Releasable Encircling Band for Primary Rhegmatogenous Retinal Detachment

Yu, Xi; Liang, Xianjun; Ding, Xiao Yan; Hu, Jie; Li, Jia Qing; Zhu, Xiao; X, Huang; Stewart, Jay M.; Li, Yong Hao; Jonas, Jost B.; Lü, Lin

doi:10.1016/j.ophtha.2014.07.028

Cited by 6 publications

(9 citation statements)

References 5 publications

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“…The median number of checklist items fulfilled by the included studies was 8, with a minimum of 0 and a maximum of 15, of a possible total of 18. Twenty studies [24][25][26][27][28][29][30][31][32][33][34]37,38,46,48,49,51,64,66,67,72,73,75,77,78,[80][81][82] (40%) satisfied 9 (50%) of the checklist items, with most studies addressing adverse events in the introduction (38 studies [24][25][26][27][28][29][30][35][36][37][38]40,[42][43][44][45][46][47][48][49][51][52][53][58][59][60][61][62][65][66][67]…”

Section: Resultsmentioning

confidence: 99%

“…Six further eligible studies were identified from scouting references. In total, 50 studies were included for analysis. The PRISMA flowchart and a list of all excluded studies with reasons is provided in the eFigure in Supplement 1.…”

Section: Resultsmentioning

confidence: 99%

“…Graph demonstrating the frequency distribution of the number of checklist items of the CONSORT Extension for Harms fulfilled by the 50 studies included in the review.…”

Section: Resultsmentioning

confidence: 99%

“…The median number of checklist items fulfilled by the included studies was 8, with a minimum of 0 and a maximum of 15, of a possible total of 18. Twenty studies (40%) satisfied 9 (50%) of the checklist items, with most studies addressing adverse events in the introduction (38 studies [76%]) and discussion (42 studies [84%]). A similar proportion of trials (19 studies [38%]) fulfilled 6 (33%) or fewer of the checklist items, with 1 study scoring zero.…”

Section: Resultsmentioning

confidence: 99%

“…Twenty studies (40%) satisfied 9 (50%) of the checklist items, with most studies addressing adverse events in the introduction (38 studies [76%]) and discussion (42 studies [84%]). A similar proportion of trials (19 studies [38%]) fulfilled 6 (33%) or fewer of the checklist items, with 1 study scoring zero. Frequency of adverse events was commonly reported (29 studies [58%]), but the reporting of severity was poor (10 studies [20%]).…”

Section: Resultsmentioning

confidence: 99%

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Reporting of Complications in Retinal Detachment Surgical Trials

Azuara‐Blanco

Kadonosono

et al. 2021

JAMA Ophthalmol

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Question: What is the quality of reporting of harms in randomized controlled trials (RCTs) of rhegmatogenous retinal detachment (RRD) surgery? Findings: A systematic review of RCTs in RRD surgery using the Consolidated Standards of Reporting Trials (CONSORT) Extension for Harms checklist was conducted. The median number of checklist items reported was 8. Infrequently reported criteria included 'distinguishing between expected and unexpected adverse events' and 'use of a validated instrument to report adverse event severity.' Meaning: These results suggest there are key areas that need improvement in the reporting of complications of RRD surgical trials.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Graph demonstrating the frequency distribution of the number of checklist items of the CONSORT Extension for Harms fulfilled by the 50 studies included in the review.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Reporting of Complications in Retinal Detachment Surgical Trials

Azuara‐Blanco

Kadonosono

et al. 2021

JAMA Ophthalmol

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Author Reply

Liang

Ding

et al. 2015

Ophthalmology

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segmental buckles, drainage of subretinal fluid, and anterior chamber paracentesis, being optional. No mention is made of final tension in the band, shortening of the band, intraocular pressure, or the height of the band-induced buckle at the end of the procedure.Their data indicate that undesirable postoperative side effects (shallow anterior chamber, increased axial length and myopia) are the result of the tension of the band, and, by implication, the height of the band-induced scleral buckle, because around 3 months postoperatively these phenomena reverse as the absorbable suture dissolves, the tension of the band is released and the height of the buckle diminishes. These are very important data. They corroborate what surgeons have suspected for many years and should inform us about our surgical technique: the ideal scleral buckle is created with imbricating sutures straddling wider implants, with the band supporting and not creating the buckle.Nevertheless, their single surgery reattachment rate at 6 months is excellent, even with the temporary buckle. Whether or not this is permanent and will persist for the lifetime of the patients remains to be seen, and we look forward to reports of their long-term results in the future.Scleral buckling has not undergone significant advances in materials or techniques over the past 2 decades, and we commend the authors for their thoughtful contribution to this important retinal detachment repair technique. In the meantime, adhering to those principles developed by Schepens et al, especially with regard to the purpose and use of encircling elements, will minimize side effects and provide the best long-term outcomes for our patients.

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Re: Yu et al.: Releasable encircling band for primary rhegmatogenous retinal detachment (Ophthalmology 2014;121:2504-5)

Klufas¹,

Kreiger²

2015

Ophthalmology

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complete (zone III is not visualized in the images). In our protocol, we always ablate the entire avascular retina in the same session, using RetCam images as well as a double check by a second ophthalmologist. Using this protocol we had no need to retreat ROP. Finally, the small numbers in our report did not lead us to modify our treatment protocol based on laser ablation. The need for a large multicenter study has been reinforced by the evidence of long-term results provided in our report.

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Releasable Encircling Band for Primary Rhegmatogenous Retinal Detachment

Cited by 6 publications

References 5 publications

Reporting of Complications in Retinal Detachment Surgical Trials

Reporting of Complications in Retinal Detachment Surgical Trials

Author Reply

Re: Yu et al.: Releasable encircling band for primary rhegmatogenous retinal detachment (Ophthalmology 2014;121:2504-5)

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