Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment study (SPR Study): recruitment list evaluation. Study report no. 2

Feltgen, Nicolas; Weiß, Claudia; Wolf, Sebastian; Ottenberg, D; Heimann, Heinrich

doi:10.1007/s00417-006-0399-y

Cited by 46 publications

(36 citation statements)

References 36 publications

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“…This includes the number of breaks, the extent of the retinal detachment, the presence of PVR before surgery, the involvement of the macular region, the height of the retinal detachment (bullous or not), refractive errors , the lens status and others. The effect of these factors on the functional and anatomic outcome of retinal detachment surgery has been previously investigated in the ‘Scleral Buckling versus Primary Vitrectomy in Rhegmatogenous Retinal Detachment (SPR)’ trials [9,10,11], which were designed to compare SB surgery and primary pars plana vitrectomy in rhegmatogenous retinal detachments of medium complexity. The categories of severity described in our study are based on the inclusion and exclusion criteria of the SPR trail [11].…”

Section: Discussionmentioning

confidence: 99%

Anatomic Success of Scleral Buckling for Rhegmatogenous Retinal Detachment – A Retrospective Study of 524 Cases

2010

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Background/Aim: Our purpose was to investigate the anatomic success of scleral buckling surgery for rhegmatogenous retinal detachment. Material and Methods: A total of 524 consecutive patients were retrospectively analysed. Several parameters including the lens status, number of breaks and extent of retinal detachment, preoperative proliferative vitreoretinopathy and refractive errors were examined. The minimum follow-up was 6 months. The primary success rate was defined as anatomic success being stable over a period of at least 6 months after surgery. The secondary success rate was defined as anatomic success after the second intervention if necessary. Besides an analysis over all patients, the patients were grouped according to the severity of the preoperative situation in simple, medium and severe cases. Results: The overall primary anatomic success rate was 84.7% and the secondary success rate 96.4% after 1 initial scleral buckling surgery and 1 additional surgery in case of persisting retinal detachment, and 19.1% of the patients with an initially attached retina after 1 scleral buckling surgery experienced a redetachment in the postoperative course and were successfully treated in 60/85 cases. In phakic patients (n = 359) the primary success rate was 89.7%, whereas in pseudophakic patients (n = 165) a primary success rate of 73.9% was obtained. The primary success was additionally influenced by the extent of the retinal detachment measured in clock hours (p < 0.001), undetected holes (p = 0.004), small (p = 0.037) and no gas tamponade (p = 0.021). In simple, medium and severe cases, phakic patients always achieved better anatomic results (89.9, 89.1 and 90.2%) compared to pseudophakic ones (82.5, 70.3 and 36.4%). Conclusion: Scleral buckling is a very good surgical option in phakic patients irrespective of the preoperative severity and simple cases in pseudophakic patients. Scleral buckling represents a surgical technique worth being trained and performed in the light of favourable results especially in phakic eyes.

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Section: Discussionmentioning

confidence: 99%

Anatomic Success of Scleral Buckling for Rhegmatogenous Retinal Detachment – A Retrospective Study of 524 Cases

2010

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“…[1][2][3][4][5] In patients with complex RRD, however, pars plan vitrectomy with or without scleral buckling surgery has been associated with significantly higher success rate compared with scleral buckling alone. 6 Proliferative vitreoretinopathy (PVR) is a wound healing process characterized by migration and proliferation of resident ocular cells including retinal pigment epithelial cells and invading immune cells leading to formation of adherent membranes over and under the retina. These membranes are able to contract and cause recurrent retinal detachment.…”

Section: Introductionmentioning

confidence: 99%

Scleral buckling surgery for rhegmatogenous retinal detachment with subretinal proliferation

Falavarjani

Alemzadeh

Modarres

et al. 2015

Eye

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“…41,42 In this study buckling consisted in most cases in a cerclage with or without an additional buckle and with drainage of subretinal fluid. In phakic eyes the functional results were statistically significant better after scleral buckling than after primary vitrectomy.…”

Section: Resultsmentioning

confidence: 99%

Repair of Primary Retinal Detachment: A Review of its Development and a Comparison of the Present Techniques in Use: Review

Kreissig¹

2010

Turkiye Klinikleri J Med Sci

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A AB BS S T TR RA AC CT T The evo lu ti on of the pre sent sur gi cal ap pro ac hes for re at tac hing a pri mary re ti nal detach ment and the is su es which de ter mi ned the va ri o us tech ni qu es will be analy zed star ting from 1929. Li te ra tu re of re ti nal de tach ment sur gery du ring the past 80 ye ars is re vi e wed. The re had been a chan ge from sur gery of the en ti re re ti nal de tach ment to a sur gery li mi ted to the re ti nal bre ak and a chan ge from ex tra o cu lar (e.o.) to in tra o cu lar (i.o.) sur gery for re ti nal re at tach ment. The four ma jor sur ge ri es for re pa ir of pri mary re ti nal de tach ment, app li ed in the be gin ning of the 21st century, ha ve one com mon is su e: to find and clo se the bre ak which ca u sed the re ti nal de tach ment or wo uld ca u se re de tach ment. This is in de pen dent whet her sur gery is li mi ted to the are a of bre ak or ex ten ding over the en ti re de tach ment and whet her it is per for med as an e.o. or i.o. pro ce du re. This is fol lo wed by com pa ri son of the pre sently app li ed four tech ni qu es in re la ti on to: mor bi dity, proliferative vitreoretinopathy (PVR), ra te of re at tach ment and re o pe ra ti ons. To find and clo se the lea king re ti nal bre ak in a pri mary de tach ment on ce and for all has ac com pa ni ed the ef forts of de tach ment sur ge ons as a "red thre ad" over the past 80 ye ars and is still the pre mi se for sus ta i ned re at tach ment. Ho we ver, at pre sent four re qu i re ments ha ve to be ful fil led: (1) Re ti nal re at tach ment sho uld be ac hi e ved with one ope ra ti on, (2) ope ra ti on sho uld ha ve mi ni mum of mor bi dity, (3) surgery sho uld be per for med on a small bud get and un der lo cal anest he si a, (4) sur gery sho uld not harbo ur se con dary comp li ca ti ons je o par di zing re ga i ned vi su al acu ity du ring sub se qu ent ye ars. K Ke ey y W Wo or rd ds s: : Vitrectomy; retinal detachment; scleral buckling Ö ÖZ ZE ET T Re ti na yı tek rar ya tış tır mak için mev cut cer ra hi yak la şım la rı araş tı rıl mış tır ve çe şit li tek nikle ri be lir le yen ana hu sus lar 1929 dan baş la ya rak ana liz edil mek te dir. Geç miş 80 yı lın re ti nal de kolman cer ra hi li te ra tü rü göz den ge çi ril miş tir. Za man için de tüm re ti na de kol man cer ra hi sin den re ti nal yır tı ğa sı nır lı cer ra hi ge liş ti ril miş tir ve re ti nal de kol man için eks tra o kü ler cer ra hi den (e.o.) in tra o kü ler (i.o.) cer ra hi ye de ği şim oluş muş tur. Yirmi birinci yüz yı lın ba şın da ge çer li olan, pri mer re ti na de kol ma nı ona rı mı için uy gu la nan dört bü yük cer ra hi yön temin bir or tak ko nu su var: re tina de kol ma nı na ne den olan ve ya ola bi le cek yır tı ğı bul mak ve ka pat mak. Bu du rum cer ra hi nin yır -tık böl ge si ne sı nır lı ve ya tüm de kol man böl ge si ni kap sa ma sın dan ve ya e.o ve ya i.o. cer ra hi yön tem uy gu la nı mın dan ba ğım sız dır. Uy gu la nan dört cer ra hi tek nik mor bi di te, pro li fe ra tif vit re o re ti nopa ti (PVR),...

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Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment study (SPR Study): recruitment list evaluation. Study report no. 2

Abstract: In the recruitment lists of the SPR Study of the year 2000, RRD of medium severity was present in nearly one third of the patients with primary RRD. These findings emphasise the clinical relevance of the SPR Study.

Cited by 46 publications

References 36 publications

Anatomic Success of Scleral Buckling for Rhegmatogenous Retinal Detachment – A Retrospective Study of 524 Cases

Anatomic Success of Scleral Buckling for Rhegmatogenous Retinal Detachment – A Retrospective Study of 524 Cases

Scleral buckling surgery for rhegmatogenous retinal detachment with subretinal proliferation

Repair of Primary Retinal Detachment: A Review of its Development and a Comparison of the Present Techniques in Use: Review

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