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Combination therapy for giant retinal tears has high success rate
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Management of giant retinal tears through vitrectomy, tamponade and photocoagulation of the retina without scleral buckle can achieve a high success rate, a Swiss study found.
Aude Ambresin, MD, and colleagues at Jules Gonin Eye Hospital in Switzerland retrospectively reviewed the charts of 18 patients with giant retinal tears who underwent pars plana vitrectomy, perfluorocarbon liquid and silicone oil (17 patients) or gas (one patient) exchange and laser retinopexy.
In 16 eyes, the retina was successfully reattached after initial surgery, and the silicone oil was removed after a mean period of 7.7 weeks. In two eyes, the retina remained detached after initial surgery. Reoperation was successful in one eye. After 3 additional surgeries in the other eye, the retina remained detached.
The study is published in Retina.