Visual Acuity after Scleral Buckling Surgery

Girard, P; Karpouzas, I.

doi:10.1159/000310651

Cited by 27 publications

(21 citation statements)

References 18 publications

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“…Nevertheless, if we assume that most of the blood flow changes related to systemic administration of the vasoconstrictor peptide ET-1 have been reported for small-resistance vessels [15], we can also assume that the CRA diameter remains constant and, consequently, that CRA blood velocity changes indicate blood flow changes. Preoperative VA, even itself depending on other factors, has been reported to be a very important factor influencing final VA [16,17]. Although the occurrence of macular detachment may decrease VA [18], the duration of maculaoff RD has been reported to have a minor effect on visual outcome [19].…”

Section: Discussionmentioning

confidence: 99%

Preoperative duration of retinal detachment and preoperative central retinal artery hemodynamics: repercussion on visual acuity

Roldán-Pallarés

Musa

Hernandez-Montero

et al. 2009

Graefes Arch Clin Exp Ophthalmol

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Preoperative CRA parameters and LogMAR VAs (pre-, and postoperative 8 months) were influenced by preoperative RD duration in both no PVR and PVR. Preoperative CRA parameters were correlated with LogMAR VAs (pre-, postoperative 8 months, and the difference) only in PVR. Postoperative 8 months and preoperative LogMAR VAs were only correlated (with statistical significance) in macula-on cases of both the PVR and no PVR groups.

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Section: Discussionmentioning

confidence: 99%

Preoperative duration of retinal detachment and preoperative central retinal artery hemodynamics: repercussion on visual acuity

Roldán-Pallarés

Musa

Hernandez-Montero

et al. 2009

Graefes Arch Clin Exp Ophthalmol

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“…[6][7][8][9] The other group of reports indicates that there is no benefit in urgent surgery as long as scheduled surgery can be performed within 7-10 days. [10][11][12][13] Thus, best evidence-based practice would dictate that surgery for 'macula-on' detachments should be a scheduled event within 7 days of occurrence. This evidence shows that there is no need for out-of-hours surgery, be it over the weekend, as the outcome has not been scientifically shown to be better.…”

Section: Sir Response To Goldsmith Et Almentioning

confidence: 99%

The urgency and site of retinal detachment surgery

Prasad

2005

Eye

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Sir, Response to Goldsmith et alWe were interested in Goldsmith et al's comments on our recent paper. 1 We are aware that subtenons anaesthesia is used for VR surgery; 2 however, to achieve a rate of 87%, under local anaesthesia, is certainly impressive. The authors are not clear on their own use of sedation. In some units nearly all patients are sedated, and in others it is rarely used. We have tailored our use to measured patient satisfaction outcomes performed over the last 5 years, 3-4 and clearly have a lower threshold for their use than Goldsmith et al. This may be because we have access to an experienced anaesthetist for our VR lists.The Royal College of Ophthalmologists 2004 guidelines on cataract surgery do not specify the necessity of anaesthetist presence where blunt needle subtenons anaesthesia is required, such anaesthetic cover is recommended where sharp needle anaesthesia and/or sedation is required. 5 Arguably in VR surgery anaesthetic cover is more important given the longer and more unpredictable nature of the surgery.We note with interest Goldsmith et al's comment that grouping all retinopexy patients may bias the results. However, our previous work showed that the laser and cryopexy were more important determinants of discomfort during vitrectomy than other aspects of the surgery, and so these were analysed as one group.

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“…Das Auftreten von intraoperativen Komplikationen nach konventioneller Buckelchirurgie wird in der Literatur wie folgt beschrieben: Subretinale Blutung oder Glaskörperblu-tung in 2% bis 10,9% [10,12,17,18,21], Skleraperforation in 2% bis 7,7% [15,17], iatrogene Netzhautforamina in 4% [ 18], Netzhautinkarzeration in 2% [21] und Komplikationen nach subretinaler Drainage in 4% bis 5% [21]. Bei keinem unserer Patienten kam es intraoperativ zu Komplikationen.…”

Section: Diskussionunclassified

“…Weiters verglichen wir die Häufigkeit postoperativer Komplikationen in unserem Patientengut mit Ergebnissen [12,20]. Aufgrund der retrospektiven Natur dieser Studie, konnte die Dauer der Makulaablösung bei einer großen Anzahl von Patienten nicht erhoben und folglich nicht analysiert werden.…”

Section: Diskussionunclassified

Mikrochirurgisch versorgte Netzhautablösungen

Falkner

Binder

2001

Spektrum Augeheilkd

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Zusammenfassung. Hintergrund: Die konventionelle eindellende Operation konnte sich als Methode der Wahl bei der Behandlung von Netzhautablösungen etablieren. Seit 1997 wird dieser Eingriff an unserer Klinik unter dem Mikroskop vorgenommen. Das Ziel der Studie war, die Ergebnisse, Vorteile und Grenzen dieser mikrochirurgischen Behandlung zu untersuchen. Patienten und Methodik: Retrospektiv wurden die Daten von 92 Patienten (96 Augen), die zwischen 1997 und 2000 mit dieser Technik von einem Chirurgen operiert wurden, evaluiert. Wie bei der standardisierten konventionellen eindellenden Operation wurde die indirekte Ophthalmoskopie für die Identifikation und die Behandlung der Netzhautforamina angewandt. Alle anderen chirurgischen Schritte wurden unter dem Operationsmikroskop durchgeführt. Reablatiorate, funktionelle Resultate und Komplikationen wurden analysiert. Ergebnisse: Eine anatomische Heilung konnte in 85 Fällen (88,5%) nach einem Eingriff erzielt werden und in 95 Fällen (99%) nach einer oder zwei Reoperationen. Bei der letzten Nachuntersuchung zeigten 69 Fälle (71,9%) einen Visus von mindestens 0,4 und nur 6 Fälle (6,3%) einen Visus unter 0,1. Es kam bei keinem unserer Patienten zu intraoperativen Komplikationen. Späte postoperative Komplikationen in direktem Zusammenhang mit dem Eingriff waren Doppelbilder in 2 Fällen (2,1%) und Plombendehiszenz ohne begleitende Entzün-dungszeichen oder Schmerzen in 2 Fällen (2,1%). Schlussfolgerung: Die Verwendung des Operationsmikroskops verhindert intraoperative Komplikationen, reduziert das Auftreten von postoperativen Komplikationen und gewährleistet einen möglichst atraumatischen Eingriff. Somit können eine Verkürzung der Rehabilitationsphase und bessere funktionelle Resultate erzielt werden. Schlüsselwörter: Mikrochirurgie, Netzhautablösung, eindellende Operation, Cerclage. Microsurgical scleral buckling in the treatment of retinal detachment Summary. Background: Conventional scleral buckling has become a well established surgical procedure for the treatment of retinal detachments. Since 1997 we have performed all scleral buckling surgery under the operating microscope. The aim of the study was to evaluate the results, advantages and limits of microsurgical treatment. Patients and methods:We retrospectively reviewed a series of 92 consecutive patients (96 eyes) who were operated using the described technique by one surgeon between 1997 and 2000. As in standard conventional surgery, indirect ophthalmoscopy was used for the identification and treatment of retinal breaks. All other steps of the operation were performed under the operating microscope. The retinal redetachment rate, visual outcome and complications were analyzed. Results: Anatomic success was achieved in 85 eyes (88,5%) after the first procedure and in 95 eyes (99%) after one or two reoperations. At the last follow-up visit, 69 cases (71,9%) showed a final visual acuity of 0,4 or better whereas the final visual acuity was lower than 0,1 in 6 cases (6,3%). No intraoperative complications occurred in our se...

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Visual Acuity after Scleral Buckling Surgery

Cited by 27 publications

References 18 publications

Preoperative duration of retinal detachment and preoperative central retinal artery hemodynamics: repercussion on visual acuity

Preoperative duration of retinal detachment and preoperative central retinal artery hemodynamics: repercussion on visual acuity

The urgency and site of retinal detachment surgery

Mikrochirurgisch versorgte Netzhautablösungen

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