Gas Tamponade for Retinectomy in PVR-Related Retinal Detachments: A Retrospective Study
| Autor: | Dominic McHugh, Irini Chatziralli, Vasileios T. Papastavrou |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Proliferative vitreoretinopathy Intraocular pressure Visual acuity genetic structures Retinotomy Rhegmatogenous 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Ophthalmology Medicine Original Research business.industry Retinal shortening Retinal detachment Retrospective cohort study Retinal medicine.disease eye diseases Surgery chemistry Perfluoro-octane tamponade 030221 ophthalmology & optometry Tamponade sense organs medicine.symptom Epiretinal membrane business 030217 neurology & neurosurgery |
| Zdroj: | Ophthalmology and Therapy |
| ISSN: | 2193-8245 |
| Popis: | Introduction The purpose of the study was to evaluate the anatomical and functional results in patients with proliferative vitreoretinopathy (PVR) treated with retinectomy and perfluoro-octane gas (C3F8) as a tamponade agent. Methods 12 patients with inferior and anterior complicated PVR-related retinal detachment, who were treated with retinectomy, where C3F8 was used as the tamponade agent were examined. Primary outcome was the anatomical success, while visual acuity, existence of an epiretinal membrane (ERM) and intraocular pressure (IOP) postoperatively were secondary outcomes. Results The primary success rate was 75% (mean follow-up of 9.8 months). Reoperation was needed on 25% of patients after the retinectomy procedure. Preoperative best corrected visual acuity (BCVA) was poor due to macular involvement in all cases. BCVA was improved in three patients (25%), remained stable in 25% and deteriorated in 16.7%. Two patients were lost during the follow-up period. Postoperative ERM formation was noted in 33.3% of patients. One patient developed hypotony, while no other complications were observed. Conclusion Retinectomy with C3F8 as the tamponade agent provides anatomical and functional restoration at a 75% primary success rate in PVR-related retinal detachment. |
| Databáze: | OpenAIRE |
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