Foveal reattachment after macula-off retinal detachment occurs faster after vitrectomy than after buckle surgery

Ophthalmology
Thomas J Wolfensberger

Abstract

To investigate the time course of foveal reattachment after successful surgery for macula-off retinal detachments. Prospective comparative nonrandomized interventional trial. Thirty-three patients (16 female and 17 male, 65+/-3 years old) with a spontaneous rhegmatogenous retinal detachment with peripheral breaks and a shallow elevation of the fovea. Nine patients were treated with episcleral buckle, cryotherapy, and, in selected cases, external drainage of subretinal fluid. Twenty-four patients were treated with vitrectomy, cryotherapy, and either complete (n = 8), or partial (n = 16) fluid-gas exchange. Patients with complete fluid-gas exchange were kept first in a prone position for 6 hours to help evacuation of subretinal fluid and, afterwards, on their side. Patients with partial fluid-gas exchange were kept in a supine position with the head elevated for 12 hours, allowing spontaneous absorption of submacular fluid. Patients were examined at 1, 6, and 10 to 12 months after surgery with a complete ophthalmic examination as well as optical coherence tomography (OCT). Mean follow-up was 10.0+/-0.5 months. Foveal attachment was determined clinically and by OCT. Postoperative OCT examination 1 month after buckle surgery (n = 9...Continue Reading

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Citations

Jul 27, 2005·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Heinrich HeimannMichael H Foerster
Jun 12, 2008·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Stefan KoinzerJohann Roider
Apr 28, 2009·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Hirotaka Itakura, Shoji Kishi
May 10, 2005·Ophthalmology·Vicente Martínez-CastilloBorja Corcóstegui
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Jan 12, 2012·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·M VeckeneerE Van Aken
Jun 24, 2006·Current Opinion in Ophthalmology·Stephen G Schwartz, Harry W Flynn
Apr 23, 2013·Ophthalmology·Ron A AdelmanUNKNOWN European Vitreo-Retinal Society (EVRS) Retinal Detachment Study Group
Apr 23, 2013·Ophthalmology·Ron A AdelmanUNKNOWN European Vitreo-Retinal Society (EVRS) Retinal Detachment Study Group
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