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Radial Retinotomies with Endodiathermy for Severe Proliferative Vitreoretinopathy: Short-Term Results

Purpose. Retinal redetachment of silicone oil-filled eyes continues to be a frustrating condition that typically requires retinectomy. We proposed radial retinotomy as a potentially less invasive surgery. Here, we preliminarily explored its feasibility, efficacy, and safety. Methods. Totally 9 eyes...

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Autores principales: Jiang, Zhaoxin, Qiu, Suo, Lou, Bingsheng, Lin, Miaoli, Tan, Junlian, Lin, Xiaofeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789026/
https://www.ncbi.nlm.nih.gov/pubmed/27022477
http://dx.doi.org/10.1155/2016/2594574
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author Jiang, Zhaoxin
Qiu, Suo
Lou, Bingsheng
Lin, Miaoli
Tan, Junlian
Lin, Xiaofeng
author_facet Jiang, Zhaoxin
Qiu, Suo
Lou, Bingsheng
Lin, Miaoli
Tan, Junlian
Lin, Xiaofeng
author_sort Jiang, Zhaoxin
collection PubMed
description Purpose. Retinal redetachment of silicone oil-filled eyes continues to be a frustrating condition that typically requires retinectomy. We proposed radial retinotomy as a potentially less invasive surgery. Here, we preliminarily explored its feasibility, efficacy, and safety. Methods. Totally 9 eyes of 9 consecutive patients were included in a prospective noncomparative trial. A series of retinotomies were created by endodiathermy in a radial pattern to relax the foreshortened retina. The eye was refilled with fresh silicone oil. The treated eyes were examined via visual acuity (VA) tests, tonometry, slit-lamp microscopy, and fundus photography during a 6-month observation period. Results. The procedure was completed in an average of 28 minutes from silicone oil removal to fresh silicone oil placement. Fundus photography demonstrated that 7 of the 9 eyes (78%) exhibited retinal reattachment. On average, VA was significantly improved within the first 2 weeks (P = 0.02) and remained stable for the following 6 months. The change in intraocular pressure was not significant (P = 0.76), and no adverse event was observed (0%). Conclusion. Radial retinotomies with endodiathermy were shown to be feasible, effective, and safe in selected cases of inferior contracted retina without vitreous base fibrosis over a 6-month observation period. This trial is registered with NCT02201706.
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spelling pubmed-47890262016-03-28 Radial Retinotomies with Endodiathermy for Severe Proliferative Vitreoretinopathy: Short-Term Results Jiang, Zhaoxin Qiu, Suo Lou, Bingsheng Lin, Miaoli Tan, Junlian Lin, Xiaofeng J Ophthalmol Clinical Study Purpose. Retinal redetachment of silicone oil-filled eyes continues to be a frustrating condition that typically requires retinectomy. We proposed radial retinotomy as a potentially less invasive surgery. Here, we preliminarily explored its feasibility, efficacy, and safety. Methods. Totally 9 eyes of 9 consecutive patients were included in a prospective noncomparative trial. A series of retinotomies were created by endodiathermy in a radial pattern to relax the foreshortened retina. The eye was refilled with fresh silicone oil. The treated eyes were examined via visual acuity (VA) tests, tonometry, slit-lamp microscopy, and fundus photography during a 6-month observation period. Results. The procedure was completed in an average of 28 minutes from silicone oil removal to fresh silicone oil placement. Fundus photography demonstrated that 7 of the 9 eyes (78%) exhibited retinal reattachment. On average, VA was significantly improved within the first 2 weeks (P = 0.02) and remained stable for the following 6 months. The change in intraocular pressure was not significant (P = 0.76), and no adverse event was observed (0%). Conclusion. Radial retinotomies with endodiathermy were shown to be feasible, effective, and safe in selected cases of inferior contracted retina without vitreous base fibrosis over a 6-month observation period. This trial is registered with NCT02201706. Hindawi Publishing Corporation 2016 2016-02-28 /pmc/articles/PMC4789026/ /pubmed/27022477 http://dx.doi.org/10.1155/2016/2594574 Text en Copyright © 2016 Zhaoxin Jiang et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Jiang, Zhaoxin
Qiu, Suo
Lou, Bingsheng
Lin, Miaoli
Tan, Junlian
Lin, Xiaofeng
Radial Retinotomies with Endodiathermy for Severe Proliferative Vitreoretinopathy: Short-Term Results
title Radial Retinotomies with Endodiathermy for Severe Proliferative Vitreoretinopathy: Short-Term Results
title_full Radial Retinotomies with Endodiathermy for Severe Proliferative Vitreoretinopathy: Short-Term Results
title_fullStr Radial Retinotomies with Endodiathermy for Severe Proliferative Vitreoretinopathy: Short-Term Results
title_full_unstemmed Radial Retinotomies with Endodiathermy for Severe Proliferative Vitreoretinopathy: Short-Term Results
title_short Radial Retinotomies with Endodiathermy for Severe Proliferative Vitreoretinopathy: Short-Term Results
title_sort radial retinotomies with endodiathermy for severe proliferative vitreoretinopathy: short-term results
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789026/
https://www.ncbi.nlm.nih.gov/pubmed/27022477
http://dx.doi.org/10.1155/2016/2594574
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