MINIMAL GAS VITRECTOMY TECHNIQUE FOR REDUCING RISK OF RETINAL DISPLACEMENT FOLLOWING RHEGMATOGENOUS RETINAL DETACHMENT REPAIR.
Journal
Retinal cases & brief reports
ISSN: 1937-1578
Titre abrégé: Retin Cases Brief Rep
Pays: United States
ID NLM: 101298744
Informations de publication
Date de publication:
01 Nov 2022
01 Nov 2022
Historique:
pubmed:
13
11
2020
medline:
29
10
2022
entrez:
12
11
2020
Statut:
ppublish
Résumé
To present a novel technique, minimal gas vitrectomy, as a means of potentially minimizing retinal displacement compared with standard vitrectomy for select cases. A patient with a macula off retinal detachment and break at 12 o'clock underwent a 23-gauge pars plana vitrectomy, endodiathermy of the superior break in detached retina and endolaser of the inferior break in attached retina, without air-fluid exchange. Suturing of sclerotomies, anterior chamber paracentesis of 0.3 mL followed by intravitreal injection of 0.6 mL pure SF 6 was then performed. Positioning was face down for 6 hours and then steamroll up with laser retinopexy to the superior break the following day. Postoperative fundus autofluorescence imaging demonstrated no retinal displacement. The minimal gas vitrectomy technique has the potential to minimize retinal displacement by using a smaller gas tamponade compared to standard vitrectomy in certain cases with specific postoperative positioning instructions.
Identifiants
pubmed: 33181800
pii: 01271216-202211000-00005
doi: 10.1097/ICB.0000000000001076
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
681-684Références
Mowatt L, Tarin S, Nair RG, et al. Correlation of visual recovery with macular height in macula-off retinal detachments. Eye 2010;24:323–327.
Shiragami C, Shiraga F, Yamaji H, et al. Unintentional displacement of the retina after standard vitrectomy for rhegmatogenous retinal detachment. Ophthalmology 2010;117:86–92.e1.
Dell'Omo R, Scupola A, Viggiano D, et al. Incidence and factors influencing retinal displacement in eyes treated for rhegmatogenous retinal detachment with vitrectomy and gas or silicone oil. Invest Ophthalmol Vis Sci 2017;58:BIO191–BIO199.
Dell'Omo R, Mura M, Oberstein L, et al. Early simultaneous fundus autofluorescence and optical coherence tomography features after pars plana vitrectomy for primary rhegmatogenous retinal detachment. Retina 2012;32:719–728.
Brosh K, Francisconi CL, Qian J, et al. Retinal displacement following pneumatic retinopexy vs pars plana vitrectomy for rhegmatogenous retinal detachment. JAMA Ophthalmol 2020;138:652–659.
Shiragami C, Fukuda K, Yamaji H, et al. A method to decrease the frequency of unintentional slippage after vitrectomy for rhegmatogenous retinal detachment. Retina 2015;35:758–763.
Hillier RJ, Felfeli T, Berger AR, et al. The pneumatic retinopexy versus vitrectomy for the management of primary rhegmatogenous retinal detachment outcomes randomized trial (PIVOT). Ophthalmology 2019;126:531–539.
Berger JW, Brucker AJ. The magnitude of the bubble buoyant pressure: implications for macular hole surgery. Retina 1998;18:84–86.
Fajgenbaum M, Antonakis S, Williamson T, Laidlaw DA. Rate of post operative autofluorescent macular shift with expanding gas bubble tamponade and no prone posture ambulatory care in patients with macular involved retinal detachment. Ophthalmologica 2020;126:531–539.
Marafon SB, Juncal VR, Muni RH. Retinal shift with perfluorocarbon liquid without air-fluid exchange. Ophthalmology 2020;127:598.