Myopic Retinal detachment

Summary Half non traumatic retinal detachment (RD) happens in myopic eyes with a ten folds risk in eyes over three diopters. Most of RD are related with an atrophic round hole or a horseshoe tear in the periphery. Retinal detachments in highly myopic eyes are characterized by the location of the bre...

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Bibliographic Details
Published in:Acta ophthalmologica (Oxford, England) England), 2016-10, Vol.94 (S256), p.n/a
Main Author: Berrod, J.P.
Format: Article
Language:English
Subjects:
Cortex
Ischemia
Ophthalmology
Retina
Silicones
Online Access:Get full text
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Summary:Summary Half non traumatic retinal detachment (RD) happens in myopic eyes with a ten folds risk in eyes over three diopters. Most of RD are related with an atrophic round hole or a horseshoe tear in the periphery. Retinal detachments in highly myopic eyes are characterized by the location of the breaks posteriorly to the equator, the presence of para vascular breaks, or the presence of posterior pole RD without break associated with staphyloma or foveoschisis. Treatment of RD is challenging because of the difficulty of placing a posterior buckle, the increased risk of anterior segment ischemia and a higher risk of PVR in case of relapse. Most of patients are treated by primary vitrectomy with the use of dye or triamcinolone to facilitate visualization of posterior hyaloid during cortical vitreous peeling. The primary success rate ranges between 75 and 90% after single procedure using gas tamponnade. Encircling band, macular buckling, or silicone oil are only used if a second procedure is needed.
ISSN:1755-375X
1755-3768
DOI:10.1111/j.1755-3768.2016.0112