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231224s2013 xx |||||o 00| ||eng c |
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|a 10.3928/23258160-20121221-10
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|a eng
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| 100 |
1 |
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|a Sigler, Eric J
|e verfasserin
|4 aut
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| 245 |
1 |
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|a 25-gauge pars plana vitrectomy with medium-term postoperative perfluoro-n-octane tamponade for inferior retinal detachment
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|c 2013
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| 336 |
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
|b c
|2 rdamedia
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|a ƒa Online-Ressource
|b cr
|2 rdacarrier
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|a Date Completed 08.07.2013
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|a Date Revised 22.10.2015
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|a published: Print
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|a Citation Status MEDLINE
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|a Copyright 2013, SLACK Incorporated.
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|a BACKGROUND AND OBJECTIVE: To describe a series of patients with inferior retinal detachments managed with primary 25-gauge pars plana vitrectomy (PPV), 2 to 3 weeks of postoperative perfluoro-n-octane (MT-PFO) tamponade, and upright positioning followed by secondary PPV and PFO removal
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|a PATIENTS AND METHODS: Interventional case series of 157 patients with inferior retinal detachments with and without proliferative vitreoretinopathy. Eyes were treated with 25-gauge PPV, endophotocoagulation, and MT-PFO tamponade. Patients underwent postoperative upright positioning followed by repeat PPV and PFO removal in a planned, staged procedure
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|a RESULTS: Mean follow-up was 32 ± 4.6 months. Successful reattachment was achieved in 87.5% of 159 eyes. Main initial postoperative complications were persistent intraocular pressure (IOP) elevation in 34% (n = 54), excessive inflammation in 27% (n = 43), and PFO in the anterior chamber in 21% (n = 34). Additional complications occurring after PFO removal included cataract surgery in 16% (n = 22) of initially phakic eyes, redetachment in 13% (n = 21), and need for filtering surgery in 6% (n = 10). Logistic regression analysis revealed macula status (P = .003) and progression to filtering surgery (P = .001) as significant factors predicting visual outcome at 1-year follow-up
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|a CONCLUSION: MT-PFO tamponade and upright head positioning may be efficacious for inferior retinal detachment repair in patients unable to assume face-down postoperative positioning. Anatomic and visual outcomes are similar to previously described reattachment procedures. A characteristic granulomatous inflammatory reaction presents in some patients, but does not appear to leave long-term visual or anatomic sequelae. Persistent IOP elevation and progression to filtering surgery may occur in a small percentage of patients and portends a worse visual outcome
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|a Journal Article
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|a Fluorocarbons
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|a perfluorooctane
|2 NLM
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7 |
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| 700 |
1 |
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|a Randolph, John C
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Calzada, Jorge I
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Charles, Steve
|e verfasserin
|4 aut
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| 773 |
0 |
8 |
|i Enthalten in
|t Ophthalmic surgery, lasers & imaging retina
|d 2013
|g 44(2013), 1 vom: 26. Jan., Seite 34-40
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|x 2325-8179
|7 nnns
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|g volume:44
|g year:2013
|g number:1
|g day:26
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|g pages:34-40
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