Giant Retinal Tear Management at Referral Eye Hospital

Introduction: to report the characteristics, management and outcome in giant retinal tear (GRT) associated retinal detachment patients at Cicendo Eye Hospital Methods: this retrospective study was performed on medical records who had undergone retinal detachment surgery between January 2014 and M...

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Main Authors: Mia Purnama, Erwin Iskandar, Rova Virgana, Grimaldi Ihsan, Iwan Sovani, Arief Kartasasmita
Format: Article
Language:English
Published: International Journal of Retina 2017-09-01
Series:IJRETINA (International Journal of Retina)
Online Access:https://www.ijretina.com/index.php/ijretina/article/view/5
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author Mia Purnama
Erwin Iskandar
Rova Virgana
Grimaldi Ihsan
Iwan Sovani
Arief Kartasasmita
author_facet Mia Purnama
Erwin Iskandar
Rova Virgana
Grimaldi Ihsan
Iwan Sovani
Arief Kartasasmita
author_sort Mia Purnama
collection DOAJ
description Introduction: to report the characteristics, management and outcome in giant retinal tear (GRT) associated retinal detachment patients at Cicendo Eye Hospital Methods: this retrospective study was performed on medical records who had undergone retinal detachment surgery between January 2014 and March 2017. Age, sex, etiologies, size of GRT, quadrant involvement, lens status, proliferative vitreo-retinopathy (PVR), managements and outcomes were evaluated in association with giant retinal tears Result: Twenty-six patients (23 males, 3 females) age between 11-59 years with follow up from 2 months to 18 months were enrolled in this study. Twenty-five eyes have retinal detachment with macular involvement and 11 patients had high myopia. Majority of patients had 90° of GRTs. Most retinal tears were located at temporal quadrant (73%). Nineteen patients had undergone pars plana vitrectomy (PPV) and 7 patients had combined PPV with encircling buckle. Fifteen patients had used heavy liquid, 24 patients had silicon oil and 2 had gas tamponade. Intraoperative complications included lens trauma, retinal slippage and choroidal detached were found in 1 eye respectively. Fourteen eyes had recurrent retinal detachment. At the last follow up, 14 patients had anatomically attached retina. Twelve patients had total retinal detachment and marked PVR. Five fellow eyes were treated with prophylactic laser. Visual acuity improved in 11 eyes. Conclusion: Giant retinal tears were more common in patients with high myopia. Management of GRT currently with PPV and PPV combined with encircling buckle. The success rate of anatomy and visual acuity was less than other previous studies
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spelling doaj.art-9eb637734b3d41a29e087b87dfa8695a2022-12-21T19:10:25ZengInternational Journal of RetinaIJRETINA (International Journal of Retina)2614-86842614-85362017-09-01115Giant Retinal Tear Management at Referral Eye HospitalMia Purnama0Erwin Iskandar1Rova Virgana2Grimaldi Ihsan3Iwan Sovani4Arief Kartasasmita5Universitas PadjadjaranUniversitas PadjadjaranUniversitas PadjadjaranUniversitas PadjadjaranUniversitas PadjadjaranUniversitas PadjadjaranIntroduction: to report the characteristics, management and outcome in giant retinal tear (GRT) associated retinal detachment patients at Cicendo Eye Hospital Methods: this retrospective study was performed on medical records who had undergone retinal detachment surgery between January 2014 and March 2017. Age, sex, etiologies, size of GRT, quadrant involvement, lens status, proliferative vitreo-retinopathy (PVR), managements and outcomes were evaluated in association with giant retinal tears Result: Twenty-six patients (23 males, 3 females) age between 11-59 years with follow up from 2 months to 18 months were enrolled in this study. Twenty-five eyes have retinal detachment with macular involvement and 11 patients had high myopia. Majority of patients had 90° of GRTs. Most retinal tears were located at temporal quadrant (73%). Nineteen patients had undergone pars plana vitrectomy (PPV) and 7 patients had combined PPV with encircling buckle. Fifteen patients had used heavy liquid, 24 patients had silicon oil and 2 had gas tamponade. Intraoperative complications included lens trauma, retinal slippage and choroidal detached were found in 1 eye respectively. Fourteen eyes had recurrent retinal detachment. At the last follow up, 14 patients had anatomically attached retina. Twelve patients had total retinal detachment and marked PVR. Five fellow eyes were treated with prophylactic laser. Visual acuity improved in 11 eyes. Conclusion: Giant retinal tears were more common in patients with high myopia. Management of GRT currently with PPV and PPV combined with encircling buckle. The success rate of anatomy and visual acuity was less than other previous studieshttps://www.ijretina.com/index.php/ijretina/article/view/5
spellingShingle Mia Purnama
Erwin Iskandar
Rova Virgana
Grimaldi Ihsan
Iwan Sovani
Arief Kartasasmita
Giant Retinal Tear Management at Referral Eye Hospital
IJRETINA (International Journal of Retina)
title Giant Retinal Tear Management at Referral Eye Hospital
title_full Giant Retinal Tear Management at Referral Eye Hospital
title_fullStr Giant Retinal Tear Management at Referral Eye Hospital
title_full_unstemmed Giant Retinal Tear Management at Referral Eye Hospital
title_short Giant Retinal Tear Management at Referral Eye Hospital
title_sort giant retinal tear management at referral eye hospital
url https://www.ijretina.com/index.php/ijretina/article/view/5
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AT erwiniskandar giantretinaltearmanagementatreferraleyehospital
AT rovavirgana giantretinaltearmanagementatreferraleyehospital
AT grimaldiihsan giantretinaltearmanagementatreferraleyehospital
AT iwansovani giantretinaltearmanagementatreferraleyehospital
AT ariefkartasasmita giantretinaltearmanagementatreferraleyehospital