Our Summary

This research paper looked at the outcomes of two different treatments for the eye condition known as syndromes with optically empty vitreous (SOEV). This condition can cause the retina, the part of the eye that senses light, to detach. The two treatments evaluated in this study were a surgical procedure called scleral buckle (SB) and a procedure called pars plana vitrectomy (PPV), which can be done with or without the SB.

The researchers examined the records of 97 patients, some of whom had been diagnosed with SOEV through a physical eye exam and others through genetic testing. They divided these patients into two groups - those who had already experienced a retinal detachment and those who had not (but were at risk and had received laser treatment to prevent it).

They found that patients who received the SB procedure had better results in terms of vision and retinal reattachment. They also found that lifting the hyaloid (a part of the eye) during the initial vitrectomy procedure gave better results without the need for silicone oil.

Additionally, they found that patients who developed retinal detachments after laser treatment had better vision than those who did not receive any treatment.

The conclusion is that the SB procedure gives better overall results in patients with SOEV. Patients with a specific type of SOEV, known as Stickler Type-1, had similar outcomes to other types of SOEV, suggesting that the same treatment approaches should be used for both groups.

FAQs

  1. What are the two treatments evaluated in the research for the condition known as syndromes with optically empty vitreous (SOEV)?
  2. Which procedure was found to give better results in terms of vision and retinal reattachment in patients with SOEV?
  3. How does the outcome for patients with Stickler Type-1 SOEV compare with outcomes for other types of SOEV?

Doctor’s Tip

A doctor might advise a patient undergoing retinal detachment surgery to follow post-operative instructions carefully, including avoiding strenuous activities and heavy lifting, as well as attending all follow-up appointments. It is important to report any changes in vision or any new symptoms to your doctor immediately. It may also be recommended to avoid activities that may increase eye pressure, such as sneezing or straining, to prevent further complications. Following these guidelines can help ensure a successful recovery and optimal outcomes from the surgery.

Suitable For

Patients who are typically recommended retinal detachment surgery include those with a diagnosis of syndromes with optically empty vitreous (SOEV), especially those who have already experienced a retinal detachment or are at risk for it. Patients with a specific type of SOEV, such as Stickler Type-1, may also benefit from retinal detachment surgery. Additionally, patients who have received laser treatment to prevent retinal detachment and subsequently develop a detachment may also be recommended for surgery. Overall, patients with SOEV who are experiencing retinal detachment or are at risk for it may be candidates for retinal detachment surgery, particularly the scleral buckle procedure.

Timeline

In summary, 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 exam, including imaging tests such as optical coherence tomography (OCT) or ultrasound, to confirm the diagnosis of retinal detachment.

After surgery, the patient would typically have follow-up appointments with their ophthalmologist to monitor their healing progress and ensure the retina remains attached. They may need to use eye drops or wear an eye patch for a period of time following surgery. Over time, the patient’s vision may gradually improve as the retina heals, but it is important to follow the doctor’s instructions for post-operative care to prevent complications and optimize outcomes.

What to Ask Your Doctor

Some questions a patient should ask their doctor about retinal detachment surgery include:

  1. What type of retinal detachment surgery do you recommend for my specific case of SOEV?
  2. What are the potential risks and complications associated with the recommended surgery?
  3. How long is the recovery process expected to take, and what can I expect during this time?
  4. Will I need any follow-up appointments or additional treatments after the surgery?
  5. What are the success rates of the recommended surgery for patients with SOEV?
  6. Are there any alternative treatment options available for my condition?
  7. How will the surgery impact my vision and overall eye health in the long term?
  8. What can I do to prepare for the surgery, both physically and mentally?
  9. How experienced are you in performing retinal detachment surgeries, and what is your success rate with this procedure?
  10. Are there any lifestyle changes or precautions I should take after the surgery to help prevent future retinal detachments or complications?

Reference

Authors: Taylor K, Su M, Richards Z, Mamawalla M, Rao P, Chang E. Journal: Ophthalmol Retina. 2023 Oct;7(10):848-856. doi: 10.1016/j.oret.2023.06.012. Epub 2023 Jun 23. PMID: 37356493