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Susanne Binder - One of the best experts on this subject based on the ideXlab platform.

  • vitrectomy combined with Endolaser or an encircling scleral buckle in primary retinal detachment surgery a pilot study
    Acta Ophthalmologica, 2015
    Co-Authors: Christiane I Falknerradler, Alexandra Graf, Susanne Binder
    Abstract:

    Purpose To compare pars plana vitrectomy and 360° Endolaser therapy with pars plana vitrectomy and an encircling scleral buckle for the treatment of primary rhegmatogenous retinal detachments in a randomized pilot study including 60 patients. Methods Main outcome measures were single-surgery anatomic success rate and final best-corrected visual acuity at 6 months follow-up. Cofactors analysed were complication rates, patients' comfort, refractive outcome and macula status assessed using a spectral-domain optical coherence tomography. Results With differences between both treatment groups regarding type of the retinal detachment, localization of retinal tears (p = 0.0085) and the choice of the intraocular tamponade (p < 0.0202), there were no significant differences between the single-surgery anatomic success rate (93.33% both groups, p = 1.0) and the visual acuity at final follow-up (≤0.3 logMAR [logarithm of minimum angle of resolution] in 66.67% in the Endolaser group versus 40.0% in the scleral buckle group, p = 0.0514). Questionnaire responses showed lower levels of patients’ discomfort in the Endolaser group. A significant difference between both groups was found in the refractive error change after surgery (−0.20 ± 0.51 dioptres in the Endolaser group versus −0.88 ± 0.88 dioptres in the scleral buckle group, p = 0.0003). Conclusion Primary vitrectomy combined with 360° Endolaser therapy seems to be as effective as vitrectomy combined with an encircling scleral buckle in patients with rhegmatogenous retinal detachment, with possible benefits of an improved patients' comfort and a more stable refractive status after surgery.

  • outcome after silicone oil removal and simultaneous 360 Endolaser treatment
    Acta Ophthalmologica, 2011
    Co-Authors: Christiane I Falknerradler, Alexandra Graf, Eva Smretschnig, Susanne Binder
    Abstract:

    Acta Ophthalmol. 2011: 89: e46–e51 Abstract Purpose:  To evaluate the outcome after silicone oil removal combined with a 360° Endolaser treatment in complex retinal detachment (RD) cases and to assess prognostic factors. Methods:  This is a retrospective, consecutive interventional study in Vienna, Austria with data from 111 patients following silicone oil removal and simultaneous 360° Endolaser treatment for at least 6 months. Stepwise regression analysis between anatomic and visual outcome, baseline demographics, and type and number of RD procedures was performed. Results:  One hundred and one patients (91%) showed a retinal reattachment after silicone oil removal, which was associated with a low overall number of RD procedures (p = 0.01) and male gender (p < 0.03). Sixty-five patients (59%) showed an improvement (two or more lines) of best-corrected visual acuity (BCVA) at the final follow-up visit. Improvement of BCVA and a better BCVA after silicone oil removal were associated with a better BCVA before silicone oil removal (p < 0.01) and a low overall number of RD procedures (p < 0.01). Conclusion:  The overall number of RD procedures can be used to predict the anatomic and visual outcome after silicone oil removal. Adding a simultaneous 360° Endolaser therapy to silicone oil removal is associated with a high anatomic success rate and an excellent visual outcome.

Paolo Vinciguerra - One of the best experts on this subject based on the ideXlab platform.

Alvin L Young - One of the best experts on this subject based on the ideXlab platform.

  • combined pars plana vitrectomy scleral buckle versus pars plana vitrectomy for proliferative vitreoretinopathy
    International Ophthalmology, 2016
    Co-Authors: Frank H P Lai, Vesta C K Chan, Marten E Brelen, Alvin L Young
    Abstract:

    The purpose of the study is to evaluate the surgical outcomes of combined pars plana vitrectomy–scleral buckle (PPV–SB) versus pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment complicated with proliferative vitreoretinopathy (PVR). One thousand one hundred and seventy four patients with rhegmatogenous retinal detachment surgery between January 2002 and December 2013 were retrospectively reviewed. Patients with grade C PVR treated with either combined PPV–SB or PPV alone were included in the study. Study outcomes included single surgery anatomic success rate and postoperative visual outcome at 12 months postoperatively. Seventy-seven patients with grade C PVR were identified for analysis. At the end of 12-month follow-up, 80.5 % eyes (33/41) in the PPV–SB group and 58.3 % eyes (21/36) in the PPV group achieved single surgery anatomical success. In a multiple logistic regression model, none of the baseline variables (age, gender, macula status, grade of PVR, extent of detachment, presence of vitreous hemorrhage, lens status, status of high myopia) nor types of retinal detachment surgery (use of scleral buckle, barrier Endolaser, 360 degree Endolaser, cryopexy, retinectomy, tamponade agent, phacoemulsification) had significant effect on single surgery anatomical success. The post-treatment mean logMAR visual acuity of the PPV–SB group was 1.58 ± 0.58 and the PPV group was 1.57 ± 0.61. There was no significant difference in the postoperative visual acuity between the two groups (P = 0.849). For patients with grade C PVR, PPV–SB did not demonstrate a superiority over PPV alone in achieving single surgery anatomical success.

Jung Yeul Kim - One of the best experts on this subject based on the ideXlab platform.

  • intraoperative Endolaser retinopexy around the sclerotomy site for prevention of retinal detachment after pars plana vitrectomy
    Retina-the Journal of Retinal and Vitreous Diseases, 2011
    Co-Authors: Changsik Kim, Kyoung Nam Kim, Woojin Kim, Jung Yeul Kim
    Abstract:

    Purpose:To investigate whether intraoperative Endolaser retinopexy around the sclerotomy site during pars plana vitrectomy can prevent the postoperative complication of retinal detachment (RD).Methods:Two hundred and seventy-eight patients who had undergone 20-gauge pars plana vitrectomy for various

  • primary pars plana vitrectomy with 360 degree Endolaser photocoagulation for pseudophakic rhegmatogenous retinal detachment
    Journal of The Korean Ophthalmological Society, 2009
    Co-Authors: Yong Jun Yun, Jung Yeul Kim
    Abstract:

    Purpose: To report the results of primary pars plana vitrectomy with 360-degree Endolaser photocoagulation for pseudophakic rhegmatogenous retinal detachment. Methods: We retrospectively reviewed the medical records of 35 eyes of 35 patients who hadundergone vitrectomy without scleral bucking as a primary operation for pseudophakic rhegmatogenous retinal detachment with a follow-up period of more than 12 months. We also analyzed the anatomical success rate and the patients’ final visual acuities. In all patients, Endolaser photocoagulation was applied to the retinal tears, as well as to 360-degrees of the peripheral retina, using a curved illuminating Endolaser probe intraoperatively. Results: The mean patient age was 61 years, and the mean follow-up period was 20 months. The mean preoperative visual acuity (logMAR) was 1.06, while the mean postoperative visual acuity (logMAR) was 0.23. Twenty-four (69%) of the 35 patients showed macular detachment, and 34 (97%) of the 35 eyes experienced retinal reattachment and visual improvement after a single operation. Complications included epiretinal membrane (6%) and cystoid macular edema (3%). Conclusions: Primary pars plana vitrectomy with 360-degree Endolaser photocoagulation, instead of sclera buckling, seemsto be an effective method in managing pseudophakic rhegmatogenous retinal detachment.

Christiane I Falknerradler - One of the best experts on this subject based on the ideXlab platform.

  • vitrectomy combined with Endolaser or an encircling scleral buckle in primary retinal detachment surgery a pilot study
    Acta Ophthalmologica, 2015
    Co-Authors: Christiane I Falknerradler, Alexandra Graf, Susanne Binder
    Abstract:

    Purpose To compare pars plana vitrectomy and 360° Endolaser therapy with pars plana vitrectomy and an encircling scleral buckle for the treatment of primary rhegmatogenous retinal detachments in a randomized pilot study including 60 patients. Methods Main outcome measures were single-surgery anatomic success rate and final best-corrected visual acuity at 6 months follow-up. Cofactors analysed were complication rates, patients' comfort, refractive outcome and macula status assessed using a spectral-domain optical coherence tomography. Results With differences between both treatment groups regarding type of the retinal detachment, localization of retinal tears (p = 0.0085) and the choice of the intraocular tamponade (p < 0.0202), there were no significant differences between the single-surgery anatomic success rate (93.33% both groups, p = 1.0) and the visual acuity at final follow-up (≤0.3 logMAR [logarithm of minimum angle of resolution] in 66.67% in the Endolaser group versus 40.0% in the scleral buckle group, p = 0.0514). Questionnaire responses showed lower levels of patients’ discomfort in the Endolaser group. A significant difference between both groups was found in the refractive error change after surgery (−0.20 ± 0.51 dioptres in the Endolaser group versus −0.88 ± 0.88 dioptres in the scleral buckle group, p = 0.0003). Conclusion Primary vitrectomy combined with 360° Endolaser therapy seems to be as effective as vitrectomy combined with an encircling scleral buckle in patients with rhegmatogenous retinal detachment, with possible benefits of an improved patients' comfort and a more stable refractive status after surgery.

  • outcome after silicone oil removal and simultaneous 360 Endolaser treatment
    Acta Ophthalmologica, 2011
    Co-Authors: Christiane I Falknerradler, Alexandra Graf, Eva Smretschnig, Susanne Binder
    Abstract:

    Acta Ophthalmol. 2011: 89: e46–e51 Abstract Purpose:  To evaluate the outcome after silicone oil removal combined with a 360° Endolaser treatment in complex retinal detachment (RD) cases and to assess prognostic factors. Methods:  This is a retrospective, consecutive interventional study in Vienna, Austria with data from 111 patients following silicone oil removal and simultaneous 360° Endolaser treatment for at least 6 months. Stepwise regression analysis between anatomic and visual outcome, baseline demographics, and type and number of RD procedures was performed. Results:  One hundred and one patients (91%) showed a retinal reattachment after silicone oil removal, which was associated with a low overall number of RD procedures (p = 0.01) and male gender (p < 0.03). Sixty-five patients (59%) showed an improvement (two or more lines) of best-corrected visual acuity (BCVA) at the final follow-up visit. Improvement of BCVA and a better BCVA after silicone oil removal were associated with a better BCVA before silicone oil removal (p < 0.01) and a low overall number of RD procedures (p < 0.01). Conclusion:  The overall number of RD procedures can be used to predict the anatomic and visual outcome after silicone oil removal. Adding a simultaneous 360° Endolaser therapy to silicone oil removal is associated with a high anatomic success rate and an excellent visual outcome.