Trans-scleral dye injection during vitreous surgery to identify clinically undetectable retinal breaks causing retinal detachment
| Autor: | J M Ong, D Gupta, R L Burton |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Pars plana
Male medicine.medical_specialty Visual acuity medicine.medical_treatment Visual Acuity Glaucoma Retinal perforation Vitrectomy Context (language use) chemistry.chemical_compound Ophthalmology Correspondence medicine Secondary Prevention Humans Coloring Agents Aged Retrospective Studies Intraoperative Care business.industry Retinal Detachment Retinal detachment Retinal Trypan Blue Middle Aged medicine.disease Retinal Perforations eye diseases Surgery medicine.anatomical_structure Early Diagnosis chemistry medicine.symptom Injections Intraocular business Sclera |
| Zdroj: | Eye (London, England). 25(8) |
| ISSN: | 1476-5454 |
| Popis: | Finding all retinal breaks is a critical step in rhegmatogenous retinal detachment (RRD) surgery in order to prevent persistent/recurrent retinal detachment (RD). We describe a technique of trans-scleral dye injection into the subretinal fluid under the detached retina in the context of recurrent/persistent RD in vitrectomized eyes, in order to determine the location of clinically unidentified (occult) retinal breaks causing RD. Retrospective consecutive single-surgeon case-series analysis of patients presenting with a repeat RRD after having been treated with pars plana vitrectomy (PPV) as the method of primary RRD repair. Trans-scleral injection of subretinal vision blue (TSVB) was used to help identify retinal breaks during repeat vitrectomy. Outcome measures: successful detection of a break; location of breaks; persistent retinal attachment; final visual acuity (VA); complications. There were 395 cases of RRD during the 3-year period reviewed. TSVB was used for eight instances in seven eyes. All eight instances were repeat RRD. TSVB facilitated occult break detection in 7/8 instances of use. Breaks were at or adjacent to the previous cryo site in three instances. Persistent retinal attachment was achieved in 5/7 cases. Final VA increased in 5/7 cases. There was no evidence of complications as a result of TSVB injection. TSVB coupled with indentation to vent a plume of dye through an occult break during vitreous surgery is a relatively simple technique that may facilitate the identification of occult retinal breaks and help achieve anatomical success and functional success. |
| Databáze: | OpenAIRE |
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