Retinal Tacks for Complicated Retinal Detachment: Retinal Tacks in the Times of Modern Small-Gauge Vitrectomy. (31st March 2022)
- Record Type:
- Journal Article
- Title:
- Retinal Tacks for Complicated Retinal Detachment: Retinal Tacks in the Times of Modern Small-Gauge Vitrectomy. (31st March 2022)
- Main Title:
- Retinal Tacks for Complicated Retinal Detachment: Retinal Tacks in the Times of Modern Small-Gauge Vitrectomy
- Authors:
- Mautone, Luca
Dulz, Simon
Skevas, Christos
Schultheiss, Maximilian
Spitzer, Martin Stephan - Other Names:
- Sandner Dirk Academic Editor.
- Abstract:
- Abstract : Purpose . To investigate the efficacy and safety profile of retinal tacks (RTs) in cases of retinal detachment (RD) with advanced proliferative vitreoretinopathy (PVR). Materials and Methods . In this single-center, retrospective study medical record, optical coherence tomography and ultra-widefield fundus images of patients with complex PVR-related and RT surgery were reviewed. All cases underwent 23G pars plana vitrectomy (PPV), RT implantation, retinectomy, circumferential intraoperative laser retinopexy, and silicone oil tamponade. Results . Fourteen eyes of 14 patients with complex rhegmatogenous RD with PVR were included: 7 cases showed PVR grade C type P and 7 combined grades A and P. RTs were positioned at contracted, stiffened retinal areas to achieve attachment of retinectomy borders after extensive PVR peeling. Patients underwent on an average of 1.3 PPVs (range 0–3) prior RT surgery. An average of 2.5 RTs (range 1–4) were implanted. Only in a single eye, a recurrent RD occurred. In 10 eyes, the silicone oil tamponade was still in place at the last follow-up. In 5 eyes, the silicone oil could be removed without redetachment in all of these cases (average of 31.3 weeks, range 11.4–53). No RT-related intraoperative or postoperative complications like dislocation or bleedings were observed. Conclusion . RTs have the potential to improve the treatment of complex PVR-associated RD. RT can be a useful surgical tool to reattach borders of retinectomies inAbstract : Purpose . To investigate the efficacy and safety profile of retinal tacks (RTs) in cases of retinal detachment (RD) with advanced proliferative vitreoretinopathy (PVR). Materials and Methods . In this single-center, retrospective study medical record, optical coherence tomography and ultra-widefield fundus images of patients with complex PVR-related and RT surgery were reviewed. All cases underwent 23G pars plana vitrectomy (PPV), RT implantation, retinectomy, circumferential intraoperative laser retinopexy, and silicone oil tamponade. Results . Fourteen eyes of 14 patients with complex rhegmatogenous RD with PVR were included: 7 cases showed PVR grade C type P and 7 combined grades A and P. RTs were positioned at contracted, stiffened retinal areas to achieve attachment of retinectomy borders after extensive PVR peeling. Patients underwent on an average of 1.3 PPVs (range 0–3) prior RT surgery. An average of 2.5 RTs (range 1–4) were implanted. Only in a single eye, a recurrent RD occurred. In 10 eyes, the silicone oil tamponade was still in place at the last follow-up. In 5 eyes, the silicone oil could be removed without redetachment in all of these cases (average of 31.3 weeks, range 11.4–53). No RT-related intraoperative or postoperative complications like dislocation or bleedings were observed. Conclusion . RTs have the potential to improve the treatment of complex PVR-associated RD. RT can be a useful surgical tool to reattach borders of retinectomies in advanced PVR. No RT-associated complication were observed in this study. … (more)
- Is Part Of:
- Journal of ophthalmology. Volume 2022(2022)
- Journal:
- Journal of ophthalmology
- Issue:
- Volume 2022(2022)
- Issue Display:
- Volume 2022, Issue 2022 (2022)
- Year:
- 2022
- Volume:
- 2022
- Issue:
- 2022
- Issue Sort Value:
- 2022-2022-2022-0000
- Page Start:
- Page End:
- Publication Date:
- 2022-03-31
- Subjects:
- Ophthalmology -- Periodicals
Eye Diseases
Ophthalmology
Ophthalmology
Electronic journals
Periodicals
Periodicals
Fulltext
Internet Resources
Periodicals
617.7 - Journal URLs:
- https://www.hindawi.com/journals/joph/ ↗
http://www.ncbi.nlm.nih.gov/pmc/journals/1195/ ↗
http://bibpurl.oclc.org/web/46495 ↗
http://search.ebscohost.com/direct.asp?db=a9h&jid=%229038%22&scope=site ↗ - DOI:
- 10.1155/2022/1968434 ↗
- Languages:
- English
- ISSNs:
- 2090-004X
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library HMNTS - ELD Digital store
- Ingest File:
- 21428.xml