A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy

Işık, Püren; Esen, Ebru; SIZMAZ, Selçuk; DEMİRCAN, Nihal

A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy

Selçuk SIZMAZ, (Çukurova Üniversitesi, Göz Hastalıkları Anabilim Dalı, Adana, Türkiye)

Ebru ESEN, (Çukurova Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Adana, Türkiye)

Püren IŞIK, (Çukurova Üniversitesi, Göz Hastalıkları Anabilim Dalı, Adana, Türkiye)

Nihal DEMİRCAN (Çukurova Üniversitesi, Göz Hastalıkları Anabilim Dalı, Adana, Türkiye)

Retina-Vitreus

1 0

Yıl: 2019 Cilt: 28 Sayı: 1 Sayfa Aralığı: 57 - 61 Metin Dili: İngilizce İndeks Tarihi: 14-05-2019

A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy

Öz:

Objective: To analyze the outcome of pneumatic retinopexy (PR) for repair of rhegmatogenous retinal detachment (RRD).Materials and Methods: Medical chart of patients who underwent PR for RRD were retrospectively reviewed. Visual acuity, lens status,localization of the detachment, number of breaks, the duration of follow-up, and the demographic data were assessed. C 3 F 8 gas was injectedin all cases. In cases PR failed, the patients underwent pars plana vitrectomy. Patients with a follow-up of below 2 months were excluded.Results: Twenty-one eyes of 21 patients (14 males, 7 females) with a median age of 59 (18-68) were included. Eight cases were pseudophakicand 13 were phakic. Preoperative visual acuities ranged between hand motions and 1,0. The median detached retina area in clock hours was 4(2-7). In 19 cases, only 1 break was detected preoperatively. Peripheral retinal laser photocoagulation (360 degrees) was applied in 18 cases.360-degree laser photocoagulation was signifi cantly associated with successful outcome. Reattachment was achieved in 13 (61.9%) cases. NoPR-related complications were encountered.Conclusion: Pneumatic retinopexy is a safe and effi cient procedure in selected cases.

Anahtar Kelime:

Konular: Göz Hastalıkları

Yırtıklı Retina Dekolmanı Tedavisinde Basit Ama Etkin Bir Seçenek: Pnömatik Retinopeksi

Öz:

Amaç: Yırtıklı retina dekolmanında (YRD) pnömatik ertinopeksinin (PR) tedavisinin sonuçlarını değerlendirmek. Yöntem: Yırtıklı retina dekolmanı için PR yapılan hastaların tıbbi kayıtları retrospektif olarak tarandı. Görme keskinliği, lensin durumu, dekol- manın yerleşimi, yırtık sayısı, takip süresi ve demografi k veriler değerlendirildi. Tüm olgularda C3F8 gazı kullanıldı. Pnömatik retinopeksinin başarılı olmadığı durumda hastalara pars plana vitrektomi uygulandı. İki Aydan kısa takip süresi olan olgular çalışmaya alınmadı. Bulgular: Ortalama yaşları 59 (18-68) olan 21 hastanın (14 erkek, 7 kadın) 21 gözü çalışmaya dahil edildi. Sekiz olgu psödofak, 13 olgu fakikti. Ameliyat öncesi görme keskinlikleri el hareketleri sayma ile 1,0 arasında değişiyordu. Dekole retina alan genişliği medyan 4 (2-7) saat kadranıydı. On dokuz olguda ameliyat öncesinde tek delik tespit edildi. Perifer retina lazer fotokoafulasyonu (360 derece) 18 olguya uygulandı. 360 derece perifer retina lazer fotokoagulasyonu başarılı sonuç ile anlamlı derecede ilişkiliydi. On üç (%61,9) olguda retina yatıştı. Pnömatik retinopeksiye bağlı bir komplikasyon meydana gelmedi.

Anahtar Kelime:

Konular: Göz Hastalıkları

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

Fabian ID, Kinori M, Efrati M, et al. Pneumatic retinopexy for the repair of primary rhegmatogenous retinal detachment. JAMA Ophthalmol 2013;131:166-71.
Pinarcı EY, Yilmaz G. Pneumatic retinopexy. Turkiye Klinikleri J Ophthalmol-Special Topics 2016;9:33-7.
Rahat F, Nowroozzadeh MH, Rahimi M, et al. Pneumatic retinopexy for primary repair of rhegmatohenous retinal detachments. Retina 2015;35:1247-55.
Demircan N. Pneumatic retinopexy. Ret-Vit 2007;15:special issue:15-8.
Mandelcorn ED, Mandelcorn MS, Manusow JS. Update of pneumatic retinopexy. Curr Opin Ophthalmol 2015;26:194-9.
Zaidi AA, Alvarado R, Irvine A. Pneumatic retinopexy: success rate and complications. Br J Ophthalmol 2006;90:427-8.
Hilton GF, Grizzard WS. Pneumatic retinopexy: a two-step outpatient operation without conjunctival incision. Ophthalmology 1988;93:626-41.
Rootman DB, Luu S, Conti S, et al. Predictors of treatment failure for pneumatic retinopexy. Can J Ophthalmol 2013;48:549-52.
Chan CK, Lin SG, Nuthi AS, et al. Pneumatic retinopexy for the repair of retinal detachments: a comprehensive review (1986- 2007). Surv Ophthalmol 2008;53:443-78.
Gilca M, Duval R, Goodyear E, et al. Factors associated with outcomes of pneumatic retinopexy for rhegmatogenous retinal detachments: a retrospective review of 422 cases. Retina 2014;34:693-9.
Cohen E, Zerach A, Mimouni M, et al. Reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment. Clinical Ophthalmology 2015;9:2033-7.
Sharma T. post-pneumatic retinopexy endophthalmitis: management of infection and persistant retinal detachment. Ophthalmic Surg Lasers Imaging 2010:1-2.
Yam JC, Liu DT, Lee VY, et al. Giant retinal tear after pneumatic retinopexy. Acta Ophthalmol 2008;86:232-33.
Mudvari SS, Ravage ZB, Rezaei KA. Retinal detachment after primary pneumatic retinopexy. Retina 2009;29:1474-8.
Tornambe PE, Hilton GF, Kelly NF, et al. Expanded indications for pneumatic retinopexy. Ophthalmology 1988;95:597-600.
Dreyer RF. Sequential retinal tears attributed to intraocular gas. Am J Ophthalmol 1986;102:276-8.
Tornambe PE. Pneumatic retinopexy: the evolution of case selection and surgical technique. A twelve-year study of 302 eyes. Trans Am Ophthalmol Soc1997;95:551-78.
Conti S, Kerres P. An approach to pneumatic retinopexy. Techniques Ophthalmol 2007;5:107-20.
Kulkarni KM, Roth DB, Prenner JL. Current visual and anatomic outcomes of pneumatic retinopexy. Retina 2007;27:1065-70.

APA	SIZMAZ S, Esen E, Işık P, DEMİRCAN N (2019). A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy. , 57 - 61.
Chicago	SIZMAZ Selçuk,Esen Ebru,Işık Püren,DEMİRCAN Nihal A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy. (2019): 57 - 61.
MLA	SIZMAZ Selçuk,Esen Ebru,Işık Püren,DEMİRCAN Nihal A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy. , 2019, ss.57 - 61.
AMA	SIZMAZ S,Esen E,Işık P,DEMİRCAN N A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy. . 2019; 57 - 61.
Vancouver	SIZMAZ S,Esen E,Işık P,DEMİRCAN N A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy. . 2019; 57 - 61.
IEEE	SIZMAZ S,Esen E,Işık P,DEMİRCAN N "A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy." , ss.57 - 61, 2019.
ISNAD	SIZMAZ, Selçuk vd. "A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy". (2019), 57-61.

APA	SIZMAZ S, Esen E, Işık P, DEMİRCAN N (2019). A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy. Retina-Vitreus, 28(1), 57 - 61.
Chicago	SIZMAZ Selçuk,Esen Ebru,Işık Püren,DEMİRCAN Nihal A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy. Retina-Vitreus 28, no.1 (2019): 57 - 61.
MLA	SIZMAZ Selçuk,Esen Ebru,Işık Püren,DEMİRCAN Nihal A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy. Retina-Vitreus, vol.28, no.1, 2019, ss.57 - 61.
AMA	SIZMAZ S,Esen E,Işık P,DEMİRCAN N A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy. Retina-Vitreus. 2019; 28(1): 57 - 61.
Vancouver	SIZMAZ S,Esen E,Işık P,DEMİRCAN N A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy. Retina-Vitreus. 2019; 28(1): 57 - 61.
IEEE	SIZMAZ S,Esen E,Işık P,DEMİRCAN N "A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy." Retina-Vitreus, 28, ss.57 - 61, 2019.
ISNAD	SIZMAZ, Selçuk vd. "A Simple and Effi cient Option for Rhegmatogenous Retinal Detachment: Pneumatic Retinopexy". Retina-Vitreus 28/1 (2019), 57-61.