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Results of different strategies to manage complicated retinal re-detachment

  • Retinal Disorders
  • Published:
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Abstract

Purpose

Complicated retinal re-detachment with inferior proliferative vitreoretinopathy (PVR) remains a challenge. This study’s aim was to compare vitrectomy with conventional silicon oil (CSO) combined with an encircling band (EB) and vitrectomy with heavy silicon oil (HSO) alone to treat retinal re-detachment through inferior PVR, where standard procedures have already failed.

Methods

A retrospective analysis was done on patients with inferior complex re-detachment with secondary PVR after primary surgery, who received pars plana vitrectomy (PPV) with CSO combined with EB (group 1) or PPV alone with HSO (group 2) between December 2006 and August 2017. The primary endpoint was retinal reattachment, and the secondary endpoint was visual acuity (VA) change and complications in both groups.

Results

This study included 119 eyes. Total single surgery anatomical success (SSAS) was 64%, with 80% (52/65) achieved in group 1 and 44.5% (24/54) in group 2 (p < 0.0001). The total final anatomical success (FAS) rate was 79% (94/119). In group 1, FAS was 91% (59/65) compared with 65% (35/54) in group 2 (p = 0.003). The pretreatment VA of group 1 had a median of 1.4 logMAR (95% CI 0.3–1.8), and group 2 showed a median of 1.4 logMAR (95% CI 0.2–1.8). The post-treatment decrease in group 1 was a median equal to − 0.6 versus − 0.1 for group 2 (p = 0.0001). Serious complications were similar in both groups.

Conclusion

For complicated retinal re-detachment through inferior PVR, the combination of PPV with EB may lead to better anatomical (SSAS, FAS) and functional success compared with PPV alone with HSO.

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Availability of data

The datasets analyzed during the current study are available from the corresponding author on reasonable request.

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Authors and Affiliations

  1. Centre for Ophthalmology, University Eye Hospital, Eberhard-Karls University of Tuebingen, Elfriede-Aulhorn-Str 7, 72076, Tübingen, Germany

    Spyridon Dimopoulos, Bogomil Voykov, Karl Ulrich Bartz-Schmidt, Focke Ziemssen & Martin Alexander Leitritz

  2. Schwarzwaldaugenklinik, Schramberg, Germany

    Antony William

  3. Section for Experimental Ophthalmic Surgery and Refractive Surgery, Centre for Ophthalmology, University Eye Hospital, Tuebingen, Germany

    Martin Alexander Leitritz

Authors
  1. Spyridon Dimopoulos
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  2. Antony William
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  3. Bogomil Voykov
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  4. Karl Ulrich Bartz-Schmidt
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  5. Focke Ziemssen
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  6. Martin Alexander Leitritz
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Contributions

All authors contributed to the study conception and design. Measurements and data collection were performed by Dimopoulos, Bartz-Schmidt, and Ziemssen. Data analysis was performed by Dimopoulos Williams and Voykov. The first draft of the manuscript was written Dimopoulos, Ziemssen, and Leitritz. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Spyridon Dimopoulos.

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The authors declare that they have no conflict of interest

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Approval was obtained from the local ethics committee (University Hospital Tübingen, Project Number (122/2020BO2).

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Not applicable due to the retrospective and anonymous character of our database analysis.

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Dimopoulos, S., William, A., Voykov, B. et al. Results of different strategies to manage complicated retinal re-detachment. Graefes Arch Clin Exp Ophthalmol 259, 335–341 (2021). https://doi.org/10.1007/s00417-020-04923-1

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  • DOI: https://doi.org/10.1007/s00417-020-04923-1

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