#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Anatomical Results of Cryosurgical Procedures in Rhegmatogenous Retinal Detachment – Our Experience


Authors: O. Chrapek 1;  M. Šín 1;  B. Jirková 1;  J. Jarkovský 2;  J. Řehák 1
Authors‘ workplace: Oční klinika FN a LF UP, Olomouc, přednosta prof. MUDr. Jiří Řehák, CSc., FEBO 1;  Institut biostatistiky a analýz Masarykovy univerzity, Brno přednosta doc. RNDr. Ladislav Dušek, Ph. D. 2
Published in: Čes. a slov. Oftal., 69, 2013, No. 4, p. 164-168
Category: Original Article

Overview

Aim:
To evaluate retrospectively anatomical results of cryosurgical treatment of non-complicated idiopathic rhegmatogenous retinal detachment. To assess the successfulness of primary cryosurgical surgeries, permanent retinal re-attachment; to review the efficacy of cryosurgical procedures according to chosen surgical technique and patient’s age as well.

Material and methods:
In the evaluated group were included 120 eyes of 120 patients operated on in the years 2003- 2012 at the Department of Ophthalmology, Faculty Hospital and School of Medicine, Palacký University, Olomouc, Czech Republic, E.U. All of the patients were phakic. The patients were evaluated at one and three months after the surgery. The posterior pole examinations were done by means of biomicroscopic examination and indirect ophthalmoscopy. The retina was evaluated as attached in whole extent in case of re-established contact between the neurosensory retina and the retinal pigment epithelium in the whole periphery.

Results:
In 106 (88 %) patients, the re-attachment of the retina was achieved by solely cryosurgical procedure; in 117 (97.5 %) patients, the definite re-attachment of the retina was achieved. In three patients (2.5 %), the retina remained detached. Statistically better results were obtained in patients with peroperative exodrainage of the subretinal fluid and in patients younger than 50 years of age.

Conclusion:
We established the usefulness of cryosurgical operative procedure in treatment of uncomplicated idiopathic rhegmatogenous retinal detachment in phakic patients. Especially in young phakic patients, the cryosurgical procedure may be protective to preserve the clear lens and eye accommodation.

Key words:
rhegmatogenous retinal detachment, cryosurgical procedure


Sources

1. Barrie, T., Kreissig, I., Heimann, H. et al.: Repair of a primary rhegmatogenous retinal detachment. Br J Ophthalmol, 87; 2003: 782–784.

2. Bartz-Schmidt, K.U., Kirchhof, B., Heimann, K.: Primary vitrectomy for pseudophakic retinal detachment. Br J Ophthalmol, 80; 1996: 346–349.

3. Feltgen, N., Weiss, C., Wolf, S. et al.: Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachement study (SPR Study): recruitment list evaluation. Study report no. 2. Graefes Arch Clin Exp Ophthalmol, 245; 2007: 803–809.

4. Franke, C., Roider, J., Hoerauf, H. et al.: Complications after external retinal surgery in pseudophakic retina detachment – are scleral buckling operations still current? Klin Monatsbl Augenheilkd, 216; 2000: 25–32.

5. Hassan, T. S., Sarrafizadeh, R., Ruby, A.J. et al.: The effect of duration of macular detachment on results after the scleral buckle repair of primary, macula-off retinal detachments. Ophthalmology, 109; 2002: 146–152.

6. Hilton, G.F., Grizzard, W.S.: Pneumatic retinopexy. A two-step outpatient operation without conjunctival incision. Ophthalmology, 93; 1986: 626–641.

7. Machemer, R., Parel, J.M., Buettner, H.: A new concept for vitreous surgery. I. Instrumentation. Am J Ophthalmol, 73; 1972: 1–7.

8. Schepens, C.L.: Progress in detachment surgery. Trans Am Acad Ophthalmol Otolaryngol, 55; 1951: 607–615.

9. Schepens, C.L., Okanuta, I.D., Brockhurst, R.J.: The scleral buckling procedures. I. Surgical techniques and management. AMA Arch Ophthalmol, 58; 1957: 797– 811.

10. Soni, Ch., Hainsworth, D.P., Almony, A. Surgical management of rhegmatogenous retinal detachement: A meta- analysis of randomized controlled trials. Ophthalmology, 120; 2013: 1440–1447.

11. SPR Study Group. View 2: the case for primary vitrectomy. Br J Ophthalmol, 87; 2003: 784–787.

12. Šín, M., Šínová, I., Chrapek, O. et al.: Acta Ophthalmol, 2013 Jul 15. doi: 10.1111/aos.12238 (v tisku).

13. Tornambe, P.E., Hilton, G.F.: The Retinal Detachment Study Group. A multicenter randomized controllled clinical trial comparing pneumatic retinopexy with scleral buckling. Ophthalmology, 96; 1989: 772–784.

14. Tornambe, P.E., Hilton, G.F., Brinton, D.A. et al.: Pneumatic retinopexy. A two-year follow-up study of the multicenter clinical trial comparing pneumatic retinopexy with scleral buckling. Ophthalmology, 98; 1991: 1115–1123.

Labels
Ophthalmology
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#