Abstract
Fluorescein angiographic findings in patients with proliferative vitreoretinopathy treated by victrectomy, silicone oil tamponade and intraocular daunomycin are compared to findings in patients who received the same treatment but no intraocular drug. A difference between drug treated and untreated eyes was not discovered. We observed, however, a delayed arteriovenous passage time, cystoid macular edema, ectopia of the foveolar region and late hyperfluorescence of the optic disk; these findings might partly explain the visual results. Reduction of redetachment and thus prevention of reoperations by treatment with anti-proliferative drugs may decrease the rate of cystoid macular edema and thus improve the functional results of surgical treatment.
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References
Ando F. Intraocular hypertension resulting from pupillary block by silicone oil. Am J Ophthalmol 1985; 99: 87–8.
Bonnet M. Prognosis of cystoid macular edema after retinal detachment repair. Graefe's Arch Clin Exp Ophthalmol 1986; 224: 13–7.
Bonnet M, Bievelez B, Noel A, Bensoussan B, Pignault C. Fluorescein angiography after retinal detachment microsurgery. Graefe's Arch Clin Exp Ophthalmol 1983; 221: 35–40.
Lobes LA, Grand MG. Incidence of cystoid macular edema following scleral buckling procedure. Arch Ophthalmol 1980; 98: 1230–2.
Piccolino FC. Vascular changes in rhegmatogenous retinal detachment. Ophthalmologica Basel 1983; 186: 17–24.
Santana M, Wiedemann P, Kirmani M, Minckler DS. Patterson R, Sorgente N, Ryan SJ. Daunomycin in the treatment of experimental proliferative vitreoretinopathy: Retinal toxicity of intravitreal daunomycin in the rabbit. Graefe's Arch Clin Exp Ophthalmol 1984; 221: 210–3.
Schatz H, Burton TC, Yannuzzi LA, Rabb MF. Interpretation of fundus fluorescein angiography. Saint Louis: The C.V. Mosby Company, 1978; 546–9.
Wiedemann P. Die medikamentöse Behandlung der proliferativen Vitreoretinopathie unter besonderer Berücksichtigung des Zytostatikums Daunomycin. Stuttgart: Enke, 1988.
Wiedemann P, Lemmen K, Schmiedl R, Heimann K. Intraocular daunomycin for the treatment and prophylaxis of traumatic proliferative vitreoretinopathy. Am J Ophthalmol 1987; 104: 10–4.
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spent a sabbatical leave in our Department during 1985.
This paper is supported in part by the Retinovit Foundation and by the Forschungsförderung Nordrhein-Westfalen.
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Wiedemann, P., Evans, P.Y., Wiedemann, R. et al. A fluorescein angiographic study on patients with proliferative vitreoretinopathy treated by vitrectomy and intraocular daunomycin. Int Ophthalmol 13, 211–216 (1989). https://doi.org/10.1007/BF02028213
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DOI: https://doi.org/10.1007/BF02028213