Updates on Treatment Modalities for Primary Rhegmatogenous Retinal Detachment Repair
Abstract
:1. Introduction
1.1. History of Surgical RRD Treatment
1.2. The Aim of the Paper
2. Relevant Sections
2.1. Pathophysiology and Mechanisms of RRD
2.2. Methods of Surgical Procedures for RRD
2.3. Scleral Buckling
2.4. Pneumatic Retinopexy
2.5. Pars Plana Vitrectomy
3. Discussion
4. Conclusions
5. Future Directions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
RD | retinal detachment |
RRD | rhegmatogenous retinal detachment |
PR | pneumatic retinopexy |
SB | scleral buckling |
PPV | pars plana vitrectomy |
SRF | subretinal fluid |
VR | vitreoretinal |
PVR | proliferative vitreoretinopathy |
MIVS | minimal invasive vitrectomy surgery |
OCT | intraoperative optic coherence tomography |
SOSR | single-operation success rate |
SSAS | single surgery anatomic success |
RCTs | randomized clinical trials |
HUS | heads up visualizing systems |
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Surgical Method for Primary RRD Surgery | Buckling Surgery | PPV |
---|---|---|
Preferred Lens Status | Phakic | Pseudophakic/Aphakic |
Location of retinal break | No difference In inferior break, no gas tamponade is possible | Preferrably upper quadrants of retina Inferior breaks are difficult to manage with standard gas or standard silicon oil tamponade (additional buckle is preferrable or use of heavy density silicon oil) |
Release of VR traction | Indirect | Direct |
Drainage of SRF | From outside | From inside |
Postoperative positioning | Required with intraocular gas tamponade | Usually required |
Postoperative inflammation | Significant | Mild |
Postoperative pain | Usually pronounced | Mild of moderate |
Surgical trauma | Higher | Lower |
Advantages |
|
|
Complications |
|
|
Previous corneal surgery | Possibility of impaired visualisation | Possibility of impaired visualization Flap slippage in flap-based corneal surgery |
Postoperative recovery time | Multifactorial, Longer | Mutlifactorial, Shorter |
Dependance on devices | Low | High |
Costs | Low | High |
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Davidović, S.; Babović, S.; Miljković, A.; Pavin, S.; Bolesnikov-Tošić, A.; Barišić, S. Updates on Treatment Modalities for Primary Rhegmatogenous Retinal Detachment Repair. Diagnostics 2024, 14, 1493. https://doi.org/10.3390/diagnostics14141493
Davidović S, Babović S, Miljković A, Pavin S, Bolesnikov-Tošić A, Barišić S. Updates on Treatment Modalities for Primary Rhegmatogenous Retinal Detachment Repair. Diagnostics. 2024; 14(14):1493. https://doi.org/10.3390/diagnostics14141493
Chicago/Turabian StyleDavidović, Sofija, Siniša Babović, Aleksandar Miljković, Svetlana Pavin, Ana Bolesnikov-Tošić, and Sava Barišić. 2024. "Updates on Treatment Modalities for Primary Rhegmatogenous Retinal Detachment Repair" Diagnostics 14, no. 14: 1493. https://doi.org/10.3390/diagnostics14141493
APA StyleDavidović, S., Babović, S., Miljković, A., Pavin, S., Bolesnikov-Tošić, A., & Barišić, S. (2024). Updates on Treatment Modalities for Primary Rhegmatogenous Retinal Detachment Repair. Diagnostics, 14(14), 1493. https://doi.org/10.3390/diagnostics14141493