Pneumatic Retinopexy for the Treatment of Shallow Retinal Detachment Caused by a Retinal Break in the Intercalary Membrane of Macula Sparing Retinochoroidal Coloboma

Rishi, Ekta; Rishi, Pukhraj; Madanagopalan, V G

doi:10.1097/icb.0000000000000222

Cited by 5 publications

(4 citation statements)

References 10 publications

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“…This success rate is well in the range of other studies performed in the same cases with the same surgical techniques at other centres worldwide. 13,14,15,16,17,18 Different researchers have concluded that recurrent retinal detachment rates are 25-40 % after initially successful reattachment in surgeries performed for coloboma-related retinal detachments. 13 In our cases, only one eye had a re-detachment.…”

Section: Discussionmentioning

confidence: 99%

The Outcome of Surgeries Performed for Retinal Detachment Associated with Chorioretinal Coloboma

Khan,

Irfan Aslam

2023

J Gandhara Med Dent Sci

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OBJECTIVES To study the outcome of surgeries performed for retinal detachments associated with chorioretinal colobomas. METHODOLOGY This retrospective study enrolled 16 eyes of 16 patients with retinal detachments associated with chorioretinal colobomas. Standard 3-ports 23-gauge Pars plana vitrectomy (PPV) with silicon oil tamponade and endo-laser was performed along the rim of colobomas in all cases. In 4 (25.0%) eyes, buckling was performed with 240 silicon bands and vitrectomy to support the vitreous base. In 12 eyes (75.0%), the natural lens was removed with phaco / lensectomy and intra-ocular lens implantation. RESULTSOut of 16 eyes, the retina was re-attached in 15 eyes (93.75%) after the first operation. One eye needed a second surgery, which was successful anatomically after the second surgery. Mean pre-operative best-corrected visual acuity (BCVA) was 3.36 (±0.52), while 2-weeks post-operative BCVA was 1.92 (±0.88), which was statistically significant (P<.001) improvement. Increased intra-ocular pressure (IOP), silicone oil in the anterior chamber (AC), recurrent retinal detachment, and epiretinal membrane (ERM) formation were some of the complications observed post-operatively. CONCLUSION PPV with endo-laser photocoagulation along the rim of colobomas and silicon oil tamponade is an effective surgical procedure with a statistically significant retinal reattachment ratio and best corrected visual acuity improvement in cases of rhegmatogenous retinal detachment (RRD) associated with chorioretinal colobomas.

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Section: Discussionmentioning

confidence: 99%

The Outcome of Surgeries Performed for Retinal Detachment Associated with Chorioretinal Coloboma

Khan,

Irfan Aslam

2023

J Gandhara Med Dent Sci

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“…According to optical coherence tomography (OCT) analysis RRD in eyes with CRC have been found to be most common secondary to a breaks in the abnormally thin inner retina; ICM and communication between both the sub-ICM space and subretinal space. 1,26,10,16 According to Rishi et al 17 report in eyes with optic disc involvement, fluid may enter subretinal space through the colobomatous defect in the optic nerve tissue.…”

Section: Complicationsmentioning

confidence: 99%

“…With current advanced small gauge pars plana vitrectomy techniques with enhanced visualization and illumination systems, the optimal surgical method of choice for managing CRC related RRDs are pars plana vitrectomy, with or without scleral buckle, internal drainage of subretinal fluid and endo-tamponade using long-acting gas (octafluoropropane) or silicone oil. 16−18,21−23 Rishi et al 17 reported a case with successful surgical outcome of pneumatic retinopexy with laser barrage to coloboma margin in a patient with retinal detachment with shallow SRF from a single break in the intercalary membrane with macula sparing retinochoroidal coloboma.…”

Section: Management Of Rrdmentioning

confidence: 99%

Chorioretinal coloboma: clinical presentation complications and treatment alternatives

Altıntaş¹

2019

AOVS

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Choroio Retinal colobomas rare congenital anomalies developed due to incomplete closure of the embryonic fissure. They present with different clinical conditions depend on extent and effected part of ocular tissues such as macula and optic nerve. The most common complication of Choroio Retinal colobomas is retinal detachment and due to histopathological nature of colobomas the success rate of retinal detachment surgery is not high even with advance vitreoretinal techniques.

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“…Isolated case reports refer to usage of this technique to reattach the retina followed by laser photocoagulation along the coloboma margin [ 52 , 53 ]. It is obvious that this technique can only work in very selected cases and with a very compliant patient.…”

Section: Introductionmentioning

confidence: 99%

Ocular coloboma—a comprehensive review for the clinician

Gopal

Sen²,

Vijaya

et al. 2021

Eye

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Typical ocular coloboma is caused by defective closure of the embryonal fissure. The occurrence of coloboma can be sporadic, hereditary (known or unknown gene defects) or associated with chromosomal abnormalities. Ocular colobomata are more often associated with systemic abnormalities when caused by chromosomal abnormalities. The ocular manifestations vary widely. At one extreme, the eye is hardly recognisable and non-functional—having been compressed by an orbital cyst, while at the other, one finds minimalistic involvement that hardly affects the structure and function of the eye. In the fundus, the variability involves the size of the coloboma (anteroposterior and transverse extent) and the involvement of the optic disc and fovea. The visual acuity is affected when coloboma involves disc and fovea, or is complicated by occurrence of retinal detachment, choroidal neovascular membrane, cataract, amblyopia due to uncorrected refractive errors, etc. While the basic birth anomaly cannot be corrected, most of the complications listed above are correctable to a great extent. Current day surgical management of coloboma-related retinal detachments has evolved to yield consistently good results. Cataract surgery in these eyes can pose a challenge due to a combination of microphthalmos and relatively hard lenses, resulting in increased risk of intra-operative complications. Prophylactic laser retinopexy to the border of choroidal coloboma appears to be an attractive option for reducing risk of coloboma-related retinal detachment. However, a majority of the eyes have the optic disc within the choroidal coloboma, thus making it difficult to safely administer a complete treatment.

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Pneumatic Retinopexy for the Treatment of Shallow Retinal Detachment Caused by a Retinal Break in the Intercalary Membrane of Macula Sparing Retinochoroidal Coloboma

Abstract: Pneumatic retinopexy with laser barrage to coloboma margin can achieve and maintain retinal reattachment in eyes with macula sparing retinochoroidal coloboma with shallow SRF.

Cited by 5 publications

References 10 publications

The Outcome of Surgeries Performed for Retinal Detachment Associated with Chorioretinal Coloboma

The Outcome of Surgeries Performed for Retinal Detachment Associated with Chorioretinal Coloboma

Chorioretinal coloboma: clinical presentation complications and treatment alternatives

Ocular coloboma—a comprehensive review for the clinician

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