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At least 1,729 records · Page 96Linked to original sources
PubMed1994

A multivariate analysis of anatomic success of retinal detachments treated with scleral buckling.

One hundred and twenty-three preoperative, intraoperative, and postoperative variables were evaluated to assess their effect on anatomic success of scleral buckling for retinal detachment. The relative importance of each variable was tested in a logistic regression equation. This equation identified ten significant variables for predicting the outcome of retinal detachment surgery. The significant variables were: preoperative proliferative vitreoretinopathy (adjusted odds ratio, AOR, 13.60), previous buckle by G.F. Hilton (AOR = 8.03), total detachment (AOR = 5.72), preoperative vitreous hemorrhage (AOR = 3.08), tension less than 10 mm Hg (AOR = 2.40), hemorrhagic complications (AOR = 2.62), previous buckles by others (AOR = 2.10), injection into the vitreous at surgery with either saline or balanced salt solution (AOR = 2.32) or air/sulfahexafluoride (AOR = 7.06), and preoperative vision less than 0.3 (20/60 or worse) (AOR = 2.14). The number of cryopexy applications was specifically tested in the equation, but while significant in a univariate analysis, it was not found to be significant in the multivariate analysis.

Cryosurgery↗
PubMed1979

A temporary balloon buckle for the treatment of small retinal detachments.

An inflatable silicone explant has been used to treat small retinal detachments. The device is inserted through the conjunctiva at the oral and expanded beneath the retinal break. Subretinal fluid absorbs because the intrusion of the balloon closes the retinal break. Adhesion is obtained by transconjunctival cryopexy or laser coagulation. The balloon, which is unsecured by sutures, is deflated and withdrawn after one week.

Humans↗
PubMed1977

[Operation for retinal detachment caused by holes in the posterior pole area, simple, long-tolerated silver span and cerclage (author's transl)].

A method for treatment of retinal detachments caused by macular holes or by holes at the posterior pole of the eye is presented. A simple silver clasp is sutured on the sclera. The silver clasp usually is well tolerated for many month and has remained on several eyes for more than 4 years, nevertheless removal of the instrument 6 months after the primary operation is advised. Lasting indentation by the clasp is provided by an additional encircling silicon band. In 10 out of 11 cases of a total or subtotal retinal detachment caused by a hole at the posterior pole, the retina could be reattached; in one case of massive pre-retinal retraction the puckering focus was successfully tamponed. The method is especially suited for the treatment of detachments in globes with posterior staphylomas.

Adult↗
PubMed1992

The relation between the sagittal and transversal diameters in eyes with retinal detachment.

Using A-mode ultrasonography, the axial length and the width (transversal or equatorial diameter) of both eyes--fellow and affected--have been measured in patients with retinal detachment. For comparison, the same measurements have been performed in healthy controls. The patients have been divided into different groups. It was found that there are some changes in the relation between the axial length and the width of the eyes in patients with retinal detachment, according to the comparison with healthy people, in most cases.

Anthropometry↗
PubMed1987

Treatment of retinal detachment with congenital optic pit by krypton laser photocoagulation.

Five patients with a congenital pit of the optic nerve and serous detachment of the macular retina were treated with krypton laser photocoagulation to the juxtapapillary region in an attempt to induce resolution of the retinal detachment. The subretinal fluid resolved after laser therapy in four of the patients. In the fifth, the retinal detachment was successfully treated with pars plana vitrectomy. One patient developed a macular hole and decreased visual acuity, despite resolution of the subretinal fluid.

Adolescent↗
PubMed1980

Retinal detachment in congenital glaucoma.

This paper reports the occurrence of retinal detachment in 18 patients suffering from congenital glaucoma. Difficulty in establishing control of the glaucoma and the presence of high myopia were common findings. The poor results of detachment surgery were related to opacites in the media preventing evaluation of the renal details and the development of massive preretinal retraction.

Adolescent↗
PubMed1998

Exudative retinal detachment in X-linked retinoschisis.

X-linked retinoschisis is a vitreoretinal dystrophy characterized by foveal and peripheral retinoschisis in the nerve fiber layer. Although many associated peripheral retinal findings have been reported, few reports have described massive exudative retinal detachments in patients with X-linked retinoschisis. The authors report the unusual occurrence of Coats'-like exudative retinopathy in two patients with X-linked retinoschisis. Both patients had peripheral massive exudative retinal detachments.

Adult↗
PubMed1992

[The role of vitrectomy in the treatment of retinal detachment with macular holes].

The authors discuss the pathogenesis and the method of treatment of a retinal detachment with a macular hole basing on personal material and a review of foreign literature. Personal material consists of 11 eyes in 10 patients operated upon in the University Ophthalmic Department in Munich in the period November 1988--April 1990. In all the cases the primary method of treatment based on vitrectomy performed through the pars plana with a gas tamponade. In 4 cases a reoperation with silicon oil tamponade was necessary. Anatomical reattachment of the retina was achieved in 9 among 11 treated eyes. In 10 cases the visual acuity was 1/50 or better. Five among them showed the visual acuity at last 0.1.

Adult↗
PubMed1990

[Results after retinotomy and retinectomy in the treatment of complicated retinal detachment].

Of 241 cases operated with pars-plana vitrectomy and silicone oil filling for complicated retinal detachment we performed retinotomies for drainage of subretinal fluid or removal of subretinal strands in 48 cases (20%) and retinectomies for relief of traction in 80 cases (33%). We found no negative influence of these retinotomies and retinectomies on the anatomic or functional outcome in our major indication groups--PVR, PDR and perforating injury. With increasing size of the retinectomy the anatomic success rate fell from 100% in cases with a 90 degrees retinectomy to 76% with a retinectomy larger than 270 degrees. In 21 out of 80 cases traction relief was insufficient so that we had to enlarge the retinectomy. 17 of these 21 cases could then be attached permanently.

Diabetic Retinopathy↗
PubMed2000

Presumed rhegmatogenous retinal detachment in patients with retinoblastoma.

PURPOSE: To review the characteristics, treatment, and outcome of presumed rhegmatogenous retinal detachment (RD) in patients with retinoblastoma. METHODS: Descriptive consecutive case series study from 1970 to 1996. RESULTS: Of 45 eyes with retinoblastoma that received various modalities of eye-sparing treatment and adequate follow-up, five developed presumed rhegmatogenous RD after treatment. All five eyes had previous treatment with external beam radiation, four of which also had been treated with cryotherapy. To minimize the potential spread of the malignancy intraoperatively, long disease-free intervals were ensured before scleral buckling surgeries were performed, and special care was taken during subretinal fluid drainage. The RDs were totally reattached in three eyes and partially reattached in the other two. CONCLUSION: Presumed rhegmatogenous RD may occur after external beam radiation or cryotherapy for retinoblastoma. It poses special challenges in management.

Adolescent↗
PubMed1989

Retinal detachment with breaks in the pars plicata of the ciliary body.

We studied four eyes with retinal detachment accompanied by a break in the nonpigmented epithelium in the pars plicata of the ciliary body in three patients with atopic dermatitis. Each eye had either ectopia lentis or coloboma of the lens. In the region of the lens malformation, ciliary processes were hypoplastic. These rudimentary ciliary processes were observed only in the anterior half of the pars plicata. At their posterior end, the ciliary nonpigmented epithelium had been ruptured and a break by zonular traction was apparent. In the other region of the pars plicata, ciliary processes were normal and no break was detected. The break in the pars plicata was treated by diathermy application and segmental scleral buckling, without subretinal fluid drainage, and with the resulting reattachment of the retina. Hypoplasia of ciliary processes is basically responsible for the development of a break in the pars plicata.

Adolescent↗
PubMedDate not supplied

Acute angle-closure glaucoma resulting from spontaneous hemorrhagic retinal detachment in age-related macular degeneration: case reports and literature review.

PURPOSE: Acute angle-closure glaucoma resulting from massive subretinal hemorrhage is a rare and catastrophic complication in age-related macular degeneration. Anticoagulant usage had been strongly correlated with this complication in previously reported cases. METHODS: Four patients (4 eyes), 3 men and 1 woman, developed angle-closure glaucoma with diffuse subretinal hemorrhage and total hemorrhagic retinal detachment. RESULTS: Serial funduscopic examinations and echographic studies in 2 eyes showed that the blood gradually accumulated in the subretinal space. It took more than 10 days for the bleeding to build up to bullous hemorrhagic retinal detachment and secondary glaucoma. Anti-glaucomatous agents were given and sclerotomy was performed in 3 of the 4 patients. Phthisical changes were observed subsequently in these 3 eyes. The eye that received early drainage of blood was an exception, and a small degree of residual acuity was retained. Three of the 4 patients had diabetes mellitus, and hypertension and vascular diseases were also present in the same 3 patients. CONCLUSIONS: Diabetes mellitus might be a predisposing factor for the impaired hemostasis. Anti-glaucomatous agents were of no effect in the management of intraocular pressure. Sclerotomy and drainage of blood help control intraocular pressure and relieve ocular pain. Poor final visual acuity is inevitable. However, phthisical changes might be prevented with early sclerotomy and drainage of blood.

Acute Disease↗
PubMedDate not supplied

Primary vitrectomy for rhegmatogenous retinal detachment: an analysis of failure.

PURPOSE: To find the cause of failure in primary vitrectomy for rhegmatogenous retinal detachment. METHODS: Retrospective review of 171 consecutive cases of RRD treated by primary pars plana vitrectomy (PPV) from a tertiary referral centre to identify the 25 cases in which surgery had failed. Detachments with giant or macula breaks at initial presentation, with proliferative diabetic retinopathy or with PVR greater than grade B were excluded. RESULTS: The failure rate after the first operation was 14.6% and the commonest cause of failure was missed retinal breaks, accounting for 64.3% of failures. CONCLUSION: Missed retinal breaks are the commonest cause of failure of primary PPV for RRD although proliferative vitreoretinopathy may contribute to surgical failure. This re-emphasises the importance of assiduous peroperative retinal examination.

Adult↗
PubMed1996

[Pars plana vitrectomy in retinal detachment with a macular hole].

The long-term results of pars plana vitrectomy (PPV) for retinal detachment due to a macular hole were evaluated in 40 eyes of 40 patients. The patients were followed up for 6 to 72 months. In 9 eyes, subtotal PPV with expansive gases was used: in 5 of them, in addition, the macular hole was treated with laser endocoagulation. The operation was successful in 4 out of 5 eyes treated with laser barrage. In the remaining 5 eyes, the operation failed and reattachment was obtained after secondary silicone oil implantation (SOI). In 31 eyes, PPV was combined with a primary SOI. Twenty of them suffered from serious myopic degenerative changes of the posterior eye pole, and in 11 posterior stafyloma. Reattachment of the retina was achieved in 28 eyes (90.3%), visual acuity 1/24 (0.04) or better in 13 eyes (41.9%). Silicone oil was removed in 13 eyes (41.9%), in all these without complications. PPV with expansive gases and laser coagulation proved to be effective in macular holes with the well-preserved pigment epithelium. Silicone oil proved competent in macular holes associated with serious chorioretinal degeneration and posterior stafyloma.

Adult↗
PubMedDate not supplied

[Retinal detachment after accidental intra-vitreous Depo-Medrol injection. A case report].

BACKGROUND: Accidental Depo-Medrol injection into vitreous cavity is a very rare complication and early retinal detachment, associated with it, has a very poor prognosis. METHODS: A case of a women, 34, treated on account of anterior uveitis, in whom during Depo-Medrol injection perforation of the eyeball was done is presented. The drug was injected into the vitreous and retinal detachment developed. The severe changes observed in the fundus of the eye are described. In the treatment vitrectomy, encirclement, radial buckling and endolaser were applied. RESULTS AND CONCLUSION: Retinal attachment with good functional results was achieved, which indicates the importance of early surgical treatment in such cases. Vitrectomy allows to remove the noxious substance from the eye, to see and evaluate the retinal changes and to apply a proper treatment.

Adult↗
PubMed1976

Scleral buckling with Bioplast fibrin in retinal detachment.

The study includes a series of 38 patients with retinal detachment of different aetiology. Scleral reduction combined with the intrascleral implantation of absorbable Bioplast fibrin scleral buckling rods was performed and reattachment achieved in 31 cases. The implant material is biocompatible and is eliminated from the eye in the course of a few weeks.

Adolescent↗