Prophylactic 360 degrees cryotherapy in fellow eyes of patients with spontaneous giant retinal tears

Détails

ID Serval
serval:BIB_317C34D2A3E8
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Prophylactic 360 degrees cryotherapy in fellow eyes of patients with spontaneous giant retinal tears
Périodique
Ophthalmology
Auteur⸱e⸱s
Wolfensberger  T. J., Aylward  G. W., Leaver  P. K.
ISSN
0161-6420 (Print)
Statut éditorial
Publié
Date de publication
06/2003
Volume
110
Numéro
6
Pages
1175-7
Notes
Case Reports Journal Article --- Old month value: Jun
Résumé
PURPOSE: To assess the effect of prophylactic 360 degrees peripheral retinal cryotherapy in fellow eyes of patients with spontaneous giant retinal tears (GRTs) on the incidence of retinal detachment. DESIGN: Retrospective, noncomparative case series. PARTICIPANTS: Forty-eight consecutive patients (31 male, 17 female) with spontaneous GRTs were included. The average age was 41 +/- 2 years. The average refraction of the fellow eye was -4.0 +/- 0.8 diopters (D). INTERVENTION: Patients underwent vitrectomy and silicone oil tamponade in the affected eye and 360 degrees peripheral cryotherapy in the unaffected fellow eye during the same anesthetic. MAIN OUTCOME MEASURE: Attachment of the retina in the fellow eye was determined clinically by indirect ophthalmoscopy. RESULTS: During a mean follow-up of 84 +/- 10 months after cryotherapy, one patient (2%) experienced a retinal tear without retinal detachment, and three patients (6%) experienced a retinal detachment in the fellow eye. These occurred 18 +/- 9 months after prophylactic treatment and were the result of a small retinal break in two cases and a GRT posterior to the treated area in one case. CONCLUSIONS: Prophylaxis of fellow eyes with 360 degrees cryotherapy appears to be associated with a lower incidence of retinal detachment than that reported in natural history studies. A prospective, randomized clinical trial of such prophylaxis is desirable but would require a sample size of at least 645 patients in each arm of the study, as well as long-term follow-up of at least 5 years to show an unequivocal difference in outcome.
Mots-clé
Adult *Cryosurgery Female Humans Male Retina/*surgery Retinal Detachment/prevention & control Retinal Perforations/prevention & control/*surgery Retrospective Studies Silicone Oils/therapeutic use Treatment Outcome Vitrectomy
Pubmed
Web of science
Création de la notice
28/01/2008 13:05
Dernière modification de la notice
20/08/2019 13:16
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