Trauma-Induced Retinal Detachment Associated With Giant Retinal Tears

Aylward, G W; Cooling, R J; Leaver, P K

doi:10.1097/00006982-199313020-00008

Cited by 79 publications

(35 citation statements)

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“…32 Vitrectomy in combination with a primary lensectomy as described by Kreiger and Lewis 25 and Aylward et al 36 is advocated to have better access to the vitreous basis and the extreme periphery of the retina. 25,36 Without a lensectomy, it may not be easy to reach the vitreous base, 25,36 but with an encircling scleral buckle or indentation this is less difficult. A primary lensectomy may be a traumatic event associated with loss of endothelial cells.…”

Section: Discussionmentioning

confidence: 99%

Low Redetachment Rate Due to Encircling Scleral Buckle in Giant Retinal Tears Treated With Vitrectomy and Silicone Oil

Goezinne

Berendschot

et al. 2008

Retina

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Section: Discussionmentioning

confidence: 99%

Low Redetachment Rate Due to Encircling Scleral Buckle in Giant Retinal Tears Treated With Vitrectomy and Silicone Oil

Goezinne

Berendschot

et al. 2008

Retina

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“…In one study of traumatic GRTs, delayed presentation was associated with the presence of incarceration from a penetrating wound and a later PVD. 13 If the lens has been involved, any remaining soft lens matter should be aspirated and capsular remnants tidied up. Choroidal haemorrhage often drains through the sclerostomies, particularly if there has been sufficient time for lysis to occur.…”

Section: Secondary Managementmentioning

confidence: 99%

Vitreous management in penetrating trauma: primary repair and secondary intervention

Aylward

2008

Eye

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Ocular trauma involving the vitreous produces a very wide range of pathology, the treatment of which can confuse. In the past, the prognosis for vision following such injuries was poor. Modern closed intraocular surgical techniques have transformed the management of penetrating trauma and allowed salvage of vision in many previously hopeless cases. However, many controversies remain, including the timing of surgical intervention, the use of encircling buckles, and the type of internal tamponade. This article will discuss those controversies, and make some practical recommendations for the management of penetrating and perforating trauma involving the vitreous.

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“…2 3 In general, these have not been substantiated by clinical experience and silicone oil has been used increasingly for the anatomical reattachment of the retina in patients with complex retinal detachments associated with proliferative diabetic retinopathy, 4 5 proliferative vitreoretinopathy (PVR), 6 giant retinal tears, 7 and trauma. 8 The potential of silicone oil to promote a proliferative response within the eye has been an additional concern and Lewis 9 has observed that silicone oil appears to enhance cellular proliferation and formation of preretinal membranes in eyes treated for advanced PVR.…”

mentioning

confidence: 99%