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Evaluation of the treatment results in patients with rhegmatogenous retinal detachment treated by pars plana vitrectomy with air: Preliminary results

PURPOSE: The aim of this study was to evaluate the effectiveness of treatment and the restoration of the anatomic conditions (retinal reattachment) in rhegmatogenous retinal detachment treated by pars plana vitrectomy (PPV) using air as endotamponade. METHODS: Twelve patients (12 eyes) with rhegmato...

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Autores principales: Michalska-Małecka, Katarzyna, Sierocka-Stępień, Justyna, Michalik-Jakubek, Aneta, Witek, Katarzyna, Nowomiejska, Katarzyna, Jünemann, Anselm, Rejdak, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392625/
https://www.ncbi.nlm.nih.gov/pubmed/29851816
http://dx.doi.org/10.1097/MD.0000000000010902
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author Michalska-Małecka, Katarzyna
Sierocka-Stępień, Justyna
Michalik-Jakubek, Aneta
Witek, Katarzyna
Nowomiejska, Katarzyna
Jünemann, Anselm
Rejdak, Robert
author_facet Michalska-Małecka, Katarzyna
Sierocka-Stępień, Justyna
Michalik-Jakubek, Aneta
Witek, Katarzyna
Nowomiejska, Katarzyna
Jünemann, Anselm
Rejdak, Robert
author_sort Michalska-Małecka, Katarzyna
collection PubMed
description PURPOSE: The aim of this study was to evaluate the effectiveness of treatment and the restoration of the anatomic conditions (retinal reattachment) in rhegmatogenous retinal detachment treated by pars plana vitrectomy (PPV) using air as endotamponade. METHODS: Twelve patients (12 eyes) with rhegmatogenous retinal detachment were included in the study. These were eyes with retinal detachment both with and without macular involvement. During the PPV surgery, the peripheral and central part of the vitreous body was excised to eliminate the formation of vitreoretinal traction after surgery, laser therapy was performed peripherally and in retinal openings, and the eyeball was filled with filtered air. Local conditions were evaluated at 1, 7, 14, 30, 90, and 180 days after the procedure. RESULTS: The result of the patients’ examination on the 30(th) day after surgery showed that 100% of cases achieved retinal reattachment and improved vision (best corrected visual acuity). In the long-term assessment, the final visual acuity was better in 11 patients (91.7%) compared to the initial results. On average, 7 days after the surgery, air in the eyeball occupied about one-fifth of the vitreous chamber and was completely absorbed about 10 to 14 days after surgery. CONCLUSIONS: In the above-mentioned study, very good results of treatment of open-rooted retinal detachment were achieved. The air was quickly absorbed and visual acuity improved. Owing to the relatively fast absorption time, this method could be used successfully in high altitude patients and people often travelling by airplane.
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spelling pubmed-63926252019-03-15 Evaluation of the treatment results in patients with rhegmatogenous retinal detachment treated by pars plana vitrectomy with air: Preliminary results Michalska-Małecka, Katarzyna Sierocka-Stępień, Justyna Michalik-Jakubek, Aneta Witek, Katarzyna Nowomiejska, Katarzyna Jünemann, Anselm Rejdak, Robert Medicine (Baltimore) Research Article PURPOSE: The aim of this study was to evaluate the effectiveness of treatment and the restoration of the anatomic conditions (retinal reattachment) in rhegmatogenous retinal detachment treated by pars plana vitrectomy (PPV) using air as endotamponade. METHODS: Twelve patients (12 eyes) with rhegmatogenous retinal detachment were included in the study. These were eyes with retinal detachment both with and without macular involvement. During the PPV surgery, the peripheral and central part of the vitreous body was excised to eliminate the formation of vitreoretinal traction after surgery, laser therapy was performed peripherally and in retinal openings, and the eyeball was filled with filtered air. Local conditions were evaluated at 1, 7, 14, 30, 90, and 180 days after the procedure. RESULTS: The result of the patients’ examination on the 30(th) day after surgery showed that 100% of cases achieved retinal reattachment and improved vision (best corrected visual acuity). In the long-term assessment, the final visual acuity was better in 11 patients (91.7%) compared to the initial results. On average, 7 days after the surgery, air in the eyeball occupied about one-fifth of the vitreous chamber and was completely absorbed about 10 to 14 days after surgery. CONCLUSIONS: In the above-mentioned study, very good results of treatment of open-rooted retinal detachment were achieved. The air was quickly absorbed and visual acuity improved. Owing to the relatively fast absorption time, this method could be used successfully in high altitude patients and people often travelling by airplane. Wolters Kluwer Health 2018-06-01 /pmc/articles/PMC6392625/ /pubmed/29851816 http://dx.doi.org/10.1097/MD.0000000000010902 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-sa/4.0 This is an open access article distributed under the Creative Commons Attribution-ShareAlike License 4.0, which allows others to remix, tweak, and build upon the work, even for commercial purposes, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-sa/4.0
spellingShingle Research Article
Michalska-Małecka, Katarzyna
Sierocka-Stępień, Justyna
Michalik-Jakubek, Aneta
Witek, Katarzyna
Nowomiejska, Katarzyna
Jünemann, Anselm
Rejdak, Robert
Evaluation of the treatment results in patients with rhegmatogenous retinal detachment treated by pars plana vitrectomy with air: Preliminary results
title Evaluation of the treatment results in patients with rhegmatogenous retinal detachment treated by pars plana vitrectomy with air: Preliminary results
title_full Evaluation of the treatment results in patients with rhegmatogenous retinal detachment treated by pars plana vitrectomy with air: Preliminary results
title_fullStr Evaluation of the treatment results in patients with rhegmatogenous retinal detachment treated by pars plana vitrectomy with air: Preliminary results
title_full_unstemmed Evaluation of the treatment results in patients with rhegmatogenous retinal detachment treated by pars plana vitrectomy with air: Preliminary results
title_short Evaluation of the treatment results in patients with rhegmatogenous retinal detachment treated by pars plana vitrectomy with air: Preliminary results
title_sort evaluation of the treatment results in patients with rhegmatogenous retinal detachment treated by pars plana vitrectomy with air: preliminary results
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392625/
https://www.ncbi.nlm.nih.gov/pubmed/29851816
http://dx.doi.org/10.1097/MD.0000000000010902
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