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Search on : scleral and buckling [Words]
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[PMID]: 29230977
[Au] Autor:Jo J; Moon BG; Lee JY
[Ad] Address:Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
[Ti] Title:Scleral Buckling Using a Non-contact Wide-Angle Viewing System with a 25-Gauge Chandelier Endoilluminator.
[So] Source:Korean J Ophthalmol;31(6):533-537, 2017 Dec.
[Is] ISSN:2092-9382
[Cp] Country of publication:Korea (South)
[La] Language:eng
[Ab] Abstract:PURPOSE: To report the outcome of scleral buckling using a non-contact wide-angle viewing system with a 25-gauge chandelier endoilluminator. METHODS: Retrospective analyses of medical records were performed for 17 eyes of 16 patients with primary rhegmatogenous retinal detachment (RRD) without proliferative vitreoretinopathy who had undergone conventional scleral buckling with cryoretinopexy using the combination of a non-contact wide-angle viewing system and chandelier endoillumination. RESULTS: The patients were eight males and five females with a mean age of 26.8 ± 10.2 (range, 11 to 47) years. The mean follow-up period was 7.3 ± 3.1 months. Baseline best-corrected visual acuity was 0.23 ± 0.28 logarithm of the minimum angle of resolution units. Best-corrected visual acuity at the final visit showed improvement (0.20 ± 0.25 logarithm of the minimum angle of resolution units), but the improvement was not statistically significant (p = 0.722). As a surgery-related complication, there was vitreous loss at the end of surgery in one eye. As a postoperative complication, increased intraocular pressure (four cases) and herpes simplex epithelial keratitis (one case) were controlled postoperatively with eye drops. One case of persistent RRD after primary surgery needed additional vitrectomy, and the retina was postoperatively attached. CONCLUSIONS: Scleral buckling with chandelier illumination as a surgical technique for RRD has the advantages of relieving the surgeon's neck pain from prolonged use of the indirect ophthalmoscope and sharing the surgical procedure with another surgical team member. In addition, fine retinal breaks that are hard to identify using an indirect ophthalmoscope can be easily found under the microscope by direct endoillumination.
[Mh] MeSH terms primary: Lighting/instrumentation
Ophthalmoscopes
Retinal Detachment/surgery
Scleral Buckling/instrumentation
[Mh] MeSH terms secundary: Adolescent
Adult
Child
Equipment Design
Female
Follow-Up Studies
Humans
Male
Middle Aged
Retinal Detachment/diagnosis
Retrospective Studies
Surgery, Computer-Assisted
Time Factors
Visual Acuity
Vitreoretinopathy, Proliferative
Young Adult
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 180308
[Lr] Last revision date:180308
[Js] Journal subset:IM
[Da] Date of entry for processing:171213
[St] Status:MEDLINE
[do] DOI:10.3341/kjo.2017.0044

  2 / 3117 MEDLINE  
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[PMID]: 29185844
[Au] Autor:Papakostas TD; Vavvas D
[Ad] Address:a Retina Service, Massachusetts Eye and Ear Infirmary , Harvard Medical School , Boston , MA , USA.
[Ti] Title:Postoperative Complications of Scleral Buckling.
[So] Source:Semin Ophthalmol;33(1):70-74, 2018.
[Is] ISSN:1744-5205
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Scleral buckling has an important role in the repair of certain categories of rhegmatogenous retinal detachments. These include detachments in young phakic patients, detachments associated with dialysis, and also in conjuction with vitrectomy in patients who have sustained trauma or have developed proliferative vitreoretinopathy. However, it can be associated with significant postoperative complications. The most important ones are refractive change, intrusion or extrusion, infection, globe ischemia, and choroidal detachments, amongst others. Careful planning, appropriate patient selection, and good intraoperative technique can reduce the rate of these complications.
[Mh] MeSH terms primary: Postoperative Complications
Retinal Detachment/surgery
Scleral Buckling/adverse effects
[Mh] MeSH terms secundary: Humans
Visual Acuity
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1802
[Cu] Class update date: 180219
[Lr] Last revision date:180219
[Js] Journal subset:IM
[Da] Date of entry for processing:171130
[St] Status:MEDLINE
[do] DOI:10.1080/08820538.2017.1353816

  3 / 3117 MEDLINE  
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[PMID]: 29426303
[Au] Autor:Singh S; Shrivastav A; Agarwal M; Gandhi A; Mayor R; Paul L
[Ad] Address:Vitreoretina services, Dr. Shroff's Charity Eye Hospital, 5027, Kedarnath Road, Daryaganj, New Delhi, 110002, India. drshalini15@gmail.com.
[Ti] Title:A rare case of scleral buckle infection with Curvularia species.
[So] Source:BMC Ophthalmol;18(1):35, 2018 Feb 09.
[Is] ISSN:1471-2415
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Scleral buckling is an established modality of treating retinal detachment. Being an external implant the buckle may be prone to infections. We report such a case with a delayed presentation and a rare etiology. CASE PRESENTATION: A 45 year old male presented with redness, foreign body sensation and discharge for one month in his right eye. The patient had undergone a retinal detachment surgery elsewhere 14 years back without any visual gain. Right eye demonstrated no perception of light and the best corrected visual acuity in the left eye was 6/6, N6. On downgaze an exposed and anteriorly displaced scleral buckle was identified with black deposits and mucopurulent material overlying the buckle. Scleral buckle removal was done. On microbiological examination Curvularia species was identified. Successful treatment with antifungals was done. CONCLUSIONS: Scleral buckle infection with dematiaceous fungi is a rare occurrence. To the best of our knowledge this is the first case report describing a buckle infection caused by the curvularia species.
[Mh] MeSH terms primary: Ascomycota/isolation & purification
Eye Infections, Fungal/microbiology
Mycoses/microbiology
Prosthesis-Related Infections/microbiology
Scleral Buckling/adverse effects
[Mh] MeSH terms secundary: Anti-Bacterial Agents/therapeutic use
Antifungal Agents/therapeutic use
Ciprofloxacin/therapeutic use
Drug Therapy, Combination
Eye Infections, Fungal/diagnosis
Eye Infections, Fungal/drug therapy
Fluconazole/therapeutic use
Humans
Male
Middle Aged
Mycoses/diagnosis
Mycoses/drug therapy
Prosthesis-Related Infections/diagnosis
Prosthesis-Related Infections/drug therapy
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Nm] Name of substance:0 (Anti-Bacterial Agents); 0 (Antifungal Agents); 5E8K9I0O4U (Ciprofloxacin); 8VZV102JFY (Fluconazole)
[Em] Entry month:1802
[Cu] Class update date: 180216
[Lr] Last revision date:180216
[Js] Journal subset:IM
[Da] Date of entry for processing:180211
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0695-4

  4 / 3117 MEDLINE  
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[PMID]: 29350687
[Au] Autor:Wong D; Chan YK; Bek T; Wilson I; Stefánsson E
[Ad] Address:Royal Liverpool University Hospital, Liverpool, UK.
[Ti] Title:Intraocular currents, Bernoulli's principle and non-drainage scleral buckling for rhegmatogenous retinal detachment.
[So] Source:Eye (Lond);32(2):213-221, 2018 Feb.
[Is] ISSN:1476-5454
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:For many years, it is not fully understood how non-drainage scleral buckling surgery brings about spontaneous reattachment of the detached retina when retinal breaks remain open at the end of surgery. Various explanations have been put forward, but none more interesting than the effect of fluid currents associated with eye movements. One such explanation involved the physics of the Bernoulli's principle. Daniel Bernoulli was an eighteenth century Swiss mathematician and he described an equation based on the conservation of energy. The sum of pressure energy, potential energy and kinetic energy remains constant. Bernoulli's equation usually applies to closed system such as the flow of fluid through pipes. When fluid flows through a constriction, the speed of fluid increases, the kinetic energy increases. If there was no change in elevation (potential energy), then the increase in kinetic energy must be accompanied by a decrease in pressure energy. In ophthalmic surgery, the Bernoulli's effect is the basis for venturi pumps that drive vitrectomy and phacoemulsification machines. This essay expounds on how Bernoulli's effect might be relevant to scleral buckling for retinal detachment repair. In the era when vitrectomy is increasing the primary surgical operation for retinal detachment, the pervasive advice is to emphasise the importance of patient adopting head posture and remaining still postoperatively. The exception is non-drainage scleral buckling surgery. Early postoperative mobilisation may be vital to achieve reattachment.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180216
[Lr] Last revision date:180216
[St] Status:In-Data-Review
[do] DOI:10.1038/eye.2017.312

  5 / 3117 MEDLINE  
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[PMID]: 29446816
[Au] Autor:Ammous I; Zhioua Braham I; Boukari M; Mili Boussen I; Errais K; Zhioua R
[Ti] Title:Atrophic tear retinal detachment: clinical characteristics and surgical treatment results at long term.
[So] Source:Tunis Med;95(3):206-209, 2017 Mar.
[Is] ISSN:0041-4131
[Cp] Country of publication:Tunisia
[La] Language:eng
[Ab] Abstract:AIM: to analyse clinical and epidemiological characteristics of atrophic tear retinal detachment (ATRD) and evaluate anatomical and functional results. METHODS: Retrospective study of 48 cases underwent primary scleral buckling for ATRD. Mean follow up was 80,52 months. RESULTS: ATRD represented 7% of all reghmatogenous RD. Mean age of patients was 38 years and 7 months. Age was less than 40 years in 62,5% of patients. Male predominance was noted. Myopia was noted in 67% of cases and 78,12% presented high myopia. Mean delay of consultation was 7 months ranging from 1 and 60 months. Visual acuity was ranged between light perception to 10/10. The AT number in eye varied between1 to 15 (mean 3 tears). The seat of AT was preferentially in inferior temporal quadrants than superior one. Maculae was detached in 87,5% of cases. All patients underwent scleral buckling: longitudinal buckle was performed in 27% of cases, radial sponge was put on in 8,3% of eyes and circumferential one was made in 64,5% of cases. Sub-retinal fluid was punctured in 75% od cases. Retinal reattachment was obtained in all cases; after one surgery in 95,83% of cases. Redetachment was observed in 2 cases: it was linked with unknown AT. Visual acuity was improved in 83,3% of cases. It was more than 5/10 in 14,6% of cases. Postoperative hypertonia was observed in 18,75% of cases. Choroidal detachment was observed in one case and it was resolved spontaneously. Scleral bukle rejection was observed in one case. CONCLUSION: ATRD was not associated at posterior vitreous detachment. It was observed in young myopic patients. There is a chronic form of retinal detachment with many tears. Scleral buckle was the surgical treatment of this type of RD with good anatomical prognostic.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180215
[Lr] Last revision date:180215
[St] Status:In-Data-Review

  6 / 3117 MEDLINE  
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[PMID]: 29361355
[Au] Autor:Li AS; Capone A; Trese MT; Sears JE; Kychenthal A; De la Huerta I; Ferrone PJ
[Ad] Address:Hofstra Northwell School of Medicine, Great Neck, New York.
[Ti] Title:Long-Term Outcomes of Total Exudative Retinal Detachments in Stage 3B Coats Disease.
[So] Source:Ophthalmology;, 2018 Jan 17.
[Is] ISSN:1549-4713
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:PURPOSE: To evaluate the long-term outcomes of treatment of total exudative retinal detachments (ERDs) secondary to Coats disease (stage 3B) and the role of vitrectomy. DESIGN: Retrospective, observational case series. PARTICIPANTS: A total of 16 eyes in 16 patients undergoing treatment for total ERDs secondary to Coats disease with at least 5 years of follow-up. METHODS: We reviewed the records of patients with stage 3B Coats disease. The interventions, including the timing of vitrectomy if used, and clinical course were recorded. MAIN OUTCOME MEASURES: The primary outcome measures were visual acuity at the most recent appointment, whether there was progression to neovascular glaucoma (NVG) or phthisis bulbi, and need for enucleation. RESULTS: All patients received ablative treatment (photocoagulation or cryotherapy), with 8 having scleral buckling (SB) and 6 having external drainage of subretinal fluid (XD). Of the 12 patients who had pars plana vitrectomy (PPV), 8 had early PPV (EV) in the first year after presenting, and 4 of 8 in the expectant management group had late PPV (late vitrectomy) at a mean of 4.3 years post-presentation for treatment of significant traction retinal detachment (TRD). The other 4 patients of 8 in the expectant management group did not require vitrectomy. Mean follow-up overall was 9 1/2 years. At the date of last follow-up, 50% had no light perception or light perception vision, which was consistent across the subgroups that underwent EV (4/8), late vitrectomy (2/4), or no PPV (2/4). A total of 4 of 16 patients had progression to NVG or phthisis, 1 of whom required enucleation. CONCLUSIONS: In this retrospective series of patients with Stage 3B Coats disease, ablative therapy with a combination of PPV, XD, or SB was effective in preventing progression to NVG or phthisis in the majority of patients, thus preserving the globe. Half of the patients (4/8) in this series who did not undergo PPV in the early vitrectomy group developed late-onset TRD, suggesting a possible role for early prophylactic vitrectomy with possible SB and XD; however, this is balanced by the other half (4/8) in the expectant management group who did not require any vitrectomy.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180123
[Lr] Last revision date:180123
[St] Status:Publisher

  7 / 3117 MEDLINE  
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[PMID]: 29253306
[Au] Autor:Felfeli T; Mandelcorn MS; Yan P; Jeffery G; Mandelcorn ED
[Ti] Title:Failed Pneumatic Retinopexy for Rhegmatogenous Retinal Detachment Repair in Ocular Albinism: Clues to the Role of Melanin in Retinal Pigment Epithelium Pump Function.
[So] Source:Ophthalmic Surg Lasers Imaging Retina;48(12):1016-1020, 2017 Dec 01.
[Is] ISSN:2325-8179
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The authors report the first case, to their knowledge, of failed pneumatic retinopexy (PR) for rhegmatogenous retinal detachment (RRD) repair in a patient with ocular albinism (OA). The failure of PR to spontaneously resolve the subretinal fluid and reattach the retina in this case is suggestive of a deficiency in subretinal fluid reabsorption by the retinal pigment epithelium (RPE). These findings suggest that in cases of RRD in OA, primary PR should be avoided since this procedure relies on an adequately functioning RPE pump to reabsorb subretinal fluid prior to laser retinopexy. The use of primary vitrectomy or scleral buckling with cryopexy may constitute a more effective strategy for RRD in OA. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:1016-1020.].
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 171218
[Lr] Last revision date:171218
[St] Status:In-Process
[do] DOI:10.3928/23258160-20171130-10

  8 / 3117 MEDLINE  
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[PMID]: 29190248
[Au] Autor:Chen JJ; Kalevar A; Jumper JM
[Ad] Address:*Department of Ophthalmology, California Pacific Medical Center, San Francisco, California; and†West Coast Retina Medical Group, San Francisco, California.
[Ti] Title:COMBINING EXTERNAL NEEDLE DRAINAGE AND SCLERAL BUCKLING WITH VITRECTOMY FOR THE REPAIR OF BULLOUS RETINAL DETACHMENTS.
[So] Source:Retina;, 2017 Nov 22.
[Is] ISSN:1539-2864
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:PURPOSE: To describe a technique of combined scleral buckle with external needle drainage and vitrectomy in the treatment of bullous exudative retinal detachment, schisis detachment, or bullous retinoschisis threatening the fovea. METHODS: A retrospective chart review of four eyes of four patients who underwent the procedure described. RESULTS: Four eyes of four patients who underwent combined scleral buckling with external needle drainage and vitrectomy by a single surgeon for a bullous exudative retinal detachment, schisis detachment, or bullous retinoschisis threatening the fovea were included in this series. All four patients were attached after a single surgical intervention. No patient developed complications from the external drainage. CONCLUSION: External needle drainage of bullous subretinal or intraschisis fluid in combination with vitrectomy is a successful technique for treating bullous exudative retinal detachments, schisis detachment, or foveal-threatening retinoschisis. The technique avoids many complications associated with conventional drainage procedures. Long-term results seem promising because of extended follow-up demonstrating sustained anatomical success with a single intervention.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 171130
[Lr] Last revision date:171130
[St] Status:Publisher
[do] DOI:10.1097/IAE.0000000000001948

  9 / 3117 MEDLINE  
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[PMID]: 29165409
[Au] Autor:Kazimirova EG; Shiryaev VV; Lyskin PV; Kramarenko EY
[Ad] Address:S. Fyodorov Eye Microsurgery Federal State Institution, 59A Beskudnikovskiy blvd, Moscow, Russian Federation, 127486; Lomonosov Moscow State University, 1Leninskiye Gory St., Moscow, Russian Federation, 119991.
[Ti] Title:Modifikatsiia épiskleral'nogo plombirovaniia dlia dopolnitel'noi mekhanicheskoi fiksatsii setchatki magnitnym implantatom so storony vitreal'noi polosti (éksperimental'noe issledovanie). [Mo-dified scleral buckling for additional fixation of the retina with endovitreal magnetic implant (experimental study)].
[So] Source:Vestn Oftalmol;133(5):24-31, 2017.
[Is] ISSN:0042-465X
[Cp] Country of publication:Russia (Federation)
[La] Language:rus
[Ab] Abstract:Scleral buckling (SB) has been regaining its popularity in the treatment of retinal detachments. On large clinical material, it has been proved to be the technique of choice in phakic patients with retinal detachment of moderate severity. A combined procedure that incorporates features of episcleral as well as intravitreal surgeries has also become widely used. Aim - to investigate the prospects for increasing technical potential of SB, particularly, to investigate the possibility of additional atraumatic mechanical fixation of the retina from within the vitreous cavity. The proposed device consists of an episcleral magnetic buckle and endovitreal magnetic buckles (endobuckles). The episcleral magnetic buckle is made of medical grade silicone and cannot be distinguished from common buckles, except that it contains one or more permanent magnets on the basis of neodymium-iron-boron powders. Endobuckles are small flat elastic elements made of silicone elastomer filled with magnetic particles. Еndobuckles are implanted into the vitreous cavity through a small pars plana incision and placed on the retina at the projection of the scleral magnetic buckle. Thus, in experiments with cadaver eyes, the authors have showed the principle feasibility of retinal fixation by the force of magnetic interaction between the magnetic scleral buckle and endobuckles. The described technique of additional mechanical fixation of the retina provides wider surgical opportunities in the management of retinal detachments.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171122
[Lr] Last revision date:171122
[St] Status:In-Data-Review
[do] DOI:10.17116/oftalma2017133524-30

  10 / 3117 MEDLINE  
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[PMID]: 29164454
[Au] Autor:Dutta Majumder P; Anthony E; George AE; Ganesh SK; Biswas J
[Ad] Address:Department of Uvea, Medical Research Foundation, Sankara Nethralaya, Chennai, 600006, India. drparthopratim@gmail.com.
[Ti] Title:Postsurgical sympathetic ophthalmia: retrospective analysis of a rare entity.
[So] Source:Int Ophthalmol;, 2017 Nov 21.
[Is] ISSN:1573-2630
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:PURPOSE: To describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO). METHODS: Retrospective study. RESULTS: Mean age of the patients was 41.1 years, and males were affected 1.8 times than the female. Vitrectomy and scleral buckling were the most common inciting surgeries followed by cataract surgery. Among 10 eyes with anterior uveitis, mutton-fat keratic precipitate was seen in only two eyes. Mean follow-up duration was 1556.50 ± 1470.75 days. Vision significantly improved in 11 patients (78.6%; p = 0.005). CONCLUSION: Postsurgical SO is a rare entity, but it is a bilateral blinding disease and SO following surgical intervention can have variable presentations. Rapid, effective management of postsurgical sympathetic ophthalmia can give improved visual outcomes.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171122
[Lr] Last revision date:171122
[St] Status:Publisher
[do] DOI:10.1007/s10792-017-0759-0


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