Heavy tamponade 2 Densiron 68 in routine clinical practice: anatomical and functional outcomes of a consecutive case series.

Détails

ID Serval
serval:BIB_5B76DA00C705
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Heavy tamponade 2 Densiron 68 in routine clinical practice: anatomical and functional outcomes of a consecutive case series.
Périodique
Eye
Auteur(s)
Stappler T., Heimann H., Wong D., Gibran S.K., Groenewald C., Pearce I.A.
ISSN
1476-5454 (Electronic)
ISSN-L
0950-222X
Statut éditorial
Publié
Date de publication
10/2008
Peer-reviewed
Oui
Volume
22
Numéro
10
Pages
1360-1365
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To evaluate the safety and efficacy of Densiron 68 in the clinical management of complex vitreoretinal cases with inferior retinal pathology.
We present a prospective interventional non-comparative case series of 122 eyes of 121 consecutive patients. The primary end point was anatomical re-attachment of the retina, defined as retinal re-attachment in the absence of any tamponade agent. The secondary end point was to record the visual function and surgical complications. Inclusion criteria were proliferative vitreoretinopathy, posterior or inferior retinal breaks, and the patient's inability to posture.
Patients were 59.9 years (+/- 19.6), (m/f= 72:49), (R/L=65:57). Seventy-seven (63.1%) had previous unsuccessful retinal surgery and 45 had Densiron 68 at first procedure. The extent of the detachments was 2.21 quadrants (+/- 1.07) with macular involvement in 66 cases (54%). Eighty-seven (71.3%) patients achieved retinal re-attachment with one retinal operation and ultimately no tamponade, 102 (83.6%) achieved retinal re-attachment with more than one operation and ultimately no tamponade, and 112 (91.3%) patients achieved flat retina with tamponade in situ. Visual acuity rose from 1.38 LogMar (+/- 0.87) to 1.06 (+/- 0.83) (P=0.007). Densiron was removed after 135 days (+/- 73.2; range 35-405).
No tamponade agent can provide simultaneous support for the superior as well as the inferior retina; therefore, a tamponade agent that 'sinks' is a welcome new tool at the surgeon's disposal. The sequential use of heavy silicone oil followed by conventional silicone oil may be an acceptable management strategy in recurrent detachment.
Mots-clé
Aged, Drainage, Female, Humans, Male, Middle Aged, Prospective Studies, Retinal Detachment/etiology, Retinal Detachment/therapy, Retinal Perforations/complications, Retinal Perforations/surgery, Retinal Perforations/therapy, Silicone Oils/adverse effects, Time Factors, Treatment Outcome, Visual Acuity/physiology, Vitrectomy, Vitreoretinopathy, Proliferative/complications, Vitreoretinopathy, Proliferative/therapy
Pubmed
Web of science
Open Access
Oui
Création de la notice
30/08/2018 15:47
Dernière modification de la notice
20/08/2019 14:14
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