Résultats anatomiques comparés à long terme de décollements de rétine avec prolifération vitréo-rétinienne opérés avec ou sans utilisation de perfluorocarbones liquides [Long-term comparative anatomic results of retinal detachment with vitreoretinal proliferation operated with or without using liquid perfluorocarbons].
Détails
Etat: Public
Version: Final published version
ID Serval
serval:BIB_B083302CC187
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Résultats anatomiques comparés à long terme de décollements de rétine avec prolifération vitréo-rétinienne opérés avec ou sans utilisation de perfluorocarbones liquides [Long-term comparative anatomic results of retinal detachment with vitreoretinal proliferation operated with or without using liquid perfluorocarbons].
Périodique
Journal Français D'ophtalmologie
ISSN
0181-5512 (Print)
ISSN-L
0181-5512
Statut éditorial
Publié
Date de publication
1999
Peer-reviewed
Oui
Volume
22
Numéro
8
Pages
853-858
Langue
français
Notes
Publication types: Comparative Study ; English Abstract ; Journal Article Publication Status: ppublish
Résumé
PURPOSE: To investigate whether peroperative perfluorocarbon liquids (PFCL) improve the long term anatomical success of retinal detachment associated with severe proliferative vitreoretinopathy (PVR).
PATIENTS AND METHODS: The charts of 62 successive patients operated on for retinal detachment associated with severe PVR were retrospectively analyzed. For one group of 39 patients PFCL were used intraoperatively to improve membrane dissection. The anatomical status of the two groups were compared one month after surgery and at least 6 months after silicone oil ablation.
RESULTS: Anatomical success was observed in 84.6% in the group of patients operated with PFCL compared to 52% in the other group (P = 0.005). At the end of the follow up, anatomical success was observed in 64% of patients operated with PFCL compared to 61% in the control group (P = 0.8). However, recurrences were observed later in the group operated on with PFCL.
CONCLUSION: Perfluorocarbons liquids significantly improve the initial reattachment of retinal detachment complicated with severe PVR, but they do not seem to improve their final anatomical status.
PATIENTS AND METHODS: The charts of 62 successive patients operated on for retinal detachment associated with severe PVR were retrospectively analyzed. For one group of 39 patients PFCL were used intraoperatively to improve membrane dissection. The anatomical status of the two groups were compared one month after surgery and at least 6 months after silicone oil ablation.
RESULTS: Anatomical success was observed in 84.6% in the group of patients operated with PFCL compared to 52% in the other group (P = 0.005). At the end of the follow up, anatomical success was observed in 64% of patients operated with PFCL compared to 61% in the control group (P = 0.8). However, recurrences were observed later in the group operated on with PFCL.
CONCLUSION: Perfluorocarbons liquids significantly improve the initial reattachment of retinal detachment complicated with severe PVR, but they do not seem to improve their final anatomical status.
Mots-clé
Adult, Aged, Female, Fluorocarbons, Follow-Up Studies, Humans, Male, Middle Aged, Postoperative Complications/diagnosis, Postoperative Complications/surgery, Recurrence, Reoperation, Retinal Detachment/diagnosis, Retinal Detachment/surgery, Retrospective Studies, Treatment Outcome, Vitreoretinopathy, Proliferative/diagnosis, Vitreoretinopathy, Proliferative/surgery
Pubmed
Web of science
Création de la notice
10/04/2014 11:56
Dernière modification de la notice
20/08/2019 16:19
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