Scleral buckling surgery for rhegmatogenous retinal detachment with subretinal proliferation

Falavarjani, Khalil Ghasemi; Alemzadeh, Sayyed Amirpooya; Modarres, Mehdi; Parvaresh, Mohammad Mehdi; Hashemi, Masih; Naseripour, Masood; Khanamiri, Hossein Nazari; Askari, S N

doi:10.1038/eye.2014.341

Cited by 17 publications

(17 citation statements)

References 19 publications

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“…Even in cases with involvement of the fovea, emergent operation is not necessary because early intervention seldom results in remarkable improvement of vision. Because the formed vitreous works as a bio-tamponade (Figure 4A), the success rate of SB alone is excellent, even in cases with grade C PVR associated with a complicated subretinal strand 59,60. If the subretinal strand is widely invasive, scleral encircling should be considered (Figure 3).…”

Section: Introductionmentioning

confidence: 99%

Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives

Park¹,

Lee²,

Lee³

2018

OPTH

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Although the technique of pars plana vitrectomy (PPV) develops rapidly, scleral buckling (SB) has several advantages over PPV for rhegmatogenous retinal detachment (RRD), including early visual rehabilitation and prevention of cataract progression. It is recommended to select the primary procedure for RRD by considering the advantages and disadvantages of each procedure based on the patient status. The vitreous body status affects the features of RRD. Vitreous liquefaction is an age-dependent process, resulting in the development of posterior vitreous detachment (PVD). RRD is usually associated with PVD, typically presenting with a retinal tear, strong vitreoretinal traction, and bullous detachment. In contrast, RRD may develop without PVD, and typically presents with a small atrophic hole, shallow detachment, and slow progression. RRD with less liquefied vitreous and no PVD can be managed successfully with SB alone even in the presence of subretinal strand as less liquefied vitreous acts as bio-tamponade blocking fluid passage. The strong traction induced by PVD and bullous detachment in an eye with extensively liquefied vitreous reduces the success rate of SB. PPV is gaining popularity as the primary procedure for RRD, especially in eyes with retinal tears, PVD, or pseudophakia. Nevertheless, SB remains the preferred procedure in young phakic patients without PVD.

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Section: Introductionmentioning

confidence: 99%

Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives

Park¹,

Lee²,

Lee³

2018

OPTH

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“…Previous studies have evaluated different surgical management strategies for SRP in PVR, including PPV and scleral buckling surgery [6,8,9,29,30]. PPV is needed for eyes with posterior and extensive anterior epiretinal proliferation in order to remove the contractile membranes and release the retinal traction.…”

Section: Discussionmentioning

confidence: 99%

“…Yao et al reported that single scleral buckling surgery anatomical success was 90% in 40 eyes with RRD and SRP [29]. Ghasemi Falavarjani K et al reported that the single surgery anatomical success rate was 88.7% in 44 eyes with RRD associated with SRP [9]. Some earlier studies classi ed SRP following RRD into two main types [31].…”

Section: Discussionmentioning

confidence: 99%

Clinical Features and Surgical Outcomes of Subretinal Proliferation in Proliferative Diabetic Retinopathy

Dai

Chen

et al. 2020

Preprint

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Background: To investigate the clinical characteristics, treatments and prognosis of subretinal proliferation (SRP) in patients with proliferative diabetic retinopathy (PDR).Methods: 154 patients (182 eyes) who received vitrectomy for PDR were retrospectively reviewed. Patients with SRP were enrolled as the study group, and those without SRP served as the control group. The following data were collected from their medical records: demographics, systemic and ophthalmologic findings, and treatment given specifically for SRP. The main outcome measures included the visual acuity, funduscopic examination and final anatomic success. The association between SRP and other systemic involvement of PDR was also analyzed. Results: There were 9 eyes (9 patients) in the study group and 145 eyes (145 patients) in the control group. The average fasting blood glucose was 11.48 ± 3.52 mmol/L and 8.72 ± 3.05 mmol/L, respectively (P = .048). The study group had a significantly higher proportion of tractional retinal detachment (TRD) (P < .0001) and a significantly lower proportion of vitreous hemorrhage (VH) (P = .0006). The rate of silicone oil usage was higher in the study group (P < .0001). No retinal break was found preoperatively or intraoperatively. Only one eye (11.1%) had undergone subretinal band removal procedure intraoperatively, and the final anatomical success rate was 100%. Conclusion: SRP in PDR was associated with higher blood sugar levels and TRD. The retina could reattach successfully after vitrectomy without removal or transection of the subretinal bands in most eyes.

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“… 7 However, successful reattachment after a single surgery for isolated subretinal PVR ranges from 89% to 95%. 2 , 3 , 8 , 9 If removal of subretinal bands is required to achieve reattachment, the success rate decreases to 65% in one study. 3 In addition, the presence of concomitant preretinal PVR alters management and reduces success rates.…”

Section: Discussionmentioning

confidence: 99%

“… 3 In addition, the presence of concomitant preretinal PVR alters management and reduces success rates. 8 …”

Section: Discussionmentioning

confidence: 99%

Spectral domain optical coherence tomography imaging of subretinal bands associated with chronic retinal detachments

Kothari

Kuriyan

Flynn

2016

OPTH

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Scleral buckling surgery for rhegmatogenous retinal detachment with subretinal proliferation

Cited by 17 publications

References 19 publications

Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives

Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives

Clinical Features and Surgical Outcomes of Subretinal Proliferation in Proliferative Diabetic Retinopathy

Spectral domain optical coherence tomography imaging of subretinal bands associated with chronic retinal detachments

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