Rhegmatogenous retinal detachment: a review of current practice in diagnosis and management.
| Autor: | Sultan ZN; Ophthalmology, Royal Liverpool and Broadgreen Hospitals NHS Trust, Liverpool, UK ziyaad.sultan@nhs.net., Agorogiannis EI; Ophthalmology, Royal Liverpool and Broadgreen Hospitals NHS Trust, Liverpool, UK., Iannetta D; Ophthalmology, Royal Liverpool and Broadgreen Hospitals NHS Trust, Liverpool, UK.; UOSD Glaucoma, Arcispedale S Maria Nuova, Reggio Emilia, Emilia-Romagna, Italy., Steel D; Ophthalmology, Sunderland Eye Infirmary, Sunderland, Sunderland, UK., Sandinha T; St Paul's Eye Unit, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, Liverpool, UK. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ open ophthalmology [BMJ Open Ophthalmol] 2020 Oct 09; Vol. 5 (1), pp. e000474. Date of Electronic Publication: 2020 Oct 09 (Print Publication: 2020). |
| DOI: | 10.1136/bmjophth-2020-000474 |
| Abstrakt: | Rhegmatogenous retinal detachment (RRD) is a common condition with an increasing incidence, related to the ageing demographics of many populations and the rising global prevalence of myopia, both well known risk factors. Previously untreatable, RRD now achieves primary surgical success rates of over 80%-90% with complex cases also amenable to treatment. The optimal management for RRD attracts much debate with the main options of pneumatic retinopexy, scleral buckling and vitrectomy all having their proponents based on surgeon experience and preference, case mix and equipment availability. The aim of this review is to provide an overview for the non-retina specialist that will aid and inform their understanding and discussions with patients. We review the incidence and pathogenesis of RRD, present a systematic approach to diagnosis and treatment with special consideration to managing the fellow eye and summarise surgical success and visual recovery following different surgical options. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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