Retinal displacement following rhegmatogenous retinal detachment: A systematic review and meta-analysis

Mason, Ryan H.; Minaker, Samuel A.; Marafon, Samara B; Figueiredo, Natália; Hillier, Roxane J.; Muni, Rajeev H.

doi:10.1016/j.survophthal.2022.01.002

Cited by 27 publications

(16 citation statements)

References 33 publications

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“…55 However, the rate of displacement as assessed with fundus autofluorescence imaging differed depending on the surgical repair technique with primary scleral buckle having the lowest rate of displacement, followed by pneumatic retinopexy and PPV. 55 More specifically, pneumatic retinopexy patients have shown less objective vertical and horizontal metamorphopsia compared to PPV patients. Accordingly, these pneumatic retinopexy patients show superior scores on the functional visual score questionnaires.…”

Section: Discussionmentioning

confidence: 99%

“…Given the relatively high reattachment rates across all repair techniques, greater emphasis has been placed on analysis of retinal displacement after surgical repair and its relation to patient satisfaction and functional outcomes. Recent meta‐analysis shows retinal displacement rates after detachment repair as high as 35 ± 20% 55 . However, the rate of displacement as assessed with fundus autofluorescence imaging differed depending on the surgical repair technique with primary scleral buckle having the lowest rate of displacement, followed by pneumatic retinopexy and PPV 55 .…”

Section: Discussionmentioning

confidence: 99%

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Rhegmatogenous retinal detachment surgery: A review

Warren

Wang

Lim

2023

Clinical Exper Ophthalmology

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Rhegmatogenous retinal detachment (RRD) is a serious surgical condition with significant ocular morbidity if not managed properly. Once untreatable, approaches to the repair of RRD have greatly evolved over the years, leading to outstanding primary surgical success rates. The management of RRD is often a topic of great debate. Scleral buckling, vitrectomy and pneumatic retinopexy have been used successfully for the treatment of RRD. Several factors may affect surgical success and dictate a surgeon's preference for the technique employed. In this review, we provide an overview and supporting literature on the options for RRD repair and their respective preoperative and postoperative considerations in order to guide surgical management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Rhegmatogenous retinal detachment surgery: A review

Warren

Wang

Lim

2023

Clinical Exper Ophthalmology

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“…Unintentional retinal displacement following retinal re-attachment with a PPV has been described anywhere from 45% to 72%. 23 In contrast, the PIVOT trial demonstrated that the retinal displacement induced by PR to those induced by PPV was significantly less. 18 There are very limited data regarding retinal displacement following SB.…”

Section: Functional Outcomesmentioning

confidence: 93%

“… 107 These functional changes have been ascribed to anatomical changes only observed in multimodal imaging. 18 , 23 , 119–123 …”

Section: Functional Outcomesmentioning

confidence: 99%

Scleral Buckling: A Look at the Past, Present and Future in View of Recent Findings on the Importance of Photoreceptor Re-Alignment Following Retinal Re-Attachment

Pimentel¹,

Shih²,

Wu³

2022

OPTH

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Scleral buckling (SB) remains an important technique to master for those interested in treating rhegmatogenous retinal detachment (RRD). Several ways to repair RRD include pneumatic retinopexy (PR), pars plana vitrectomy (PPV), SB or a combination of these. There is a growing worldwide trend that favors PPV as the preferred method for retinal reattachment of primary uncomplicated RRD. Reimbursement issues, operating room access, and technological advances in PPV that improve retinal visualization and less exposure to SB during fellowship training may explain this trend. As the number of SB cases decreases over time, there is a risk that SB becomes a dying art and surgeons in training may not be trained in SB. SB is preferred in eyes with no posterior vitreous detachment and retinal dialysis. SB with minimal gas vitrectomy may be indicated for eyes with inferior pathology. Non-contact wide-angled visualization with chandelier assisted SB may be well suited for teaching new generations of aspiring vitreoretinal surgeons. Its functional and anatomic results compare favorably with conventional SB for primary uncomplicated primary RRD. The main advantage of this technique is the improved visualization even through small pupils. Better visualization ensures treatment of all breaks while avoiding complications during drainage of subretinal fluid and a safer placement of intrascleral sutures for scleral fixation of the buckling element. Recordings of the procedure are easily performed, allowing the surgeons involved to review the case and learn from it. The main disadvantage is the cost involved with the chandelier and the need to have a microscope or a 3D system with a wide angle viewing system. Photoreceptor re-alignment following retinal re-attachment is an important determinant of the post-operative functional outcomes. Different methods of retinal re-attachment apparently result in different degrees of photoreceptor re-alignment. SB may hold an advantage over PPV in this regard.

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“…Currently, the validated management method of posttraumatic retinal detachment is vitrectomy combined with the implantation of vitreous substitute llings [3] . The main ller materials include air, per uoropropane (C3F8), silicone oil, and per uorocarbon liquid, with C3F8 and silicone oil being the most commonly used.…”

Section: Introductionmentioning

confidence: 99%

Study on Maintenance of Eyeball Morphology by Foldable Capsular Vitreous Body in Severe Ocular Trauma

Wang

Dou

et al. 2023

Preprint

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Objectives: Explore the feasibility and safety of using foldable capsular vitreous body (FCVB) in managing severe ocular trauma and silicone oil-dependent eyes. Methodology: This is a retrospective study that analyzed 61 ocular trauma patients (61 eyes) that were presented to the Department of Eye Emergency, Hebei Eye Hospital from May 1, 2018, to May 31, 2019, which included 51 male patients (51 eyes) and 10 female patients (10 eyes) with an average age of (44.98 ±14.60) years old. The oldest patient was 75 years old and the youngest was 8 years old. These cases represented 51 eyes with severe eyeball rupture and 10 eyes with severe, complicated ocular trauma, which became silicone oil-dependent after the operation. These patients received FCVB implants and their visual acuity, intraocular pressure, and the changes on their eye axis, cornea, retina, and the state of FCVB were recorded after the operation. Results: The operations were successful for all patients and the implants were in the correct positions upon the completion of the operation. All 61 patients cleared a follow-up window of 1-6 months with no reports of significant changes in their visual acuity. Among the patients, 91.8% reported normal intraocular pressure, the retinal reattachment rate reached 100%, and the eyeball atrophy control rate reached 100%. There was no report of rupture of the FCVB allergies to silicone, intraocular infection, intraocular hemorrhage, silicone oil emulsification, or sympathetic ophthalmia. Conclusions: Foldable capsular vitreous bodies (FCVBs) designed to mimic natural vitreous bodies are suitable as long-term ocular implants that can provide sustained support for the retina without the need for any special postoperative postures. Their barrier function may effectively prolong the retention time of the filling medium and prevent various complications caused by direct contact of the eye tissues with the filling medium.

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Retinal displacement following rhegmatogenous retinal detachment: A systematic review and meta-analysis

Cited by 27 publications

References 33 publications

Rhegmatogenous retinal detachment surgery: A review

Rhegmatogenous retinal detachment surgery: A review

Scleral Buckling: A Look at the Past, Present and Future in View of Recent Findings on the Importance of Photoreceptor Re-Alignment Following Retinal Re-Attachment

Study on Maintenance of Eyeball Morphology by Foldable Capsular Vitreous Body in Severe Ocular Trauma

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