Primary vitrectomy with Densiron-68 for rhegmatogenous retinal detachment.

Détails

ID Serval
serval:BIB_1E6F747A64B1
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Primary vitrectomy with Densiron-68 for rhegmatogenous retinal detachment.
Périodique
Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
Auteur(s)
Romano M.R., Stappler T., Marticorena J., Groenewald C., Pearce I., Gibran S.K., Wong D., Heimann H.
ISSN
1435-702X (Electronic)
ISSN-L
0721-832X
Statut éditorial
Publié
Date de publication
11/2008
Peer-reviewed
Oui
Volume
246
Numéro
11
Pages
1541-1546
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To report a retrospective non-comparative interventional study on the effectiveness and ocular tolerance of a heavy silicone oil tamponade (HSO, Densiron-68) for primary inferior rhegmatogenous retinal detachment (RRD).
Forty-one eyes of 41 consecutive patients were recruited between January 2004 and August 2006. Primary vitrectomy with Densiron-68, a heavy silicone oil, was used in all cases. Inclusion criteria were primary RRD with at least one retinal break between 4 and 8 clock hours. The study protocol consisted of a minimum of eight clinic visits: baseline, surgery, 1 week, 1 month and 3 months after the initial surgery; removal of oil and 1 week, 1 month and 3 months postoperatively. The primary endpoint was anatomical re-attachment of the retina. Cases were judged successful when there was reattachment of the retina in the absence of any tamponade agent. The secondary endpoint was to record the visual function and any complications arising from the surgery. Out of 41 patients initially included in the study, 33 completed all follow-up visits.
Anatomical success was achieved in 91% of cases (30 out of 33) with one retinal operation, and rose to 94% (31 out of 33) with additional surgery. Mean visual acuity improved from logMAR 1.19 (SD 0.9) to 0.5 (SD 0.51, p = 0.001). No significant ocular hypertension, clinically significant emulsification of the tamponade or inflammation developed during follow-up.
With Densiron-68, high anatomical and functional success rates can be achieved with primary vitrectomy for RRD and predominantly inferior pathology.
Mots-clé
Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Postoperative Complications, Reoperation, Retinal Detachment/etiology, Retinal Detachment/physiopathology, Retinal Detachment/surgery, Retinal Perforations/complications, Retrospective Studies, Silicone Oils/adverse effects, Silicone Oils/therapeutic use, Treatment Outcome, Visual Acuity, Vitrectomy, Young Adult
Pubmed
Web of science
Création de la notice
30/08/2018 15:41
Dernière modification de la notice
20/08/2019 12:54
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