Skip to main content

Advertisement

Log in

Retinal displacement following pars plana vitrectomy with silicone oil tamponade for rhegmatogenous retinal detachment

  • Original Paper
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the frequency of retinal displacement after pars plana vitrectomy (PPV) using silicone oil tamponade in patients with rhegmatogenous retinal detachment (RRD).

Methods

Patients with fresh RRD were enrolled in this prospective interventional case series. A standard 3-port PPV with silicone oil tamponade was performed in all cases. A complete ocular examination, optical coherence tomography and fundus autofluorescence (FAF) imaging were performed at 1 and 3 months follow-up. Orthoptic examinations including synoptophore and light on–off tests were also performed at 3 months.

Results

Twenty-three eyes from 23 patients with mean age of 56.6 ± 11 (range: 38–82) years were included. All patients were pseudophakic. Downward retinal displacement was found in 2 eyes (8.7%) showing hyperautofluorescent lines parallel to retinal vessels in FAF image. The patients with retinal displacement did not complain of metamorphopsia and did not show abnormality in orthoptic tests.

Conclusion

Unintentional retinal shift following PPV with silicone oil tamponade for RRD is uncommon and might have little clinical significance.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Data availability

Data are available to share if needed.

References

  1. McLaughlin MD, Hwang JC (2017) Trends in vitreoretinal procedures for medicare beneficiaries, 2000 to 2014. Ophthalmology 124:667–673

    Article  Google Scholar 

  2. Soni C, Hainsworth D, Almony A (2013) undefined Surgical management of rhegmatogenous retinal detachment: a meta-analysis of randomized controlled trials. Ophthalmology 120:1440–1447

    Article  Google Scholar 

  3. Shiragami C, Shiraga F, Yamaji H et al (2010) Unintentional displacement of the retina after standard vitrectomy for rhegmatogenous retinal detachment. Ophthalmology 117:86–92

    Article  Google Scholar 

  4. Shiragami C, Fukuda K, Yamaji H et al (2015) A method to decrease the frequency of unintentional slippage after vitrectomy for rhegmatogenous retinal detachment. Retina 35:758–763

    Article  Google Scholar 

  5. Pandya VB, Ho I-V, Hunyor AP (2012) Does unintentional macular translocation after retinal detachment repair influence visual 0outcome? Clin Exp Ophthalmol 40:88–92

    Article  Google Scholar 

  6. Codenotti M, Fogliato G, Iuliano L et al (2013) Influence of intraocular tamponade on unintentional retinal displacement after vitrectomy for rhegmatogenous retinal detachment. Retina 33:349–355

    Article  CAS  Google Scholar 

  7. Lee E, Williamson T, Hysi P et al (2013) Macular displacement following rhegmatogenous retinal detachment repair. Ophthalmology 97:1297–1302

    Google Scholar 

  8. Avery R, Fekrat S, Hawkins B et al (1996) Natural history of subfoveal subretinal hemorrhage in agerelated macular degeneration. Retina (Philadelphia, Pa) 16:183–189

    Article  CAS  Google Scholar 

  9. Guyton DL (2019) The “lights on-off test” in the diagnosis of the dragged-fovea diplopia syndrome. JAMA Ophthalmol 137:298–299

    Article  Google Scholar 

  10. Dell’Omo R, Semeraro F, Guerra G, et al (2013) Short-time prone posturing is well-tolerated and reduces the rate of unintentional retinal displacement in elderly patients operated on for retinal detachment. BMC Surg 13.

  11. Guber J, Schawkat M, Lang C et al (2019) How to prevent retinal shift after rhegmatogenous retinal detachment repair: a prospective, randomized study. Ophthalmol Retina 3:417–421

    Article  Google Scholar 

  12. Schawkat M, Valmaggia C, Lang C et al (2019) Influence of postoperative posture on macular slippage after macula-off retinal detachment: a randomized controlled trial. Ophthalmol Ther 8:519–525

    Article  Google Scholar 

  13. Joussen AM, Wong D (2008) The concept of heavy tamponades—chances and limitations. Graefe’s Arch Clin Exp Ophthalmol 246:1217–1224

    Article  Google Scholar 

  14. Guber J, Schawkat M, Scholl HPN et al (2020) Long-term outcome of macular shift after retinal detachment repair. Graefe’s Arch Clin Exp Ophthalmol. https://doi.org/10.1007/s00417-020-05019-6

    Article  Google Scholar 

  15. Brosh K, Francisconi C, Qian J et al (2020) Retinal Displacement Following Pneumatic Retinopexy vs Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment. JAMA Ophthalmol 138:652–659

    Article  Google Scholar 

  16. Dell’Omo R, Mura M, Oberstein S et al (2012) Early simultaneous fundus autofluorescence and optical coherence tomography features after pars plana vitrectomy for primary rhegmatogenous retinal detachment. Retina 32:719–728

    Article  Google Scholar 

  17. Bhambra N, Marafon S, Francisconi C et al (2020) Foveal avascular zone analysis in eyes following retinal detachment repair: a comparison between eyes with retinal displacement vs without displacement. IOVS 617:4822–4822

    Google Scholar 

Download references

Funding

This study is partially supported by funding from Tehran University of Medical Sciences.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amin Nabavi.

Ethics declarations

Conflicts of interest

No conflict of interest.

Ethical approval

This protocol of this study was approved by ethical committee of Tehran University of Medical Sciences.

Consent to participate

All patients provided written informed consent to participate the study.

Consent for publication

Written informed consent for publication of clinical details and clinical images was obtained from the participants.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bazvand, F., Azarkish, A., Riazi-Esfahani, H. et al. Retinal displacement following pars plana vitrectomy with silicone oil tamponade for rhegmatogenous retinal detachment. Int Ophthalmol 41, 3007–3011 (2021). https://doi.org/10.1007/s10792-021-01861-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-021-01861-7

Keywords

Navigation