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Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology 2/2021

14.09.2020 | Retinal Disorders

Results of different strategies to manage complicated retinal re-detachment

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

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 2/2021

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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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Metadaten
Titel
Results of different strategies to manage complicated retinal re-detachment
verfasst von
Spyridon Dimopoulos
Antony William
Bogomil Voykov
Karl Ulrich Bartz-Schmidt
Focke Ziemssen
Martin Alexander Leitritz
Publikationsdatum
14.09.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 2/2021
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-020-04923-1

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