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  • To study success and failure in the treatment of uncomplicated rhegmatogenous retinal detachments (RRDs). 176 surgeons from 48 countries spanning 5 continents provided information on the primary procedures for 7678 cases of RRDs including 4179 patients with uncomplicated RRDs. Reported data included specific clinical findings, the method of repair, and the outcome after intervention. Final failure of retinal detachment repair (level 1 failure rate), remaining silicone oil at the study's conclusion (level 2 failure rate), and need for additional procedures to repair the detachment (level 3 failure rate). Four 1179 uncomplicated cases of RRD were included. Combining phakic, pseudophakic, and aphakic groups, those treated with scleral buckle alone had a significantly lower final failure rate than those treated with vitrectomy, with or without a supplemental buckle. In phakic patients, final failure rate was lower in the scleral buckle group compared with those who had vitrectomy, with or without a supplemental buckle. In pseudophakic patients, the failure rate of the initial procedure was lower in the vitrectomy group compared with the scleral buckle group. There was no statistically significant difference in failure rate between segmental and encircling buckles. Those who underwent vitrectomy with a supplemental scleral buckle had an increased failure rate compared with those who underwent vitrectomy alone. Pneumatic retinopexy was found to be comparable with scleral buckle when a retinal hole was present, but not in cases with a flap tear. In the treatment of uncomplicated phakic retinal detachments, repair using scleral buckle may be a good option. There was no significant difference between segmental versus 360-degree buckle. For pseudophakic uncomplicated retinal detachments, the surgeon should balance the risks and benefits of vitrectomy versus scleral buckle and keep in mind that the single-surgery reattachment rate may be higher with vitrectomy.
  • To study success and failure in the treatment of uncomplicated rhegmatogenous retinal detachments (RRDs). 176 surgeons from 48 countries spanning 5 continents provided information on the primary procedures for 7678 cases of RRDs including 4179 patients with uncomplicated RRDs. Reported data included specific clinical findings, the method of repair, and the outcome after intervention. Final failure of retinal detachment repair (level 1 failure rate), remaining silicone oil at the study's conclusion (level 2 failure rate), and need for additional procedures to repair the detachment (level 3 failure rate). Four 1179 uncomplicated cases of RRD were included. Combining phakic, pseudophakic, and aphakic groups, those treated with scleral buckle alone had a significantly lower final failure rate than those treated with vitrectomy, with or without a supplemental buckle. In phakic patients, final failure rate was lower in the scleral buckle group compared with those who had vitrectomy, with or without a supplemental buckle. In pseudophakic patients, the failure rate of the initial procedure was lower in the vitrectomy group compared with the scleral buckle group. There was no statistically significant difference in failure rate between segmental and encircling buckles. Those who underwent vitrectomy with a supplemental scleral buckle had an increased failure rate compared with those who underwent vitrectomy alone. Pneumatic retinopexy was found to be comparable with scleral buckle when a retinal hole was present, but not in cases with a flap tear. In the treatment of uncomplicated phakic retinal detachments, repair using scleral buckle may be a good option. There was no significant difference between segmental versus 360-degree buckle. For pseudophakic uncomplicated retinal detachments, the surgeon should balance the risks and benefits of vitrectomy versus scleral buckle and keep in mind that the single-surgery reattachment rate may be higher with vitrectomy. (en)
Title
  • Strategy for the Management of Complex Retinal Detachments The European Vitreo-Retinal Society Retinal Detachment Study Report 2
  • Strategy for the Management of Complex Retinal Detachments The European Vitreo-Retinal Society Retinal Detachment Study Report 2 (en)
skos:prefLabel
  • Strategy for the Management of Complex Retinal Detachments The European Vitreo-Retinal Society Retinal Detachment Study Report 2
  • Strategy for the Management of Complex Retinal Detachments The European Vitreo-Retinal Society Retinal Detachment Study Report 2 (en)
skos:notation
  • RIV/00216208:11120/13:43908260!RIV14-MSM-11120___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • N
http://linked.open...iv/cisloPeriodika
  • 9
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 108155
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11120/13:43908260
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • tamponade; multicenter; tears; surgery; outcomes; silicone oil; scleral buckle; perfluoro-n-octane; pars-plana vitrectomy (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [8AD7E9DB3235]
http://linked.open...i/riv/nazevZdroje
  • Ophthalmology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 120
http://linked.open...iv/tvurceVysledku
  • Veith, Miroslav
http://linked.open...ain/vavai/riv/wos
  • 000324045800034
issn
  • 0161-6420
number of pages
http://localhost/t...ganizacniJednotka
  • 11120
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