Postoperative positioning regimens in adults who undergo retinal detachment repair: A systematic review

Micieli, Jonathan A; Lim, Michelle H.; Popović, Marko; Pimentel, Miguel Cruz; Kertes, Peter J.; Mason, R. H.

doi:10.1016/j.survophthal.2022.09.002

Cited by 3 publications

(1 citation statement)

References 34 publications

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“…For this reason, the generated localization maps yielded a comprehensive presentation of RD lesion-related information. The four-zone anatomical localization performance of our model, which was highly related to posture regimens ( 6 , 35 , 36 ), showed substantial consistency with the specialists according to the unweighted Cohen’s kappa coefficients of 0.710(95%CI: 0.659–0.761). The human-model comparisons also demonstrated its localization performance with high precision and recall, almost equaled to a general ophthalmologist’s judging ability.…”

Section: Discussionmentioning

confidence: 57%

Artificial intelligence-assisted management of retinal detachment from ultra-widefield fundus images based on weakly-supervised approach

Li,

Cao,

You

et al. 2024

Front. Med.

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BackgroundRetinal detachment (RD) is a common sight-threatening condition in the emergency department. Early postural intervention based on detachment regions can improve visual prognosis.MethodsWe developed a weakly supervised model with 24,208 ultra-widefield fundus images to localize and coarsely outline the anatomical RD regions. The customized preoperative postural guidance was generated for patients accordingly. The localization performance was then compared with the baseline model and an ophthalmologist according to the reference standard established by the retina experts.ResultsIn the 48-partition lesion detection, our proposed model reached an 86.42% (95% confidence interval (CI): 85.81–87.01%) precision and an 83.27% (95%CI: 82.62–83.90%) recall with an average precision (PA) of 0.9132. In contrast, the baseline model achieved a 92.67% (95%CI: 92.11–93.19%) precision and limited recall of 68.07% (95%CI: 67.25–68.88%). Our holistic lesion localization performance was comparable to the ophthalmologist’s 89.16% (95%CI: 88.75–89.55%) precision and 83.38% (95%CI: 82.91–83.84%) recall. As to the performance of four-zone anatomical localization, compared with the ground truth, the un-weighted Cohen’s κ coefficients were 0.710(95%CI: 0.659–0.761) and 0.753(95%CI: 0.702–0.804) for the weakly-supervised model and the general ophthalmologist, respectively.ConclusionThe proposed weakly-supervised deep learning model showed outstanding performance comparable to that of the general ophthalmologist in localizing and outlining the RD regions. Hopefully, it would greatly facilitate managing RD patients, especially for medical referral and patient education.

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Section: Discussionmentioning

confidence: 57%

Artificial intelligence-assisted management of retinal detachment from ultra-widefield fundus images based on weakly-supervised approach

Li,

Cao,

You

et al. 2024

Front. Med.

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Primary Retinal Detachment: Pars Plana Vitrectomy

Ellabban,

Soliman,

Sallam

et al. 2024

Practical Manual of Vitreoretinal Surgery

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Practice of postoperative face-down positioning and its duration after silicone oil tamponade in vitreoretinal surgery: Results of a survey

Adhi,

Aldebasi

et al. 2024

Saudi Journal of Ophthalmology

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PURPOSE: This survey was conducted among practicing vitreoretinal (VR) surgeons to determine their practice of postoperative face-down positioning (FDP) of patients and its duration after silicone oil (SO) tamponade. METHODS: A web-based SurveyMonkey platform (San Mateo, CA, USA) was used for this cross-sectional study. Up to 80 practicing VR surgeons in the Kingdom of Saudi Arabia (KSA) and Pakistan were contacted via SurveyMonkey link using WhatsApp and emails. RESULTS: Of the 80 practicing VR surgeons, 71 responded to the survey. All VR surgeons in both countries use SO in their surgical practice. While operating on complicated retinal detachments (RDs) that include cases with advanced proliferative vitreoretinopathy, 75% of VR surgeons choose SO tamponade, while 9% of VR surgeons prefer gas tamponade. Up to 63% of VR surgeons advise FDP to their patients whenever they use SO as tamponade. When operating on complicated RDs with SO tamponade, 79% of VR surgeons advise postoperative FDP. Roughly half of the VR surgeons advise FDP for 6 to 10 days. The duration of postoperative FDP varies from 1 day to 21 days. CONCLUSION: All VR surgeons use SO in their practice in KSA and Pakistan. While the vast majority of VR surgeons in both countries use SO as tamponade for complicated RDs, the practice of postoperative FDP and its duration appears to be quite variable. This highlights a lack of uniformity in postoperative care of these patients.

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Postoperative positioning regimens in adults who undergo retinal detachment repair: A systematic review

Cited by 3 publications

References 34 publications

Artificial intelligence-assisted management of retinal detachment from ultra-widefield fundus images based on weakly-supervised approach

Artificial intelligence-assisted management of retinal detachment from ultra-widefield fundus images based on weakly-supervised approach

Primary Retinal Detachment: Pars Plana Vitrectomy

Practice of postoperative face-down positioning and its duration after silicone oil tamponade in vitreoretinal surgery: Results of a survey

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