Aim:To evaluate the success rate and complications of pneumatic retinopexy performed at a university hospital and to identify which patients are best suited for pneumatic retinopexy.Methods:This was an interventional ...Aim:To evaluate the success rate and complications of pneumatic retinopexy performed at a university hospital and to identify which patients are best suited for pneumatic retinopexy.Methods:This was an interventional case series.Retrospective review of 61 patients who had pneumatic retinopexy performed by two retina surgeons at two University of California,San Francisco hospitals between 1998 and 2004.Patients who had been treated for rhegmatogenous retinal detachment(RRD)with pneumatic retinopexy were identified by reviewing operative reports and billing records.The primary outcome measure was anatomical reattachment of the retina with a single intervention.Secondary outcome measures included postoperative visual acuity and postoperative complications.Results:33 of 61(54%)cases were successful with a single procedure.40 of 61(66%)cases were successful with repeat injection of gas or laser retinopexy alone.All cases had anatomical success at final follow up.Age,myopia,lens status,and number of breaks were not proved to be risk factors for failure.The average duration of follow up was 15 months.Conclusions:In this case series,pneumatic retinopexy was less effective for the repair of RRD than most large published reports.However,failure of pneumatic retinopexy followed by scleral buckle or pars plana vitrectomy did not negatively influence visual acuity at final follow up.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Aim:To evaluate the success rate and complications of pneumatic retinopexy performed at a university hospital and to identify which patients are best suited for pneumatic retinopexy.Methods:This was an interventional case series.Retrospective review of 61 patients who had pneumatic retinopexy performed by two retina surgeons at two University of California,San Francisco hospitals between 1998 and 2004.Patients who had been treated for rhegmatogenous retinal detachment(RRD)with pneumatic retinopexy were identified by reviewing operative reports and billing records.The primary outcome measure was anatomical reattachment of the retina with a single intervention.Secondary outcome measures included postoperative visual acuity and postoperative complications.Results:33 of 61(54%)cases were successful with a single procedure.40 of 61(66%)cases were successful with repeat injection of gas or laser retinopexy alone.All cases had anatomical success at final follow up.Age,myopia,lens status,and number of breaks were not proved to be risk factors for failure.The average duration of follow up was 15 months.Conclusions:In this case series,pneumatic retinopexy was less effective for the repair of RRD than most large published reports.However,failure of pneumatic retinopexy followed by scleral buckle or pars plana vitrectomy did not negatively influence visual acuity at final follow up.
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.
