Home  About us  Contact
 

Retinal Detachment Surgery (retinal + detachment_surgery)

Distribution by Scientific Domains
Medical Sciences100%

Selected Abstracts

The effect on outcome of peribulbar anaesthesia in conjunction with general anesthesia for vitreoretinal surgery

ANAESTHESIA, Issue 3 2010
A. M. Ghali
Summary The purpose of this study was to evaluate peri-operative outcome after vitreoretinal surgery when peribulbar anaesthesia is combined with general anaesthesia. Sixty adult patients undergoing elective primary retinal detachment surgery with scleral buckling or an encircling procedure received either peribulbar anaesthesia in conjunction with general anaesthesia or general anaesthesia alone. For peribulbar anaesthesia a single percutaneous injection of 5,7 ml of local anaesthetic solution (0.75% ropivacaine with hyaluronidase 15 iu.ml,1) was used. The incidence of intra-operative oculocardiac reflex and surgical bleeding interfering with the surgical field, postoperative pain and analgesia requirements, and postoperative nausea and vomiting were recorded. In the block group there was a lower incidence of oculocardiac reflex and surgical bleeding intra-operatively. Patients in the block group also had better postoperative analgesia and a lower incidence of postoperative nausea and vomiting compared with the group without a block. The use of peribulbar anaesthesia in conjunction with general anesthesia was superior to general anaesthesia alone for vitreoretinal surgery with scleral buckling. [source]

1235: How to prevent postoperative complications?

ACTA OPHTHALMOLOGICA, Issue 2010
C CREUZOT
Purpose Retinal detachment can lead to early and delayed post-operative complications. The purpose of the course is to present the different complications following retinal detachment surgery with their appropriate treatments. Methods The postoperative complications will be divided according to the presentation of the patient (ie inflamed, painful eye or white painless eye) with or without visual loss.Then, IOP measurement and the results from slit lamp and fundus exam will provide us with the main signs useful for diagnosis. Results With a painful red eye, the main severe diagnoses will be the different causes of increased IOP and endophthalmitis. The main cause of increased ocular pressure is related to the internal tamponade used during surgery (gas or silicone). However, the diagnosis of massive passage of silicone in the anterior chamber should be difficult. Hyphema or cataract due to gas should prevent us from a good fundus examination. Conclusion This course will mainly focus on the different early and more delayed complications after retinal detachment surgery and will try to give some rules to decrease this risk. [source]

2265: Safety evaluation of intravitreal use of a beta2-agonist in rabbit eyes

ACTA OPHTHALMOLOGICA, Issue 2010
J VAN CALSTER
Purpose There is no known information on the use and safety of a long-acting beta-agonist, such as Clenbuterol when administered by intravitreal injection. Therefore, it is appropriate to perform this intravitreal injection in an animal model prior to start with a human experiment. The aim is to investigate the safety of an intravitreal injection of the beta2-agonist Clenbuterol in rabbit eyes. This study is in preparation of using of this molecule in human eyes. That trial will be a monocentric, academic (investigator driven) trial to investigate the safety and efficacy of an intravitreal beta2-agonist in patients with persistent subfoveal fluid after retinal detachment surgery. Approval of the ethics committee for the human trial has already been obtained, pending a re-evaluation after the results of the animal study will be known. Methods An intravitreal injection of 0,1 ml solution containing 0.08µg Clenbuterol or 0.1ml NaCl 0.9% was given in 10 eyes of 10 rabbits. The distribution occurred at random and was masked. A masked investigator examined both eyes after 1, 3 and 7 days (biomicroscopy, intraocular pression and ophthalmoscopy). After one week, the rabbits were sacrificed, the eyes enucleated and fixated for histopathological examination and electron microscopy by a masked investigator. Cell death was monitored by a DNase type I/II activity assay. Results There was no clinical or histopathological difference between the clenbuterol and the control group. Conclusion Clenbuterol is not toxic for the retina of rabbit eyes after intravitreal injection. It can be considered for the use in human eyes. Final approval of the ethics committee for the human trial is awaited. [source]

Safety evaluation of intravitreal use of a beta2-agonist in rabbit eyes

ACTA OPHTHALMOLOGICA, Issue 2009
J VAN CALSTER
Purpose There is no known information on the use and safety of a long-acting beta-agonist, such as Clenbuterol when administered by intravitreal injection. Therefore, it is appropriate to perform this intravitreal injection in an animal model prior to start with a human experiment. The aim is to investigate the safety of an intravitreal injection of the beta2-agonist Clenbuterol in rabbit eyes. This study is in preparation of using of this molecule in human eyes. That trial will be a monocentric, academic (investigator driven) trial to investigate the safety and efficacy of an intravitreal beta2-agonist in patients with persistent subfoveal fluid after retinal detachment surgery. Approval of the ethics committee for the human trial has already been obtained, pending a re-evaluation after the results of the animal study will be known. Methods 5 rabbits will receive an injection of 0.1 ml solution containing 0.08µg Clenbuterol in one eye and an injection of 0.1ml NaCl 0.9% in the other eye. Since the volume of an adult rabbit eye is only one third of an adult human eye, the achieved concentration with be three time the concentration suggested for use in a human eye. [source]

Sutureless encircling band , biomechanical calculations and clinical experience

ACTA OPHTHALMOLOGICA, Issue 2009
M MAIER
Purpose In cases with multiple retinal breaks and in combination with vitrectomy in eyes with Proliferative vitreoretinopathy (PVR) for retinal detachment surgery often an encircling band is used. Usually the encircling band is fixed with non absorbable sutures. Methods A fixation method for an encircling band in retinal detachment surgery with one scleral tunnel in every of the 4 quadrants is reported. We describe our experience and biomechanical calculations of this fixation technique. Results In comparison to conventional fixation technique we found the following advantages: No suture is necessary, this means no additional foreign body can produce irritations. The scleral tunnel is safe and the preparation under the microscope can be performed fast and well controlled. Sclera tunnel fixation is very comfortable in combination with a vitrectomy. Conclusion With a short learning curve the operating time is as short as with conventional suture fixation of the encircling band. There is less perforating risc, less irritation and less patient discomfort postoperatively. A sutureless encircling band with sclera tunnel fixation is a very usefull operation technique in clinical routine. [source]

LASIK after retinal detachment surgery

ACTA OPHTHALMOLOGICA, Issue 3 2006
Mohsen Farvardin
Abstract. Purpose:,To compare, in the same individuals, the safety and efficacy of laser in situ keratomileusis (LASIK) in eyes with and without previous retinal detachment surgery. Methods:,In a prospective clinical trial, seven myopic patients who had previously undergone scleral buckling surgery in one eye underwent conventional LASIK surgery in both eyes. Uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), refraction, Orbscan topography and pachymetry were recorded before and 1, 3, 6 and 12 months after surgery. The eyes were divided into two groups: group 1 consisted of eyes that had undergone previous surgery for retinal detachment, and group 2 consisted of the fellow eyes of the same patients, which had not undergone any previous ocular surgery. Student's t -test for match-paired data was used to evaluate the significance of differences. Results:,LASIK was performed successfully in all patients. The UCVA improved in all eyes in both groups. The mean change in the spherical equivalent between 1 and 12 months after LASIK surgery was 1.7 ± 1.1 and 0.6 ± 0.5 diopter in groups 1 and 2, respectively (p = 0.019). Conclusion:,LASIK may be considered for treatment of myopia in eyes that have had previous surgery for retinal detachment. However, the risk of regression may be higher in such eyes than in eyes with no previous scleral buckling surgery. [source]

PaCE: a technique to avoid subretinal fluid drainage in retinal detachment surgery

ACTA OPHTHALMOLOGICA, Issue 1 2006
Manzar Saeed
Abstract. Purpose:,Subretinal fluid (SRF) drainage and thus the potential complications of this procedure during scleral buckling can be avoided by inducing SRF absorption preoperatively. The technique described in this series is named PaCE (Pneumatic Cryo Explant). Methods:,A total of 22 eyes of 22 patients with primary bullous rhegmatogenous retinal detachment (RRD) were included in this prospective non-comparative case trial. All satisfied specific inclusion criteria similar to those used in previous pneumatic retinopexy (PR) studies. Under direct visualization, 0.3 ml C3F8 100% was injected into the vitreous cavity through the pars plana. Postoperative posturing was encouraged. Retinopexy with either cryotherapy or laser was performed, combined with scleral buckling (SB) when the SRF was absorbed. Avoidance of SRF drainage and persistent reattachment of the retina at the end of the 12-month follow-up was considered a successful outcome. A change in vision by one line (logMAR) was considered significant. Results:,Resolution of SRF before retinopexy and the SB procedure was achieved in 20 of 22 eyes (90.9%) and hence SRF drainage was not required. Visual improvement was achieved in 95% of cases. One eye (4.5%) lost vision due to a total RD after gas injection (further surgery was not carried out). Conclusion:,PaCE should be considered in any suitable case of primary RRD where SRF drainage is deemed necessary. The potential complications associated with this procedure are relatively less serious and it does not compromise the viability of subsequent procedures. [source]

Densiron intraocular tamponade: a case series

CLINICAL & EXPERIMENTAL OPHTHALMOLOGY, Issue 3 2008
Beng Liam Lim MBBS(Hons) MPH
Abstract Purpose:, To report on the use of Densiron (heavy silicone oil), a new endotamponade agent with proposed benefits in complex retinal detachments involving inferior proliferative vitreoretinopathy. Method:, Retrospective case note review. Results:, Ten cases (10 eyes) in which Densiron was used in eyes which had failed initial retinal detachment surgery. The overall success rate of long-term total reattachment was 70%. Mean preoperative visual acuity was logMAR 2.03 (SD 0.406), which improved to a mean postoperative visual acuity of logMAR 1.00 (SD 0.571) (P = 0.001). Conclusion:, Densiron was well tolerated with few side-effects and appears to be a useful agent in patients with inferior proliferative vitreoretinopathy. [source]