THE USE OF PERFLUORO-OCTANE IN THE MANAGEMENT OF GIANT RETINAL TEARS WITHOUT PROLIFERATIVE VITREORETINOPATHY
| Autor: | Raymond N. Sjaarda, D. Ie, Bert M. Glaser, Gordon Lw, Steinberg Le, John T. Thompson |
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| Rok vydání: | 1994 |
| Předmět: |
Adult
Male Reoperation Pars plana Proliferative vitreoretinopathy medicine.medical_specialty Perfluoro-octane Adolescent genetic structures medicine.medical_treatment Visual Acuity Vitrectomy chemistry.chemical_compound Ophthalmology Lens Crystalline medicine Humans Child Aged Fluorocarbons Retina business.industry Vitreoretinopathy Proliferative Retinal Detachment Retinal detachment Retinal General Medicine Middle Aged Retinal Perforations medicine.disease eye diseases Retinal Tear Scleral Buckling medicine.anatomical_structure chemistry Female sense organs business Follow-Up Studies |
| Zdroj: | Retina. 14:323-328 |
| ISSN: | 0275-004X |
| Popis: | PURPOSE A technique for managing giant retinal tears without proliferative vitreoretinopathy (PVR) is presented, and visual outcome, anatomic reattachment, and postoperative complications are discussed. METHODS A total of 25 consecutive cases of retinal detachment from giant retinal tears in eyes without PVR that had not previously undergone surgery were reviewed. A surgical technique combining pars plana vitrectomy, perfluoro-octane, and fluid-gas exchange was used. Scleral buckling was performed in 23 (92%) of 25 eyes, and pars plana lensectomy was performed in 11 (69%) of the 16 phakic eyes. A minimum follow-up period of 6 months was documented in each case. RESULTS Of the 25 eyes, redetachment occurred in 3 (12%) after the initial procedure, and further surgery was necessary to successfully reattach the retina. A total of 9 secondary procedures were performed in 7 (28%) of the 25 eyes. Final retinal reattachment was achieved in all 25 eyes. Final Snellen visual acuity was 20/80 or better in 18 (72%) patients and 20/200 or better in 21 (84%) patients. CONCLUSION The anatomic and visual results of this method of surgical treatment of giant retinal tears without PVR compare favorably to those achieved with techniques that use a nonbuckling approach, but with reduced ocular morbidity. |
| Databáze: | OpenAIRE |
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