Vitrectomy for Traumatic Retinal Incarceration

Mieler, William F.; Abrams, Gary W.; Williams, George A.

doi:10.1001/archopht.1988.01060130694027

Cited by 27 publications

(5 citation statements)

References 26 publications

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“…The traditional treatment for such folds ranges from ‘observation’ to laser or surgical retinotomy [8,9]. Unfortunately, the success rate is very limited because the scar almost always re-establishes its grip on the retina.…”

Section: Discussionsupporting

confidence: 42%

Late versus Prophylactic Chorioretinectomy for the Prevention of Trauma-Related Proliferative Vitreoretinopathy

Kuhn

Teixeira²,

Pelayes³

2012

Ophthalmic Res

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Introduction: Certain injuries, especially those with a deep-impact (involving the choroid and even the sclera) intraocular foreign body (IOFB), have a high risk for developing either full-blown proliferative vitreoretinopathy (PVR) or full-thickness retinal folds. Although less severe than the former, this so-called ‘stage 0 PVR’ can severely impact vision, and effective treatment for these folds has not existed heretofore. Patients and Methods: Four eyes of 4 patients sustained an IOFB injury with deep impact. All eyes underwent vitrectomy and IOFB removal soon after the injury, and all eyes showed substantial visual improvement postoperatively. However, in a few months the visual acuity dropped again, due to the development of full-thickness retinal folds radiating from the scar. All four eyes then underwent a second vitrectomy with (late rather than prophylactic) chorioretinectomy by creating a 1-mm-wide ring of bare sclera around the scar. The highest setting of the diathermy machine was used as the endodiathermy probe evaporated both the retina and the choroid to create the ring. Laser retinopexy to surround the ring was used only if the lesion was not in the posterior pole. Results: Within a few days, the retinal folds completely disappeared in each eye, and the visual acuity reached the highest earlier value seen after the initial surgery. All patients have long-term follow-up (mean, 22 months) with no postoperative complications. Conclusions: Chorioretinectomy, although it is ideally used as a prophylaxis against PVR formation and the development of retinal fold formation, also proved equally effective as a late treatment option in the presence of such folds. Such late chorioretinectomy, however, is applicable only for eyes with deep-impact IOFB injuries, not for eyes with a perforating injury or rupture.

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Section: Discussionsupporting

confidence: 42%

Late versus Prophylactic Chorioretinectomy for the Prevention of Trauma-Related Proliferative Vitreoretinopathy

Kuhn

Teixeira²,

Pelayes³

2012

Ophthalmic Res

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“…A circumferential relaxing retinectomy along the posterior margin can be created if the buckle alone does not completely release the traction for incarcerations at the equator or more anteriorly. 21 If the incarceration is too posterior to be supported by a scleral buckle, retinotomies circumscribing the incarceration margin can be made. 21 The retinotomies should be large enough to relieve traction, but as small as possible.…”

Section: Surgical Techniquesmentioning

confidence: 44%

“…21 If the incarceration is too posterior to be supported by a scleral buckle, retinotomies circumscribing the incarceration margin can be made. 21 The retinotomies should be large enough to relieve traction, but as small as possible. The edges are then photocoagulated.…”

Section: Surgical Techniquesmentioning

confidence: 44%

Surgical Techniques in the Management of Perforating Injuries of the Globe

Yonekawa¹,

Chodosh²,

Eliott³

2013

International Ophthalmology Clinics

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“…In the Silicone Study, a poor anatomic prognosis was observed in 50% of patients undergoing retinectomy [ 20 ]. More recent case series have reported better anatomic outcomes, with success rates ranging from 47 to 85% based on heterogeneous collections of retinal detachment cases [ 6 , 12 , 15 , 21 ]. The current study examined a homogeneous group of patients with recurrent, inferior retinal detachment of silicone oil-filled eyes that had been traumatized.…”

Section: Discussionmentioning

confidence: 99%

Radial Retinotomies with Endodiathermy for Severe Proliferative Vitreoretinopathy: Short-Term Results

Jiang

Qiu

Lou

et al. 2016

Journal of Ophthalmology

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Purpose. Retinal redetachment of silicone oil-filled eyes continues to be a frustrating condition that typically requires retinectomy. We proposed radial retinotomy as a potentially less invasive surgery. Here, we preliminarily explored its feasibility, efficacy, and safety. Methods. Totally 9 eyes of 9 consecutive patients were included in a prospective noncomparative trial. A series of retinotomies were created by endodiathermy in a radial pattern to relax the foreshortened retina. The eye was refilled with fresh silicone oil. The treated eyes were examined via visual acuity (VA) tests, tonometry, slit-lamp microscopy, and fundus photography during a 6-month observation period. Results. The procedure was completed in an average of 28 minutes from silicone oil removal to fresh silicone oil placement. Fundus photography demonstrated that 7 of the 9 eyes (78%) exhibited retinal reattachment. On average, VA was significantly improved within the first 2 weeks (P = 0.02) and remained stable for the following 6 months. The change in intraocular pressure was not significant (P = 0.76), and no adverse event was observed (0%). Conclusion. Radial retinotomies with endodiathermy were shown to be feasible, effective, and safe in selected cases of inferior contracted retina without vitreous base fibrosis over a 6-month observation period. This trial is registered with NCT02201706.

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Vitrectomy for Traumatic Retinal Incarceration

Cited by 27 publications

References 26 publications

Late versus Prophylactic Chorioretinectomy for the Prevention of Trauma-Related Proliferative Vitreoretinopathy

Late versus Prophylactic Chorioretinectomy for the Prevention of Trauma-Related Proliferative Vitreoretinopathy

Surgical Techniques in the Management of Perforating Injuries of the Globe

Radial Retinotomies with Endodiathermy for Severe Proliferative Vitreoretinopathy: Short-Term Results

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