86 research outputs found
Anatomical and Functional Results Following 23-Gauge Primary Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment: Superior versus Inferior Breaks
Purpose. In this retrospective study, we evaluated the anatomical and functional outcomes of patients with rhegmatogenous retinal detachment primarily treated with pars plana vitrectomy in regard to the location of the breaks. Methods. 160 eyes were enrolled in this study, divided into two groups based on break location: the superior break group (115 eyes) and the inferior break group (45 eyes). The main endpoint of our study was the anatomical success at 3 months following surgery. Results. Primary retinal reattachment was achieved in 96.5% of patients in group A and in 93.3% in group B (no statistically significant difference, OR 1.98, 95% CI: 0.4, 7.7). Mean BCVA change and intraoperative complication rate were also not statistically significantly different between the two groups (p>0.05, OR: 1.0, 95% CI: 0.9, 1.01, resp.). Statistical analyses showed that macula status, age, and preoperative BCVA had a significant effect on mean BCVA change (p=0.0001, p=0.005, and p=0.001, resp.). Conclusion. This study supports that acceptable reattachment rates can be achieved using PPV for uncomplicated RRD irrespective of the breaks location and inferior breaks do not constitute an independent risk factor for worse anatomical or functional outcome
The macular buckling procedure in the treatment of retinal detachment in highly myopic eyes with macular hole and posterior staphyloma - Mean follow-up of 15 years
Purpose: To evaluate the long-term anatomical and functional results of
the macular buckling procedure in myopic macular hole with retinal
detachment and posterior staphyloma.
Methods: Twenty-five consecutive highly myopic eyes with retinal
detachment, macular hole, and posterior staphyloma, which were operated
between February 1983 and April 1992, were retrospectively studied. The
last examination was in June 2002. Follow-up of the 25 patients ranged
from 10 years to 19 years (mean, 15 years). Macular buckling with an
episcleral sponge was the initial and only procedure. In all operated
eyes, anchoring of the sponge was away from the posterior pole.
Best-corrected visual acuity was evaluated before and after surgery. The
axial length of the eyeball was also measured by A-scan ultrasonography
before treatment.
Results: Twenty-two of 25 eyes were successfully treated with a single
procedure. In the remaining three eyes, retinal reattachment was
obtained after a second buckling operation, which was considered
necessary due to loosing of the sponge fixation sutures in two cases and
the location of the hole beside the buckle in one case. The mean overall
visual acuity was improved after treatment.
Conclusions: The macular buckling procedure with anchoring of the sponge
away from the posterior segment provided efficient scleral indentation
of long duration for closure of the macular hole and retinal
reattachment
Inverted internal limiting membrane insertion for macular hole--associated retinal detachment in high myopia
- …