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SHR Neuro Cancer Cardio Lipid Metab Microb
Velikay-Parel, M; Kiss, CG; Ivastinovic, D; Richter-Mueksch, S.
Encircling band, laser retinopexy and lens removal as standard procedure in complicated retinal detachment shows a good clinical outcome.
Acta Ophthalmol. 2011; 89(7): 629-633.
Doi: 10.1111/j.1755-3768.2009.01763.x
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- Leading authors Med Uni Graz
- Velikay-Parel Michaela
- Co-authors Med Uni Graz
- Ivastinovic Domagoj
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- Abstract:
- PURPOSE: To evaluate vitrectomy in conjunction with the use of perfluorocarbon, cerclage, laser retinopexy, lens removal and silicone oil as surgical treatment of proliferative vitreoretinopathy associated with retinal detachment. METHODS: Sixty-two eyes of 62 patients were treated for complicated retinal detachment following failed prior scleral buckling. Outcome measures were; retinal reattachment rate 6 months after silicone oil removal, status of the retina, visual acuity (VA), duration of silicone tamponade and frequency of reoperations. RESULTS: The final reattachment rate was 95%. Reoperations had to be performed in 25% of patients. Eighty-one per cent of these patients received one and 19% two or more operations following silicone oil implantation. The mean time to reoperation was 1.8 ± 1.4 months. Silicone oil was removed after 5.6 ± 4.1 months following the last vitreoretinal procedure in 90%, respectively, 95% with attached retina. Five per cent experienced retinal detachment after silicone oil removal. At the end of follow-up, the mean VA was 0.13 ± 0.26 Snellen. Seventy per cent of patients achieved a vision of 20/200 or better (mean 0.25 ± 0.27). CONCLUSION: Our study demonstrates good final outcomes when a rigorous surgical approach was used. Furthermore, this standard procedure reduces the need for reoperations and consequently improves the functional outcome.
© 2010 The Authors. Journal compilation © 2010 Acta Ophthalmol. - Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Aged -
- Aged, 80 and over -
- Child -
- Endotamponade -
- Female -
- Follow-Up Studies -
- Humans -
- Laser Therapy -
- Lens, Crystalline - surgery
- Male -
- Middle Aged -
- Retinal Detachment - complications
- Retrospective Studies -
- Scleral Buckling -
- Silicone Oils - administration and dosage
- Treatment Outcome -
- Visual Acuity - physiology
- Vitrectomy -
- Vitreoretinopathy, Proliferative - complications
- Find related publications in this database (Keywords)
- encircling band
- laser retinopexy
- lensectomy
- proliferative vitreoretinopathy
- retinectomy
- retinotomy
- rhegmatogenous retinal detachment
- silicone oil
- vitrectomy