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Retinal Detachment

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2. Retinal detachment

. The most common cause of failure is scarring due to proliferative vitreoretinopathy. Definition Retinal detachment (RD) is typically a progressive condition in which the neuroretina separates (detaches) from the retinal pigment epithelium. Sub-retinal fluid accumulates, and the retina temporarily loses its function. In case of a rhegmatogenous RD, the separation is due to a retinal discontinuity (break, tear). Robertson DM, Norton EW. Long-term follow-up of treated retinal breaks. Am J Ophthalmol (...) Retinal detachment Retinal detachment - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Retinal detachment Last reviewed: February 2019 Last updated: August 2017 Summary An acute or progressive condition in which the neuroretina separates from the retinal pigment epithelium with accumulation of sub-retinal fluid and loss of retinal function. May be primary (rhegmatogenous retinal detachment), secondary to traction

2017 BMJ Best Practice

3. Central retinal artery occlusion during vitrectomy: Immediate retinal revascularization following induction of posterior vitreous detachment Full Text available with Trip Pro

Central retinal artery occlusion during vitrectomy: Immediate retinal revascularization following induction of posterior vitreous detachment To describe a patient with acute central retinal artery occlusion (CRAO) during vitrectomy surgery and the possible role of vitrectomy in acute CRAO management.An 84-year-old man presented with broad vitreomacular traction and epiretinal membrane in the right eye. Preoperative assessment clearly showed normal retinal vasculature. On starting vitrectomy (...) , complete CRAO with marked segmentation of all retinal vessels was noted. Vitrectomy was performed in the usual manner and once the posterior hyaloid detached from the disc, immediate complete revascularization of the retinal vessels was noted. The patient had a complete visual recovery.Immediate vitrectomy with induction of posterior vitreous detachment may have a role in selected cases of acute CRAO, particularly if performed within a short window.

2018 American journal of ophthalmology case reports

4. Management of giant retinal tear and retinal detachment in a patient with active toxoplasmosis retinochoroiditis Full Text available with Trip Pro

Management of giant retinal tear and retinal detachment in a patient with active toxoplasmosis retinochoroiditis To describe the management of a giant retinal tear with retinal detachment in a patient with active toxoplasmosis retinochoroiditis.While receiving systemic medications for toxoplasmosis, the patient underwent scleral buckling, pars plana vitrectomy, and C3F8 gas tamponade without removal of the lens. At last follow-up, best corrected visual acuity was 20/20 with an attached retina

2018 American journal of ophthalmology case reports

5. Retinal Displacement Following Pneumatic Retinopexy vs Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment. (Abstract)

Retinal Displacement Following Pneumatic Retinopexy vs Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment. Retinal displacement following rhegmatogenous retinal detachment repair may have consequences for visual function. It is important to know whether surgical technique is associated with risk of displacement.To compare retinal displacement following rhegmatogenous retinal detachment repair with pneumatic retinopexy (PR) vs pars plana vitrectomy (PPV).Fundus autofluorescence images (...) were assessed by graders masked to surgical technique.A multicenter retrospective consecutive case series in Canada and the UK. A total of 238 patients (238 eyes) with rhegmatogenous retinal detachments treated with PR or PPV who underwent fundus autofluorescence imaging from November 11, 2017, to March 22, 2019, were included.Proportion of patients with retinal displacement detected by retinal vessel printings on fundus autofluorescence imaging in PR vs PPV.Of the 238 patients included

2020 JAMA ophthalmology

6. Interventions for asymptomatic retinal breaks and lattice degeneration for preventing retinal detachment. Full Text available with Trip Pro

Interventions for asymptomatic retinal breaks and lattice degeneration for preventing retinal detachment. Asymptomatic retinal breaks and lattice degeneration are visible lesions that are risk factors for later retinal detachment. Retinal detachments occur when fluid in the vitreous cavity passes through tears or holes in the retina and separates the retina from the underlying retinal pigment epithelium. Creation of an adhesion surrounding retinal breaks and lattice degeneration, with laser (...) photocoagulation or cryotherapy, has been recommended as an effective means of preventing retinal detachment. This therapy is of value in the management of retinal tears associated with the symptoms of flashes and floaters and persistent vitreous traction upon the retina in the region of the retinal break, because such symptomatic retinal tears are associated with a high rate of progression to retinal detachment. Retinal tears and holes unassociated with acute symptoms and lattice degeneration

2014 Cochrane

7. Loss of retinal tension and permanent decrease in retinal function: a new porcine model of rhegmatogenous retinal detachment. Full Text available with Trip Pro

lost. In the ganglion cell layer, cellularity increased and there was cytoplasmic staining with Cyclin D1. Vimentin and GFAP staining for glial cells increased. After 2 weeks of detachment, the ganglion cells had lost their nucleus and nucleolus.Loss of retinal tension in the detached retina seems to induce permanent damage with loss of retinal function. Death of ganglion cells, observed as soon as 2 weeks after detachment, explains the permanent loss of retinal function. The new model enables (...) Loss of retinal tension and permanent decrease in retinal function: a new porcine model of rhegmatogenous retinal detachment. Permanent loss of visual function after rhegmatogenous retinal detachment can occur despite successful surgical reattachment in humans. New treatment modalities could be explored in a detachment model with loss of retinal function. In previous porcine models, retinal function has returned after reattachment, regardless of height and duration of detachment. Difference

2019 Acta ophthalmologica

8. Concurrent management of myopic choroidal neovascularization and rhegmatogenous retinal detachment with intravitreal antivascular endothelial growth factor during primary retinal detachment repair Full Text available with Trip Pro

factor was injected during primary vitrectomy for retinal detachment. At final follow-up, the retina was attached with scarring of choroidal neovascularization. Ours is the first report of the use of intravitreal antivascular endothelial growth factor during vitrectomy for retinal detachment. (...) Concurrent management of myopic choroidal neovascularization and rhegmatogenous retinal detachment with intravitreal antivascular endothelial growth factor during primary retinal detachment repair We report concurrent management of rhegmatogenous retinal detachment and myopic choroidal neovascularization in the left eye of a 24-year-old female who presented with sudden dimness of vision due to retinal detachment and choroidal neovascularization. Intravitreal antivascular endothelial growth

2018 Indian journal of ophthalmology

9. Repair of Traumatic Rhegmatogenous Retinal Detachment Combined with Congenital Falciform Retinal Detachment Full Text available with Trip Pro

Repair of Traumatic Rhegmatogenous Retinal Detachment Combined with Congenital Falciform Retinal Detachment To report a case of surgical repair of traumatic rhegmatogenous retinal detachment combined with congenital falciform retinal detachment (FRD).A retrospective case report.A 36-year-old man with traumatic rhegmatogenous retinal detachment complicating a previously known FRD was successfully treated despite residual FRD following pars plana lensectomy, vitrectomy, and encircling scleral (...) buckling. His best corrected visual acuity improved from hand motion at 50 cm to 20/1,000.We concluded that the root of the FRD is susceptible to trauma because of the contraction of fibrovascular tissue. The early intervention of modern vitrectomy to traumatic rhegmatogenous retinal detachment complicating a previously known FRD is an important consideration for enhanced quality of care and optimal patient outcomes.

2018 Case reports in ophthalmology

10. Vitrectomy without prone positioning for rhegmatogenous retinal detachments in eyes with inferior retinal breaks. Full Text available with Trip Pro

Vitrectomy without prone positioning for rhegmatogenous retinal detachments in eyes with inferior retinal breaks. To compare the anatomic and functional outcomes of pars plana vitrectomy (PPV) for treating rhegmatogenous retinal detachments (RRDs) between two groups with and without postoperative prone positioning.This retrospective cohort study included 142 eyes of 142 patients with a primary RRD. All patients underwent PPV with 20% sulfur hexafluoride gas tamponade and were divided into two (...) groups: the groups that did and did not maintain a prone position postoperatively. All patients were followed for more than 3 months. The main outcome measures were the best-corrected visual acuity (BCVA), retinal reattachment rate, and postoperative complications.Sixty-five eyes were included in the prone position group and 77 eyes in the group without prone positioning; the respective initial reattachment rates were 83.1% and 96.1%, a difference that reach significance (p = 0.011). In the eyes

2018 PLoS ONE

11. Management of inadvertent needle penetration resulting in subretinal triamcinolone acetonide and retinal detachment Full Text available with Trip Pro

Management of inadvertent needle penetration resulting in subretinal triamcinolone acetonide and retinal detachment To report management of inadvertent needle penetration during subtenons triamcinolone acetonide administration resulting in retinal detachment.A 71-year-old female with history of diabetes, hypothyroidism, and mild myopia underwent subtenons triamcinolone acetonide (TA) injection in the right eye for nodular scleritis. There was unexpected patient movement concurrent (...) with the injection resulting in needle penetration, subretinal and intravitreal injection of TA, superotemporal retinal break, and macula-involving retinal detachment. The patient underwent partial subretinal TA removal, successful retinal detachment repair, and recovered 20/25 visual acuity.In spite of prominent subretinal TA and retinal detachment, successful repair of retinal detachment and recovery of good visual acuity is possible.

2018 American journal of ophthalmology case reports

12. Retinal vasproliferative tumor in a case of X-linked retinoschisis detachment Full Text available with Trip Pro

Retinal vasproliferative tumor in a case of X-linked retinoschisis detachment To describe the first published case of X-linked retinoschisis (XLRS) detachment with retinal vasoproliferative tumor (RVPT) and provide a literature review of the subject.The authors describe a case of a 17 year old male with X-linked retinoschisis who presented with a retinal detachment and a retinal vasoproliferative tumor. The patient was treated with pars plana vitrectomy, endolaser, subtenon's kenalog and anti

2018 American journal of ophthalmology case reports

13. Bilateral exudative retinal detachments due to thrombotic microangiopathy associated with intravenous abuse of Opana ER Full Text available with Trip Pro

Bilateral exudative retinal detachments due to thrombotic microangiopathy associated with intravenous abuse of Opana ER To report the only known case, to our knowledge, of bilateral exudative retinal detachments in the setting of thrombotic microangiopathy associated with intravenous abuse of extended-release oxymorphone (Opana ER).A 35-year-old male presented with headaches and acute, painless vision loss in the context of daily IV abuse of crushed oral Opana ER. The patient was found to have (...) microangiopathic hemolytic anemia (MAHA), acute kidney injury in conjunction with hypertensive crisis and bilateral exudative retinal detachments.Bilateral exudative retinal detachments are rare ophthalmic complications that have been reported with thrombotic thrombocytopenic purpura (TTP). Non-TTP thrombotic microangiopathy, initially described as a "TTP-like illness" consisting of MAHA and thrombocytopenia, has been associated with the IV abuse of Opana ER. We report a case of bilateral exudative retinal

2018 American journal of ophthalmology case reports

14. Eplerenone as a novel treatment for persistent subretinal fluid following retinal detachment surgery Full Text available with Trip Pro

Eplerenone as a novel treatment for persistent subretinal fluid following retinal detachment surgery To describe the clinical course of a patient with persistent subretinal fluid (SRF) after primary scleral buckle surgery for a rhegmatogenous retinal detachment (RRD) repair who was subsequently treated with oral eplerenone for resolution of SRF.A 34 year-old-male presented with a large bullous macula-involving RRD of unknown duration and underwent primary scleral buckle and retinotomy (...) knowledge, this is the first report of its kind to show the effectivity of oral eplerenone treatment in the reduction of SRF following retinal detachment surgery.

2018 American journal of ophthalmology case reports

15. The effect of single periocular injection of methylprednisolone and drainage of suprachoroidal fluid in the treatment of rhegmatogenous retinal detachment combined with choroidal detachment. (Abstract)

The effect of single periocular injection of methylprednisolone and drainage of suprachoroidal fluid in the treatment of rhegmatogenous retinal detachment combined with choroidal detachment. In this study we compared the anatomic and functional outcomes of two steroid treatments on rhegmatogenous retinal detachment (RRD) combined with choroidal detachment (CD), namely treatment with oral prednisolone (1 mg/kg daily) for 3-7 days before vitrectomy or a single periocular injection (...) of CD to the treatment of steroids. Retinal reattachment rates were measured at 6 months after the removal of silicone oil.At 6 months after silicone oil removal, the retinal reattachment rate was similar (p = 0.666) in the oral prednisolone group (91.7%, 33/36) and the periocular injection group (94.9%, 37/39). Similar retinal reattachment rates (p = 0.364) were also found in the CD subsided eyes (97.1%, 34/35) and the CD persistent eyes (90.0%, 36/40). The retinal reattachment rate was comparable

2019 Eye (London, England) Controlled trial quality: uncertain

16. Preoperative Intravitreal Bevacizumab for Tractional Retinal Detachment Secondary to Proliferative Diabetic Retinopathy: Prospective Randomized Clinical Trial of the Pan-American Collaborative Retina Study (PACORES) Group. (Abstract)

Preoperative Intravitreal Bevacizumab for Tractional Retinal Detachment Secondary to Proliferative Diabetic Retinopathy: Prospective Randomized Clinical Trial of the Pan-American Collaborative Retina Study (PACORES) Group. To assess the effectiveness and safety of an intravitreal injection of 1.25 mg of bevacizumab (IVB) as a preoperative adjunct to small-gauge pars plana vitrectomy (PPV) compared to PPV alone in eyes with tractional retinal detachment (TRD) secondary to proliferative diabetic (...) <0.05 was considered statistically significant.Two hundred and fourteen (214 eyes) patients were randomized in a 1:1 ratio to PPV plus IVB ([study group] 102 eyes) or PPV plus sham ([control] 112 eyes). Iatrogenic retinal breaks were noted intraoperatively in 35 eyes (34.3%) in the study group, and 66 eyes (58.9%) in the control group (P=0.001). Grade 2 intraoperative bleeding was noted in 32 (31.3%) eyes in the study group and 58 (51.7 %) eyes in the control group (P=0.001). Endodiathermy

2019 American Journal of Ophthalmology Controlled trial quality: uncertain

17. Risk of rhegmatogenous retinal detachment in acute retinal necrosis with and without prophylactic intervention. (Abstract)

Risk of rhegmatogenous retinal detachment in acute retinal necrosis with and without prophylactic intervention. To study whether preventive laser or preventive vitrectomy is able to lower the risk of rhegmatogenous retinal detachment (RRD) in patients with acute retinal necrosis (ARN).A retrospective, interventional case-series.We performed a retrospective study of 59 patients (63 eyes) with ARN treated in a single tertiary referral center. We analyzed different groups with either (...) no prophylaxis, prophylactic laser, or prophylactic vitrectomy. Main outcome measure was incidence of a RRD.Overall incidence of RRD was 44.4%, including 13% at presentation. In a crude analysis, the risk of RRD was highest in 33 patients with prophylactic laser (45.5%), lower in 15 patients with no prophylaxis (26.7%), and lowest in 7 patients with prophylactic vitrectomy (14.3%). Baseline BCVA differed between these groups, but zone and percentage of involved retina did not. In a multivariable model

2019 American Journal of Ophthalmology

18. PROPHYLACTIC LASER TREATMENT TO DECREASE THE INCIDENCE OF RETINAL DETACHMENT IN FELLOW EYES OF IDIOPATHIC GIANT RETINAL TEARS. (Abstract)

PROPHYLACTIC LASER TREATMENT TO DECREASE THE INCIDENCE OF RETINAL DETACHMENT IN FELLOW EYES OF IDIOPATHIC GIANT RETINAL TEARS. To evaluate the effectiveness of prophylactic 360° laser treatment in the fellow eye of patients with unilateral idiopathic giant retinal tear (GRT) to prevent the occurrence of a (macula-off) retinal detachment.We conducted a retrospective, nonrandomized case-control study. Clinical data of consecutive patients, undergoing surgery for idiopathic GRT, between 2003 (...) and 2015 were analyzed. The data collected included GRT, retinal detachment, and RTs in the fellow eye.We included 129 patients who underwent surgery for an idiopathic GRT, with a mean follow-up period of 107 months. In the observation group, a retinal detachment developed in the fellow eye in 22/51 patients (43.1%), leading to a macula-off detachment in 9/51 patients (17.6%). By contrast, in the prophylactic 360° laser group, only 10/78 (12.8%) patients developed a retinal detachment, leading

2019 Retina

19. Lens capsular flap in the management of posterior retinal hole associated retinal detachment in high myopic eyes with previous internal limiting membrane peeling: 3 case reports. Full Text available with Trip Pro

Lens capsular flap in the management of posterior retinal hole associated retinal detachment in high myopic eyes with previous internal limiting membrane peeling: 3 case reports. Managing retinal detachment due to posterior retinal holes is problematic since standard laser retinopexy or scleral buckling may be difficult to apply and may have brought serious complication. Another surgical method in treating posterior hole related retinal detachment is desired.Three high myopia patients (...) with previous vitrectomy and membrane peeling history suffered from blurred vision and retinal detachment due to posterior pole retinal holes was diagnosed.Patient diagnosed retinal detachment due to posterior retinal holes either as paracentral retinal breaks or macular hole from both indirect ophthalmoscope exam and fundus photography INTERVENTIONS:: The patient underwent lens capsular flap insertion into all the retinal holes, along with gas tamponade or silicone oil tamponade. No laser retinopexy

2019 Medicine

20. How to Prevent Retinal Shift after Rhegmatogenous Retinal Detachment Repair: A Prospective, Randomized Study. (Abstract)

How to Prevent Retinal Shift after Rhegmatogenous Retinal Detachment Repair: A Prospective, Randomized Study. To evaluate the effect of intraoperative use of heavy liquid on retinal shift after retinal detachment repair.Prospective, randomized study.Patients who underwent pars plana vitrectomy for macula-off rhegmatogenous retinal detachment were included in the current study.Patients were randomized into 2 groups: group A included patients in whom heavy liquid was used during the procedure (...) (P = 0.049). There was a strong association between retinal shift and postoperative symptoms of metamorphopsia. Ten of 17 patients with retinal shift reported distorted vision (P < 0.001).The use of intraoperative heavy liquid seems to be associated with lower occurrence of retinal shift after retinal detachment repair.Copyright © 2019 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

2019 Ophthalmology. Retina Controlled trial quality: uncertain

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