TY - JOUR
T1 - Laser prophylactic treatment of the fellow eye in giant retinal tears
AU - Ripandelli, Guido
AU - Rossi, Tommaso
AU - Cacciamani, Andrea
AU - Scarinci, Fabio
AU - Piaggi, Paolo
AU - Stirpe, Mario
PY - 2016/5/1
Y1 - 2016/5/1
N2 - Purpose: To report the results of a retrospective study on prophylactic laser treatment versus observation of giant retinal tears (GRTs) fellow eyes. Methods: One hundred and sixty consecutive charts of patients operated for GRT were included in this retroprospective study. Standard office visit included manifest and corrected refraction, intraocular pressure measurement, slit-lamp examination of the anterior and posterior segment with +90 diopter lens, and indirect ophthalmoscopy were performed at baseline and during follow-up period. Results: Observation group included 62 and prophylactic laser treatment group 98 eyes. The incidence of retinal tears with localized preequatorial retinal detachment, GRTs with macula-ON retinal detachment, and GRTs with Macula-OFF retinal detachment were 3.2, 0, and 14.5%, respectively, during 43.5 ± 19.8 months of follow-up period in observation group and 11.2, 2, and 0%, respectively, in prophylactic laser treatment group during 37.2 ± 16.3 months of follow-up period. Conclusion: Prophylactic laser treatment of GRTs fellow eyes decreased the incidence of GRTs and limited the consequences of newly developed tears, lowering the occurrence of a macula-off retinal detachment with a consequent better final visual outcome respect to observation group.
AB - Purpose: To report the results of a retrospective study on prophylactic laser treatment versus observation of giant retinal tears (GRTs) fellow eyes. Methods: One hundred and sixty consecutive charts of patients operated for GRT were included in this retroprospective study. Standard office visit included manifest and corrected refraction, intraocular pressure measurement, slit-lamp examination of the anterior and posterior segment with +90 diopter lens, and indirect ophthalmoscopy were performed at baseline and during follow-up period. Results: Observation group included 62 and prophylactic laser treatment group 98 eyes. The incidence of retinal tears with localized preequatorial retinal detachment, GRTs with macula-ON retinal detachment, and GRTs with Macula-OFF retinal detachment were 3.2, 0, and 14.5%, respectively, during 43.5 ± 19.8 months of follow-up period in observation group and 11.2, 2, and 0%, respectively, in prophylactic laser treatment group during 37.2 ± 16.3 months of follow-up period. Conclusion: Prophylactic laser treatment of GRTs fellow eyes decreased the incidence of GRTs and limited the consequences of newly developed tears, lowering the occurrence of a macula-off retinal detachment with a consequent better final visual outcome respect to observation group.
KW - fellow eye
KW - giant retinal tear
KW - laser treatment
KW - risk of retinal detachment
KW - scleral buckling
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U2 - 10.1097/IAE.0000000000000805
DO - 10.1097/IAE.0000000000000805
M3 - Article
AN - SCOPUS:84966479920
VL - 36
SP - 962
EP - 966
JO - Retina
JF - Retina
SN - 0275-004X
IS - 5
ER -