Surgery for retinal detachment in patients with giant retinal tear: Etiologies, management strategies, and outcomes

Marco A. Gonzalez, Harry W Flynn, William E Smiddy, Thomas A Albini, Paul Tenzel

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background and objective: To evaluate etiologies, management, and outcomes for patients with giant retinal tears undergoing initial surgery at a single institution. Patients and methods: Noncomparative, retrospective, consecutive case series at a university referral center including 79 eyes of 77 patients. Results: Blunt trauma constituted 22% of cases. All patients underwent pars plana vitrectomy with gas or silicone oil tamponade. Eighty-five percent (67 eyes) underwent an encircling scleral buckle. Perfluorocarbon liquids were used in 71% (61 eyes). Eighteen percent (14 eyes) underwent reoperation for recurrent retinal detachment. Ninetytwo percent (73 eyes) achieved anatomic success with one or more surgical procedures. Visual acuity at last follow-up was at least 20/400 in 84.9% of patients (28 of 33) with 3 clock hours compared to 65.2% (30 of 46) with tears greater than 3 clock hours. Conclusion: Patients with giant retinal tear undergoing surgery achieved high rates of anatomic success, but re-operations were frequent. Better visual outcomes were associated with smaller circumferential dimensions in the giant retinal tears.

Original languageEnglish
Pages (from-to)232-237
Number of pages6
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume44
Issue number3
DOIs
StatePublished - May 1 2013

Fingerprint

Retinal Perforations
Retinal Detachment
Silicone Oils
Fluorocarbons
Temazepam
Vitrectomy
Tears
Reoperation
Visual Acuity
Referral and Consultation
Gases
Wounds and Injuries

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery
  • Medicine(all)

Cite this

@article{f005990985e347478bb5b826b6e95524,
title = "Surgery for retinal detachment in patients with giant retinal tear: Etiologies, management strategies, and outcomes",
abstract = "Background and objective: To evaluate etiologies, management, and outcomes for patients with giant retinal tears undergoing initial surgery at a single institution. Patients and methods: Noncomparative, retrospective, consecutive case series at a university referral center including 79 eyes of 77 patients. Results: Blunt trauma constituted 22{\%} of cases. All patients underwent pars plana vitrectomy with gas or silicone oil tamponade. Eighty-five percent (67 eyes) underwent an encircling scleral buckle. Perfluorocarbon liquids were used in 71{\%} (61 eyes). Eighteen percent (14 eyes) underwent reoperation for recurrent retinal detachment. Ninetytwo percent (73 eyes) achieved anatomic success with one or more surgical procedures. Visual acuity at last follow-up was at least 20/400 in 84.9{\%} of patients (28 of 33) with 3 clock hours compared to 65.2{\%} (30 of 46) with tears greater than 3 clock hours. Conclusion: Patients with giant retinal tear undergoing surgery achieved high rates of anatomic success, but re-operations were frequent. Better visual outcomes were associated with smaller circumferential dimensions in the giant retinal tears.",
author = "Gonzalez, {Marco A.} and Flynn, {Harry W} and Smiddy, {William E} and Albini, {Thomas A} and Paul Tenzel",
year = "2013",
month = "5",
day = "1",
doi = "10.3928/23258160-20130503-04",
language = "English",
volume = "44",
pages = "232--237",
journal = "Ophthalmic Surgery Lasers and Imaging Retina",
issn = "2325-8160",
publisher = "Slack Incorporated",
number = "3",

}

TY - JOUR

T1 - Surgery for retinal detachment in patients with giant retinal tear

T2 - Etiologies, management strategies, and outcomes

AU - Gonzalez, Marco A.

AU - Flynn, Harry W

AU - Smiddy, William E

AU - Albini, Thomas A

AU - Tenzel, Paul

PY - 2013/5/1

Y1 - 2013/5/1

N2 - Background and objective: To evaluate etiologies, management, and outcomes for patients with giant retinal tears undergoing initial surgery at a single institution. Patients and methods: Noncomparative, retrospective, consecutive case series at a university referral center including 79 eyes of 77 patients. Results: Blunt trauma constituted 22% of cases. All patients underwent pars plana vitrectomy with gas or silicone oil tamponade. Eighty-five percent (67 eyes) underwent an encircling scleral buckle. Perfluorocarbon liquids were used in 71% (61 eyes). Eighteen percent (14 eyes) underwent reoperation for recurrent retinal detachment. Ninetytwo percent (73 eyes) achieved anatomic success with one or more surgical procedures. Visual acuity at last follow-up was at least 20/400 in 84.9% of patients (28 of 33) with 3 clock hours compared to 65.2% (30 of 46) with tears greater than 3 clock hours. Conclusion: Patients with giant retinal tear undergoing surgery achieved high rates of anatomic success, but re-operations were frequent. Better visual outcomes were associated with smaller circumferential dimensions in the giant retinal tears.

AB - Background and objective: To evaluate etiologies, management, and outcomes for patients with giant retinal tears undergoing initial surgery at a single institution. Patients and methods: Noncomparative, retrospective, consecutive case series at a university referral center including 79 eyes of 77 patients. Results: Blunt trauma constituted 22% of cases. All patients underwent pars plana vitrectomy with gas or silicone oil tamponade. Eighty-five percent (67 eyes) underwent an encircling scleral buckle. Perfluorocarbon liquids were used in 71% (61 eyes). Eighteen percent (14 eyes) underwent reoperation for recurrent retinal detachment. Ninetytwo percent (73 eyes) achieved anatomic success with one or more surgical procedures. Visual acuity at last follow-up was at least 20/400 in 84.9% of patients (28 of 33) with 3 clock hours compared to 65.2% (30 of 46) with tears greater than 3 clock hours. Conclusion: Patients with giant retinal tear undergoing surgery achieved high rates of anatomic success, but re-operations were frequent. Better visual outcomes were associated with smaller circumferential dimensions in the giant retinal tears.

UR - http://www.scopus.com/inward/record.url?scp=84878147895&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84878147895&partnerID=8YFLogxK

U2 - 10.3928/23258160-20130503-04

DO - 10.3928/23258160-20130503-04

M3 - Article

C2 - 23676223

AN - SCOPUS:84878147895

VL - 44

SP - 232

EP - 237

JO - Ophthalmic Surgery Lasers and Imaging Retina

JF - Ophthalmic Surgery Lasers and Imaging Retina

SN - 2325-8160

IS - 3

ER -