A retinal detachment is a medical emergency occurring when the sensory retina separates from the retinal pigment epithelium. It often arises after a retinal hole appears.. Retinal detachments are divided into 2 types, namely: rhegmatogenous retinal detachment and non rhegmatogenous retinal detachment. Rhegmatogenous retinal detachment occurs due to retinal breaks. Non - rhegmatogenous retinal detachments are either tractional or exudative.. The following symptoms may be observed; reduction of vision, floaters and flashes of light. Retinal detachments may occur as a result of a posterior vitreous detachment.. Retinal detachments are treated by means of surgery, usually the kind of surgery involving working inside the back of the eye. A pars plana vitrectomy entails the surgical removal of the vitreous from the eye and replacing with silicone oil or gas. Patients may be advised not to travel in airplanes for up to 6 weeks after retinal surgery is performed.. ...

TY - JOUR. T1 - Oral fluoroquinolones and the incidence of rhegmatogenous retinal detachment and symptomatic retinal breaks. T2 - A population-based study. AU - Kapoor, Kapil G.. AU - Hodge, David O.. AU - St. Sauver, Jennifer L.. AU - Barkmeier, Andrew J.. PY - 2014/6. Y1 - 2014/6. N2 - Objective To examine whether oral fluoroquinolone antibiotics are associated with an increase in subsequent rhegmatogenous retinal detachment and symptomatic retinal breaks in a large population-based cohort. Design Population-based cohort study. Participants and Controls Adult residents of Olmsted County, Minnesota, who were prescribed oral fluoroquinolone medications from January 1, 2003, to June 30, 2011. Comparison cohorts consisted of patients prescribed oral macrolide and β-lactam antibiotics during the study period. Methods Procedure codes were used to identify retinal detachment repair and prophylaxis procedures occurring within 1 year of prescription dates. Travel clinic, pro re nata, and ...

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Purpose: : To compare spectral-domain optical coherence tomography (SD-OCT) findings and visual acuity outcomes after pneumatic retinopexy (PR), pars plana vitrectomy (PPV), scleral buckle (SB), and combination surgery (SB/PPV) for macula-off rhegmatogenous retinal detachment (RRD). Methods: : The study design was a retrospective observational case series. Patients with macula-off RRD present for less than 10 days and without proliferative vitreoretinopathy, previous retina surgery, recurrent retinal detachment during observation period, or other retinal comorbidities were included in the study. To repair the RRD, patients underwent PR, PPV, SB, or SB/PPV at the surgeons discretion. Snellen vision was recorded and patients were imaged using SD-OCT at 1 and 3 months after RRD repair. Post-operative OCT measurements included central foveal thickness, foveal outer segment thickness, photoreceptor disruption, external limiting membrane disruption, and presence of subretinal fluid. Statistical ...

TY - JOUR. T1 - Quantitative changes in retinal pigment epithelial detachments as a predictor for retreatment with anti-VEGF therapy. AU - Penha, Fernando M.. AU - Gregori, Giovanni. AU - Garcia Filho, Carlos Alexandre De Amorim. AU - Yehoshua, Zohar. AU - Feuer, William J.. AU - Rosenfeld, Philip J.. PY - 2013/3. Y1 - 2013/3. N2 - Purpose: To determine if quantitative changes in retinal pigment epithelial detachments (PEDs) predict the need for retreatment in eyes undergoing spectral domain optical coherence tomography (SD OCT)-guided as-needed therapy with anti-vascular endothelial growth factor drugs. METHODS:: Patients with vascularized PEDs undergoing SD OCT-guided treatment with anti-vascular endothelial growth factor drugs were retrospectively identified. The decision to retreat these cases was based on qualitative assessments of fluid in the macula. Spectral domain OCT images from visits in which the treatment was withheld were retrospectively analyzed. A novel algorithm was then used to ...

TY - JOUR. T1 - Unintentional Displacement of the Retina after Standard Vitrectomy for Rhegmatogenous Retinal Detachment. AU - Shiragami, Chieko. AU - Shiraga, Fumio. AU - Yamaji, Hidetaka. AU - Fukuda, Kouki. AU - Takagishi, Mai. AU - Morita, Misako. AU - Kishikami, Takehiro. PY - 2010/1. Y1 - 2010/1. N2 - Objective: To study unintentional displacement of the retina after standard vitrectomy for rhegmatogenous retinal detachment (RRD). Design: Prospective interventional case series. Participants: Forty-three eyes of 43 consecutive patients with cystic RRD involving 1 or more quadrants underwent successful standard vitrectomy with 20% sulfur hexafluoride gas injection. Neither scleral buckling nor retinotomy was performed. Methods: Fundus autofluorescence (FAF) imaging was subsequently recorded to detect displacement of the retina using the Topcon TRC-50DX (Topcon, Tokyo, Japan) at 10 days and 1, 3, and 6 months postoperatively. Fluorescein angiography was also recorded using standard techniques ...

Purpose.: To investigate the longitudinal changes in retinal nerve fiber layer (RNFL) thickness after pars plana vitrectomy for rhegmatogenous retinal detachment. Methods.: This prospective study examined 33 vitrectomy patients who were diagnosed with rhegmatogenous retinal detachment. Optical coherence tomography was conducted 6, 12, and 24 months after vitrectomy to investigate the changes in RNFL thickness. The RNFL thickness in the retinal detached area of the affected eye was compared with its mirror image in the fellow eye. Results.: The respective RNFL thickness in retinal-detached area and its mirror image in the fellow eye was 120.7 ± 13.5 μm and 124.7 ± 21.5 μm at 6 months following vitrectomy (P , 0.05); 114.1 ± 19.6 μm and 124.0 ± 16.6 μm at 12 months (P , 0.05); and 107.5 ± 17.2 μm and 123.8 ± 14.3 μm at 24 months (P , 0.05). A significant difference was detected between the RNFL thickness in the detached area and the fellow eye after 12 and 24 months. The difference in ...

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Globally the market for Retinal Detachment treatment is increasing rapidly. The major factor that derives the growth of Retinal Detachment treatment is the increasing aging population. Furthermore increased risk and complication in diabetes called diabetic retinopathy and high life expectancy are developing the market for retinal detachment treatment.. Segments: Global retinal detachment treatment market has been segmented on the basis of retinal detachment type which comprises of rhegmatogenous, tractional, exudative. On the basis of treatment, the market is divided into; laser surgery, pneumatic retinopexy, scleral buckle, vitrectomy and others.. Global Retinal Detachment treatment market by regions. North America. US. Canada. Europe. Western Europe. Germany. France. Italy. Spain. UK. Rest of Western Europe. Eastern Europe. Asia. China. India. Japan. South Korea. Rest of Asia. Pacific. Latin America, Middle East & Africa. Browse Full Report Details at ...

An emmetropic otherwise well 67 year old man, with no history of eye disease, presents with a rhegmatogenous retinal detachment. The patient needs surgery to repair the detachment. There are three major techniques available to repair the detachment-scleral buckling without drainage, primary vitrectomy, and pneumatic retinopexy. In determining which surgical technique to choose, there are a number of clinical features to consider such as the location and size of the retinal breaks, the presence of media opacities such as cataract, and the presence of proliferative vitreoretinopathy. Additionally, the training and experience of the surgeon is important.. Who should perform the surgery? Which technique should be used? The three invited experts present the case for each technique and discuss their relative advantages and disadvantages.. ...

TY - JOUR. T1 - Rhegmatogenous Retinal Detachment in Children. T2 - Clinical Factors Predictive of Successful Surgical Repair. AU - Smith, Jesse M.. AU - Ward, Laura T.. AU - Townsend, Justin H.. AU - Yan, Jiong. AU - Hendrick, Andrew M.. AU - Cribbs, Blaine E.. AU - Yeh, Steven. AU - Jain, Nieraj. AU - Hubbard, G. Baker. N1 - Funding Information: Supported by the National Eye Institute, National Institutes of Health, Bethesda, Maryland (grant no.: P30 EY006360). Funding Information: Supported by the National Eye Institute , National Institutes of Health , Bethesda, Maryland (grant no.: P30 EY006360 ). Publisher Copyright: © 2018 American Academy of Ophthalmology. PY - 2019/9. Y1 - 2019/9. N2 - Purpose: To describe presenting clinical features and surgical techniques that are associated with successful surgical repair of pediatric rhegmatogenous retinal detachment (RRD). Design: Retrospective interventional case series. Participants: Two hundred twelve eyes of 191 patients 0 to 18 years of age ...

Proliferative vitreoretinopathy (PVR) is a disease that develops as a complication of rhegmatogenous retinal detachment. PVR occurs in about 8-10% of patients undergoing primary retinal detachment surgery and prevents the successful surgical repair of rhegmatogenous retinal detachment. PVR can be treated with surgery to reattach the detached retina but the visual outcome of the surgery is very poor. PVR was originally referred to as massive vitreous retraction and then as massive periretinal proliferation. The name Proliferative vitreo retinopathy was provided in 1989 by the Silicone Oil Study group. The name is derived from proliferation (by the retinal pigment epithelial and glial cells) and vitreo retinopathy to include the tissues which are affected, namely the vitreous humor (or simply vitreous) and the retina. During rhegmatogenous retinal detachment, fluid from the vitreous humor enters a retinal hole. The mechanisms by which retinal holes or tears form are not fully understood yet. The ...

In the 20 years that separate our two groups of patients, much has changed in the management of primary RRD. This study is limited because the patients are not directly comparable-methods of assessment, referral practice, and workload have changed. We only compare patients operated upon and not those who presented. Nevertheless, the study allowed us to examine some of those changes, to reappraise results, and to reflect on future developments.. Primary anatomical success was 79.8% in 1979-80 and 84% in 1999. The final success rate was 88.7% in 1979-80 and 93.6% in 1999. The success rates of both groups compare with currently available figures. Sullivan et al12 reported a primary success rate of 80% in a prospective audit of retinal detachment surgery. The pneumatic retinopexy study group13reported a primary success rate of 84% in their scleral buckling group and 62% in the pneumatic retinopexy group. Ah-Fatet al10 examined the trends in vitreoretinal surgery over a 10 year period in their unit. ...

In a prospective cohort study, researchers examined the possibility and characteristics of a late increase in the cumulative risk of retinal detachment after cataract extraction and IOL implantation. They analyzed the records of 5,235 female and 4,153 male insurance beneficiaries who underwent cataract extraction and IOL implantation between August 1, 1999, and December 1, 2001, for a total of 9,388 cases. Before the end of the study, 1,084 cases were counted as lost to follow-up. The cumulative 8-year retinal detachment rate was 2.31% in the total group. The mean interval between cataract extraction and diagnosis of retinal detachment was 40.6 ±13.34 months. Factors that significantly affected the risk of retinal detachment included male gender (P = .01), age less than 50 years (P = .002), increased axial length, and a history of retinal detachment in the fellow eye (P = .005). Patients with high myopia had a significantly increased risk of retinal detachment 4 years after cataract extraction ...

Purpose To describe a series of 4 patients with Waldenström macroglobulinemia and serous macular detachment, and propose a mechanism for development of subretinal fluid based on optical coherence tomography (OCT) findings. Design Retrospective observational case series. Methods The records of patients with Waldenström macroglobulinemia and OCT documentation of serous macular detachment at Wills Eye Institute…

To investigate the frequency of residual cortex and the effectiveness of removal of residual cortex in the fovea during vitrectomy for primary rhegmatogenous re...

Retinal detachment surgery: Make an appointment with Dr Lapere at Melrose Eye Clinic, 14 Palmyra road, Claremont, Cape Town. 021 671 5154

The specifics of your recovery after retinal detachment surgery will depend on the extent of your condition, as well as the type of correction which was performed.

Retinal detachment can be prevented in some. The most effective way of preventing retinal detachment is by educating people to seek ophthalmic medical attention if they suffer symptoms suggestive of a posterior vitreous detachment.[17] Early examination allows detection of retinal tears which can be treated with laser or cryotherapy. This reduces the risk of retinal detachment in those who have tears from around 1:3 to 1:20. There are some known risk factors for retinal detachment. There are also many activities which at one time or another have been forbidden to those at risk of retinal detachment, with varying degrees of evidence supporting the restrictions. Cataract surgery is a major cause, and can result in detachment even a long time after the operation. The risk is increased if there are complications during cataract surgery, but remains even in apparently uncomplicated surgery. The increasing rates of cataract surgery, and decreasing age at cataract surgery, inevitably lead to an ...

79-year-old woman has noticed decreased vision in the top half of her vision in the left eye for two months. It has been waxing and waning. VISUAL ACUITY: Vision OD is 20/30, OS is 20/100. IOP: OD 23, OS 21. There is 3+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OS: Vertical C/D ratio is 0.3. There is a posterior vitreous separation and an inferior retinal detachment splitting the macula. There are multiple demarcation lines suggesting parts of the detachment are very old. There appear to be some retinal holes at 6:00 oclock, but it is difficult to see because of the cataract. IMPRESSION: 1. INFERIOR CHRONIC RETINAL DETACHMENT WHICH HAS NOW EXTENDED THROUGH THE MACULA - LEFT EYE 2. CATARACT DISCUSSION: I explained to the patient that she does have a retinal detachment in the left eye. There are even some preretinal membranes and some of the retinal detachment is very old. Because of that, I suggested vitrectomy and scleral buckle that will allow me to adequately flatten the retina ...

Rhegmatogenous retinal detachment is the most common form of detachment. In this condition, a tear, hole or break in the retina enables fluid to enter the subretinal space between the sensory retina and the retinal pigment epithelium (RPE) beneath the retina, causing the retina to separate from the layer beneath it. The retina receives oxygen and nutrients from this tissue and will begin to lose function and ultimately die if it remains detached. Retinal detachment of this type is an emergency with surgery usually scheduled on an urgent basis within 24 hours of the diagnosis. Most cases of this type of retinal detachment are associated with the natural aging process. The separation that occurs can occasionally be accelerated by cataract surgery, YAG laser capsulotomy following cataract surgery, diabetes, trauma, hemorrhage within the eye and uveitis (inflammation within the eye). Certain conditions including a number of inherited syndromes, a peripheral retinal degeneration (lattice ...

Title:Intravitreal Steroids for the Prevention of PVR After Surgery for Retinal Detachment. VOLUME: 21 ISSUE: 32. Author(s):Caterina Gagliano, Mario D. Toro, Teresio Avitabile, Santo Stella and Maurizio G. Uva. Affiliation:Eye Clinic, University of Catania, Via Santa Sofia 78, Catania, Italy.. Keywords:Intravitreal steroids, prevention, proliferative vitreoretinopathy, retinal detachment.. Abstract:Proliferative vitreoretinopathy (PVR) can occur in eyes with rhegmatogenous retinal detachment (RRD) or after RRD surgery, and it is the most common cause of failure of this surgery, accounting for about 75% of all primary failures. Complex biological pathways induce PVR development, with growth factors and cytokines from the vitreous and from the serum (as a result of the breakdown of the blood-retinal barrier) stimulating RPE and Muller cells transformation and proliferation, and membrane formation and contraction. Identification of pre-operative risk factors, recognition of the early signs of PVR, ...

Rhegmatogenous retinal detachment (RRD) is a potentially blinding ophthalmic pathology caused by a separation of the neurosensory retina (NSR) from the underlying retinal pigment epithelium and the accumulation of fluid within this potential space. It is responsible for up to 2% of blind and partial sight registrations in Ireland, Scotland and south west England [1-3]. The mainstay of RRD treatment is surgical, accounting for an important proportion of ophthalmic hospital in-patient admissions at an annual cost of over £1.3 million in the U.K [4]. The principles defining an epidemiology study are the careful delineation of the study population from which cases are derived and the effort to ascertain every eligible case from the study population [5]. To date there have been no large-scale systematic epidemiology studies of RRD in Scotland. Previous population based estimates of the incidence of RRD have varied considerably, with overall annual incidence rates reported between 5-17.9 per 100,000 ...

These are the most common symptoms of retinal detachment, however, some of these symptoms may also represent a less dangerous early warning sign of retinal detachment known as a vitreous detachment. The symptoms may also represent a precursor to retinal detachment known as a retinal tear. If you encounter any of these symptoms, its important to see an ophthalmologist right away within 24 hours.. So why does retinal detachment occur? As we get older, the clear gel-like substance that makes up the inner part of our eyes (vitreous gel) shrinks slightly, which makes the substance take on a more watery appearance. If the vitreous gel shrinks enough, it exerts force on the retina, resulting in damage and tearing.. Once the retina is torn, this makes it easier for the fluid to leak into the retina, thus lifting the retina off the back of the eye. Think of it like a peeling wallpaper, where the wallpaper is slowly detached from the wall itself.. When the retina tears off the back of the eye, its ...

10 Fascinating Reattachment Surgeries^10 Fascinating Reattachment Surgeries^ In the last several years thanks to the advancement of medical equipment and improved microsurgery techniques the success rate for limb reattachment surgeries has improved dramatically compared to when it was fist performed successfully almost 50years ago. This list includes some of the more interesting and dramatic reattachments of body parts due to accidents and assaults. (This is not to be confused with the recent success of transplanting body parts from donors.) According to what I have read if you wish to help someone in this situation the best course of action is to wrap the digit or limb in wet paper towels, then wrap it in plastic, and then pack it in ice. Remember: save the patient, save time and save the limb.^Blogball

When detected early, a retinal tear may be treated with laser or cryotherapy which greatly reduces the risk of a retinal detachment.. Without its normal attachment to the back of the eye, a detached retina loses part of its normal blood supply and loses the ability to function. A retinal detachment is a medical emergency usually requiring surgery, and it leads to a change in vision often described as if looking through a gray curtain shade. Surgery for a retinal detachment has a high success rate. ...

Government healthcare officials in Canada have published a recent review considering the possible link between Levaquin, Avelox, and related fluoroquinolone antibiotics and retinal detachment. Retinal detachment occurs when the retina of the eye peels away from the surrounding tissue. If left untreated the retina may completely detach, causing blindness or other permanent vision problems.. The safety review conducted by Health Canada has been ongoing since reports began surfacing three years ago in the Journal of the American Medical Association (JAMA), which published a study that one in thirty patients diagnosed with retinal detachment had taken Levaquin, Cipro, Avelox, or another fluoroquinolone. The use of fluoroquinolone antibiotics had already been identified as a cause of connective tissue related injuries, including tendon damage.. Health Canadas follow-up safety review concluded that a potential link between the use of oral fluoroquinolones and retinal detachment could not be ruled ...

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Small holes and tears are treated with laser surgery or a freeze treatment known as cryopexy. Through laser surgery, tiny burns are made around the hole to weld the retina back into place. Cryopexy freezes the area around the hole and assists reattach the retina.These methods are normally performed in the doctors office.. Retinal detachments are treated with surgery(Scleral buckle surgery) that may need the patient to stay in the hospital. In some instances, a scleral buckle, a tiny synthetic band, is connected to the outside of the eyeball to gently thrust the wall of the eye against the detached retina. If necessary, a vitrectomy may also be performed.. With modern treatment, over 90 percent of those with a retinal detachment can be favorably managed, although sometimes a second treatment is needed.. ...

Read Photodynamic therapy for bullous retinal detachment: a single-center experience of case series with a 6-month follow-up study, Graefe

Small holes and tears are treated with laser surgery or a freeze treatment called cryopexy. These procedures are usually performed in the doctors office. During laser surgery, tiny burns are made around the hole to weld the retina back to into place. Cryopexy is a similar procedure that freezes the area around the hole.. Retinal detachments are treated with surgery that may require the patient to stay in the hospital. In some cases a scleral buckle, a tiny synthetic band, is attached to the outside of the eyeball to gently push the wall of the eye against the detached retina. If necessary, a vitrectomy may also be performed to treat more severe cases. During a vitrectomy, the doctor makes a tiny incision in the sclera (white of the eye). Next, a small instrument is placed into the eye to remove the vitreous. Salt solution is then injected to into the eye to replace the vitreous.. Early treatment can usually improve the vision of most patients with retinal detachments. Some patients, however, ...

Retinal Detachment is an eye disease in which all or part of the nerve-fibre layer becomes detached from the back of the eye. As this layer is responsible for communicating visual images to the brain, this can be very serious.. It can also lead to the blurring of your vision and even a complete loss of eyesight. Retinal detachment may occur when the vitreous humor, the jelly-like substance responsible for maintaining the shape of the eyeball and for filling the space between the lens and the retina, gets pulled away and tears the retina in one or more places. While the pulling away of the vitreous humor is normal as a person ages, there are times when it gets stretched too much, thereby leading to the eye disease as fluid seeps through the tear to lift and detach the retina off the back of the eye.. Before the actual onset of retinal detachment, you will probably experience the posterior detachment of your vitreous humor first. When this happens, you will feel heaviness in your eyes. Light ...

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There are three main types of retinal detachment: rhegmatogenous, serous, or tractional. Rhegmatogenous detachments are those where a hole or tear occurs in the retina which allows fluid to flow between the retina and the eye wall, thus causing detachment. Serous detachments occur when an inflammatory process causes excess fluid to seep into the potential space between the retina and the eye wall while the retina itself is intact. Tractional retinal detachments occur when proliferative membranes or scar tissue contract and pull the thin retina tissue up away from the eye wall. These commonly occur in patients with advanced diabetes, prior trauma, or surgery.. ...

Purpose:To evaluate foveal microstructural changes in eyes with anatomically successful repair of macula-off rhegmatogenous retinal detachments (RRDs) by Spectral domain OCT. Methods:Retrospective, consecutive, observational case series of twelve eyes of 12 consecutive patients with macula-off RRDs after anatomically successful surgical repair (pars plana vitrectomy or scleral buckling). Each patient underwent the following examinations on the same day: BCVA, ophtalmoscopic fundus examination and Spectral-domain optical coherence tomography (SD-OCT). We divided all patients in 4 groups considering SD-OCT abnormalities. The correlation between the postoperative BCVA and foveal microstructural findings was evaluated. Results:: We obtained SD-OCT images a mean of 9.5 months (range, 2-23) after surgery. All patients presented foveal anatomic abnormalities: absence of the SD-OCT hyper-reflective structure between RPE and IS/OS junction (attributable to the junction between RPE cells and outer segment ...

Comment on: ars plana vitrectomy to repair retinal detachment following brachytherapy for uveal melanoma. Seen Nee Chia; Smith, Henry B.; Kemp, Ewan G. // British Journal of Ophthalmology;Apr2014, Vol. 98 Issue 4, p571 A letter to the editor is presented in response to the article Pars Plana Vitrectomy to Repair Retinal Detachment Following Brachytherapy for Uveal Melanoma by G. Beykin, J. Pe’er, Y. Hemo et l., which appeared in a 2013 issue of the journal. ...

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PURPOSE To report outcomes and prognostic factors after epiretinal membrane peeling in patients with previous rhegmatogenous retinal detachment repair. METHODS A consecutive case series. Best-corrected visual acuity and optical coherence tomography characteristics were analyzed before and after epiretinal membrane surgery. RESULTS Fifty-three eyes were analyzed. Best-corrected visual acuity improved by a mean of 10 letters at 1 month (N = 45; P = 0.001), 15 at 3 months (N = 42; P | 0.001), 11 at 6 months (N = 35; P = 0.001), and 16 at 12 months (N = 33; P | 0.001). The mean optical coherence tomography central foveal thickness decreased by 141 (N = 22; P | 0.001), 185 (N = 24; P | 0.001), 180 (N = 17; P = 0.001), and 151 μm (N = 9; P = 0.017) at 1, 3, 6, and 12 months, respectively. Better preoperative best-corrected visual acuity correlated with better best-corrected visual acuity at all follow-up visits (P ≤ 0.001). Intact preoperative inner segment/outer segment junction and external limiting

Scleral buckling surgery is a common way to treat retinal detachment. It is a method of closing breaks and flattening the retina.. A scleral buckle is a piece of silicone sponge, rubber, or semi-hard plastic that your eye doctor (ophthalmologist) places on the outside of the eye (the sclera, or the white of the eye). The material is sewn to the eye to keep it in place. The buckling element is usually left in place permanently.. The element pushes in, or buckles, the sclera toward the middle of the eye. This buckling effect on the sclera relieves the pull (traction) on the retina, allowing the retinal tear to settle against the wall of the eye. The buckle effect may cover only the area behind the detachment, or it may encircle the eyeball like a ring. By itself, the buckle does not prevent a retinal break from opening again. Usually extreme cold (cryopexy) or, less commonly, heat (diathermy) or light (laser photocoagulation) is used to scar the retina and hold it in place until a seal forms ...

A scleral buckle is one of several ophthalmologic procedures that can be used to repair a retinal detachment. Retinal detachments are usually caused by retinal tears, and a scleral buckle can be used to close the retinal break. The use of scleral buckling will occasionally limit pupil dilation or constriction with no clinically significant pattern. Scleral buckles come in many shapes and sizes. An encircling band is a thin silicone band sewn around the circumference of the sclera of the eye. Buckles are often placed under a band to create a dimple on the eye wall. The scleral buckle is secured around the eyeball under the conjunctiva. This moves the wall of the eye closer to the detached retina. It also may move the retina closer to the vitreous. This alteration in the relationships of the tissues seems to allow the fluid which has formed under the retina to be pumped out, and the retina to re-attach. The physics or physiology of this process are not fully understood. Retinal detachment surgery ...

Scleral buckling techniques are effective in treating most eyes with rhegmatogenous retinal detachment, and usually the final visual result is limited only by possible preexisting macular damage due to the detachment. Still, a variety of techniques are used, including exoplant or implant methods for …

As part of retinal detachment surgery, the eye is typically filled with a gas bubble or silicone oil bubble. This bubble acts like a balloon inside the eye and helps to keep the retina pushed back against the eye wall so it can heal in its proper place. Gas bubbles spontaneously dissolve over a few weeks whereas silicone oil remains in the eye until removed with another surgery. When retinal detachments are associated with significant scar tissue on the retinal surface, silicone oil is often used since it can remain filling the eyeball for as long as necessary to help the retina to heal properly in place. Currently, two different types of silicone oil (1000 centistoke and 5000 centistoke) are commercially available and have been approved for use in the eye by the Food and Drug Administration. The goal of the study is to compare the outcomes using these two different types of silicone oil.. The retinal detachment will be repaired in a standard fashion. There will be no difference between the way ...

Objective: To determine the incidence of micro detachments and change in mean height of persistent sub-retinal fluid (SRF) in eyes that underwent successful scleral buckling surgery for macula-off rhegmatogenous retinal detachment (RRD).. Study Design: Prospective cohort study.. Place and Duration of Study: Retina Department, Al Shifa Trust Eye Hospital Rawalpindi, from Jan 2016 to Dec 2016.. Methodology: Thirty two patients that underwent successful scleral buckling surgery for macula-off RD were included in the study. Pre-operative assessment including retinal examination by slit-lamp bio microscopy was carried out before surgery. Post-operative assessment included best corrected visual acuity (BCVA) with a Snellen chart and optical coherence tomography (OCT) by OCT Spectralis, Heidelberg Engineering. The post-operative assessment was performed at 1 week, 1 month, 3 months and 6 months after surgery.. Results: The incidence of micro detachments was 31.25% (10 patients) as detected by presence ...

Dexamethasone is a medication that has been shown to have clear anti-nausea, anti-inflammatory, and painkilling properties. Dexamethasone is currently used to manage postoperative symptoms of a variety of surgical procedures. However, its effect has not been validated for scleral buckling surgery, which is used to treat retinal detachment, a medical emergency that can lead to permanent blindness. In this study, the investigators will randomly administer dexamethasone to half of scleral buckling surgery patients, and a placebo to the other half. The investigators will then compare the postoperative symptoms of the two groups in order to determine whether dexamethasone should be used for scleral buckling surgeries ...

Glaucoma associated with the management of rhegmatogenous retinal detachment George Mangouritsas, Spyridon Mourtzoukos, Dimitra M Portaliou, Vassilios I Georgopoulos, Anastasia Dimopoulou, Elias Feretis Eye Clinic, General Hospital "Hellenic Red Cross", Athens, Greece Abstract: Transient or permanent elevation of intraocular pressure (IOP) is a common complication following vitreoretinal surgery. Usually secondary glaucoma, which develops after scleral buckling procedures, or pars plana vitrectomy for repair of rhegmatogenous retinal detachment, is of multifactorial origin. It is essential, for appropriate management, to detect the cause of outflow obstruction. An exacerbation of preexisting open-angle glaucoma or a steroid-induced elevation of IOP should also be considered. Scleral buckling may be complicated by congestion and anterior rotation of the ciliary body resulting in secondary angle closure, which can usually resolve with medical therapy. The use of intravitreal gases may also

Retinal detachment repair is eye surgery to place a retina back into its normal position. The retina is the light-sensitive tissue in the back of the eye. Detachment means that it has pulled away from

TY - JOUR. T1 - Periostin in the Pathogenesis of Proliferative Vitreoretinopathy. AU - Ishikawa, Keijiro. PY - 2015/11/1. Y1 - 2015/11/1. N2 - Proliferative vitreoretinopathy (PVR) is a serious complication of retinal detachment and vitreoretinal surgery. The hallmark of PVR is the formation of subretinal and epiretinal fibrotic membranes that can lead to traction retinal detachment due to their contractile properties. Surgical removal of the fibrotic membranes and retinal detachment repair are the first choice treatments for PVR. Despite recent progress in surgical techniques, recurrent detachment can lead to irreversible damage and a poor prognosis for visual acuity. Therefore, it is important to develop new molecular targeting therapies based on the exact pathogenesis of PVR. In order to determine the genes responsible for development of PVR, we performed gene expression profiling of fibrous membranes excised from PVR patients using DNA microarray analysis. This analysis revealed significant ...

Objective. To describe the pathogenic mechanism for a central retinal detachment in eyes with a pit of the optic disc. Design. Three patients with macular detachment associated with optic nerve head pits were prospectively controlled following pars plana vitrectomy. Methods. Three cases of macular detachment associated with congenital optic nerve pit were treated with pars plana vitrectomy and air-fluid exchange and sulphur hexafloride (SF6) gas injection. During vitrectomy posterior hyaloid removal caused visible traction on the elevated retina, when the hyaloid detached. Removing the posterior hyaloid resulted in reattachment of the macular and an increase in the visual acuity without laser treatment. Conclusion. We recommend the removal of the posterior hyaloid face during pars plana vitrectomy in patients with central macular detachment associated with a pit of the optic disc.

TY - JOUR. T1 - Tuberculous Uveitis Presenting with a Bullous Exudative Retinal Detachment. T2 - A Case Report and Systematic Literature Review. AU - Song, Ji Hun. AU - Koreishi, Anjum F.. AU - Goldstein, Debra A.. PY - 2019/1/1. Y1 - 2019/1/1. N2 - Purpose: To describe tuberculous uveitis (TU) presenting as a bullous retinal detachment (RD) and to perform a comprehensive literature review on TU with similar features. Methods: Observational case report and systematic literature review. Results: An 84-year-old woman presented with bilateral granulomatous uveitis and bullous RD in the left eye. The interferon gamma release assay was strongly positive, but all other tests were unremarkable. The patient was diagnosed with TU and started on anti-tubercular therapy (ATT) and systemic steroids with excellent treatment response. Twenty-six articles (32 cases) reported TU with exudative RD. Choroidal tuberculoma was the most common clinical manifestation, followed by optic disc edema and retinal exudate. ...

PURPOSE: To report the incidence of retinal pigment epithelial (RPE) tears in patients treated with ranibizumab therapy for choroidal neovascularization due to age-related macular degeneration.. DESIGN: : Interventional case series.. METHODS: One hundred sixty-four eyes from a large clinical practice were retrospectively reviewed for number of injections and the presence or absence of a fibrovascular retinal pigment epithelial detachment. Main outcome measures were occurrence of RPE tears, and timing of tears following the last injection.. RESULTS: Patients were observed for an average of 11 months. A single patient (0.61%) experienced an RPE tear and this occurred after the first injection. In eyes with a fibrovascular retinal pigment epithelial detachment the incidence was 5%. Lesions containing a fibrovascular retinal pigment epithelial detachment tended to be larger (4.5 versus 3.8 Macular Photocoagulation Study Disc Areas), but this was not statistically significant. (P = 0.63). However, ...

ENDOSCOPY Vitreo Retina SURGERY ::3D ENDOSCOPE. • Endoscopic Vitrectomy for Diabetic Retinopathy. • Endoscopic Vitrectomy for Retinal Detachment Surgery. • Endoscopic Vitrectomy for Dislocated Intraocular Lens. • Endoscopic Vitrectomy for Dislocated Lens Material. • Endoscopic Vitrectomy for Endophthalmitis. • Endoscopic Vitrectomy for Intraocular Foreign Body. • Endoscopic Vitrectomy for Iris Neovascularization Complications. • Endoscopic Vitrectomy for Hypotony. • Endoscopic Vitrectomy for Retinopathy of Prematurity. • Endoscopic Vitrectomy for Choroidal Hemorrhage and Effusion. ENDOSCOPIC VITRECTOMY FOR DIABETIC RETINOPATHY (Best diabetic treatment in eye). i. Vitreous Hemorrhage ii. Traction Macular Detachment. iii. Combined Traction and Rhegmatogenous Detachment. iv. Anterior Hyaloidal Fibrovascular Proliferation. v. Iris Neovascularization Associated with Opaque Media. vi. Macular Edema Surgery. ENDOSCOPIC VITRECTOMY IN RETINAL DETACHMENT SURGERY ::3D ENDOSCOPE. i. ...

Intravitreal Injections. During this procedure, your doctor injects medicine into the vitreous, which is the central space inside the eye. Injections are used to treat several retinal conditions including macular degeneration, macular edema and retinal vein occlusions.. Laser Treatment. Non-invasive laser treatment is used to treat several conditions including diabetic retinopathy, to limit scarring from wet macular degeneration, or treat retinal tears to prevent retinal detachments. Laser treatment is commonly performed in the office.. Cryotherapy. Cryotherapy may be used to treat retinal detachments and tears. Cryotherapy freezes and seals abnormal leaky blood vessels or retinal tears.. Scleral Buckling. The Scleral Buckling procedure is commonly used to treat retinal detachment and is completed in a hospital setting. A scleral buckle is a placed around the eye and helps to hold the retina in place.. Pneumatic Retinopexy. Pneumatic Retinopexy is used to repair a retinal tear and detachment. ...

Retinal tears may be treated with retinal laser to seal the retina to the back wall of the eye. The laser creates small burns around the tear, and the resulting scar prevents fluid getting through the tear and so helps to prevent a retinal detachment. This treatment can be performed in rooms with minimal discomfort.. Retinal detachments will generally require surgery to reattach the retina. Without surgery the retina will lose function and blindness can result. The surgery may be either vitrectomy or scleral buckling surgery. Vitrectomy surgery is the removal of the vitreous jelly to remove traction on the retina and also to remove factors in the gel that contribute to retinal scarring. Retinal laser or cryosurgery is performed during the surgery, and a gas is also injected into the eye to apply pressure to the retina. In some cases silicon oil is used to flatten the retina. Vitrectomy surgery is often used together with scleral buckling surgery. This surgery involves the use of a flexible ...

In the present case of severe XLRS, the patients VA was impaired by retinal detachments in both eyes. Based on initial OCT of the left eye, it is assumed that both eyes had severe retinoschisis. Trauma via a water hose to the eyes combined with underlying XLRS may have triggered total retinal detachment with crystalline lens dislocation and hemorrhage. Posterior lens dislocation and vitreous hemorrhage, which occurred along with retinal detachment, could lead to high IOP, as was observed in this case [4,5]. In addition, uveitis precipitated by ocular trauma could induce high IOP. The right eye progressed to phthisis, and the left eye remained stable without surgical treatment. Although the patients condition had not deteriorated at the 6 month follow-up appointment, the therapeutic options were limited.. One therapeutic approach in XLRS is acetazolamide. A number of reports describe cystoid macular edema that responded to acetazolamide in patients with XLRS [6-8]. In one reported case, ...

TY - JOUR. T1 - Visual Acuity in Infants after Vitrectomy for Severe Retinopathy of Prematurity. AU - Quinn, Graham E.. AU - Dobson, Velma. AU - Barr, Charles C.. AU - Davis, Barry R.. AU - Flynn, John T.. AU - Palmer, Earl A.. AU - Robertson, Joseph. AU - Trese, Michael T.. PY - 1991. Y1 - 1991. N2 - During the course of the Multicenter Trial of Cryotherapy for Retinopathy of Prematurity (CRYO-ROP), 98 infants (129 eyes) from the randomized segment of the trial developed total retinal detachment from retinopathy of prematurity (ROP) before the 1-year examination. The authors report as a case series the results of acuity card assessment of monocular grating acuity at 1 year in 53 infants (71 eyes) postvitrectomy and in 45 infants (58 eyes) who had retinal detachments but who did not undergo retinal reattachment surgery. The decision to undertake and the surgical technique used for a retinal reattachment procedure was not part of the randomized CRYO-ROP trial. Two eyes of one infant had pattern ...

Importance: The early decline and recovery of retinal structure and function following iatrogenic macular detachment for retinal gene therapy is not well characterized in those with relatively preserved central visual function. Here, the recovery of retinal structure and function over the first month following iatrogenic retinal detachment for the delivery of adeno-associated viral vector encoding Rab Escort Protein 1 is described as a part of gene therapy for choroideremia. Objective: To study changes in both retinal structure and function during the first month following iatrogenic macular detachment surgery. Design, Setting, and Participants: This prospective interocularly controlled study was conducted between February 1 and December 31, 2015. Treatment consisted of a subretinal injection of 0.1 mL of a gene therapy solution containing 1 × 1011 viral particles performed unilaterally. The participants were 5 males, aged 23 to 71 years, with a clinical and genetic diagnosis of choroideremia. Main

The proteomic profile of a mouse model of proliferative vitreoretinopathy FEBS Open Bio , 2017, 7 , 11661177 Bernadett Mrkus, Zsuzsanna Pat, Zsolt Sarang, Rka Albert, Jzsef Tzsr, Goran Petrovski, va Cssz Abstract Proliferative vitreoretinopathy PVR develops as a complication of retinal detachment surgery and represents a devastating condition...

Contrast sensitivity decreased after surgery for macula-on rhegmatogenous retinal detachment, and the extent of the retinal tear played a role in the decrease.A prospective study comprised 84 eyes of 84 patients with unilateral macula-on rhegmatogenous retinal detachment (RRD) who successfully underwent scleral buckling or pars plana vitrectomy. Contralateral healthy eyes comprised the control group.LogMAR best corrected visual acuity and contrast sensitivity at four spatial frequencies - 3, 6, 12 and 18 cycles/degree - were measured before and after surgery for macula-on RDD. Full Story →. ...

Optimizing visualization in enhanced depth imaging OCT in healthy subjects and patients with retinal pigment epithelial detachment Lukas Reznicek, Efstathios Vounotrypidis, Florian Seidensticker, Karsten Kortuem, Anselm Kampik, Aljoscha S Neubauer, Armin WolfDepartment of Ophthalmology, Ludwig Maximilians University Muenchen, Munich, GermanyBackground: This study’s objective was to optimize the visualization of three different spectral-domain optical coherence tomography (SD-OCT) display modalities and evaluate enhanced depth imaging (EDI) by comparing the maximum depth of assessment in conventional versus inverted cross-sectional OCT images in healthy subjects and in patients with retinal pigment epithelial detachment (PED).Methods: Cross-sectional SD-OCT conventional and inverted images were obtained with the HRA2 (Heidelberg Retina Angiograph II, Heidelberg Engineering, Heidelberg, Germany). Horizontal as well as vertical sections in three different display modes were blinded for evaluation by

Schepens Retinal detachment and allied diseases , Schepens Retinal detachment and allied diseases , کتابخانه دیجیتال جندی شاپور اهواز

A technique has been developed which produces an experimental posterior perforating eye injury, that reproducibly results in traction retinal detachment. The standard injury is an incision through the pars plana with vitreous prolapse and incarceration; the wound is then carefully closed with microsurgical techniques. It appears that blood in the vitreous is an essential factor in the development of vitreous traction and of traction retinal detachment. The model is considered useful for further histological, electron microscopic, electrophysiological, and ultrasonic studies of posterior perforating eye injuries. In a controlled experiment, it will be possible to assess whether pars plana vitrectomy can interrupt the sequence of events leading to traction retinal detachment after posterior perforating injury. ...

Incarceration of vitreous in the wound during cataract or vitreous surgery can lead to many postoperative complications. Following cataract surgery with vitreous incarceration, there is increased risk of infectious endophthalmitis, epithelial ingrowth, hypotony, shallow anterior chamber, peripheral anterior synechiae, and secondary glaucoma. Incarcerated vitreous in the wound and iridovitreal adhesions may cause chronic ocular discomfort with inflammation, cystoid macular edema, and optic nerve head edema (Irvine-Gass syndrome). These complications may be reduced by disconnecting any vitreous from anterior adhesions and incarcerations through vitrectomy.. Retinal detachment can be caused by contraction of vitreous incarcerated in cataract or vitrectomy incisions. Such detachments may be rhegmatogenous or tractional and may require treatment with vitrectomy and/or scleral buckling surgery (see Chapter 20).. The risk of complications from vitreous loss during cataract surgery can be sharply ...

PURPOSE: To determine whether pre and/or postoperative optical coherence tomography (OCT) evaluation of the fovea is useful in explaining delayed or incomplete visual acuity recovery after successful surgery for shallow macula-off retinal detachments. METHODS: Prospective study of 16 patients (10 female, 6 male; mean age 53+/-4 years) with a spontaneous rhegmatogenous retinal detachment with peripheral breaks and a shallow elevation of the fovea. Patients were examined by OCT preoperatively and at 1, 6, and 10-12 months after surgery. At 1 month after surgery, fluorescein angiography was also performed. Mean follow-up was 11.0+/-1.0 months. RESULTS: Preoperative OCT images could be classified into four categories according to the extent of retinal edema and presence of foveal depression. The extent of retinal edema in the detached macula did not correlate with preoperative or postoperative vision. In 11 cases, OCT images at 1 month after surgery showed a foveal detachment with residual

Purpose: To develop a new intelligent system based on deep learning for automatically optical coherence tomography (OCT) images categorization. Methods: A total of 60,407 OCT images were labeled by 17 licensed retinal experts and 25,134 images were included. One hundred one-layer convolutional neural networks (ResNet) were trained for the categorization. We applied 10-fold cross-validation method to train and optimize our algorithms. The area under the receiver operating characteristic curve (AUC), accuracy and kappa value were calculated to evaluate the performance of the intelligent system in categorizing OCT images. We also compared the performance of the system with results obtained by two experts. Results: The intelligent system achieved an AUC of 0.984 with an accuracy of 0.959 in detecting macular hole, cystoid macular edema, epiretinal membrane, and serous macular detachment. Specifically, the accuracies in discriminating normal images, cystoid macular edema, serous macular detachment, ...

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Learn more about Detached Retina at Atlanta Outpatient Surgery Center DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...

Severe vision-impairing ocular inflammation is rarely reported following extensive laser. Previous cases have involved retinal photocoagulation for diabetic retinopathy resolving over days. This report documents a rare instance of this where encircling retinopexy/cerclage was done as fellow eye retinal detachment prophylaxis in a patient with no overt comorbidities. A panuveitis-like reaction with severe, near-total visual impairment was documented 1 day following single-sitting encircling laser retinopexy/cerclage done as fellow eye prophylaxis for a 21-year-old male presenting with total retinal detachment in the other eye. Pre-laser findings were unremarkable, other than an equatorial ring of fine vitreous condensations. Pre-laser vision of 20/20 uncorrected decreased to hand motion, light perception on all quadrants, accompanied by severe anterior segment inflammation with hypopyon, retrolental membranes, vitreous cells, and choroidal effusion/suspicious exudative retinal detachment on B-scan