Management of rhegmatogenous retinal detachment without detectable breaks
Purpose: To evaluate the causes of failure to find retinal breaks, the anatomical and functional outcomes of patients with rhegmatogenous retinal detachment (RD) without detectable breaks (Group I), to compare the results with detectable breaks (Group II). Methods: Forty‐five out of 258 eyes that ha...
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Veröffentlicht in: | Clinical & experimental ophthalmology 2002-12, Vol.30 (6), p.415-418 |
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creator | Kocaoglan, Hülya Ünlü, Nurten Acar, Mehmet A Sargin, Müge Aslan, Bekir S Duman, Sunay |
description | Purpose: To evaluate the causes of failure to find retinal breaks, the anatomical and functional outcomes of patients with rhegmatogenous retinal detachment (RD) without detectable breaks (Group I), to compare the results with detectable breaks (Group II).
Methods: Forty‐five out of 258 eyes that had RD without detectable breaks were analysed retrospectively.
Results: The causes of failure to find retinal breaks were aphakia/pseudophakia in 22 eyes, small pupil without any eye disease in four eyes, corneal opacity in two eyes, cataract in two eyes, vitreous haze in two eyes, choroidal detachment in one eye, and unknown cause in 12 eyes. After a single scleral buckling procedure, anatomical re‐attachment of the retina successfully occurred in 62.2% of group I and 78.9% of group II patients. After repeated surgery, final anatomical success rates were 87.2% and 90.2%, respectively. The best corrected visual acuity was 6/60 or better in 53.9% in Group I and 52.5% in Group II.
Conclusion: The main cause of failure to find the retinal break was aphakia or pseudophakia. Although the rates of retinal reattachment in eyes without detectable breaks in primary buckling surgery was lower than detectable breaks and reoperations were required more frequently, final success rates were satisfactory and similar in both groups. |
doi_str_mv | 10.1046/j.1442-9071.2002.00571.x |
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Methods: Forty‐five out of 258 eyes that had RD without detectable breaks were analysed retrospectively.
Results: The causes of failure to find retinal breaks were aphakia/pseudophakia in 22 eyes, small pupil without any eye disease in four eyes, corneal opacity in two eyes, cataract in two eyes, vitreous haze in two eyes, choroidal detachment in one eye, and unknown cause in 12 eyes. After a single scleral buckling procedure, anatomical re‐attachment of the retina successfully occurred in 62.2% of group I and 78.9% of group II patients. After repeated surgery, final anatomical success rates were 87.2% and 90.2%, respectively. The best corrected visual acuity was 6/60 or better in 53.9% in Group I and 52.5% in Group II.
Conclusion: The main cause of failure to find the retinal break was aphakia or pseudophakia. Although the rates of retinal reattachment in eyes without detectable breaks in primary buckling surgery was lower than detectable breaks and reoperations were required more frequently, final success rates were satisfactory and similar in both groups.</description><identifier>ISSN: 1442-6404</identifier><identifier>EISSN: 1442-9071</identifier><identifier>DOI: 10.1046/j.1442-9071.2002.00571.x</identifier><identifier>PMID: 12427232</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Pty</publisher><subject>Adolescent ; Adult ; Aged ; Aphakia, Postcataract - complications ; Child ; Child, Preschool ; Female ; Humans ; Male ; Middle Aged ; Pseudophakia - complications ; retinal break ; retinal detachment ; Retinal Detachment - complications ; Retinal Detachment - surgery ; Retinal Perforations - complications ; Retinal Perforations - diagnosis ; Retrospective Studies ; Scleral Buckling ; Visual Acuity</subject><ispartof>Clinical & experimental ophthalmology, 2002-12, Vol.30 (6), p.415-418</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4021-8968f5dae5983fd24efb8a5afbec1f252037d09a478db469c4f266190b1cc15e3</citedby><cites>FETCH-LOGICAL-c4021-8968f5dae5983fd24efb8a5afbec1f252037d09a478db469c4f266190b1cc15e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1442-9071.2002.00571.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1442-9071.2002.00571.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12427232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kocaoglan, Hülya</creatorcontrib><creatorcontrib>Ünlü, Nurten</creatorcontrib><creatorcontrib>Acar, Mehmet A</creatorcontrib><creatorcontrib>Sargin, Müge</creatorcontrib><creatorcontrib>Aslan, Bekir S</creatorcontrib><creatorcontrib>Duman, Sunay</creatorcontrib><title>Management of rhegmatogenous retinal detachment without detectable breaks</title><title>Clinical & experimental ophthalmology</title><addtitle>Clin Exp Ophthalmol</addtitle><description>Purpose: To evaluate the causes of failure to find retinal breaks, the anatomical and functional outcomes of patients with rhegmatogenous retinal detachment (RD) without detectable breaks (Group I), to compare the results with detectable breaks (Group II).
Methods: Forty‐five out of 258 eyes that had RD without detectable breaks were analysed retrospectively.
Results: The causes of failure to find retinal breaks were aphakia/pseudophakia in 22 eyes, small pupil without any eye disease in four eyes, corneal opacity in two eyes, cataract in two eyes, vitreous haze in two eyes, choroidal detachment in one eye, and unknown cause in 12 eyes. After a single scleral buckling procedure, anatomical re‐attachment of the retina successfully occurred in 62.2% of group I and 78.9% of group II patients. After repeated surgery, final anatomical success rates were 87.2% and 90.2%, respectively. The best corrected visual acuity was 6/60 or better in 53.9% in Group I and 52.5% in Group II.
Conclusion: The main cause of failure to find the retinal break was aphakia or pseudophakia. Although the rates of retinal reattachment in eyes without detectable breaks in primary buckling surgery was lower than detectable breaks and reoperations were required more frequently, final success rates were satisfactory and similar in both groups.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aphakia, Postcataract - complications</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pseudophakia - complications</subject><subject>retinal break</subject><subject>retinal detachment</subject><subject>Retinal Detachment - complications</subject><subject>Retinal Detachment - surgery</subject><subject>Retinal Perforations - complications</subject><subject>Retinal Perforations - diagnosis</subject><subject>Retrospective Studies</subject><subject>Scleral Buckling</subject><subject>Visual Acuity</subject><issn>1442-6404</issn><issn>1442-9071</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMlOwzAURS0EYv4FlBW7FNtxnERigyqGSi1dUITExnKc5zYlA9iOWv4ep6lgy8pX9rnvWQehgOARwYzfrEeEMRpmOCEjijEdYRz7uD1Ap78Ph_vMGWYn6MzaNfYUjfgxOiGU0YRG9BRNZrKRS6ihcUGrA7OCZS1du4Sm7WxgwJWNrIICnFSrHbQp3artXH8Fysm8giA3ID_sBTrSsrJwuT_P0evD_WL8FE7nj5Px3TRUDFMSphlPdVxIiLM00gVloPNUxlLnoIimMcVRUuBMsiQtcsYzxTTlnGQ4J0qRGKJzdD3M_TTtVwfWibq0CqpKNuD_LBLKUy-JejAdQGVaaw1o8WnKWppvQbDoNYq16A2J3pboNYqdRrH11av9ji6vofgr7r154HYANmUF3_8eLMb3cx98PRzqpXWw_a1L8yF4EiWxeHt-FNkLSdj7Yiay6AekFJBq</recordid><startdate>200212</startdate><enddate>200212</enddate><creator>Kocaoglan, Hülya</creator><creator>Ünlü, Nurten</creator><creator>Acar, Mehmet A</creator><creator>Sargin, Müge</creator><creator>Aslan, Bekir S</creator><creator>Duman, Sunay</creator><general>Blackwell Science Pty</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200212</creationdate><title>Management of rhegmatogenous retinal detachment without detectable breaks</title><author>Kocaoglan, Hülya ; Ünlü, Nurten ; Acar, Mehmet A ; Sargin, Müge ; Aslan, Bekir S ; Duman, Sunay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4021-8968f5dae5983fd24efb8a5afbec1f252037d09a478db469c4f266190b1cc15e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aphakia, Postcataract - complications</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pseudophakia - complications</topic><topic>retinal break</topic><topic>retinal detachment</topic><topic>Retinal Detachment - complications</topic><topic>Retinal Detachment - surgery</topic><topic>Retinal Perforations - complications</topic><topic>Retinal Perforations - diagnosis</topic><topic>Retrospective Studies</topic><topic>Scleral Buckling</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kocaoglan, Hülya</creatorcontrib><creatorcontrib>Ünlü, Nurten</creatorcontrib><creatorcontrib>Acar, Mehmet A</creatorcontrib><creatorcontrib>Sargin, Müge</creatorcontrib><creatorcontrib>Aslan, Bekir S</creatorcontrib><creatorcontrib>Duman, Sunay</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical & experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kocaoglan, Hülya</au><au>Ünlü, Nurten</au><au>Acar, Mehmet A</au><au>Sargin, Müge</au><au>Aslan, Bekir S</au><au>Duman, Sunay</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of rhegmatogenous retinal detachment without detectable breaks</atitle><jtitle>Clinical & experimental ophthalmology</jtitle><addtitle>Clin Exp Ophthalmol</addtitle><date>2002-12</date><risdate>2002</risdate><volume>30</volume><issue>6</issue><spage>415</spage><epage>418</epage><pages>415-418</pages><issn>1442-6404</issn><eissn>1442-9071</eissn><abstract>Purpose: To evaluate the causes of failure to find retinal breaks, the anatomical and functional outcomes of patients with rhegmatogenous retinal detachment (RD) without detectable breaks (Group I), to compare the results with detectable breaks (Group II).
Methods: Forty‐five out of 258 eyes that had RD without detectable breaks were analysed retrospectively.
Results: The causes of failure to find retinal breaks were aphakia/pseudophakia in 22 eyes, small pupil without any eye disease in four eyes, corneal opacity in two eyes, cataract in two eyes, vitreous haze in two eyes, choroidal detachment in one eye, and unknown cause in 12 eyes. After a single scleral buckling procedure, anatomical re‐attachment of the retina successfully occurred in 62.2% of group I and 78.9% of group II patients. After repeated surgery, final anatomical success rates were 87.2% and 90.2%, respectively. The best corrected visual acuity was 6/60 or better in 53.9% in Group I and 52.5% in Group II.
Conclusion: The main cause of failure to find the retinal break was aphakia or pseudophakia. Although the rates of retinal reattachment in eyes without detectable breaks in primary buckling surgery was lower than detectable breaks and reoperations were required more frequently, final success rates were satisfactory and similar in both groups.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Pty</pub><pmid>12427232</pmid><doi>10.1046/j.1442-9071.2002.00571.x</doi><tpages>4</tpages></addata></record> |
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subjects | Adolescent Adult Aged Aphakia, Postcataract - complications Child Child, Preschool Female Humans Male Middle Aged Pseudophakia - complications retinal break retinal detachment Retinal Detachment - complications Retinal Detachment - surgery Retinal Perforations - complications Retinal Perforations - diagnosis Retrospective Studies Scleral Buckling Visual Acuity |
title | Management of rhegmatogenous retinal detachment without detectable breaks |
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