Objective. To report the management and outcome in retinal detachments associa ted with giant retinal tears (GRTs). Methods. Retrospective, case note analysis of patients treated between November 1991 and June 2002 at...Objective. To report the management and outcome in retinal detachments associa ted with giant retinal tears (GRTs). Methods. Retrospective, case note analysis of patients treated between November 1991 and June 2002 at a tertiary referral h ospital. Results. The case notes of 29 patients (24 males, 5 females) with a fol low up ranging from five months to 7 years were reviewed. In all, 25 eyes had r etinal detachments with macular involvement and 10 patients had myopia more than 6 D. All patients underwent vitrectomy. A total of 23 patients had heavy liquid and 16 had scleral explants; 28 patients had silicone oil and one had C3F8 tamp onade. Intraoperative complications included lens trauma and iatrogenic GRT. Six eyes had recurrent retinal detachment and needed multiple surgical procedures. At the last follow up, 25 patients had anatomically attached retinas. In all, 1 8 fellow eyes were treated prophylactically. Three patients had total retinal de tachment and marked PVR. The visual acuity improved in 20 eyes. Conclusion. GRTs are more common in patients with high myopia. With newer techniques of surgical treatment of GRTs, the anatomical and visual outcomes are more favourable.展开更多
Objective. To report the outcomes following treatment of retinal tears with argon laser photocoagulation by trainee doctors as an emergency procedure. Methods. Retrospective, case note analysis of 100 consecutive pati...Objective. To report the outcomes following treatment of retinal tears with argon laser photocoagulation by trainee doctors as an emergency procedure. Methods. Retrospective, case note analysis of 100 consecutive patients treated between August 2000 and December 2002 at a tertiary referral hospital. Result. The case notes of 100 consecutive patients (41 male,59 female)-with a mean age of 57.5 years were reviewed. Out of these 90 were symptomatic. The follow-up period ranged from 1 week to 8 months. All patients had argon laser retinopexy in the Emergency department. The on-call Registrar performed the procedure on 94 patients, and Senior House Officers performed the other six. A total of 98 procedures were performed on the slit lamp and two by laser indirect ophthalmoscope. In all, 24 patients needed further treatment with either indirect laser, cryotherapy, or surgery. At the last follow-up, all the patients had anatomically attached retinas. Conclusion. A significant proportion of patients (24% ) undergoing laser retinopexy in the emergency department needed further treatment. The relative inexperience in using the indirect laser, together with its unavailability in the Emergency department, may be the contributory factors. There seems to be scope for supervised training in using the laser indirect ophthalmoscope for the trainees in the Ophthalmic Emergency department.展开更多
文摘Objective. To report the management and outcome in retinal detachments associa ted with giant retinal tears (GRTs). Methods. Retrospective, case note analysis of patients treated between November 1991 and June 2002 at a tertiary referral h ospital. Results. The case notes of 29 patients (24 males, 5 females) with a fol low up ranging from five months to 7 years were reviewed. In all, 25 eyes had r etinal detachments with macular involvement and 10 patients had myopia more than 6 D. All patients underwent vitrectomy. A total of 23 patients had heavy liquid and 16 had scleral explants; 28 patients had silicone oil and one had C3F8 tamp onade. Intraoperative complications included lens trauma and iatrogenic GRT. Six eyes had recurrent retinal detachment and needed multiple surgical procedures. At the last follow up, 25 patients had anatomically attached retinas. In all, 1 8 fellow eyes were treated prophylactically. Three patients had total retinal de tachment and marked PVR. The visual acuity improved in 20 eyes. Conclusion. GRTs are more common in patients with high myopia. With newer techniques of surgical treatment of GRTs, the anatomical and visual outcomes are more favourable.
文摘Objective. To report the outcomes following treatment of retinal tears with argon laser photocoagulation by trainee doctors as an emergency procedure. Methods. Retrospective, case note analysis of 100 consecutive patients treated between August 2000 and December 2002 at a tertiary referral hospital. Result. The case notes of 100 consecutive patients (41 male,59 female)-with a mean age of 57.5 years were reviewed. Out of these 90 were symptomatic. The follow-up period ranged from 1 week to 8 months. All patients had argon laser retinopexy in the Emergency department. The on-call Registrar performed the procedure on 94 patients, and Senior House Officers performed the other six. A total of 98 procedures were performed on the slit lamp and two by laser indirect ophthalmoscope. In all, 24 patients needed further treatment with either indirect laser, cryotherapy, or surgery. At the last follow-up, all the patients had anatomically attached retinas. Conclusion. A significant proportion of patients (24% ) undergoing laser retinopexy in the emergency department needed further treatment. The relative inexperience in using the indirect laser, together with its unavailability in the Emergency department, may be the contributory factors. There seems to be scope for supervised training in using the laser indirect ophthalmoscope for the trainees in the Ophthalmic Emergency department.
