Surgical Treatment of Giant Retinal Tears with Inverted Posterior Retinal Flaps
We treated 23 consecutive cases of giant retinal tears with inverted retinal flaps. We used pars plana vitrectomy together with an intravitreal bubble to unfold the posterior retinal flap, combined with cryotherapy to cause a chorioretinal adhesion and a broad scleral buckle. The vitrectomy was done...
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Veröffentlicht in: | American journal of ophthalmology 1984-10, Vol.98 (4), p.463-466 |
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creator | Vidaurri-Leal, Jesus de Bustros, Serge Michels, Ronald G. |
description | We treated 23 consecutive cases of giant retinal tears with inverted retinal flaps. We used pars plana vitrectomy together with an intravitreal bubble to unfold the posterior retinal flap, combined with cryotherapy to cause a chorioretinal adhesion and a broad scleral buckle. The vitrectomy was done after applying cryotherapy so viable retinal pigment epithelial cells in the vitreous cavity could also be removed. Thirteen eyes had giant tears measuring 90 to 180 degrees (Group 1), eight eyes had giant tears measuring 180 to 270 degrees (Group 2), and two eyes had giant tears larger than 270 degrees (Group 3). The retina was successfully reattached in 11 of the 13 eyes in Group 1, each of the eight eyes in Group 2, and one of the two eyes in Group 3. We believe that vitrectomy and lavage of the vitreous cavity after applying cryotherapy was important in reducing the incidence of proliferative vitreoretinopathy and improving our success rate. |
doi_str_mv | 10.1016/0002-9394(84)90132-6 |
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We used pars plana vitrectomy together with an intravitreal bubble to unfold the posterior retinal flap, combined with cryotherapy to cause a chorioretinal adhesion and a broad scleral buckle. The vitrectomy was done after applying cryotherapy so viable retinal pigment epithelial cells in the vitreous cavity could also be removed. Thirteen eyes had giant tears measuring 90 to 180 degrees (Group 1), eight eyes had giant tears measuring 180 to 270 degrees (Group 2), and two eyes had giant tears larger than 270 degrees (Group 3). The retina was successfully reattached in 11 of the 13 eyes in Group 1, each of the eight eyes in Group 2, and one of the two eyes in Group 3. We believe that vitrectomy and lavage of the vitreous cavity after applying cryotherapy was important in reducing the incidence of proliferative vitreoretinopathy and improving our success rate.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/0002-9394(84)90132-6</identifier><identifier>PMID: 6486220</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Choroid ; Eye Diseases - etiology ; Female ; Glaucoma - etiology ; Hemorrhage - etiology ; Humans ; Intraoperative Complications ; Male ; Medical sciences ; Middle Aged ; Ophthalmology ; Postoperative Complications - prevention & control ; Retinal Diseases - etiology ; Retinal Diseases - prevention & control ; Retinal Perforations - surgery ; Retinopathies ; Surgical Flaps ; Uveal Diseases - etiology ; Vitreous Body</subject><ispartof>American journal of ophthalmology, 1984-10, Vol.98 (4), p.463-466</ispartof><rights>1984 Elsevier Inc.</rights><rights>1985 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-b25fd4ba5709b657304dab32d7cac504a1d8e04dceafcbaeb1bf5eac0ec253d13</citedby><cites>FETCH-LOGICAL-c386t-b25fd4ba5709b657304dab32d7cac504a1d8e04dceafcbaeb1bf5eac0ec253d13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-9394(84)90132-6$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=8896208$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6486220$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vidaurri-Leal, Jesus</creatorcontrib><creatorcontrib>de Bustros, Serge</creatorcontrib><creatorcontrib>Michels, Ronald G.</creatorcontrib><title>Surgical Treatment of Giant Retinal Tears with Inverted Posterior Retinal Flaps</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>We treated 23 consecutive cases of giant retinal tears with inverted retinal flaps. We used pars plana vitrectomy together with an intravitreal bubble to unfold the posterior retinal flap, combined with cryotherapy to cause a chorioretinal adhesion and a broad scleral buckle. The vitrectomy was done after applying cryotherapy so viable retinal pigment epithelial cells in the vitreous cavity could also be removed. Thirteen eyes had giant tears measuring 90 to 180 degrees (Group 1), eight eyes had giant tears measuring 180 to 270 degrees (Group 2), and two eyes had giant tears larger than 270 degrees (Group 3). The retina was successfully reattached in 11 of the 13 eyes in Group 1, each of the eight eyes in Group 2, and one of the two eyes in Group 3. We believe that vitrectomy and lavage of the vitreous cavity after applying cryotherapy was important in reducing the incidence of proliferative vitreoretinopathy and improving our success rate.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Choroid</subject><subject>Eye Diseases - etiology</subject><subject>Female</subject><subject>Glaucoma - etiology</subject><subject>Hemorrhage - etiology</subject><subject>Humans</subject><subject>Intraoperative Complications</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Retinal Diseases - etiology</subject><subject>Retinal Diseases - prevention & control</subject><subject>Retinal Perforations - surgery</subject><subject>Retinopathies</subject><subject>Surgical Flaps</subject><subject>Uveal Diseases - etiology</subject><subject>Vitreous Body</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMoun78A4UeRPRQTdI0TS-CLH7BguLHOUyTqUa67ZpkFf-9WXfZo6dM5n1mGB5CDhk9Z5TJC0opz-uiFqdKnNWUFTyXG2TEVFXnTNVsk4zWyA7ZDeEjfWUlqm2yLYWSnNMReXie-zdnoMtePEKcYh-zoc1uHaTiCaPrFxGCD9m3i-_Zff-FPqLNHocQ0bvBr6mbDmZhn2y10AU8WL175PXm-mV8l08ebu_HV5PcFErGvOFla0UDZUXrRpZVQYWFpuC2MmBKKoBZhalnEFrTADasaUsEQ9HwsrCs2CMny70zP3zOMUQ9dcFg10GPwzxoxXhVSVYnUCxB44cQPLZ65t0U_I9mVC886oUkvZCkldB_HrVMY0er_fNminY9tBKX8uNVDiHZaz30xoU1plQtOVUJu1ximFx8OfQ6GIe9Qes8mqjt4P6_4xe7V4-m</recordid><startdate>19841015</startdate><enddate>19841015</enddate><creator>Vidaurri-Leal, Jesus</creator><creator>de Bustros, Serge</creator><creator>Michels, Ronald G.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</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>19841015</creationdate><title>Surgical Treatment of Giant Retinal Tears with Inverted Posterior Retinal Flaps</title><author>Vidaurri-Leal, Jesus ; de Bustros, Serge ; Michels, Ronald G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-b25fd4ba5709b657304dab32d7cac504a1d8e04dceafcbaeb1bf5eac0ec253d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Choroid</topic><topic>Eye Diseases - etiology</topic><topic>Female</topic><topic>Glaucoma - etiology</topic><topic>Hemorrhage - etiology</topic><topic>Humans</topic><topic>Intraoperative Complications</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Retinal Diseases - etiology</topic><topic>Retinal Diseases - prevention & control</topic><topic>Retinal Perforations - surgery</topic><topic>Retinopathies</topic><topic>Surgical Flaps</topic><topic>Uveal Diseases - etiology</topic><topic>Vitreous Body</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vidaurri-Leal, Jesus</creatorcontrib><creatorcontrib>de Bustros, Serge</creatorcontrib><creatorcontrib>Michels, Ronald G.</creatorcontrib><collection>Pascal-Francis</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>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vidaurri-Leal, Jesus</au><au>de Bustros, Serge</au><au>Michels, Ronald G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical Treatment of Giant Retinal Tears with Inverted Posterior Retinal Flaps</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>1984-10-15</date><risdate>1984</risdate><volume>98</volume><issue>4</issue><spage>463</spage><epage>466</epage><pages>463-466</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>We treated 23 consecutive cases of giant retinal tears with inverted retinal flaps. We used pars plana vitrectomy together with an intravitreal bubble to unfold the posterior retinal flap, combined with cryotherapy to cause a chorioretinal adhesion and a broad scleral buckle. The vitrectomy was done after applying cryotherapy so viable retinal pigment epithelial cells in the vitreous cavity could also be removed. Thirteen eyes had giant tears measuring 90 to 180 degrees (Group 1), eight eyes had giant tears measuring 180 to 270 degrees (Group 2), and two eyes had giant tears larger than 270 degrees (Group 3). The retina was successfully reattached in 11 of the 13 eyes in Group 1, each of the eight eyes in Group 2, and one of the two eyes in Group 3. We believe that vitrectomy and lavage of the vitreous cavity after applying cryotherapy was important in reducing the incidence of proliferative vitreoretinopathy and improving our success rate.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>6486220</pmid><doi>10.1016/0002-9394(84)90132-6</doi><tpages>4</tpages></addata></record> |
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source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE |
subjects | Adolescent Adult Biological and medical sciences Choroid Eye Diseases - etiology Female Glaucoma - etiology Hemorrhage - etiology Humans Intraoperative Complications Male Medical sciences Middle Aged Ophthalmology Postoperative Complications - prevention & control Retinal Diseases - etiology Retinal Diseases - prevention & control Retinal Perforations - surgery Retinopathies Surgical Flaps Uveal Diseases - etiology Vitreous Body |
title | Surgical Treatment of Giant Retinal Tears with Inverted Posterior Retinal Flaps |
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