Abstract
Forty-four patients who had undergone successful vitreoretinal surgery were included in a retrospective study intended to evaluate the real benefit of surgery in each case. All patients presented with a retinal detachment complicated by proliferative vitreoretinopathy in one eye, the fellow eye being healthy. The number of operations undergone by each patient and the total operating time per patient were carefully recorded. Objective parameters such as visual acuity, visual field and stereoscopic function were monitored. Visual comfort and subjective complaints were graded by means of a questionnaire given to the patients. Any severe event occurring in the fellow eye during the follow-up period was also registered. Sophisticated vitreoretinal surgery in patients with a good fellow eye is useful to the patient if binocular function can be restored at least partially. Correction of unilateral aphakia by a contact lens should not be considered an acceptable solution.
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References
Aaberg TM (1988) Management of anterior and posterior proliferative vitreoretinopathy. XLVth Edward Jackson Memorial Lecture. Am J Ophthalmol 106:519–532
Biermeyer H, Markodimitrakis H, Kroll P (1990) Binocularität nach sekundärer Linsenimplantation nach vitreoretinaler Silikonölchirurgie. Klin Monatsbl Augenheilkd 197:369–372
Bustros S de, Michels RG (1984) Surgical treatment of retinal detachments complicated by proliferative vitreoretinopathy. Am J Ophthalmol 98:694–699
Byer NE (1979) Lattice degeneration of the retina. Surv Ophthalmol 23:213–248
Chang S, Ozmert E, Zimmermann NJ (1988) Intraoperative perfluorocarbon liquids in the management of proliferative vitreoretinopathy. Am J Ophthalmol 106:668–674
Colenbrander MC (1948) The limits of stereoscopic vision. Ophthalmologica 115:363–366
Duke-Elder S (ed) (1970) Ophthalmic optics and refraction. (System of ophthalmology, vol 5) Mosby, St Louis, pp 518–519
Eckardt C, Zwick A, de Decker W (1990) Visus und Binokularsehen nach extremer Amotiochirurgie. Fortschr Ophthalmol 87:274–278
Federmann JL, Schubert HD (1988) Complications associated with the use of silicone oil in 150 eyes after retina-vitreous surgery. Ophthalmology 95:870–876
Gonvers M (1982) Temporary use of intraocular silicone oil in the treatment of detachment with massive periretinal proliferation. Ophthalmologica 184:210–218
Gonvers M (1985) Temporary silicone oil tamponade in the management of retinal detachment with proliferative vitreoretinopathy. Am J Ophthalmol 100:239–245
Gonvers M (1987) New instrumentation and technique for epiretinal surgery. Arch Ophthalmol 105:1292–1293
Grey RH, Leaver PK (1979) Silicone oil in the treatment of massive preretinal retraction. 1. Results in 105 eyes. Br J Ophthalmol 63:355–360
Haut J, Besson D, Larricart P, Le Mer Y (1988) Résultats du retrait précoce du silicone intra-oculaire après chirurgie vitréorétinienne. J Fr Ophthalmol 11:723–726
Heimann K, Dimopoulos S, Paulmann H (1984) Silikonölinjektion in der Behandlung komplizierter Netzhautablösungen. Klin Monatsbl Augenheilkd 185:505–508
Hirschberg H (1874) Arch Augenheilkd 4:273–279
Kampik A, Gabel VP, Spiegel D (1984) Intraokulare Tamponade mit hochviskosem Silikonöl bei massiver proliferativer Vitreo-Retinopathie (PVR). Klin Monatsbi Augenheilkd 185:368–370
Lean JS, Leaver PK, Cooling RJ, McLeod D (1982) Management of complex retinal detachments by vitrectomy and fluidsilicone exchange. Trans Ophthalmol See UK 102:203–205
Lucke KH, Foerster MH, Laqua H (1987) Long-term results of vitrectomy and silicone oil in 500 cases of complicated retinal detachments. Am J Ophthalmol 104:624–633
Machemer R (1977) Massive periretinal proliferation. A logical approach to therapy. Trans Am Ophthalmol Soc 75:556–586
Noorden GK von (1985) Burian and von Noorden's binocular vision and ocular motility, 3rd edn. Mosby, St Louis, pp 258–260
Riedel KG, Gabel VP, Neubauer L, Kampik A, Lund OE (1990) Intravitreal silicone oil injection: complications and treatment of 415 consecutive patients. Graefe's Arch Clin Exp Ophthalmol 228:19–23
Ryan SJ (1985) The pathophysiology of proliferative vitreoretinopathy and its management. Am J Ophthalmol 100:188–193
Schepens CL, Marden D (1961) Data on the natural history of retinal detachment. Arch Ophthalmol 66:631–642
Scott JD (1975) Treatment of massive vitreous retraction. Trans Ophthalmol Soc UK 95:429–432
Sell CH, McCuen BW, Landers MB, Machemer R (1987) Long term results of successful vitrectomy with silicone oil for advanced proliferative vitreoretinopathy. Am J Ophthalmol 103:24–28
Törnquist R (1963). Bilateral retinal detachment. Acta Ophthalmol 41:126–133
Zivojnovic R, Mertens DAE, Peperkamp E (1982) Das flüssige Silikon in der Amotiochirurgie. II. Bericht über 280 Fälle — weitere Entwicklung der Technik. Klin Monatsbl Augenheilkd 181:444–452
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Andenmatten, R., Gonvers, M. Sophisticated vitreoretinal surgery in patients with a healthy fellow eye. Graefe's Arch Clin Exp Ophthalmol 231, 495–499 (1993). https://doi.org/10.1007/BF00921113
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DOI: https://doi.org/10.1007/BF00921113