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Strategy Based on Clinical Findings

Didier Ducournau (Nantes, France) Vitrectomy in the surgical treatment of a retinal detachment presents a lot of advantages. However, in this case of retinal detachment the vitrectomy must be as complete as possible and its iatrogenic risk must be considered. This risk cannot be accepted in stage 0 PVR retinal detachments (except in some specific cases) where the risk of failure is almost zero. In some stage A PVR the author considers that...

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Management of Pseudopakic Retinal Detachments

Ron A Adelman, Adarsh V Arya, Curtis L Hagedorn (New Haven, CT, USA) Purpose: To study the success rate of pars plana vitrectomy (PPV) versus scleral buckle (SB) in the management of pseudophakic retinal detachments (RDs). Design: Meta-analysis of published studies from 1966 to 2004 regarding surgical treatment of pseudophakic RDs. Two thousand two hundred thirty eyes: 1579 operated by SB, 457 by PPV, and 194 by the combined method of PPV...

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Comparison of Visual and Anatomical Outcomes of 4 Surgical Techniques in the Management of Pseudophakic and Aphakic Retinal Detachment

Siamak Moradian, Hamid Ahmadieh, Hooshang Faghihi, Alireza Ramezani, Morteza Entezari, Tooka Banaei, Ebadollah Heidari, Hasan Behboodi, Amir Hossein Mahmoodi, Mehdi Yasseri (Tehran, Iran) Advantages: To compare the visual and anatomical outcomes and complications of 4 surgical techniques in the management of pseudopkakic and aphakic retinal detachment (PARD). Methods: In a multicenter clinical trial, 204 eyes with PARD and PVR grade B or...

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Is There a Universal Technique How to Treat Rhegmatogenous Retinal Detachment?

Ivan Fiser, Petr Bedrich, Frantisek Benda, Martina Rubesova (Prague, Czech Republic) Advantages: We do not have a universal preference in treating RD. We treat each patient individually, according to the finding, to his/her wishes, preferences and abilities, such as the ability of facedown positioning. Methods: We prefer scleral buckling in younger phakic patients while in pseudophakic detachment we more often perform vitrectomy, however,...

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Delayed Surgery for Macula-on Rhegmatogenous Retinal Detachment

Zoran Tomic, Ulrich Spandau, Nikolaos Merkoudis (Uppsala, Sweden) Advantages: The first three days after the initial examination represent a relatively safe period during which surgery for the macula-on rhegmatogenous retinal detachment (RRD) may be postponed without compromising patient’s visual prognosis, according to recent studies (Wykoff CC, Am J Ophthalmol, 2010). That may decrease the risk of lower success rate, PVR development,...

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Hso as 1st Choice in Complicated Retinal Detachment: Checkmate in Two Moves!

Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Objective: Treatment of complex R.D: checkmate in two moves! Purpose: To show our strategy in complicated R.D, with high (risk to develop recurrent RD with PVR. In such cases, our first choice is to use HSO as tamponade agent to ensure an efficient tamponade of (the inferior retina), and to “reallocate to the (superior retina)” eventual recurrence to treat...

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