Trends in vitreoretinal surgery at a tertiary referral centre: 1987 to 1996

Ah-Fat, Frank G; Sharma, Mithlesh C; Majid, MA; McGalliard, J N; Wong, David

doi:10.1136/bjo.83.4.396

Cited by 117 publications

(92 citation statements)

References 7 publications

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“…1 Inferior RD presents a distinctive surgical challenge to vitreoretinal surgeons and commonly vitrectomy with gas tamponade is supplemented with scleral buckling (SB) in order to achieve adequate tamponade of the inferior retina. However, there has been an increasing trend to move away from SB owing to complications, such as choroidal haemorrhage, 2 diplopia, 3 extrusion, 4 infection, 4 and anterior segment ischaemia.…”

Section: Introductionmentioning

confidence: 99%

Emulsification of Densiron-68 used in inferior retinal detachment surgery

Majid

Hussin

Biswas

et al. 2007

Eye

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Purpose To report the clinical features of eight patients presenting with emulsification of the heavier than water vitreous substitute, Densiron-68. Methods Two patients underwent primary inferior retinal detachment (RD) surgery, two patients underwent giant retinal tear repair, three patients had repair of inferior RD complicated by proliferative vitreoretinopathy and one patient had inferior RD surgery following repair of a scleral rupture. All patients had insertion of Densiron-68. Results Significant emulsification of Densiron-68 was seen within 12 weeks of surgery in eight cases out of a total of 40 patients receiving Densiron-68. Conclusion Despite adequate Densiron fills, emulsification necessitated its removal. Emulsified Densiron may have contributed to significant intraocular inflammation, epiretinal membrane formation and cystoid macular oedema. Without removal, prolonged presence of emulsified Densiron may lead to keratopathy, secondary glaucoma and retinal toxicity secondary to partitioning of perfluorohexyloctane. This has potentially significant implications on the indications for Densiron-68 use and warrants consideration before deciding on the optimal surgical intervention for inferior RDs.

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Section: Introductionmentioning

confidence: 99%

Emulsification of Densiron-68 used in inferior retinal detachment surgery

Majid

Hussin

Biswas

et al. 2007

Eye

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“…1 In the phakic eye, pars plana vitrectomy often results in cataract formation. [2][3][4] Cataract surgery in the vitrectomised eye has been reported to present special challenges, which include the loss of vitreous support, unstable posterior capsules, weakened zonules, and posterior capsular plaques.…”

Section: Introductionmentioning

confidence: 99%

Phacoemulsification and intraocular lens implantation following pars plana vitrectomy: a prospective study

Ah-Fat

Yuen

Groenewald

2003

Eye

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Aims To examine the intraoperative characteristics of phacoemulsification in eyes that had undergone pars plana vitrectomy and to determine complication rates and visual outcomes. Methods A prospective study of 45 consecutive cataract operations on vitrectomised eyes performed over a 9-month period by a single surgeon. Data were collected on preoperative characteristics, intraoperative observations and complications, postoperative complications, and visual acuities.

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“…[4][5][6] Variation exists in the reattachment rates of published series for reasons which remain unclear. [7][8][9][10][11] With such variation existing in the literature and no consensus on how to explain the differences, setting robust, valid and relevant standards for local audit becomes difficult.…”

Section: Introductionmentioning

confidence: 99%

National audit of the outcome of primary surgery for rhegmatogenous retinal detachment. II. Clinical outcomes

Thompson

Snead

Billington

et al. 2002

Eye

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outcome of primary surgery for rhegmatogenous retinal detachment. II. Clinical outcomes AbstractPurpose This national study was designed to audit anatomical outcome and complications relating to primary surgery for rhegmatogenous retinal detachments. This paper presents success and complication rates, and examines variations in outcome. Methods Sampling and recruitment details of this nationwide cross-sectional survey of 768 patients of 167 consultant ophthalmologists having their first operation for rhegmatogenous retinal detachment have been described. The main clinical outcomes detailed here are anatomical reattachment at 3 months after surgery and complications related to surgery. Consultants with a declared special interest in retinal surgery and able to perform pars plana vitrectomy were designated specialists for the analyses. Results Overall reattachment rate with a single procedure was 77% (95% CI 73.9-80.2). There were significant differences in reattachment rates between specialists and non-specialists. Without allowing for casemix, specialists had a reattachment rate of 82% (95% CI 77.9-85.7) with a single procedure and non-specialists 71% (95% CI 65.9-76.0). Allowing for case-mix, there was a significant difference between specialists and non-specialists for grade 2 detachments of 87% and 70% respectively (P Ͻ 0.0001). Analysing detachments by break type, the largest difference between specialists and non-specialists was observed for retinal detachments secondary to horseshoe tears, 80% and 68% respectively (P Ͻ 0.003). Specialists met the standards set for primary reattachment rates, while non-specialists did not. Over a third of patients had at least one complication reported at some point during the audit period. Conclusions Significant differences were seen in reattachment rates between specialists and non-specialists, overall and for specific subgroups of patients. This study provides relevant, robust and valid standards to enable all surgeons to audit their own surgical outcomes for primary retinal detachment repair in rhegmatogenous retinal detachments, identify common categories of failure and aim to improve results.

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Trends in vitreoretinal surgery at a tertiary referral centre: 1987 to 1996

Cited by 117 publications

References 7 publications

Emulsification of Densiron-68 used in inferior retinal detachment surgery

Emulsification of Densiron-68 used in inferior retinal detachment surgery

Phacoemulsification and intraocular lens implantation following pars plana vitrectomy: a prospective study

National audit of the outcome of primary surgery for rhegmatogenous retinal detachment. II. Clinical outcomes

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