Changing Trends in Surgery for Retinal Detachment in Korea

Overview

Journal Korean J Ophthalmol

Specialty Ophthalmology

Date 2014 Dec 2

PMID 25435747

Citations 6

Authors

Ga Eun Cho

Seong Wook Kim

Se Woong Kang

Affiliations

Soon will be listed here.

Abstract

Purpose: To analyze trends in rhegmatogenous retinal detachment (RRD) surgery among the members of the Korean Retina Society from 2001 to 2013.

Methods: In 2013, surveys were conducted by email and post to investigate the current practice patterns regarding RRD treatment. Questions included how surgeons would manage six cases of hypothetical RRD. Results were compared to those reported in 2001.

Results: A total of 133 members (60.7%) in 2013 and 46 members(79.3%) in 2001 responded to the survey. Preference for pneumatic retinopexy has decreased in uncomplicated primary RRD (p = 0.004). More respondents in 2013 selected vitrectomy as the primary procedure when mild vitreous hemorrhage (p = 0.001), myopia (p = 0.044) and history of successful scleral buckling on the fellow eye (p = 0.044) were added to the primary scenario. Vitrectomy was over twice as popular in cases of pseudophakic, macula-off RRD with posterior capsular opacity (p = 0.001).

Conclusions: For RRD with myopia, pseudophakia and media opacity, surgical interventions over the last decade have drastically shifted from scleral buckling and pneumatic retinopexy to vitrectomy.

Citing Articles

Comparison of complications of intrascleral fixation according to the extent of vitrectomy.

Yamada M, Nishimura E, Watanabe S, Yoshino M, Tokunaga Y, Sugiyama N BMC Ophthalmol. 2024; 24(1):154.

PMID: 38594683 PMC: 11003157. DOI: 10.1186/s12886-024-03430-9.

Outcome of Different Surgical Repair Techniques for Rhegmatogenous Retinal Detachment-A Health Economic Analysis in the Split-Dalmatia County, Croatia.

Borjan I, Plestina-Borjan I, Hertzberg S, Sinicic A, Znaor L, Petrovski B Healthcare (Basel). 2024; 12(6).

PMID: 38540612 PMC: 10970497. DOI: 10.3390/healthcare12060648.

A Comparative Study of Traditional Scleral Buckling to a New Technique: Guarded Light Pipe with Heads-Up Three-Dimensional Visualization.

Baldwin G, Sokol J, Ludwig C, Miller J Clin Ophthalmol. 2022; 16:3079-3088.

PMID: 36160731 PMC: 9507285. DOI: 10.2147/OPTH.S378179.

Effect of surgeon-related factors on outcome of retinal detachment surgery: analyses of data in Japan-retinal detachment registry.

Yamakiri K, Sakamoto T, Koriyama C, Kawasaki R, Baba T, Nishitsuka K Sci Rep. 2022; 12(1):4213.

PMID: 35273253 PMC: 8913601. DOI: 10.1038/s41598-022-07838-5.

Pneumatic retinopexy: an update.

Huang C, Mikowski M, Wu L Graefes Arch Clin Exp Ophthalmol. 2021; 260(3):711-722.

PMID: 34636994 DOI: 10.1007/s00417-021-05448-x.

References

Gartry D, CHIGNELL A, Franks W, Wong D . Pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment uncomplicated by advanced proliferative vitreoretinopathy. Br J Ophthalmol. 1993; 77(4):199-203. PMC: 504480. DOI: 10.1136/bjo.77.4.199. View

Falkner-Radler C, Myung J, Moussa S, Paul Chan R, Smretschnig E, Kiss S . Trends in primary retinal detachment surgery: results of a Bicenter study. Retina. 2011; 31(5):928-36. DOI: 10.1097/IAE.0b013e3181f2a2ad. View

Benson W, Chan P, Sharma S, SNYDER W, Bloome M, Birch D . Current popularity of pneumatic retinopexy. Retina. 1999; 19(3):238-41. View

Campo R, Sipperley J, Sneed S, Park D, Dugel P, Jacobsen J . Pars plana vitrectomy without scleral buckle for pseudophakic retinal detachments. Ophthalmology. 1999; 106(9):1811-5; discussion 1816. DOI: 10.1016/S0161-6420(99)90353-6. View

Ahmadieh H, Moradian S, Faghihi H, Parvaresh M, Ghanbari H, Mehryar M . Anatomic and visual outcomes of scleral buckling versus primary vitrectomy in pseudophakic and aphakic retinal detachment: six-month follow-up results of a single operation--report no. 1. Ophthalmology. 2005; 112(8):1421-9. DOI: 10.1016/j.ophtha.2005.02.018. View

Minihan M, Tanner V, Williamson T . Primary rhegmatogenous retinal detachment: 20 years of change. Br J Ophthalmol. 2001; 85(5):546-8. PMC: 1723977. DOI: 10.1136/bjo.85.5.546. View

Escoffery R, Olk R, Grand M, Boniuk I . Vitrectomy without scleral buckling for primary rhegmatogenous retinal detachment. Am J Ophthalmol. 1985; 99(3):275-81. DOI: 10.1016/0002-9394(85)90356-3. View

HILTON G, Tornambe P, Grizzard W . Results of a temporary balloon buckle in the treatment of 500 retinal detachments and a comparison with pneumatic retinopexy. Am J Ophthalmol. 1989; 108(5):612-4. DOI: 10.1016/0002-9394(89)90453-4. View

SNYDER W, Bloome M, Birch D . Pneumatic retinopexy versus scleral buckle. Preferences of Vitreous Society members, 1990. Retina. 1992; 12(1):43-5. View

10.

Brazitikos P, Androudi S, Christen W, Stangos N . Primary pars plana vitrectomy versus scleral buckle surgery for the treatment of pseudophakic retinal detachment: a randomized clinical trial. Retina. 2005; 25(8):957-64. DOI: 10.1097/00006982-200512000-00001. View

11.

Zaidi A, Alvarado R, Irvine A . Pneumatic retinopexy: success rate and complications. Br J Ophthalmol. 2006; 90(4):427-8. PMC: 1857020. DOI: 10.1136/bjo.2005.075515. View

12.

Schwartz S, Flynn H . Primary retinal detachment: scleral buckle or pars plana vitrectomy?. Curr Opin Ophthalmol. 2006; 17(3):245-50. DOI: 10.1097/01.icu.0000193097.28798.fc. View

13.

Azad R, Chanana B, Sharma Y, Vohra R . Primary vitrectomy versus conventional retinal detachment surgery in phakic rhegmatogenous retinal detachment. Acta Ophthalmol Scand. 2007; 85(5):540-5. DOI: 10.1111/j.1600-0420.2007.00888.x. View

14.

Heimann H, Bartz-Schmidt K, Bornfeld N, Weiss C, Hilgers R, Foerster M . Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment: a prospective randomized multicenter clinical study. Ophthalmology. 2007; 114(12):2142-54. DOI: 10.1016/j.ophtha.2007.09.013. View

15.

Chan C, Lin S, Nuthi A, Salib D . Pneumatic retinopexy for the repair of retinal detachments: a comprehensive review (1986-2007). Surv Ophthalmol. 2008; 53(5):443-78. DOI: 10.1016/j.survophthal.2008.06.008. View

16.

Day S, Grossman D, Mruthyunjaya P, Sloan F, Lee P . One-year outcomes after retinal detachment surgery among medicare beneficiaries. Am J Ophthalmol. 2010; 150(3):338-45. PMC: 2926163. DOI: 10.1016/j.ajo.2010.04.009. View

17.

Tornambe P . Pneumatic retinopexy: the evolution of case selection and surgical technique. A twelve-year study of 302 eyes. Trans Am Ophthalmol Soc. 1997; 95:551-78. PMC: 1298375. View