The use of perfluoro-octane in the management of giant retinal tears without proliferative vitreoretinopathy
A technique for managing giant retinal tears without proliferative vitreoretinopathy (PVR) is presented, and visual outcome, anatomic reattachment, and postoperative complications are discussed. A total of 25 consecutive cases of retinal detachment from giant retinal tears in eyes without PVR that h...
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| Veröffentlicht in: | Retina (Philadelphia, Pa.) Pa.), 1994, Vol.14 (4), p.323-328 |
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| container_title | Retina (Philadelphia, Pa.) |
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| creator | Ie, D Glaser, B M Sjaarda, R N Thompson, J T Steinberg, L E Gordon, L W |
| description | A technique for managing giant retinal tears without proliferative vitreoretinopathy (PVR) is presented, and visual outcome, anatomic reattachment, and postoperative complications are discussed.
A total of 25 consecutive cases of retinal detachment from giant retinal tears in eyes without PVR that had not previously undergone surgery were reviewed. A surgical technique combining pars plana vitrectomy, perfluoro-octane, and fluid-gas exchange was used. Scleral buckling was performed in 23 (92%) of 25 eyes, and pars plana lensectomy was performed in 11 (69%) of the 16 phakic eyes. A minimum follow-up period of 6 months was documented in each case.
Of the 25 eyes, redetachment occurred in 3 (12%) after the initial procedure, and further surgery was necessary to successfully reattach the retina. A total of 9 secondary procedures were performed in 7 (28%) of the 25 eyes. Final retinal reattachment was achieved in all 25 eyes. Final Snellen visual acuity was 20/80 or better in 18 (72%) patients and 20/200 or better in 21 (84%) patients.
The anatomic and visual results of this method of surgical treatment of giant retinal tears without PVR compare favorably to those achieved with techniques that use a nonbuckling approach, but with reduced ocular morbidity. |
| doi_str_mv | 10.1097/00006982-199414040-00005 |
| format | Article |
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A total of 25 consecutive cases of retinal detachment from giant retinal tears in eyes without PVR that had not previously undergone surgery were reviewed. A surgical technique combining pars plana vitrectomy, perfluoro-octane, and fluid-gas exchange was used. Scleral buckling was performed in 23 (92%) of 25 eyes, and pars plana lensectomy was performed in 11 (69%) of the 16 phakic eyes. A minimum follow-up period of 6 months was documented in each case.
Of the 25 eyes, redetachment occurred in 3 (12%) after the initial procedure, and further surgery was necessary to successfully reattach the retina. A total of 9 secondary procedures were performed in 7 (28%) of the 25 eyes. Final retinal reattachment was achieved in all 25 eyes. Final Snellen visual acuity was 20/80 or better in 18 (72%) patients and 20/200 or better in 21 (84%) patients.
The anatomic and visual results of this method of surgical treatment of giant retinal tears without PVR compare favorably to those achieved with techniques that use a nonbuckling approach, but with reduced ocular morbidity.</description><identifier>ISSN: 0275-004X</identifier><identifier>DOI: 10.1097/00006982-199414040-00005</identifier><identifier>PMID: 7817025</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Aged ; Child ; Female ; Fluorocarbons ; Follow-Up Studies ; Humans ; Lens, Crystalline - surgery ; Male ; Middle Aged ; Reoperation ; Retinal Detachment - etiology ; Retinal Detachment - surgery ; Retinal Perforations - complications ; Retinal Perforations - surgery ; Scleral Buckling ; Visual Acuity ; Vitrectomy ; Vitreoretinopathy, Proliferative - etiology</subject><ispartof>Retina (Philadelphia, Pa.), 1994, Vol.14 (4), p.323-328</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c310t-f2f758237e7f7132da2131e0412231a2267f093fd5e330b7e1afc344cfec308f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4009,27902,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7817025$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ie, D</creatorcontrib><creatorcontrib>Glaser, B M</creatorcontrib><creatorcontrib>Sjaarda, R N</creatorcontrib><creatorcontrib>Thompson, J T</creatorcontrib><creatorcontrib>Steinberg, L E</creatorcontrib><creatorcontrib>Gordon, L W</creatorcontrib><title>The use of perfluoro-octane in the management of giant retinal tears without proliferative vitreoretinopathy</title><title>Retina (Philadelphia, Pa.)</title><addtitle>Retina</addtitle><description>A technique for managing giant retinal tears without proliferative vitreoretinopathy (PVR) is presented, and visual outcome, anatomic reattachment, and postoperative complications are discussed.
A total of 25 consecutive cases of retinal detachment from giant retinal tears in eyes without PVR that had not previously undergone surgery were reviewed. A surgical technique combining pars plana vitrectomy, perfluoro-octane, and fluid-gas exchange was used. Scleral buckling was performed in 23 (92%) of 25 eyes, and pars plana lensectomy was performed in 11 (69%) of the 16 phakic eyes. A minimum follow-up period of 6 months was documented in each case.
Of the 25 eyes, redetachment occurred in 3 (12%) after the initial procedure, and further surgery was necessary to successfully reattach the retina. A total of 9 secondary procedures were performed in 7 (28%) of the 25 eyes. Final retinal reattachment was achieved in all 25 eyes. Final Snellen visual acuity was 20/80 or better in 18 (72%) patients and 20/200 or better in 21 (84%) patients.
The anatomic and visual results of this method of surgical treatment of giant retinal tears without PVR compare favorably to those achieved with techniques that use a nonbuckling approach, but with reduced ocular morbidity.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Female</subject><subject>Fluorocarbons</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Lens, Crystalline - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Reoperation</subject><subject>Retinal Detachment - etiology</subject><subject>Retinal Detachment - surgery</subject><subject>Retinal Perforations - complications</subject><subject>Retinal Perforations - surgery</subject><subject>Scleral Buckling</subject><subject>Visual Acuity</subject><subject>Vitrectomy</subject><subject>Vitreoretinopathy, Proliferative - etiology</subject><issn>0275-004X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9UMlOwzAQ9QFUSuETkHziFhjbcZ0cUcUmVeJSJG6Rm4xboyQOtlPUvydpS-cy23uzPEIogwcGuXqEweZ5xhOW5ylLIYVkLMkLMgWu5JCkX1fkOoRvACazTE7IRGVMAZdTUq-2SPuA1BnaoTd177xLXBl1i9S2NA7tRrd6gw22cURtrB4Cj9G2uqYRtQ_018at6yPtvKutQa-j3SHd2ejRHZCu03G7vyGXRtcBb09-Rj5fnleLt2T58fq-eFompWAQE8ONkhkXCpVRTPBKcyYYQso4F0xzPlcGcmEqiULAWiHTphRpWhosBWRGzMj9ce5wz0-PIRaNDSXW9fCU60Oh5rmQgskBmB2BpXcheDRF522j_b5gUIziFv_iFmdxD6WRenfa0a8brM7Ek7LiDz7jePc</recordid><startdate>1994</startdate><enddate>1994</enddate><creator>Ie, D</creator><creator>Glaser, B M</creator><creator>Sjaarda, R N</creator><creator>Thompson, J T</creator><creator>Steinberg, L E</creator><creator>Gordon, L W</creator><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>1994</creationdate><title>The use of perfluoro-octane in the management of giant retinal tears without proliferative vitreoretinopathy</title><author>Ie, D ; Glaser, B M ; Sjaarda, R N ; Thompson, J T ; Steinberg, L E ; Gordon, L W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c310t-f2f758237e7f7132da2131e0412231a2267f093fd5e330b7e1afc344cfec308f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>Female</topic><topic>Fluorocarbons</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Lens, Crystalline - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Reoperation</topic><topic>Retinal Detachment - etiology</topic><topic>Retinal Detachment - surgery</topic><topic>Retinal Perforations - complications</topic><topic>Retinal Perforations - surgery</topic><topic>Scleral Buckling</topic><topic>Visual Acuity</topic><topic>Vitrectomy</topic><topic>Vitreoretinopathy, Proliferative - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ie, D</creatorcontrib><creatorcontrib>Glaser, B M</creatorcontrib><creatorcontrib>Sjaarda, R N</creatorcontrib><creatorcontrib>Thompson, J T</creatorcontrib><creatorcontrib>Steinberg, L E</creatorcontrib><creatorcontrib>Gordon, L W</creatorcontrib><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>Retina (Philadelphia, Pa.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ie, D</au><au>Glaser, B M</au><au>Sjaarda, R N</au><au>Thompson, J T</au><au>Steinberg, L E</au><au>Gordon, L W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The use of perfluoro-octane in the management of giant retinal tears without proliferative vitreoretinopathy</atitle><jtitle>Retina (Philadelphia, Pa.)</jtitle><addtitle>Retina</addtitle><date>1994</date><risdate>1994</risdate><volume>14</volume><issue>4</issue><spage>323</spage><epage>328</epage><pages>323-328</pages><issn>0275-004X</issn><abstract>A technique for managing giant retinal tears without proliferative vitreoretinopathy (PVR) is presented, and visual outcome, anatomic reattachment, and postoperative complications are discussed.
A total of 25 consecutive cases of retinal detachment from giant retinal tears in eyes without PVR that had not previously undergone surgery were reviewed. A surgical technique combining pars plana vitrectomy, perfluoro-octane, and fluid-gas exchange was used. Scleral buckling was performed in 23 (92%) of 25 eyes, and pars plana lensectomy was performed in 11 (69%) of the 16 phakic eyes. A minimum follow-up period of 6 months was documented in each case.
Of the 25 eyes, redetachment occurred in 3 (12%) after the initial procedure, and further surgery was necessary to successfully reattach the retina. A total of 9 secondary procedures were performed in 7 (28%) of the 25 eyes. Final retinal reattachment was achieved in all 25 eyes. Final Snellen visual acuity was 20/80 or better in 18 (72%) patients and 20/200 or better in 21 (84%) patients.
The anatomic and visual results of this method of surgical treatment of giant retinal tears without PVR compare favorably to those achieved with techniques that use a nonbuckling approach, but with reduced ocular morbidity.</abstract><cop>United States</cop><pmid>7817025</pmid><doi>10.1097/00006982-199414040-00005</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0275-004X |
| ispartof | Retina (Philadelphia, Pa.), 1994, Vol.14 (4), p.323-328 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Aged Child Female Fluorocarbons Follow-Up Studies Humans Lens, Crystalline - surgery Male Middle Aged Reoperation Retinal Detachment - etiology Retinal Detachment - surgery Retinal Perforations - complications Retinal Perforations - surgery Scleral Buckling Visual Acuity Vitrectomy Vitreoretinopathy, Proliferative - etiology |
| title | The use of perfluoro-octane in the management of giant retinal tears without proliferative vitreoretinopathy |
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