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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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2016/2594574 |
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| author | Zhaoxin Jiang Suo Qiu Bingsheng Lou Miaoli Lin Junlian Tan Xiaofeng Lin |
| author_facet | Zhaoxin Jiang Suo Qiu Bingsheng Lou Miaoli Lin Junlian Tan Xiaofeng Lin |
| author_sort | Zhaoxin Jiang |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-2ec37eaf52684e7097ac05f2b7d34795 |
| institution | OA Journals |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-2ec37eaf52684e7097ac05f2b7d347952025-08-20T02:07:52ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/25945742594574Radial Retinotomies with Endodiathermy for Severe Proliferative Vitreoretinopathy: Short-Term ResultsZhaoxin Jiang0Suo Qiu1Bingsheng Lou2Miaoli Lin3Junlian Tan4Xiaofeng Lin5Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510080, ChinaZhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510080, ChinaZhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510080, ChinaZhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510080, ChinaZhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510080, ChinaZhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510080, ChinaPurpose. 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.http://dx.doi.org/10.1155/2016/2594574 |
| spellingShingle | Zhaoxin Jiang Suo Qiu Bingsheng Lou Miaoli Lin Junlian Tan Xiaofeng Lin Radial Retinotomies with Endodiathermy for Severe Proliferative Vitreoretinopathy: Short-Term Results Journal of Ophthalmology |
| 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 |
| url | http://dx.doi.org/10.1155/2016/2594574 |
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