Recent Trends in the Management of Rhegmatogenous Retinal Detachment

Abstract It has been nearly a century since Jules Gonin performed the first intervention for rhegmatogenous retinal detachment, trans-scleral cautery, achieving successful outcomes in close to 50% of his cases. With the introduction of alternative surgical approaches in the last half-century, includ...

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Bibliographic Details
Published in:Survey of ophthalmology 2008, Vol.53 (1), p.50-67
Main Authors: Sodhi, Akrit, MD, PhD, Leung, Loh-Shan, MD, Do, Diana V., MD, Gower, Emily W., PhD, Schein, Oliver D., MD, Handa, James T., MD
Format: Article
Language:English
Subjects:
Biological and medical sciences
Humans
Medical sciences
Miscellaneous
Ophthalmology
pars plana vitrectomy
pneumatic retinopexy
retinal detachment
Retinal Detachment - surgery
Retinopathies
rhegmatogenous retinal detachment
scleral buckle technique
Scleral Buckling - methods
Scleral Buckling - trends
surgery
Treatment Outcome
Vitrectomy - methods
Vitrectomy - trends
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Summary:Abstract It has been nearly a century since Jules Gonin performed the first intervention for rhegmatogenous retinal detachment, trans-scleral cautery, achieving successful outcomes in close to 50% of his cases. With the introduction of alternative surgical approaches in the last half-century, including Charles Schepens' scleral buckle technique and Robert Machemer's pars plana vitrectomy, the surgical success rates have risen to close to 90%. Nonetheless, despite dramatic progress in the success of reattachment surgeries, reasonable disagreement exists as to which approach (or combination of approaches) is the best form of surgical intervention for patients with rhegmatogenous retinal detachments. In this review, the authors summarize the current knowledge of retinal detachment, and examine emerging results from the first large scale, prospective, randomized, controlled clinical trials addressing the efficacy of these surgical approaches for retinal detachment, with the hope of identifying the most appropriate (evidence-based) therapeutic intervention for the treatment of rhegmatogenous retinal detachment.
ISSN:0039-6257
1879-3304
DOI:10.1016/j.survophthal.2007.10.007