visual acuity (BCVA) and postoperative complications.ResultsAll patients in the SB group and 19 (90 %) patients of the PPV group achieved retinal reattachment. Final BCVA was better in the SB group (p = 0.045). Two eyes in the PPV group required a third vitrectomy with heavy silicone oil tamponade. Postoperative complications included silicone oil in a deep anterior chamber (3 eyes in each group), untreatable hypotony in 1 eye in the PPV group (that led to enucleation due to phthisis bulbi), and elevated intraocular pressure in 3 patients (2 eyes in the PPV group).ConclusionsPhacoemulsification with IOL implant, PPV with silicone oil tamponade associated with 180° inferior retinotomy may lead to better anatomical success in patients who have previously undergone SB procedure for inferior retinal detachment repair compared with eyes that underwent a primary PPV.

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Section: Introductionmentioning

confidence: 99%

Inferior retinotomy and silicone oil tamponade for recurrent inferior retinal detachment and grade C PVR in eyes previously treated with pars plana vitrectomy or scleral buckle

et al. 2015

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“…Repeated fluid-air/air-fluid exchange was used to remove all PFC from the vitreous cavity. When present anterior chamber PFC also has to be removed [62].…”

Section: Pars Plana Vitrectomy For Retinal Detachmentmentioning

confidence: 99%

Advances in Vitreoretinal Surgery

Komur¹

2019

Frontiers in Ophthalmology and Ocular Imaging

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Vitreoretinal surgery has been radically changed over the past 10 years by the development of new techniques, smaller gauge instrumentation, and improvements in vitrectomy machines. The indications for vitrectomy have expanded dramatically, and inoperable conditions have become amenable to surgical treatment. In addition to improvements in intraocular instruments, various dyes become available and enable better visualization and a more complete removal of vitreous and membranes. In this chapter, we issued latest developments in the surgical field of retina that enable improved surgical outcomes and less complications.

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“…Thus, medium-term PFO was found to be an efficacious technique for operative management of recurrent inferior RDs complicated by Grade C PVR. [ 74 ]…”

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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Pars Plana Vitrectomy With Medium-Term Postoperative Perfluoro-N-Octane for Recurrent Inferior Retinal Detachment Complicated by Advanced Proliferative Vitreoretinopathy

Cited by 40 publications

References 29 publications

Inferior retinotomy and silicone oil tamponade for recurrent inferior retinal detachment and grade C PVR in eyes previously treated with pars plana vitrectomy or scleral buckle

Inferior retinotomy and silicone oil tamponade for recurrent inferior retinal detachment and grade C PVR in eyes previously treated with pars plana vitrectomy or scleral buckle

Advances in Vitreoretinal Surgery

Management of recurrent rhegmatogenous retinal detachment

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