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Retinal Detachment

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Albert and Jakobiec's Principles and Practice of Ophthalmology
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Abstract

Rhegmatogenous retinal detachment occurs as a result of a retinal break induced by vitreoretinal traction, with subsequent accumulation of subretinal fluid and resulting functional vision loss. This chapter describes the pathogenesis of rhegmatogenous retinal detachment and fundamental principles of surgical repair. Current surgical techniques are covered in detail, including pneumatic retinopexy, scleral buckling, vitrectomy, and combined scleral buckling with vitrectomy. Pearls and pitfalls of these various techniques are also discussed.

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References

  1. Gonin J. The treatment of detached retina by sealing the retinal tears. Arch Ophthalmol. 1930;4:621.

    Article  Google Scholar 

  2. Kingston ZS, Provis JM, Madigan MC. II.A. Development and developmental disorders of vitreous. In: Sebag J, editor. Vitreous. New York: Springer; 2014.

    Google Scholar 

  3. Tozer K, Johnson MW, Sebag J. II.C. Vitreous aging and posterior vitreous detachment. In: Sebag J, editor. Vitreous. New York: Springer; 2014.

    Google Scholar 

  4. Mitry D, Charteris DG, Fleck BW, Campbell H, Singh J. The epidemiology of rhegmatogenous retinal detachment: geographical variation and clinical associations. Br J Ophthalmol. 2010;94(6):678–84.

    Article  CAS  Google Scholar 

  5. Snead MP, Richards AJ. I.C. Hereditary Vitreo-retinopathies. In: Sebag J, editor. Vitreous. New York: Springer; 2014.

    Google Scholar 

  6. Ghazi NG, Green WR. Pathology and pathogenesis of retinal detachment. Eye. 2002;16:411e21.

    Article  Google Scholar 

  7. Ai E, Gardner TW. Current patterns of intraocular gas use in North America. Arch Ophthalmol. 1993;111:331–2.

    Article  CAS  Google Scholar 

  8. Abrams GW, Edelhauser HF, Aaberg TM, et al. Dynamics of intravitreal sulfur hexafluoride gas. Investig Ophthalmol. 1974;13:863–8.

    CAS  Google Scholar 

  9. Williamson TH, Guillemaut J-Y, Hall SK, Hutter JC, Goddard T. Theoretical gas concentrations achieving 100% fill of the vitreous cavity in the postoperative period: a gas eye model study. Retina. 2018;38:S60–4.

    Article  Google Scholar 

  10. Lincoff H, Weinberger D, Reppucci V, Lincoff A. Air travel with intraocular gas. I. The mechanisms for compensation. Arch Ophthalmol. 1989;107:902–6.

    Article  CAS  Google Scholar 

  11. Barca F, Caporossi T, Rizzo S. Silicone oil: different physical properties and clinical applications. Biomed Res Int. 2014;2014:502143.

    Article  Google Scholar 

  12. Valone J Jr, McCarthy M. Emulsified anterior chamber silicone oil and glaucoma. Ophthalmology. 1994;101:1908–12.

    Article  Google Scholar 

  13. Hilton GF, Grizzard WS. Pneumatic retinopexy: a two-step outpatient operation without conjunctival incision. Ophthalmology. 1986;93:626e641.

    Article  Google Scholar 

  14. Hillier RJ, et al. The pneumatic retinopexy versus vitrectomy for the management of primary rhegmatogenous retinal detachment outcomes randomized trial (PIVOT). Ophthalmology. 2019;126:531–9.

    Article  Google Scholar 

  15. Schwartz SG, Kuhl DP, McPherson AR, Holz ER, Mieler WF. Twenty-year follow-up for scleral buckling. Arch Ophthalmol. 2002;120(3):325–9.

    Article  Google Scholar 

  16. Gonin J. La pathogenie du decollement spontane de la retine [in French]. Ann Ocul (Paris). 1904;132:30.

    Google Scholar 

  17. Schepens CL, Okamura LD, Brockhurst LJ. The scleral buckling procedures, I: surgical techniques and management. Arch Ophthalmol. 1957;58(6):811.

    Article  Google Scholar 

  18. Fetkenhour CL, Hauch TL. Scleral buckling without thermal adhesion. Am J Ophthalmol. 1980;89:662–6.

    Article  CAS  Google Scholar 

  19. Skondra D, Westerfeld C, Vavvas DG. Modified controlled encircling scleral buckle for retinal detachment. J Vitreoretin Dis. 2017;I(5):315–6.

    Google Scholar 

  20. Hamilton AM, Taylor W. Controlled encircling procedure for retinal detachment. Br J Ophthalmol. 1972;56:695.

    Article  CAS  Google Scholar 

  21. Kataria A, Thompson JT. Cataract formation and progression in patients less than 50 years following pars plana vitrectomy (PPV). Invest Ophthalmol Vis Sci. 2016;57(12):6227.

    Google Scholar 

  22. Reeves MG, Pershing S, Afshar AR. Choice of primary rhegmatogenous retinal detachment repair method in US commercially insured and medicare advantage patients, 2003-2016. Am J Ophthalmol. 2018;196:82–90.

    Article  Google Scholar 

  23. Schneider EW, Geraets RL, Johnson MW. Pars plana vitrectomy without adjuvant procedures for repair of primary rhegmatogenous retinal detachment. Retina. 2012;32(2):213–9.

    Article  Google Scholar 

  24. Lindsell LB, Sisk RA, Miller DM, Foster RE, Petersen MR, Riemann CD, Hutchins RK. Comparison of outcomes: scleral buckling and pars plana vitrectomy versus vitrectomy alone for primary repair of rhegmatogenous retinal detachment. Clin Ophthalmol. 2017;11:47–54.

    Article  Google Scholar 

  25. Adelman RA, Parnes AJ, Michalewska Z, Ducournau D. Clinical variables associated with failure of retinal detachment repair: the European vitreo-retinal society retinal detachment study report number 4. Ophthalmology. 2014;121:1715–9.

    Article  Google Scholar 

  26. Tseng W, Cortez RT, Ramirez G, Stinnett S, Jaffee GJ. Prevalence and risk factors for proliferative vitreoretinopathy in eyes with rhegmatogenous retinal detachment but no previous vitreoretinal surgery. Am J Ophthalmol. 2004;137:1105–15.

    Article  Google Scholar 

  27. Learned D, Nudleman E, Anderson B, Abbey A, Williams GA. Risk factors for proliferative vitreoretinopathy in small gauge vitreoretinal surgery. Invest Ophthalmol Vis Sci. 2016;57(12):1037.

    Google Scholar 

  28. Eliott D, Stryjewski TP, Andreoli MT, Andreoli CM. Smoking is a risk factor for proliferative vitreoretinopathy after traumatic retinal detachment. Retina. 2016;37:1229–35.

    Article  Google Scholar 

  29. Rojas J, et al. Predicting proliferative vitreoretinopathy: temporal and external validation of models based on genetic and clinical variables. Br J Ophthalmol. 2015;99:41–8.

    Article  Google Scholar 

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Correspondence to David N. Zacks .

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Lieu, P., Zacks, D.N. (2021). Retinal Detachment. In: Albert, D., Miller, J., Azar, D., Young, L.H. (eds) Albert and Jakobiec's Principles and Practice of Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-90495-5_96-1

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  • DOI: https://doi.org/10.1007/978-3-319-90495-5_96-1

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  • Print ISBN: 978-3-319-90495-5

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