Our Summary
This study aimed to understand the effectiveness and potential side effects of a specific treatment for rhegmatogenous retinal detachment. This is a condition where the retina (the light-sensitive tissue in the back of the eye) detaches from its normal position, which can lead to visual impairment.
The treatment tested was a surgical procedure called pars plana vitrectomy (PPV) combined with the use of silicone oil. This was used on patients who lived at altitudes higher than 1,000 meters, where alternative treatments using certain gases could increase the risk of dangerously high pressure in the eye.
The study followed 62 patients for an average of about two years, monitoring their vision, eye pressure, and any complications. The researchers found that the retina reattached successfully in 93.5% of cases six months after the silicone oil was removed. Also, the vision improved in nearly 89% of patients, remained the same in about 8%, and worsened in just over 3%.
A common side effect was an increase in eye pressure, which occurred in just over half of the patients, and was usually temporary and controllable with treatment. Another side effect was the development of cataracts, which happened in 80% of the patients who still had their natural lens after the surgery. These patients needed cataract surgery within about seven months.
In conclusion, the study found that the combination of PPV and silicone oil is a safe and effective treatment for rhegmatogenous retinal detachment in individuals living at high altitudes. The treatment had a high success rate and manageable side effects.
FAQs
- What is the success rate of pars plana vitrectomy (PPV) combined with silicone oil in treating rhegmatogenous retinal detachment?
- What are the common side effects of the PPV combined with silicone oil treatment for retinal detachment?
- Why is the combination of PPV and silicone oil recommended for individuals living at high altitudes?
Doctor’s Tip
One helpful tip a doctor might tell a patient about retinal detachment surgery is to follow all post-operative instructions carefully to ensure proper healing and minimize the risk of complications. This may include keeping the eye protected, avoiding strenuous activities, taking prescribed medications as directed, attending follow-up appointments, and reporting any unusual symptoms or changes in vision immediately. It is important to communicate openly with your healthcare provider throughout the recovery process to address any concerns or questions that may arise.
Suitable For
Patients who are typically recommended retinal detachment surgery include those with rhegmatogenous retinal detachment, especially those living at high altitudes where alternative treatments may not be suitable. Additionally, patients with vision impairment or worsening vision due to retinal detachment may also be recommended for surgery. However, it is important for patients to consult with their eye care provider to determine the best course of treatment based on their individual condition and medical history.
Timeline
Before retinal detachment surgery, a patient may experience symptoms such as sudden onset of floaters, flashes of light, or a curtain-like shadow over their vision. They would then undergo a comprehensive eye examination to diagnose the detachment and determine the best course of treatment.
After retinal detachment surgery, the patient may experience temporary discomfort, redness, or swelling in the eye. They will need to follow post-operative care instructions, which may include using eye drops, wearing an eye patch, and avoiding strenuous activities. Over time, the patient will attend follow-up appointments to monitor their recovery and ensure that the retina has successfully reattached.
Overall, the goal of retinal detachment surgery is to restore vision and prevent further vision loss. Patients may experience improved vision and quality of life following successful treatment.
What to Ask Your Doctor
- What is the success rate of retinal reattachment with this specific surgical procedure?
- What are the potential side effects of using silicone oil during the surgery?
- How long does it typically take for vision to improve after the surgery?
- Will I need additional surgeries, such as cataract surgery, after the retinal detachment surgery?
- How long will I need to follow up with you after the surgery?
- Are there any specific post-operative care instructions I should follow to ensure the best outcome?
- What are the risks associated with this surgery, and how likely are they to occur?
- How soon can I expect to return to my normal activities after the surgery?
- Are there any alternative treatments available for retinal detachment that I should consider?
- What is the long-term prognosis for my vision after undergoing this surgery?
Reference
Authors: Antoun J, Azar G, Jabbour E, Kourie HR, Slim E, Schakal A, Jalkh A. Journal: Retina. 2016 Oct;36(10):1906-12. doi: 10.1097/IAE.0000000000001008. PMID: 26966864