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Gewählte Publikation:

Binder, S; Zügner, M; Velikay, M.
Does vitrectomy followed by intraocular gas tamponade offer sufficiently effective treatment of retinal detachment due to holes in the posterior pole?
Int Ophthalmol. 1987; 11(1): 25-30. Doi: 10.1007/BF02027894
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Co-Autor*innen der Med Uni Graz
Velikay-Parel Michaela
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Abstract:
We report on 17 consecutive cases of retinal detachment due to macular hole surgically treated by one of the authors (S.B.) between the fall of 1982 and 1985. The standard method used was pars plana vitrectomy and intraocular air tamponade. In cases of subsequent reaccumulation of subretinal fluid, the macular hole was cautiously coagulated. With repeated redetachment and as a last resort, silicone oil was injected into the vitreous cavity. After a follow-up period ranging from 5 to 42 months, 13 of the 17 eyes were cured; in 2 aphakic eyes treatment remained unsuccessful; in 2 eyes a small central detachment with some accumulation of subretinal fluid persisted but did not progress. Vitrectomy and gas tamponade alone, without coagulation, constitute the safest and most sparing treatment of this type of retinal detachment. Unfortunately, approximately one half of these cases require subsequent additional photocoagulation because of renewed accumulation of subretinal fluid. In about one fourth of macular hole retinal detachments, however, lasting reattachment is achieved only by silicone oil tamponade following initial vitrectomy and air/gas tamponade.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Body Fluids - metabolism
Eye -
Female -
Gases - administration and dosage
Humans -
Injections -
Male -
Middle Aged -
Reoperation -
Retina - metabolism
Retinal Detachment - etiology Retinal Detachment - pathology Retinal Detachment - surgery
Retinal Perforations - complications Retinal Perforations - pathology
Silicone Oils -
Vitrectomy -

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