SEARCH · PubMed Health

Results for “Retinal Detachment”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,135 records · Page 63Linked to original sources

PubMed2001

Treatment of retinal detachment resulting from myopic macular hole with internal limiting membrane removal.

PURPOSE: To examine the efficacy of vitrectomy with internal limiting membrane removal for retinal detachment resulting from a macular hole in highly myopic eyes. METHODS: Eleven consecutive highly myopic eyes (11 patients) with retinal detachment resulting from a macular hole were treated by vitrectomy with removal of the internal limiting membrane, which was stained with indocyanine green and sulfur hexafluoride gas injection. Postoperatively, the patients were instructed to remain prone for 2 weeks. The excised specimens were evaluated with transmission electron microscopy. RESULTS: The mean postoperative follow-up was 9.2 +/- 2.3 months (range, 7 to 13 months). In 10 of the 11 eyes (91%) the retina was reattached during the initial surgery. Redetachment occurred in one eye, which was successfully treated during the second surgery. Best-corrected visual acuity improved in all eyes and ranged from 20/400 to 20/50. Pathologic examination showed that the internal limiting membrane and epiretinal tissues were present in all specimens. CONCLUSIONS: The use of indocyanine green staining can facilitate removal of a macular internal limiting membrane and overlying epiretinal membrane, resulting in complete relief of the macular traction. Primary removal of the internal limiting membrane may contribute to a high initial success rate for retinal reattachment and be an important adjuvant to the treatment of retinal detachment resulting from a macular hole in highly myopic eyes.

Aged↗

PubMed1984

Retinal detachment in Morning Glory syndrome.

A 9-year-old girl with bilateral Morning Glory syndrome developed bilateral bullous retinal detachment. There was a small break on the temporal margin of the disc in the left eye. The retinal detachment in this eye was successfully treated by drainage of the subretinal fluid, vitrectomy, intravitreal air injection, and photocoagulation around the edge of the anomalous disc. It is suggested that some retinal detachments in the Morning Glory syndrome may be rhegmatogenous in nature.

Child↗

PubMed1998

[Acute retinal necrosis syndrome. Argon laser coagulation for prevention of rhegmatogenic retinal detachment].

BACKGROUND: ARN syndrome follows severeintraocular infection by herpes viruses and primarily affects the peripheral retina. Following scar formation, despite antiviral treatment, rhegmatogenous retinal detachment occurs very often. Prophylactic argon laser photocoagulation has therefore been proposed. We report our experience. PATIENTS: We treated five patients presenting clinically with advanced unilateral ARN with acyclovir. All eyes received a prophylactic confluent double row of argon laser treatment (500 microns, 0.2 s, gray-white lesions) central to the affected area as soon as was possible, depending on the vitreous clouding. Four patients were treated with Aspirin. RESULTS: One of the five patients had a peripheral rhegmatogenous retinal detachment that was limited by the argon laser row. Another patient had a tractional detachment needing vitreoretinal surgery. Two eyes developed vitreal hemorrhage of unknown origin. CONCLUSION: A lower rate of rhegmatogenous retinal detachments than expected occurred post-laser treatment. Vitreal hemorrhage was more frequent than previously reported. The bleeding probably originated from anterior retinal neovascularization and may have been enhanced by Aspirin treatment. We recommend early prophylactic argon laser photocoagulation in all ARN patients in agreement with the results of previous studies.

Acyclovir↗

PubMed1981

[Retinal detachment].

Over the last few years there has been a further increase in the surgical treatment of the retinal detachment. Reapplication of the retina is now very often achieved immediately. Repeated intervention has become less common and operative methods less aggressive. This communication aims to give an idea of present concepts in the treatment of retinal detachment and to explain some surgical attitudes. It also recalls the importance of early diagnosis, as well as the examination methods and the prophylactic measures generally used. Some new ideas on the etiology of retinal detachment are also discussed.

Humans↗

PubMed1997

[Removal of the dislocated lens in patients with funnel-shaped retinal detachment].

PURPOSE: Presentation of two cases of crystalline lens posterior dislocation with concomitant, total, funnel-shaped retinal detachment. MATERIAL AND METHODS: The described patients were myopes and both had lost vision of the other eye earlier due to the same cause. The operation of dislocated lens removal through the limbal incision with the use of pars plana vitrectomy and simultaneous retinal detachment surgery were performed. RESULTS: In one patient almost full visual acuity was achieved, and in the second case visual acuity was improved to 3/50. CONCLUSION: The use of vitrectomy methods, including subretinal fluid drainage and intraocular silicone oil tamponade, enables efficient treatment of patients with dislocated lenses even in cases with total retinal detachment.

Aged↗

PubMed1984

Incidence of chronic glaucoma, retinal detachment and secondary membrane surgery in pediatric aphakic patients.

The eyes of 392 consecutive childhood cataract aspiration procedures were analysed for frequency of the development of chronic glaucoma and retinal detachment and the performance of secondary membrane surgery. Three different modifications of the aspiration procedure were employed: the standard needle and syringe procedure leaving the posterior capsule intact (304 eyes), rotoextraction with small opening of the posterior capsule (34 eyes) and Ocutome aspiration with wide excision of the posterior capsule (54 eyes). The mean postoperative follow-up was 5.5 years. Chronic glaucoma was found in 6.1% of the eyes. Coexisting ocular anomalies and retained lens cortex increased the risk for this complication. Retinal detachment was found in 1.5% of the cases. Coexisting ocular anomalies and uncontrolled vitreous disturbance increased the possibility of retinal detachment. Secondary membrane procedures were performed in 62% of the eyes in which the aspiration procedure left the posterior capsule intact, in nearly 12% of those in which the posterior capsule was minimally opened and in none of those which had the posterior capsule widely excised. The secondary membrane surgery itself appeared to increase the risk for both glaucoma and retinal detachment. The aspiration procedure with the lowest incidence for all three complications was the Ocutome aspiration with wide excision of the posterior capsule.

Adolescent↗

PubMedDate not supplied

Retinal detachment neuropathology and potential strategies for neuroprotection.

Understanding the neuropathology of retinal detachment from postmortem and animal models allows identification of cellular targets, receptors and mediators for pharmacological manipulation. In this review, concepts of retinal detachment and neuropathology are examined at cellular and structural anatomical levels using postmortem and animal model data. Possible neuroprotective strategies are reviewed in the setting of the new environment created by successful retinal reattachment surgery.

Animals↗

PubMed2006

Scleral buckling with macular plombe for eyes with myopic macular retinoschisis and retinal detachment without macular hole.

PURPOSE: To determine the effectiveness of scleral buckling with a macular plombe in eyes with myopic macular retinoschisis and retinal detachment without a macular hole. DESIGN: A prospective, consecutive interventional case series. METHODS SETTING: Clinical practice at university hospitals. PATIENT POPULATION: Six eyes of five consecutive patients with myopic macular retinoschisis and retinal detachment without a macular hole. Intervention Procedure: Scleral buckling with a macular plombe. MAIN OUTCOME MEASURES: The best-corrected visual acuity (BCVA), ophthalmoscopic appearance of fundus, and optical coherence tomographic images were recorded preoperatively, and at two weeks, at one, three, and six months, and then every three months thereafter. RESULTS: The mean retinal thickness was reduced significantly by the macular plombe (P < .05). The BCVA was improved by 2 lines or more in four eyes (66%), and remained within 2 lines of the preoperative BCVA in two eyes (34%). The complications were subretinal hemorrhage without choroidal neovascularization in one eye, and a progression of choroidal neovascularization with subretinal hemorrhage, which caused a transient visual impairment in one eye. CONCLUSIONS: We recommend that macular scleral buckling with a macular plombe be considered for eyes with myopic macular retinoschisis and retinal detachment without a macular hole.

Aged↗

PubMed2005

Massive hemorrhagic retinal detachment during radial optic neurotomy.

BACKGROUND: We encountered obvious arterial bleeding from the incision site during radial optic neurotomy (RON) in a 55-year-old woman with central retinal vein occlusion (CRVO) and report the findings herein. CASE REPORT: The patient initially demonstrated a retinal hemorrhage and macular edema due to a left CRVO. Her corrected visual acuity was 0.5 OS. Since her symptoms did not improve and were aggravated, even though she received an oral anticoagulant drug orally, RON was performed 2 months after the onset of symptoms. During surgery, obvious arterial bleeding started from the RON incision site and it was not arrested although the infusion bottle was fully elevated. However, a subsequent infusion of liquid perfluoro-carbon successfully stopped the bleeding by direct pressure. Hemorrhagic retinal detachment occurred in the nasal quadrant and postoperative vitreous hemorrhage was treated surgically. The hemorrhagic retinal detachment was gradually absorbed and replaced by fibrous scar tissue. Two years after the surgery, no expansion of retinal detachment has been observed and corrected visual acuity is being maintained at 0.2 OS. CONCLUSION: We conclude that RON for CRVO carries a risk of arterial bleeding and that infusion of liquid perfluoro-carbon seems to be effective to arrest arterial bleeding from the RON site.

Decompression, Surgical↗

PubMed2005

Axial eye length after retinal detachment surgery.

Changes in the eye axial diameter were studied to assess the eye globe impact of conventional operation for retinal detachment. The study included 69 eyes in 69 patients operated on for rhegmatogenous retinal detachment. There were 46.4% of men and 53.6% of women, mean age 52.7 (+/- 15.21) years. Results of preoperative and postoperative ultrasonographic measurement of axial diameter are presented. The mean preoperative and postoperative eye axial diameter was 23.69 (+/- 1.84) mm and 24.43 (+/- 1.91) mm, respectively. Postoperative results showed the axial eye length to increase by a mean of 0.74 (+/- 0.44) mm, yielding a statistically significant difference from the preoperative measurement (p < 0.001). The mean myopia induced by this eyeball elongation was 1.77 D. The encircling band with and without segmental buckling used in surgical repair of retinal detachment creates circular and segmental indentation of the eyeball, thus increasing its axial length. The myopia induced by elongation of the eyeball results in considerable myopia, which requires appropriate correction in the early postoperative period to achieve favorable vision rehabilitation.

Croatia↗

PubMed1997

Apolipoprotein E in the subretinal fluid of rhegmatogenous and exudative retinal detachments.

BACKGROUND: Apolipoprotein E plays a key role in lipoprotein metabolism and is believed to be an important protein in other biologic functions such as wound healing processes of nerve tissue. Because the neurosensory retina is rich in lipids, we analyzed the subretinal fluid from patients with acute and chronic retinal detachments to determine whether apolipoprotein was present and whether it was involved in lipid metabolism during wound repair of the detached retina. METHODS: The subretinal fluid collected from eyes with rhegmatogenous and exudative retinal detachments first was analyzed by agarose and sodium dodecyl sulfate gel electrophoresis to identify the lipoprotein profiles. Western blot analysis confirmed the presence of apolipoprotein E, and semiquantitation was performed by densitometry of the corresponding immunodot-blot. RESULTS: Apolipoprotein E was present in the subretinal fluid of eyes with rhegmatogenous and exudative retinal detachments. Its concentration increased in eyes with chronic retinal detachments. CONCLUSIONS: We implicate apolipoprotein E found in the subretinal fluid in the wound-healing process of the detached retina.

Aged↗

PubMed1994

[Exudative retinal detachment in intraorbital echinococcal cyst].

BACKGROUND: Orbital manifestation of hydatid cyst can occur in 1%, however, an exudative retinal detachment due to an intraorbital hydatid cyst is an uncommon finding. CASE REPORT: A 20-year-old Turkish woman with an orbital hydatid cyst and an accompanying exudative retinal detachment. RESULTS: Serology and histopathological findings confirmed the diagnosis of an orbital hydatid cyst. After excision of the cyst in toto the retina reattached spontaneously. CONCLUSION: In the differential diagnosis of a proptosis with an exudative retinal detachment, although rare, the diagnosis of an orbital echinococcis should be considered.

Adult↗

PubMedDate not supplied

Episcleral macular buckling by semirigid shaped-rod exoplant for recurrent retinal detachment with macular hole in highly myopic eyes.

PURPOSE: To evaluate the effects of episcleral macular buckling in highly myopic eyes with postvitrectomy recurrent retinal detachment with macular hole. DESIGN: Interventional case study. METHODS: Episcleral macular buckling with a shaped-rod silicone plastic exoplant, facilitated by episcleral tissue removal and intraocular pressure reduction, was performed at Tokyo Medical University Hospital for postvitrectomy recurrent retinal detachment due to macular hole in three highly myopic eyes with axial length of >27 mm. RESULTS: Optical coherence tomography showed successful retinal reattachment after the buckling procedure in all three eyes and closure of the macular hole in two of the three, and visual acuity improved to 20/200, 20/200, and 20/63 from preoperative values of 20/320, 20/250, and 20/320, respectively. CONCLUSIONS: The anatomic and functional results of the macular buckling procedure used in these three cases were favorable, suggesting that this procedure can provide an effective means of retinal reattachment particularly in cases of retinal detachment recurrence after vitrectomy and therefore warrants further study.

Aged↗

PubMed2006

[Specifications of retinal detachment surgery in highly myopic eyes of 10 or more dioptres and hemorrhagic complications: 79 cases].

INTRODUCTION: We report a series of 79 eyes undergoing primary surgery for rhegmatogenous retinal detachment associated with severe myopia greater than 10 diopters. Specific surgical procedures are recommended for these patients in order to minimize the high incidence of postoperative hemorrhagic complications. MATERIALS AND METHODS: Seventy-nine eyes of 76 patients treated for retinal detachment with severe myopia greater than 10 diopters were reviewed. Scleral buckling was performed in 21 eyes and pars plana vitrectomy in 58 eyes. RESULTS: After a mean follow-up period of 23.8 months, the final anatomical success rate was 93.7% (74 cases). Postoperative hemorrhagic complications (suprachoroidal hemorrhage and vitreous hemorrhage) occurred in four cases after scleral buckling and in ten cases after vitrectomy. DISCUSSION: In this study, primary scleral buckling for retinal detachment was less frequently performed than vitrectomy. Broad scleral buckling may not be associated with higher postoperative hemorrhagic complications, when the buckle does not extend over six clock hours. Postoperative hemorrhagic complications also occurred after vitrectomy; however, scleral buckling associated with vitrectomy does not seem to increase the complication rate. CONCLUSION: This retrospective study of 79 cases of rhegmatogenous retinal detachment with severe myopia higher than 10 diopters suggests that vitrectomy is often considered a primary procedure. Broad scleral buckling associated with vitrectomy is a safe and effective procedure, with an acceptable incidence of complications when not extending over six clock hours.

Choroid Hemorrhage↗

PubMed1988

Retinal detachment treated by pneumatic retinopexy.

Pneumatic retinopexy has been employed for the treatment of uncomplicated rhegmatogenous retinal detachment in 12 patients, with retinal tear(s) situated between 8 and 4 o'clock. The operations were performed using transconjunctival cryothermy and intravitreal gas-injection of sulphurhexafluoride or perfluoropropane. All patients were followed for more than 6 months. Retinal attachment was achieved in 10 patients following the first surgical procedure. The post-operative visual acuity was 6/12 or better in 8 patients, a further 2 patients had visual acuity of 6/36 or better. Pneumatic retinopexy was found to be an efficient and simple operative procedure for selected cases of retinal detachment, with results comparable to conventional operative procedures.

Gases↗

PubMed1991

An updated classification of retinal detachment with proliferative vitreoretinopathy.

The Retinal Society classification on proliferative vitreoretinopathy of 1983 has been updated to accommodate major progress in understanding of this disease. There are three grades describing increasing severity of the disease. Posterior and anterior location of the proliferations have been emphasized. A more detailed description of posterior and anterior contractions has been made possible by adding contraction types such as focal, diffuse, subretinal, circumferential contraction, and anterior displacement. The extent of the abnormality has been detailed by using clock hours instead of quadrants.

Eye Diseases↗

PubMed1990

Retinal detachment with oral dialysis: differences in clinical features between cases with and without photoreceptor outer segments in aqueous humor.

Eighteen patients with retinal detachment due to oral dialysis were divided into two groups on the basis of the presence or absence of photoreceptor outer segments in the aqueous humor, and clinical characteristics were compared to elucidate the underlying factors causing the differences. In the group with the presence of the outer segments, oral dialysis was significantly small in size and had no predilection in location. Retinal detachment was significantly long in duration, flat in height, and involved a wide area including the macula. The visual field defect recovered at a significantly high rate after reattachment of the retina. In the group with the absence of the outer segments in the aqueous humor, oral dialysis was significantly large in size and located predominantly in the temporoinferior quadrant. Retinal detachment was significantly short in duration, and cystic or localized around the oral dialysis.

Adolescent↗

PubMed1992

Connective tissue of the orbital cavity in retinal detachment: an ultrastructural study.

The connective tissue from Tenon's capsule of 7 patients who underwent surgery for retinal detachment was studied ultrastructurally. Five patients were 58-70 years old, and 2 were young adults. The Tenon capsules of 6 children and of 2 aged patients without retinal problems were used as controls. In young controls the Tenon capsule was composed mainly of round, smooth collagen fibrils and a few elastic fibers. The collagen fibrils varied in size from 70 to 110 nm. In the aged patients with retinal detachment, the collagen fibrils showed marked variation of size and also abnormalities of shape in 4 out of 5 cases. The diameter of collagen fibrils varied from 32 to 160 nm, and the elastic fibers were fewer as compared with controls. The possibility arises that age-related structural changes of the orbital connective tissue could predispose to retinal detachment.

Adult↗