Cover Image

Clinical features and surgical outcomes in retinal detachment following Giant retinal tears

PIOUS .

Abstract


Aim To study the clinical features and outcome following surgery for Rhegmatogenous retinal detachment (RRD) associated with giant retinal tears (GRT). Methods Retrospective case review of eyes with GRT and RRD              undergoing surgery between April 2009 and March 2011 at retina clinic of our hospital. All cases were operated by a single surgeon. Main outcome measures studied were retinal re-attachment rate and final visual acuity. Results 16 eyes of 16 patients were included.

There were 15 males (93.8). Mean age was 33.7 years.           Predisposing factors were myopia in 12 eyes, prior surgery in 7 eyes, injury in 1 eye and none in 1 eye. Anatomical             attachment and visual improvement was achieved in 14 eyes (87.5). Long term tamponade was required in 2 eyes.

Conclusions RRD with GRT often affects young myopic males. Surgical outcomes can be good although long term tamponade may be required.

 


Full Text:

PDF

References


Karel I, Michalikova M, Soucek P. Long-term results of pars plana vitrectomy and silicone oil for giant tears. Eur J Ophthalmol 1996; 6:315-321.

Kertes PJ, Wafapoor H, Peyman GA, Calixto N Jr, Thompson H. The management of Giant Retinal Tears Using Perfluoroperhydrophenanthrene. Ophthalmology 1997; 104: 1159-1165.

Glaser BM. Treatment of giant retinal tears combined with proliferative vitreoretinopathy. Ophthalmology 1986; 93: 1193-1197.

Ang GS, Townend J, Lois N. Epidemiology of giant retinal tears in the United Kingdom: the British Giant Retinal Tear Epidemiology Eye Study (BGEES). Invest

Ophthalmol Vis Sci 2010 Sep; 51(9):4781-7.Epub 2010 April 14.

Lee SY, Ong SG, Wong DW, Ang CL. Giant retinal tear management: an Asian experience. Eye (Lond). 2009 Mar; 23(3): 601-5. Epub Feb 29

YK Ghosh, S Banerjee, V Savant, V Kotamarthi, MT Benson, RAH Scott and AK Tyagi. Surgical treatment and outcome of patients with giant retinal tears. Eye (2004)18, 996-1000.

Goezinne F, LA Heiji EC, Berendschot TT, Gast ST, Liem AT, Lundqvist IL, Hendrikse F. Low redetachment rate due to encircling scleral buckle in giant retinal tears treated with vitrectomy and silicone oil. Retina.2008Mar; 28(3):485-92

Kreiger AE, Lewis H. Management of giant retinal tears without scleral buckling: use of radical dissection of the vitreous base and perfluoro-octane and intraocular tamponade. Ophthalmology 1992; 99: 491-497.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University