Primary vitrectomy for the management of rhegmatogenous retinal detachment associated with choroidal detachment

Ghoraba, Hammouda Hamdy

doi:10.1007/s004170100345

Cited by 24 publications

(22 citation statements)

References 13 publications

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“…Conventional scleral buckling for the treatment of RRD combined with CD was associated with a high incidence of proliferative vitreoretinopathy and an unfavorable reattachment rate, varying from 35% to 62% 1,2,5,14. Thus, as it has been shown to achieve a superior success rate, vitrectomy has usually been adopted as an initial approach for this condition 6,7,15-17. All eyes, with the exception of 1 eye were also treated initially with vitrectomy in this study.…”

Section: Discussionmentioning

confidence: 99%

Macular Hole as a Risk Factor of Choroidal Detachment in Rhegmatogenous Retinal Detachment

Kang

Park

Shin

et al. 2008

Korean J Ophthalmol

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PurposeChoroidal detachment (CD) associated with rhegmatogenous retinal detachment (RRD) is a rare, but serious condition, which makes the prognosis worse. Previously reported risk factors for CD in RRD patients include high myopia, aphakia, pseudophakia, and advanced age. However, macular hole has not been discussed as an important factor in increasing the risk of CD in RRD patients. The purpose of this study was to evaluate macular hole as a risk factor for CD in eyes evidencing RRD.MethodsThe medical records of 480 patients with primary RRD were reviewed. We compared the CD incidence among the RRD patients in accordance with the presence or absence of macular holes. The relationship between gender, age, presence of systemic disease, refractive errors, lens status, intraocular pressure and the development of CD were also analyzed.ResultsThe incidence (4/21 eyes, 19.0%) of CD in the RRD with macular hole was significantly higher than that (7/459 eyes, 1.5%) observed in the RRD without macular hole (p=0.010). The preoperative intraocular pressure (mean±SD; 2.5±1.3 mmHg) in the RRD with CD and macular hole was significantly lower than that (7.4±4.4 mmHg) observed in the cases of RRD with CD without macular hole (p=0.035). The eyes complicated by CD evidenced a higher prevalence of diabetes mellitus (p=0.024) than was observed in the eyes without CD.ConclusionsThe retinal detachment combined with macular hole creates a predisposition toward the development of profound hypotony and CD.

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Section: Discussionmentioning

confidence: 99%

Macular Hole as a Risk Factor of Choroidal Detachment in Rhegmatogenous Retinal Detachment

Kang

Park

Shin

et al. 2008

Korean J Ophthalmol

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“…These can be drained early in the PPV through the sclerotomies using positive pressure from the infusion (take care when inserting the infusion that the tip has penetrated in to the vitreous cavity) (Ghoraba 2001 ;Yang 1997 ) . These can be drained early in the PPV through the sclerotomies using positive pressure from the infusion (take care when inserting the infusion that the tip has penetrated in to the vitreous cavity) (Ghoraba 2001 ;Yang 1997 ) .…”

Section: Detachment With Choroidal Effusionsmentioning

confidence: 99%

Vitreoretinal Surgery

Williamson¹

2013

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“…14 Induced myopia secondary to scleral buckling has been reported to range from -0.91 to -2.75 diopters. [30][31][32] Anterior segment ischemia, more commonly seen in SB cases in which two or more rectus muscles are disinserted, is an increased risk in even basic encircling band procedures in patients with blood dyscrasias such as sickle-cell hemoglobinopathy. 18 Severe scleromalacia or peripheral staphyloma are significant contraindications to scleral buckling procedures because of the increased risk of perforation.…”

Section: Scleral Bucklementioning

confidence: 99%

“…Total retinal detachment, RRD associated with choroidal detachment, and/or the inability to detect the retinal break with a retinal detachment, are additional situations which have been shown to benefit from management with PPV. 30,31 How do outcomes with vitrectomy techniques compare to SB in the treatment of pseudophakic RRD? The comparison is not easily made.…”

Section: Pneumatic Retinopexymentioning

confidence: 99%

Interventions in pseudophakic rhegmatogenous retinal detachment

Lauritzen

Ávila

Buzney

et al. 2002

Seminars in Ophthalmology

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With refinement of vitrectomy techniques over the past 30 years, the treatment of rhegmatogenous retinal detachment (RRD) has transitioned from the almost exclusive use of extraocular techniques to the present time in which intraocular interventions are available and, in some practices, enjoy almost exclusive use for primary repair of RRD. Except for those situations in which a retinal detachment is associated with obvious immediate complications related to the cataract surgery, the considerations for the treatment of pseudophakic RRD are quite similar to those of phakic RRD. The current options are: use of an extraocular buckling device, vitrectomy-related procedures, intraocular gas injection with associated retinopexy, and combinations of these. Disagreement on the ideal intervention for pseudophakic retinal detachment is not uncommon and particularly so in those RRDs which lie somewhere in the spectrum between complex and simple. As is so often the case in the surgical treatment of disease, there may not be one ideal technique for a particular type of RRD; but knowledge of alternatives logically increases the likelihood of a successful result. The goal of this paper is to outline the clinical factors shown to be of importance in deciding which technique will have the greatest chance at not only achieving retinal re-attachment but also in optimizing long-term vision.

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Primary vitrectomy for the management of rhegmatogenous retinal detachment associated with choroidal detachment

Abstract: Primary vitrectomy is recommended for the management of choroidal detachment associated with retinal detachment.

Cited by 24 publications

References 13 publications

Macular Hole as a Risk Factor of Choroidal Detachment in Rhegmatogenous Retinal Detachment

Macular Hole as a Risk Factor of Choroidal Detachment in Rhegmatogenous Retinal Detachment

Vitreoretinal Surgery

Interventions in pseudophakic rhegmatogenous retinal detachment

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