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Int Ophthalmol 2021 Apr 11. Epub 2021 Apr 11.

Instituto de Oftalmología Conde de Valenciana IAP, Mexico City, Mexico.

Purpose: This study describes presenting clinical features and surgical techniques associated with successful repair of pediatric rhegmatogenous retinal detachment (RRD).

Methods: This is a retrospective case series which involved 242 cases younger than 18 years with new-onset RRD with descriptive statistics for the full group. Further exclusion established 168 cases that underwent surgery with minimum 3-month follow-up. Read More

BMC Ophthalmol 2021 Apr 10;21(1):172. Epub 2021 Apr 10.

Ophthalmology Unit - Department of Sense Organs, Sapienza University of Rome - Policlinico Umberto I University Hospital, Rome, Italy.

Background: Myopic shift and biometric ocular changes have been previously observed after scleral buckling (SB) surgery in rhegmatogenous retinal detachment (RRD), but long term-term outcomes had not yet been explored. The purpose of present study is to evaluate long term ocular biometric changes in patients with primary macula-on RRD treated with SB.

Methods: In this retrospective, observational study, we reviewed the medical records of patients undergoing SB surgery for macula-on RRD. Read More

Biomolecules 2021 Mar 30;11(4). Epub 2021 Mar 30.

Thematic Cooperative Health Network for Research in Ophthalmology (Oftared), Carlos III Health Institute, 28220 Madrid, Spain.

The aim of this study was to identify a relation between the clinical characteristics and differences in lipid peroxidation in the subretinal fluid (SRF) of rhegmatogenous retinal detached patients by malondialdehyde (MDA) quantification. We collected 65 SRF samples from consecutive patients during scleral buckling surgery in rhegmatogenous retinal detachment (RRD) eyes. In addition to a complete ophthalmic evaluation, we studied the refractive status, evolution time, and the number of detached retinal quadrants to establish the extension of RRD. Read More

Am J Ophthalmol Case Rep 2021 Jun 8;22:101066. Epub 2021 Mar 8.

Department of Ophthalmology and Visual Science, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, 93125441, Japan.

Purpose: To report a case of necrotizing scleritis and proliferative vitreoretinopathy due to an acute infection following scleral buckling for the management of rhegmatogenous retinal detachment in a patient with untreated atopic dermatitis.

Observations: A 40-year-old man with untreated atopic dermatitis presented with rhegmatogenous retinal detachment in his right eye. He underwent uncomplicated scleral buckling surgery with an encircling silicon sponge band, then noticed severe hyperemia and purulent discharge in the eye at 3 weeks after surgery. Read More

Jpn J Ophthalmol 2021 Mar 21. Epub 2021 Mar 21.

Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, 260-0856, Japan.

Purpose: To determine the frequency and characteristics of rhegmatogenous retinal detachments (RRDs) that develop after an intravitreal injection of anti-vascular endothelial growth factor (VEGF) agent.

Study Design: A retrospective review of the medical charts.

Methods: The charts of patients who received intravitreal injections for age-related macular degeneration (AMD), diabetic macular edema (DME), retinal vein occlusion (RVO), or myopic choroidal neovascularization (mCNV) between 2013 and 2020 were reviewed. Read More

Jpn J Ophthalmol 2021 Mar 18. Epub 2021 Mar 18.

Istanbul Retina Institute, Hakkı Yeten Cad. Unimed Center No: 19/7 Fulya, Şişli, 34349, İstanbul, Turkey.

Purpose: To report characteristics of patients developing full-thickness macular hole (MH) after rhegmatogenous retinal detachment (RRD) repair surgery. We also compared patients developing MH with and without accompanying RRD recurrence regarding anatomical and visual outcomes of MH repair.

Design: Retrospective study. Read More

BMJ Open Ophthalmol 2021 25;6(1):e000651. Epub 2021 Feb 25.

Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor, Michigan, USA.

Objective: To report anatomic and visual outcomes of pars plana vitrectomy (PPV), as well as scleral buckling (SB) and PPV/SB as surgical treatments for the management of primary, non-complex rhegmatogenous retinal detachment (RRD).

Methods And Analysis: Data from 751 eyes that underwent PPV, SB or combined PPV/SB as a surgical treatment for primary non-complex RRD with at least 3 months of follow-up were analysed to determine rates of single surgery anatomic success (SSAS) and final anatomic success (FAS). Patients or the public were not involved in the design, conduct or reporting of this research. Read More

Med Leg J 2021 Mar 10:25817220984009. Epub 2021 Mar 10.

Vitreoretinal Service, Addenbrooke's Hospital, Cambridge University NHS Foundation Trust, Cambridge, UK.

Recent reports suggest that the use of an outpatient-based procedure (pneumatic retinopexy, PR) for retinal detachment repair should be encouraged within the UK, especially in light of Covid-19 and possible restrictions/competing demands on access to operating theatres. It is therefore essential that patients receive comprehensive information about the risks and benefits of this approach compared with a formal surgical repair either by pars plana vitrectomy (PPV) and/or scleral buckling (SB). We report a retrospective case series of retinal detachments (RD) satisfying the strict selection criteria for PR but who were managed with formal surgery. Read More

Cureus 2021 Jan 26;13(1):e12921. Epub 2021 Jan 26.

Ophthalmology, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, SAU.

Wilson's disease (WD) is a rare hepatolenticular inherited disorder affecting copper transport resulting in accumulation of copper, which leads to the induction of apoptosis in different organs. Furthermore, patients with WD have elevated cytokines activity responsible for inflammation of various tissues. Here, we report our challenges in managing a case of rhegmatogenous retinal detachment (RRD) in a one-eyed 28-year-old male with WD who had a previous history of severe intraocular inflammation that ended with phthisis bulbi after pars plana vitrectomy for RRD. Read More

BMC Ophthalmol 2021 Feb 27;21(1):109. Epub 2021 Feb 27.

Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmolgy and Visual Science Key Laboratory, No.17 Hougou Lane, Chongnei Street, Beijing, 100005, People's Republic of China.

Background: Treatment of recurrent retinal detachment (re-RD) following vitrectomy (post-gas/air tamponade and post-silicone oil removal) is challenging. Previously reported treatment is commonly revision pars plana vitrectomy (PPV) combined with tamponade, which is invasive and a burden both economically and emotionally when compared with scleral buckling (SB). The purpose of this study is to report anatomical and functional outcomes of SB with or without gas tamponade in eyes with recurrent retinal detachment (re-RD) that previously underwent PPV at least once. Read More

Ophthalmic Surg Lasers Imaging Retina 2021 Feb;52(2):70-76

Background And Objective: Most surgeons now utilize small-gauge (23- or 25-gauge) pars plana vitrectomy (PPV) with or without scleral buckling for repair of rhegmatogenous retinal detachments (RRD), in addition to primary scleral buckle (SB), but comparative data between the two gauges are limited.

Patients And Methods: This study is an analysis of primary RRD repairs comparing 23- versus 25-gauge vitrectomy for PPV or combination PPV/SB from January 1, 2015, through December 31, 2015, across multiple institutions. The primary outcome was single-surgery success and secondary outcomes included postoperative complications. Read More

J Ophthalmic Inflamm Infect 2021 Feb 22;11(1). Epub 2021 Feb 22.

Eye Research Center, Khatam-al-Anbia Eye Hospital, Mashhad University of Medical Sciences, Qarani Boulevard, Mashhad, 9195965919, Iran.

Background: Scleral buckling (SB) is usually considered an extraocular operation premeditated to have a low risk of sympathetic ophthalmia (SO). Here we report a rare case of presumed SO in a young female patient following SB.

Case Presentation: A nineteen-year-old female patient was referred for visual loss in her left eye due to macula off inferior long-standing rhegmatogenous retinal detachment (RRD). Read More

Minerva Anestesiol 2021 Feb 17. Epub 2021 Feb 17.

Department of Anesthesia, Critical Care and Emergency, Spedali Civili University Hospital, Brescia, Italy.

Background: Pars Plana Vitrectomy (PPV), a surgical procedure used to treat different ophthalmic pathologies, could be associated with moderate to severe eye pain The aim of the present study was to evaluate the incidence of postoperative eye pain and its risk factors following Pars Plana Vitrectomy (PPV) in a selected population of patients with non-painful eye disease, receiving regional anaesthesia and moderate sedation with benzodiazepines, without use of narcotics.

Methods: Single-center, prospective observational cohort study. We recorded the presence of pain at operating room discharge, at 6 and 24 hours, using the numeric rating scale (NRS). Read More

BMC Ophthalmol 2021 Feb 15;21(1):86. Epub 2021 Feb 15.

Department of Ophthalmology, The Second Xiangya Hospital, Central South University, Changsha, China.

Background: The purpose of this study is to assess the absorption of subretinal fluid (SRF) after scleral buckling (SB) surgery for the treatment of rhegmatogenous retinal detachment (RRD). We also examined related factors that may affect the delayed absorption of SRF.

Methods: This retrospective study included patients who underwent successful SB surgery for the treatment of macula-off RRD and in which the retina was reattached after the surgery. Read More

Ophthalmol Retina 2020 Oct 22. Epub 2020 Oct 22.

Department of Ophthalmology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy; Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address:

J Curr Ophthalmol 2020 Oct-Dec;32(4):335-342. Epub 2020 Dec 12.

Retina Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Purpose: To investigate the long-term changes of intraocular pressure (IOP) after pars plana vitrectomy (PPV).

Methods: This was a retrospective historical cohort study. Patients with a history of vitrectomy in one eye by a single surgeon were enrolled. Read More

Oman J Ophthalmol 2020 Sep-Dec;13(3):117-122. Epub 2020 Nov 2.

Retina Foundation and Asopalav Eye Hospital, Ahmedabad, Gujarat, India.

Purpose: The purpose of this study was to evaluate etiologies, management, and outcomes of patients with giant retinal tears (GRTs) undergoing primary surgery at a tertiary referral center.

Methods: This was a retrospective, consecutive case series of 94 patients with at least 3 months follow-up after silicone oil removal (SOR). Fifty-seven eyes (60. Read More

Br J Ophthalmol 2021 Jan 29. Epub 2021 Jan 29.

Ophthalmology, Kagoshima University, Kagoshima, Japan

Background/aims: To assess the anatomical and visual results of uncomplicated phakic macula-on retinal detachment (RD) in patients treated with pars plana vitrectomy (PPV) or scleral buckling (SB).

Methods: A retrospective cohort of patients aged <65 years and diagnosed with uncomplicated phakic macula-on primary RD, who were registered in the Japan-Retinal Detachment Registry, was compiled between February 2016 and March 2017. We performed propensity score matching using preoperative findings and surgeon-related factors as covariates to account for relevant confounders. Read More

Int Ophthalmol 2021 Jan 28. Epub 2021 Jan 28.

Tabriz University of Medical Science, Tabriz, Iran.

Purpose: The purpose of this study was to compare the vitreoretinal surgery outcomes in patients with uncomplicated rhegmatogenous retinal detachment (RRD).

Design: This was a retrospective, nonrandomized consecutive case series study.

Participants: Six hundred and eighty-three eyes with primary uncomplicated RRD between 2013 and 2017 were included in this study. Read More

Int J Retina Vitreous 2021 Jan 25;7(1). Epub 2021 Jan 25.

Retina Division, Stein Eye Institute, University of California Los Angeles, 100 Stein Plaza, Los Angeles, CA, 90095-7002, USA.

Purpose: To investigate risk factors, imaging characteristics, and treatment responses of cystoid macular edema (CME) after rhegmatogenous retinal detachment (RRD) repair.

Methods: Consecutive, retrospective case-control series of patients who underwent pars plana vitrectomy (PPV) and/or scleral buckling (SB) for RRD, with at least six months of follow-up. Clinical and surgical parameters of patients with and without CME (nCME), based on spectral-domain optical coherence tomography (OCT), were compared. Read More

J Ophthalmol 2020 17;2020:6637143. Epub 2020 Dec 17.

Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba, Japan.

Purpose: To investigate the outcomes of pars plana vitrectomy (PPV) combined with scleral buckling (SB) in treating eyes with an early recurrent rhegmatogenous retinal detachment (rRRD).

Methods: This was a retrospective, interventional case series of 21 eyes with an early rRRD treated by PPV combined with SB. The significance of the associations between the variants before the surgeries and the final best-corrected visual acuity (BCVA) was determined. Read More

BMC Ophthalmol 2021 Jan 19;21(1):49. Epub 2021 Jan 19.

Eye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, No. 88 Jiefang Rd, Hangzhou, 310009, China.

Background: Tears in Schwartz-Matsuo syndrome are generally confirmed by preoperative ophthalmoscopic examination. A case of Schwartz-Matsuo syndrome with a tear detected by ultrasound biomicroscopy (UBM) and treated by UBM-guided scleral buckling was reported, and its mechanism was analysed.

Case Presentation: A 40-year-old Chinese man presented with blurry vision and intermittent eye pain in his left eye for three days. Read More

Indian J Ophthalmol 2021 Feb;69(2):318-319

Smt Kanuri Santhamma Center for Vitreoretinal Diseases, L V Prasad Eye Institute, Hyderabad, India.

Indian J Ophthalmol 2021 Feb;69(2):314-318

Retina-Vitreous Service, L V Prasad Eye Institute, Patia, Bhubaneswar 751024, Odisha, India.

Purpose: The purpose of this study is to study single surgery reattachment rate, refractive shift, surgical time, cost, and complications of pneumoretinopexy (PR) compared to scleral buckling (SB) in rhegmatogenous retinal detachments (RRDs) with superior breaks.

Methods: Data of RRD with superior breaks, from 2013 through 2016, treated either with PR or SB surgery at a tertiary eye-care center were retrospectively reviewed. Treatment outcomes, procedural costs, refractive shift, surgical time, and complications, namely, cataract and glaucoma, were analyzed. Read More

Can J Ophthalmol 2021 Apr 26;56(2):88-95. Epub 2020 Dec 26.

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada; John and Liz Tory Eye Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Electronic address:

Objective: To describe the impact of the coronavirus disease 2019 (COVID-19) pandemic on the characteristics of retinal detachments (RD) at a tertiary centre.

Design: Retrospective consecutive case series.

Participants: One hundred and ninety eyes of 188 patients with primary, rhegmatogenous RD. Read More

Risk Manag Healthc Policy 2020 30;13:3165-3171. Epub 2020 Dec 30.

Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.

Objective: To identify potential risk factors for recurrent retinal detachment after surgical treatment for rhegmatogenous retinal detachment with choroidal detachment (RRD-CD) in a Chinese population.

Methods: A total of 1212 patients with RRD-CD admitted to Beijing Tongren Hospital from 2004 to 2018 were reviewed retrospectively. The rate of recurrent retinal detachment was calculated, and risk factors were analyzed by logistic regression analysis. Read More

Cureus 2020 Nov 19;12(11):e11579. Epub 2020 Nov 19.

Biostatistics, LV Prasad Eye Institute, Hyderabad, IND.

Purpose The aim of the article is to compare scleral buckle (SB) and primary sutureless pars plana vitrectomy (PPV) without SB in rhegmatogenous retinal detachment (RRD) repair. Methods A retrospective study of rhegmatogenous RD surgeries performed between eyes with proliferative vitreoretinopathy (PVR) up to grade B and a minimum of two months postoperative follow-up were included. The primary outcome measure was an improvement in the final best-corrected visual acuity (BCVA) and secondary outcome measures were a final anatomical success, number of resurgeries, and cataract progression. Read More

Surv Ophthalmol 2020 Dec 24. Epub 2020 Dec 24.

Department of Ophthalmology, University Hospitals and School of Medicine, Geneva, Switzerland.

Pneumatic retinopexy (PR) has been widely advocated for treatment of selected rhegmatogenous retinal detachments: those with small, anterior, superior, retinal breaks and little or no proliferative vitreoretinopathy. It has been suggested that PR is underused and is advantageous because it is an outpatient clinic or office procedure, short in duration, nonincisional, and cost saving - with reduced perioperative morbidity, faster postoperative recovery, better and faster visual recovery, a low rate of complications and a high rate of overall success compared with scleral buckling or pars plana vitrectomy. We reevaluated these advantages to substantiate the effectiveness and efficiency of PR and critically define its role in the treatment of rhegmatogenous retinal detachment. Read More

Can J Ophthalmol 2020 Dec 24. Epub 2020 Dec 24.

Vitreoretinal Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Pondicherry, India.

Objective: To analyze the outcomes of trauma-related rhegmatogenous retinal detachment (RD) in pediatric population.

Design: Retrospective observational series.

Participants: All patients under 18 years of age who underwent surgery for RD following trauma from 2010 to 2018. Read More

Ophthalmology 2021 01;128(1):151

Ophthalmology Department, Aix-Marseille University, Hopital Nord, Chemin des Bourrely, Marseille, France.