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Evolving Surgical Management of Rhegmatogenous Retinal Detachments

  • Ankoor R. Shah
  • Ashkan M. Abbey
  • George A. Williams
Ophthalmologic Surgery (K. Drenser, Section Editor)
Part of the following topical collections:
  1. Ophthalmologic Surgery

Abstract

Recognition of vitreoretinal traction and retinal breaks in the pathogenesis of rhegmatogenous retinal detachment (RRD) by Gonin in 1919 ushered in the era of surgical treatment. Since then multiple treatment strategies including scleral buckling (SB), pars plana vitrectomy (PPV), and pneumatic retinopexy have evolved. While all are effective treatments, much attention has shifted to determining the best treatment for a patient based on factors such as lens status and presence of complicating factors such as choroidal detachments, proliferative vitreoretinopathy, multiple tears, significant hypotony, or presence of giant retinal tears. Thus far the available data suggest that for uncomplicated phakic detachments both PPV and SB are reliable options, though due to cataract formation SB may be favorable in these patients. For pseudophakic RRDs, the data seem to suggest PPV has a higher single operation success rate than SB. Moreover in complicated RRDs, PPV has a more favorable outcome.

Keywords

Retinal detachment Vitrectomy Scleral buckle Pneumatic retinopexy 

Notes

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science + Business Media New York 2015

Authors and Affiliations

  • Ankoor R. Shah
    • 1
  • Ashkan M. Abbey
    • 1
  • George A. Williams
    • 1
    • 2
  1. 1.Associated Retinal ConsultantsRoyal OakUSA
  2. 2.Department of Ophthalmology, Oakland University William Beaumont School of MedicineBeaumont Eye InstituteRoyal OakUSA

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