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Retinal Tacks for Complicated Retinal Detachment: Retinal Tacks in the Times of Modern Small-Gauge Vitrectomy.
- Source :
-
Journal of ophthalmology [J Ophthalmol] 2022 Mar 31; Vol. 2022, pp. 1968434. Date of Electronic Publication: 2022 Mar 31 (Print Publication: 2022). - Publication Year :
- 2022
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Abstract
- Purpose: To investigate the efficacy and safety profile of retinal tacks (RTs) in cases of retinal detachment (RD) with advanced proliferative vitreoretinopathy (PVR).<br />Materials and Methods: In this single-center, retrospective study medical record, optical coherence tomography and ultra-widefield fundus images of patients with complex PVR-related and RT surgery were reviewed. All cases underwent 23G pars plana vitrectomy (PPV), RT implantation, retinectomy, circumferential intraoperative laser retinopexy, and silicone oil tamponade.<br />Results: Fourteen eyes of 14 patients with complex rhegmatogenous RD with PVR were included: 7 cases showed PVR grade C type P and 7 combined grades A and P. RTs were positioned at contracted, stiffened retinal areas to achieve attachment of retinectomy borders after extensive PVR peeling. Patients underwent on an average of 1.3 PPVs (range 0-3) prior RT surgery. An average of 2.5 RTs (range 1-4) were implanted. Only in a single eye, a recurrent RD occurred. In 10 eyes, the silicone oil tamponade was still in place at the last follow-up. In 5 eyes, the silicone oil could be removed without redetachment in all of these cases (average of 31.3 weeks, range 11.4-53). No RT-related intraoperative or postoperative complications like dislocation or bleedings were observed.<br />Conclusion: RTs have the potential to improve the treatment of complex PVR-associated RD. RT can be a useful surgical tool to reattach borders of retinectomies in advanced PVR. No RT-associated complication were observed in this study.<br />Competing Interests: The authors have no conflicts of interest to declare.<br /> (Copyright © 2022 Luca Mautone et al.)
Details
- Language :
- English
- ISSN :
- 2090-004X
- Volume :
- 2022
- Database :
- MEDLINE
- Journal :
- Journal of ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 35399160
- Full Text :
- https://doi.org/10.1155/2022/1968434