Our Summary

The research paper discusses the application of a technique called SPOT in surgeries for a serious eye condition called Macular Hole with Retinal Detachment (MHRD), which is often seen in highly myopic (short-sighted) eyes. The technique was applied in a study involving 20 eyes that had the condition.

The SPOT technique was used during a surgery called vitrectomy, where a jelly-like substance inside the eye is removed, and replaced with a saline solution. This procedure was combined with three different techniques to manage a thin layer of the eye called the internal limiting membrane (ILM) - peeling and inverting the flap (80% of the cases), inserting the ILM (15% of the cases), or creating a “free flap” with the ILM (5% of the cases).

The main objective of the study was to assess how well the patients could see after the surgery (best-corrected visual acuity) and how successful the surgery was in closing the hole and reattaching the macula, a part of the retina at the back of the eye.

The results showed that in all 20 eyes, the hole was initially closed. However, in 2 cases the hole reopened, and in 2 other cases, some fluid remained despite the hole being closed. In the end, in 90% of the eyes (18 out of 20), the hole was closed and the retina was reattached. Furthermore, in 70% of the cases, vision improved.

The study concludes that the SPOT technique can be successfully used in surgeries for MHRD, achieving a 90% success rate in closing the hole and reattaching the retina, and improving or stabilizing vision in 90% of the cases. The technique also makes it easier for surgeons to handle the ILM flap, which is beneficial in these complex surgeries.

FAQs

  1. What is the SPOT technique and how is it used in surgeries for Macular Hole with Retinal Detachment (MHRD)?
  2. What were the results of the study involving the use of the SPOT technique in MHRD surgeries?
  3. How does the SPOT technique contribute to the success rate and ease of MHRD surgeries?

Doctor’s Tip

A helpful tip a doctor might tell a patient about retinal detachment surgery is to follow all post-operative instructions carefully and attend all follow-up appointments to monitor healing and ensure the best possible outcome. It’s important to avoid any strenuous activities or heavy lifting during the recovery period to prevent complications. Additionally, protecting the eye from injury and avoiding rubbing or putting pressure on the eye is crucial for a successful recovery. If any changes in vision or new symptoms occur, it is important to contact the doctor immediately.

Suitable For

Patients who are typically recommended retinal detachment surgery are those with conditions such as Macular Hole with Retinal Detachment (MHRD), particularly in highly myopic (short-sighted) eyes. These patients may experience symptoms such as decreased vision, floaters, flashes of light, or a curtain-like shadow over their vision. It is important for these patients to undergo surgery to prevent permanent vision loss and restore retinal function.

Timeline

Before retinal detachment surgery, a patient may experience symptoms such as sudden flashes of light, floaters in their vision, or a curtain-like shadow over their field of vision. They would then undergo a comprehensive eye examination, including imaging tests like optical coherence tomography (OCT) to confirm the diagnosis of retinal detachment.

After retinal detachment surgery, the patient may experience some discomfort, redness, or swelling in the eye. They will be given instructions on how to care for their eye post-surgery, including using prescribed eye drops, avoiding strenuous activities, and attending follow-up appointments with their ophthalmologist. Over time, the patient will gradually regain their vision as the retina heals and reattaches. Follow-up appointments will monitor the progress of healing and check for any complications.

What to Ask Your Doctor

  1. What is the success rate of retinal detachment surgery using the SPOT technique?
  2. What are the potential risks and complications associated with this surgery?
  3. How long is the recovery period after retinal detachment surgery?
  4. Will I need any follow-up appointments or additional treatments after the surgery?
  5. What can I expect in terms of vision improvement after the surgery?
  6. Are there any lifestyle changes or precautions I should take after the surgery to protect my eyes?
  7. How experienced is the surgical team in performing retinal detachment surgeries using the SPOT technique?
  8. Are there any alternative treatment options for my condition?
  9. How soon after diagnosis should the surgery be performed to maximize the chances of success?
  10. What should I do if I experience any unusual symptoms or complications after the surgery?

Reference

Authors: Chou HD, Teh WM, Chen KJ, Hwang YS, Liu L, Yeung L, Wu WC, Lai CC. Journal: BMC Ophthalmol. 2025 Apr 9;25(1):190. doi: 10.1186/s12886-025-03969-1. PMID: 40205421