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Retinal Detachment Model in Rodents by Subretinal Injection of Sodium Hyaluronate
Published on: September 11, 2013
[Late recurrent retinal detachment after scleral buckling]
L El Matri1, F Mghaieth, R Baccouri
1Service d'Ophtalmologie B, Institut Hédi Rais d'Ophtalmologie, Tunis, Tunisie. leila.elmatri@rns.tn
Journal Francais D'Ophtalmologie
|November 23, 2006
Summary
Late recurrent retinal detachment is rare after episcleral surgery. Vitreous base traction is a key factor, and most patients achieve good outcomes with appropriate treatment.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Vitreoretinal Interface
Context:
- Late recurrent retinal detachment (LRRD) is an uncommon complication following initial retinal repair.
- Episcleral surgery is a common method for retinal detachment repair, but recurrence can occur years later.
Purpose:
- To investigate the physiopathologic mechanisms, treatment strategies, and prognosis of late recurrent retinal detachment.
- To analyze the incidence and causes of LRRD after episcleral surgery.
Summary:
- A retrospective study of 10 patients with LRRD after episcleral surgery over 15 years found an incidence of 0.39%.
- Common causes included new retinal breaks and reopening of old breaks, often associated with proliferative vitreoretinopathy (PVR).
- Most patients (9/10) achieved successful reattachment with reoperation, including scleral buckle or vitreoretinal surgery, with good prognosis.
Impact:
- Highlights vitreous base traction as a significant factor in LRRD, with PVR playing a secondary role.
- Informs surgical decision-making, indicating that vitreoretinal surgery may be necessary for complex cases.
- Suggests that timely and appropriate intervention leads to favorable outcomes in most LRRD cases.
