BACKGROUND AND OBJECTIVE: To evaluate etiologies, management, and outcomes for patients with giant retinal tears undergoing initial surgery at a single institution. PATIENTS AND METHODS: Noncomparative, retrospective, consecutive case series at a university referral center including 79 eyes of 77 patients. RESULTS: Blunt trauma constituted 22% of cases. All patients underwent pars plana vitrectomy with gas or silicone oil tamponade. Eighty-five percent (67 eyes) underwent an encircling scleral buckle. Perfluorocarbon liquids were used in 71% (61 eyes). Eighteen percent (14 eyes) underwent re-operation for recurrent retinal detachment. Ninety-two percent (73 eyes) achieved anatomic success with one or more surgical procedures. Visual acuity at last follow-up was at least 20/400 in 84.9% of patients (28 of 33) with 3 clock hours compared to 65.2% (30 of 46) with tears greater than 3 clock hours. CONCLUSION: Patients with giant retinal tear undergoing surgery achieved high rates of anatomic success, but re-operations were frequent. Better visual outcomes were associated with smaller circumferential dimensions in the giant retinal tears. Copyright 2013, SLACK Incorporated.
BACKGROUND AND OBJECTIVE: To evaluate etiologies, management, and outcomes for patients with giant retinal tears undergoing initial surgery at a single institution. PATIENTS AND METHODS: Noncomparative, retrospective, consecutive case series at a university referral center including 79 eyes of 77 patients. RESULTS: Blunt trauma constituted 22% of cases. All patients underwent pars plana vitrectomy with gas or silicone oil tamponade. Eighty-five percent (67 eyes) underwent an encircling scleral buckle. Perfluorocarbon liquids were used in 71% (61 eyes). Eighteen percent (14 eyes) underwent re-operation for recurrent retinal detachment. Ninety-two percent (73 eyes) achieved anatomic success with one or more surgical procedures. Visual acuity at last follow-up was at least 20/400 in 84.9% of patients (28 of 33) with 3 clock hours compared to 65.2% (30 of 46) with tears greater than 3 clock hours. CONCLUSION:Patients with giant retinal tear undergoing surgery achieved high rates of anatomic success, but re-operations were frequent. Better visual outcomes were associated with smaller circumferential dimensions in the giant retinal tears. Copyright 2013, SLACK Incorporated.
Authors: K Ghasemi Falavarjani; S A Alemzadeh; M Modarres; S A Alemzadeh; M M Parvarash; M Naseripour; M Hashemi; M Robatmeili Journal: Eye (Lond) Date: 2017-08-04 Impact factor: 3.775
Authors: J Harry Sweigard; Hidetaka Matsumoto; Kaylee E Smith; Leo A Kim; Eleftherios I Paschalis; Yoko Okonuki; Alexandra Castillejos; Keiko Kataoka; Eiichi Hasegawa; Ryoji Yanai; Deeba Husain; John D Lambris; Demetrios Vavvas; Joan W Miller; Kip M Connor Journal: Sci Transl Med Date: 2015-07-22 Impact factor: 17.956
Authors: Jonathan S Chang; Kyle Marra; Harry W Flynn; Audina M Berrocal; Jorge G Arroyo Journal: Ophthalmic Surg Lasers Imaging Retina Date: 2016-04-01 Impact factor: 1.300
Authors: Marianeli Rodriguez; James Lin; Justin H Townsend; William E Smiddy; Thomas A Albini; Audina M Berrocal; Jayanth Sridhar; Harry W Flynn Journal: Clin Ophthalmol Date: 2018-10-12