Rhegmatogenous retinal detachment: a review of current practice in diagnosis and management

Sultan, Ziyaad; Agorogiannis, Eleftherios; Iannetta, Danilo; Steel, David; Sandinha, Teresa

doi:10.1136/bmjophth-2020-000474

Cited by 84 publications

(80 citation statements)

References 66 publications

(112 reference statements)

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“…Surgery is the only therapeutic approach, and surgical techniques and instrumentation developed in recent decades have led to a high primary reattachment rate [ 2 ]. Indeed, pars plana vitrectomy (PPV) is one of the most effective procedures for the treatment of RRD, with a mean postoperative anatomical success rate of over 90% [ 3 ]. However, PPV has a higher incidence of cataract progression than scleral buckling.…”

Section: Introductionmentioning

confidence: 99%

Differences in Axial Length and IOL Power Based on Alternative A-Scan or Fellow-Eye Biometry in Macula-Off Rhegmatogenous Retinal Detachment Eyes

2021

Ophthalmol Ther

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Introduction: This study was performed to observe the potential refractive prediction error based on alternative A-scan ultrasound and fellow-eye biometry for phacovitrectomy in macula-off rhegmatogenous retinal detachment (RRD) eyes. Methods: Phakic macula-off RRD eyes without axial length (AL) measurements obtained using IOLMaster were included. Vitrectomy without lens extraction was performed for RRD repair.Preoperative AL was measured using alternative A-scan ultrasound (AL-US). Postoperative AL was obtained in eyes with silicone oil tamponade (AL-SO) and preoperative fellow-eye biometry (AL-FE) using IOLMaster. Other eyes that faced the same preoperative situation but underwent phacovitrectomy based on felloweye biometry were recruited as controls.Results: AL-US, AL-FE, and AL-SO were 25.39 ± 2.14 mm, 25.85 ± 2.16 mm and 26.08 ± 2.53 mm, respectively. The Bland-Altman agreement among AL-US, AL-FE and AL-SO was good (95.5%, 21/22 of cases were in the LoA). The mean IOL power calculated using AL-US (Power-US), AL-FE (Power-FE) and AL-SO (Power-SO) was 16.81 ± 7.19 D, 14.74 ± 6.95 D and 13.54 ± 8.32 D, respectively. The difference between AL-US and AL-SO was significant (P \ 0.05), while that between AL-FE and AL-SO was not (P [ 0.05). The difference between Power-US and Power-SO was significant (P \ 0.05), while that between Power-FE and Power-SO was not (P [ 0.05). Nine eyes underwent phacovitrectomy based on fellow-eye biometry and had a final postoperative myopic shift of 0.64 ± 0.78 D. Conclusions: Alternative A-scan ultrasound led to a significant difference in AL and a prediction error in IOL power, while fellow-eye biometry provided similar results to silicone oil-filled eyes after RRD repair.

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Section: Introductionmentioning

confidence: 99%

Differences in Axial Length and IOL Power Based on Alternative A-Scan or Fellow-Eye Biometry in Macula-Off Rhegmatogenous Retinal Detachment Eyes

2021

Ophthalmol Ther

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“…As a consequence of retinal detachment and its extension into the macula, there could be a significant decline in vision due to the rapid loss of photoreceptors [ 2 , 3 ]. Hence, prompt and successful treatment of RRD is essential for improved visual prognosis [ 4 , 5 ].…”

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confidence: 99%

Protective Role of 360° Laser Retinopexy in Patients with Rhegmatogenous Retinal Detachment: a Systematic Review and Meta-analysis

Soekamto

Chu

Johnson

et al. 2021

Korean J Ophthalmol

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Purpose Visual impairment from retinal re-detachment could be debilitating. The aim of this review is to evaluate the role of 360° laser retinopexy on success rate of rhegmatogenous retinal detachment (RRD) repair by a meta-analysis study. Methods The PubMed, Scopus, and the Cochrane Library databases were searched comprehensively from the date of database inception to January 2021, evaluating the role of 360° laser retinopexy in visual and anatomical success rate of RRD repair. This review was conducted based on the preferred reporting items for systematic review and meta-analysis (PRISMA) protocols. Results Among 202 articles screened for eligibility, six studies were found to be eligible for inclusion in our final analysis. Our meta-analysis demonstrates that prophylactic treatment with circumferential laser photocoagulation has no significant effect on the initial rate of retinal re-detachment or final best-corrected visual acuity following pars plana vitrectomy repair of RRD. Subgroup analysis of studies (n = 3) with 23-gauge pars plana vitrectomy, however, favors attachment rate in patients undergoing 360° prophylactic laser treatment. Conclusions Three hundred and sixty degree laser retinopexy appears to have favorable outcomes in patients undergoing 23-gauge retinal detachment repair. This protective effect, however, is not apparent with inclusion of 20-gauge vitrectomy studies.

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“…33 Rhegmatogenous retinal detachment, on the other hand, refers to a separation of the neurosensory retina from the retinal pigment epithelium caused by the entry of fluid into the subretinal space through a full-thickness defect. 34 The study has several limitations, mainly not having achieved the target sample size, which likely affected the significance of the variables being examined and reflected the lack of precision of the obtained estimates. As the study is only a single-point ophthalmologic examination, the development of other long-term complications cannot be observed, in contrast to longitudinal studies with a long-term follow-up period.…”

Section: Discussionmentioning

confidence: 99%

Ocular Findings among Filipino Patients with Leprosy in a Tertiary Hospital: A Cross-sectional Survey

Ramirez¹,

Juan²,

Barit³

et al. 2021

Acta Med Philipp

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Background. Leprosy, a chronic granulomatous disease affecting mainly the skin and peripheral nerves, has widely recognized ocular complications. It is a significant cause of visual impairment in countries where it is still prevalent, including the Philippines. Methods. This was a cross-sectional study that determined the clinical profile and distribution of ocular pathology among Filipino patients with leprosy seen at a tertiary institution in the Philippines. Results. A total of 67 patients consented to be included in the study and were evaluated by an ophthalmologist. Thirty-seven out of the 67 patients diagnosed with leprosy had reported ocular findings. The average age was 41.2 ± 13.1 years and the majority of patients were men (78%). Thirty-six patients were multibacillary cases, 10 (27%) had a lepra reaction, and 24 (65%) were undergoing multi-drug therapy. Three patients had varying degrees of visual acuity impairment (one was visually impaired with visual acuity [VA] 6/24-6/60, one with VA 3/60-5/60, and one with VA <3/60). Steroid-induced cataracts occurred in four patients (6%) with concurrent or previous systemic corticosteroid treatment for lepra reactions. Univariate logistic regression and Fisher’s exact test of patient-, disease-, and treatment-related variables on ocular morbidity revealed non-significant values for all variables except for age with an odds ratio of 1.1 (95% CI, 1.04, 1.16) (p = 0.001). Conclusions. No ocular morbidities directly caused by leprosy were seen, and treatment-related ocular findings (steroid-induced cataracts) were the only morbidities documented. There is an age-related risk for developing ocular morbidity in patients with leprosy.

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Rhegmatogenous retinal detachment: a review of current practice in diagnosis and management

Cited by 84 publications

References 66 publications

Differences in Axial Length and IOL Power Based on Alternative A-Scan or Fellow-Eye Biometry in Macula-Off Rhegmatogenous Retinal Detachment Eyes

Differences in Axial Length and IOL Power Based on Alternative A-Scan or Fellow-Eye Biometry in Macula-Off Rhegmatogenous Retinal Detachment Eyes

Protective Role of 360° Laser Retinopexy in Patients with Rhegmatogenous Retinal Detachment: a Systematic Review and Meta-analysis

Ocular Findings among Filipino Patients with Leprosy in a Tertiary Hospital: A Cross-sectional Survey

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