Patching retinal breaks with Seprafilm for treating retinal detachments in humans: 9 years of follow-up
| Autor: | Mikki Arai, Tatsuo Hirose, M Haruta, Jun Sueda, Ryoji Yamakawa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Pars plana
Adult Male medicine.medical_specialty Proliferative vitreoretinopathy Intraocular pressure Visual acuity Time Factors genetic structures medicine.medical_treatment Visual Acuity Vitrectomy 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Ophthalmology medicine Electroretinography Humans 030212 general & internal medicine Prospective Studies Hyaluronic Acid Aged business.industry Retinal detachment Retinal Membranes Artificial Middle Aged medicine.disease Retinal Perforations eye diseases Surgery medicine.anatomical_structure Treatment Outcome chemistry 030221 ophthalmology & optometry Clinical Study Female sense organs Tamponade medicine.symptom Sensory Deprivation business Follow-Up Studies |
| Popis: | PurposeTo describe the long-term surgical outcomes of four patients treated for retinal detachment using Seprafilm as a novel technique.MethodsRetinal breaks in four eyes were covered with Seprafilm using a transvitreal approach after cataract surgery, pars plana vitrectomy, fluid-air exchange, and laser photocoagulation. Neither long-standing gas nor silicone oil was used. The patients were not instructed to maintain a specific head positioning postoperatively.ResultsSuccessful retinal reattachment was achieved with a single surgery in all four eyes, and none developed proliferative vitreoretinopathy. The mean best-corrected visual acuity preoperatively and 9 years postoperatively were 20/97 and 20/33, respectively. The intraocular pressure increased several days postoperatively that lasted no longer than 2 weeks. Visual field defects either in the inferonasal or inferotemporal quadrant were detected postoperatively. The mean electroretinogram a- and b-wave amplitude ratios of the operated eyes to the fellow eyes were 0.68 and 0.64 preoperatively and 0.87 and 0.92 postoperatively, respectively. The mean corneal endothelial cell density was 2365 cells/mm2 preoperatively and 2592 cells/mm2 postoperatively.ConclusionCovering retinal breaks with Seprafilm may promote retinal reattachment without gas tamponade and postoperative head positioning. The visual outcomes 9 years postoperatively showed no apparent adverse effects of intraocular application of Seprafilm. |
| Databáze: | OpenAIRE |
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