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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-02-2021 | Silicone | Retinal Disorders

Results of different strategies to manage complicated retinal re-detachment

Authors: Spyridon Dimopoulos, Antony William, Bogomil Voykov, Karl Ulrich Bartz-Schmidt, Focke Ziemssen, Martin Alexander Leitritz

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 2/2021

Abstract

Purpose

Complicated retinal re-detachment with inferior proliferative vitreoretinopathy (PVR) remains a challenge. This study’s aim was to compare vitrectomy with conventional silicon oil (CSO) combined with an encircling band (EB) and vitrectomy with heavy silicon oil (HSO) alone to treat retinal re-detachment through inferior PVR, where standard procedures have already failed.

Methods

A retrospective analysis was done on patients with inferior complex re-detachment with secondary PVR after primary surgery, who received pars plana vitrectomy (PPV) with CSO combined with EB (group 1) or PPV alone with HSO (group 2) between December 2006 and August 2017. The primary endpoint was retinal reattachment, and the secondary endpoint was visual acuity (VA) change and complications in both groups.

Results

This study included 119 eyes. Total single surgery anatomical success (SSAS) was 64%, with 80% (52/65) achieved in group 1 and 44.5% (24/54) in group 2 (p < 0.0001). The total final anatomical success (FAS) rate was 79% (94/119). In group 1, FAS was 91% (59/65) compared with 65% (35/54) in group 2 (p = 0.003). The pretreatment VA of group 1 had a median of 1.4 logMAR (95% CI 0.3–1.8), and group 2 showed a median of 1.4 logMAR (95% CI 0.2–1.8). The post-treatment decrease in group 1 was a median equal to − 0.6 versus − 0.1 for group 2 (p = 0.0001). Serious complications were similar in both groups.

Conclusion

For complicated retinal re-detachment through inferior PVR, the combination of PPV with EB may lead to better anatomical (SSAS, FAS) and functional success compared with PPV alone with HSO.

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Title: Results of different strategies to manage complicated retinal re-detachment
Authors: Spyridon Dimopoulos
Antony William
Bogomil Voykov
Karl Ulrich Bartz-Schmidt
Focke Ziemssen
Martin Alexander Leitritz
Publication date: 01-02-2021
Publisher: Springer Berlin Heidelberg
Keywords: Silicone
Retinal Detachment
Retinectomy
Vitrectomy
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 2/2021
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-020-04923-1

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Results of different strategies to manage complicated retinal re-detachment

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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