Laser indirect ophthalmoscope photocoagulation and scleral depression for rhegmatogenous retinal detachment
| Autor: | Sean F. Murphy, Michael E. Brier, Steven M. Bloom |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Male Proliferative vitreoretinopathy medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Visual Acuity Vitrectomy Retina chemistry.chemical_compound Postoperative Complications Recurrence Ophthalmology Medicine Humans Prospective Studies Aged Laser Coagulation business.industry Ophthalmoscopes Retinal Detachment Retinal detachment Retinal General Medicine Middle Aged medicine.disease Prognosis eye diseases Sclera medicine.anatomical_structure chemistry Female sense organs medicine.symptom business Laser coagulation |
| Zdroj: | Retina (Philadelphia, Pa.). 15(3) |
| ISSN: | 0275-004X |
| Popis: | Background Transconjunctival cryotherapy or laser photocoagulation with simultaneous Eisner funnel scleral depression has been used to treat selected cases of rhegmatogenous retinal detachment. There are no studies to date reporting the use of the laser indirect ophthalmoscope coupled with scleral depression for treating retinal detachment. Methods 16 consecutive patients (18 retinal detachments in 17 eyes) were enrolled in a prospective, uncontrolled clinical trial using the laser indirect ophthalmoscope with scleral depression as the sole treatment for retinal detachment. The region immediately surrounding the break where subretinal fluid was present was directly treated rather than demarcated. All patients were treated with local anesthesia in an outpatient setting. Results Complete retinal reattachment was initially achieved in 14 (78%) of 18 eyes after scleral depression and laser alone. Significant postoperative complications of scleral depression with laser indirect ophthalmoscope photocoagulation included macular pucker (2 eyes), late recurrent rhegmatogenous retinal detachment without proliferative vitreoretinopathy (1 eye), and late recurrent rhegmatogenous retinal detachment with proliferative vitreoretinopathy (2 eyes). Failure of initial treatment to flatten the retina, late recurrent retinal detachment, macular pucker, or proliferative vitreoretinopathy led to scleral buckling and/or vitrectomy in 6 (86%) of the 7 eyes with clinical detachment and 3 (30%) of the 10 eyes with localized detachment. Final retinal reattachment at the last follow-up examination was achieved in all 17 eyes with subsequent surgical procedures. Conclusion Although scleral depression with laser indirect ophthalmoscope photocoagulation is a noninvasive outpatient surgical procedure that is capable of flattening selected retinal detachments, its use cannot be recommended because of the relatively high rate of postoperative complications requiring further surgical procedures. |
| Databáze: | OpenAIRE |
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