Re: [CRCOMM] Al Pater retinal detachment

[Guest guest]

Hi All,

My local doctor called and said that the detachment of my left eye retinal is

not in

the central region. The doctor will probably try to use something like a

balloon

(pneumatic retinopexy?) to fix the detachment, which may mean only day surgery.

More information is below.

Gariano RF, Kim CH.

Evaluation and management of suspected retinal detachment.

Am Fam Physician. 2004 Apr 1;69(7):1691-8. Review.

PMID: 15086041

.... Surgical correction of retinal detachment aims to relieve vitreoretinal

traction, and close retinal tears and holes. Scleral buckling techniques achieve

reattachment in over 90 percent of cases18 (Figure 4c). An alternative means to

relieve vitreoretinal traction is to remove the vitreous humor. This approach,

called posterior vitrectomy, is successful in 75 to 90 percent of patients.19

Less

invasive procedures, such as pneumatic retinopexy, allow repair of selected

detachments in a clinic or office setting.20

If the central macula has not yet detached when the repair is achieved, visual

acuity equal to preretinal detachment levels can be expected. However, if the

central macula is detached at the time of repair, final visual recovery may vary

from none to nearly complete, depending on the duration and degree of elevation

of

macular detachment and the patient's age. Therefore, surgical repair is

indicated

more urgently in patients with preserved central acuity, less urgently in

patients

whose macula detached in the previous hours to days, and routinely in those

whose

macula has been detached for several days or weeks21,22 (Table 4). Within

months,

photoreceptors in a detached retina suffer severe and irreversible damage caused

by

the separation from the underlying choroidal vascular supply (Figure 1, lower

right), and repair yields less visual improvement.

Retinal detachment surgery fails in 5 to 10 percent of patients because of the

growth of scar tissue on the retinal surface in the weeks following repair.23

Sources of fibrosis include blood cells, fibrin, inflammatory cells associated

with

postoperative healing, and retinal astrocytes and retinal pigment epithelium

cells

that enter the vitreous cavity when a retinal tear forms.24 Fibrotic tissue may

exert sufficient inward traction to cause redetachment. This condition, known as

proliferative vitreoretinopathy, is surgically corrected in 60 to 90 percent of

patients, though visual acuity is often poor.25 Suppression of epiretinal

fibrosis

with antiproliferative agents is being intensively investigated, but remains

elusive.26

Al Pater, PhD; email: old542000@...

__________________________________

Start your day with - Make it your home page!

http://www./r/hs

[Guest guest]

Hi All,

My local doctor called and said that the detachment of my left eye retinal is

not in

the central region. The doctor will probably try to use something like a

balloon

(pneumatic retinopexy?) to fix the detachment, which may mean only day surgery.

More information is below.

Gariano RF, Kim CH.

Evaluation and management of suspected retinal detachment.

Am Fam Physician. 2004 Apr 1;69(7):1691-8. Review.

PMID: 15086041

.... Surgical correction of retinal detachment aims to relieve vitreoretinal

traction, and close retinal tears and holes. Scleral buckling techniques achieve

reattachment in over 90 percent of cases18 (Figure 4c). An alternative means to

relieve vitreoretinal traction is to remove the vitreous humor. This approach,

called posterior vitrectomy, is successful in 75 to 90 percent of patients.19

Less

invasive procedures, such as pneumatic retinopexy, allow repair of selected

detachments in a clinic or office setting.20

If the central macula has not yet detached when the repair is achieved, visual

acuity equal to preretinal detachment levels can be expected. However, if the

central macula is detached at the time of repair, final visual recovery may vary

from none to nearly complete, depending on the duration and degree of elevation

of

macular detachment and the patient's age. Therefore, surgical repair is

indicated

more urgently in patients with preserved central acuity, less urgently in

patients

whose macula detached in the previous hours to days, and routinely in those

whose

macula has been detached for several days or weeks21,22 (Table 4). Within

months,

photoreceptors in a detached retina suffer severe and irreversible damage caused

by

the separation from the underlying choroidal vascular supply (Figure 1, lower

right), and repair yields less visual improvement.

Retinal detachment surgery fails in 5 to 10 percent of patients because of the

growth of scar tissue on the retinal surface in the weeks following repair.23

Sources of fibrosis include blood cells, fibrin, inflammatory cells associated

with

postoperative healing, and retinal astrocytes and retinal pigment epithelium

cells

that enter the vitreous cavity when a retinal tear forms.24 Fibrotic tissue may

exert sufficient inward traction to cause redetachment. This condition, known as

proliferative vitreoretinopathy, is surgically corrected in 60 to 90 percent of

patients, though visual acuity is often poor.25 Suppression of epiretinal

fibrosis

with antiproliferative agents is being intensively investigated, but remains

elusive.26

Al Pater, PhD; email: old542000@...

__________________________________

Start your day with - Make it your home page!

http://www./r/hs

[Guest guest]

Hi Al,Hopefully, CR was not a contributor to your retinal detachment (?).Good luck!TomOn Dec 2, 2005, at 7:48 PM, Al Pater wrote: Hi All, My local doctor called and said that the detachment of my left eye retinal is not in the central region.  The doctor will probably try to use something like a balloon (pneumatic retinopexy?) to fix the detachment, which may mean only day surgery. More information is below. Gariano RF, Kim CH. Evaluation and management of suspected retinal detachment. Am Fam Physician. 2004 Apr 1;69(7):1691-8. Review. PMID: 15086041 ... Surgical correction of retinal detachment aims to relieve vitreoretinal traction, and close retinal tears and holes. Scleral buckling techniques achieve reattachment in over 90 percent of cases18 (Figure 4c). An alternative means to relieve vitreoretinal traction is to remove the vitreous humor. This approach, called posterior vitrectomy, is successful in 75 to 90 percent of patients.19 Less invasive procedures, such as pneumatic retinopexy, allow repair of selected detachments in a clinic or office setting.20 If the central macula has not yet detached when the repair is achieved, visual acuity equal to preretinal detachment levels can be expected. However, if the central macula is detached at the time of repair, final visual recovery may vary from none to nearly complete, depending on the duration and degree of elevation of macular detachment and the patient's age. Therefore, surgical repair is indicated more urgently in patients with preserved central acuity, less urgently in patients whose macula detached in the previous hours to days, and routinely in those whose macula has been detached for several days or weeks21,22 (Table 4). Within months, photoreceptors in a detached retina suffer severe and irreversible damage caused by the separation from the underlying choroidal vascular supply (Figure 1, lower right), and repair yields less visual improvement. Retinal detachment surgery fails in 5 to 10 percent of patients because of the growth of scar tissue on the retinal surface in the weeks following repair.23 Sources of fibrosis include blood cells, fibrin, inflammatory cells associated with postoperative healing, and retinal astrocytes and retinal pigment epithelium cells that enter the vitreous cavity when a retinal tear forms.24 Fibrotic tissue may exert sufficient inward traction to cause redetachment. This condition, known as proliferative vitreoretinopathy, is surgically corrected in 60 to 90 percent of patients, though visual acuity is often poor.25 Suppression of epiretinal fibrosis with antiproliferative agents is being intensively investigated, but remains elusive.26 Al Pater, PhD; email: old542000@...             __________________________________ Start your day with - Make it your home page! http://www./r/hs

[Guest guest]

Hi Al,Hopefully, CR was not a contributor to your retinal detachment (?).Good luck!TomOn Dec 2, 2005, at 7:48 PM, Al Pater wrote: Hi All, My local doctor called and said that the detachment of my left eye retinal is not in the central region.  The doctor will probably try to use something like a balloon (pneumatic retinopexy?) to fix the detachment, which may mean only day surgery. More information is below. Gariano RF, Kim CH. Evaluation and management of suspected retinal detachment. Am Fam Physician. 2004 Apr 1;69(7):1691-8. Review. PMID: 15086041 ... Surgical correction of retinal detachment aims to relieve vitreoretinal traction, and close retinal tears and holes. Scleral buckling techniques achieve reattachment in over 90 percent of cases18 (Figure 4c). An alternative means to relieve vitreoretinal traction is to remove the vitreous humor. This approach, called posterior vitrectomy, is successful in 75 to 90 percent of patients.19 Less invasive procedures, such as pneumatic retinopexy, allow repair of selected detachments in a clinic or office setting.20 If the central macula has not yet detached when the repair is achieved, visual acuity equal to preretinal detachment levels can be expected. However, if the central macula is detached at the time of repair, final visual recovery may vary from none to nearly complete, depending on the duration and degree of elevation of macular detachment and the patient's age. Therefore, surgical repair is indicated more urgently in patients with preserved central acuity, less urgently in patients whose macula detached in the previous hours to days, and routinely in those whose macula has been detached for several days or weeks21,22 (Table 4). Within months, photoreceptors in a detached retina suffer severe and irreversible damage caused by the separation from the underlying choroidal vascular supply (Figure 1, lower right), and repair yields less visual improvement. Retinal detachment surgery fails in 5 to 10 percent of patients because of the growth of scar tissue on the retinal surface in the weeks following repair.23 Sources of fibrosis include blood cells, fibrin, inflammatory cells associated with postoperative healing, and retinal astrocytes and retinal pigment epithelium cells that enter the vitreous cavity when a retinal tear forms.24 Fibrotic tissue may exert sufficient inward traction to cause redetachment. This condition, known as proliferative vitreoretinopathy, is surgically corrected in 60 to 90 percent of patients, though visual acuity is often poor.25 Suppression of epiretinal fibrosis with antiproliferative agents is being intensively investigated, but remains elusive.26 Al Pater, PhD; email: old542000@...             __________________________________ Start your day with - Make it your home page! http://www./r/hs

[Guest guest]

Medscape has a recent article regarding prophylaxis or RD:

http://www.medscape.com/viewarticle/513229?src=top10

On 12/3/05, <tomrscott@...> wrote:

Hi Al,

Hopefully, CR was not a contributor to your retinal detachment (?).

Good luck!

Tom

On Dec 2, 2005, at 7:48 PM, Al Pater wrote:

Hi All,My local doctor called and said that the detachment of my left eye retinal is not inthe central region. The doctor will probably try to use something like a balloon

(pneumatic retinopexy?) to fix the detachment, which may mean only day surgery.More information is below.Gariano RF, Kim CH.Evaluation and management of suspected retinal detachment.Am Fam Physician. 2004 Apr 1;69(7):1691-8. Review. PMID: 15086041 ... Surgical correction of retinal detachment aims to relieve vitreoretinaltraction, and close retinal tears and holes. Scleral buckling techniques achievereattachment in over 90 percent of cases18 (Figure 4c). An alternative means to

relieve vitreoretinal traction is to remove the vitreous humor. This approach,called posterior vitrectomy, is successful in 75 to 90 percent of patients.19 Lessinvasive procedures, such as pneumatic retinopexy, allow repair of selected

detachments in a clinic or office setting.20If the central macula has not yet detached when the repair is achieved, visualacuity equal to preretinal detachment levels can be expected. However, if thecentral macula is detached at the time of repair, final visual recovery may vary

from none to nearly complete, depending on the duration and degree of elevation ofmacular detachment and the patient's age. Therefore, surgical repair is indicatedmore urgently in patients with preserved central acuity, less urgently in patients

whose macula detached in the previous hours to days, and routinely in those whosemacula has been detached for several days or weeks21,22 (Table 4). Within months,photoreceptors in a detached retina suffer severe and irreversible damage caused by

the separation from the underlying choroidal vascular supply (Figure 1, lowerright), and repair yields less visual improvement.Retinal detachment surgery fails in 5 to 10 percent of patients because of the

growth of scar tissue on the retinal surface in the weeks following repair.23Sources of fibrosis include blood cells, fibrin, inflammatory cells associated withpostoperative healing, and retinal astrocytes and retinal pigment epithelium cells

that enter the vitreous cavity when a retinal tear forms.24 Fibrotic tissue mayexert sufficient inward traction to cause redetachment. This condition, known asproliferative vitreoretinopathy, is surgically corrected in 60 to 90 percent of

patients, though visual acuity is often poor.25 Suppression of epiretinal fibrosiswith antiproliferative agents is being intensively investigated, but remains elusive.26Al Pater, PhD; email:

old542000@... __________________________________ Start your day with - Make it your home page!

http://www./r/hs

[Guest guest]

Medscape has a recent article regarding prophylaxis or RD:

http://www.medscape.com/viewarticle/513229?src=top10

On 12/3/05, <tomrscott@...> wrote:

Hi Al,

Hopefully, CR was not a contributor to your retinal detachment (?).

Good luck!

Tom

On Dec 2, 2005, at 7:48 PM, Al Pater wrote:

Hi All,My local doctor called and said that the detachment of my left eye retinal is not inthe central region. The doctor will probably try to use something like a balloon

(pneumatic retinopexy?) to fix the detachment, which may mean only day surgery.More information is below.Gariano RF, Kim CH.Evaluation and management of suspected retinal detachment.Am Fam Physician. 2004 Apr 1;69(7):1691-8. Review. PMID: 15086041 ... Surgical correction of retinal detachment aims to relieve vitreoretinaltraction, and close retinal tears and holes. Scleral buckling techniques achievereattachment in over 90 percent of cases18 (Figure 4c). An alternative means to

relieve vitreoretinal traction is to remove the vitreous humor. This approach,called posterior vitrectomy, is successful in 75 to 90 percent of patients.19 Lessinvasive procedures, such as pneumatic retinopexy, allow repair of selected

detachments in a clinic or office setting.20If the central macula has not yet detached when the repair is achieved, visualacuity equal to preretinal detachment levels can be expected. However, if thecentral macula is detached at the time of repair, final visual recovery may vary

from none to nearly complete, depending on the duration and degree of elevation ofmacular detachment and the patient's age. Therefore, surgical repair is indicatedmore urgently in patients with preserved central acuity, less urgently in patients

whose macula detached in the previous hours to days, and routinely in those whosemacula has been detached for several days or weeks21,22 (Table 4). Within months,photoreceptors in a detached retina suffer severe and irreversible damage caused by

the separation from the underlying choroidal vascular supply (Figure 1, lowerright), and repair yields less visual improvement.Retinal detachment surgery fails in 5 to 10 percent of patients because of the

growth of scar tissue on the retinal surface in the weeks following repair.23Sources of fibrosis include blood cells, fibrin, inflammatory cells associated withpostoperative healing, and retinal astrocytes and retinal pigment epithelium cells

that enter the vitreous cavity when a retinal tear forms.24 Fibrotic tissue mayexert sufficient inward traction to cause redetachment. This condition, known asproliferative vitreoretinopathy, is surgically corrected in 60 to 90 percent of

patients, though visual acuity is often poor.25 Suppression of epiretinal fibrosiswith antiproliferative agents is being intensively investigated, but remains elusive.26Al Pater, PhD; email:

old542000@... __________________________________ Start your day with - Make it your home page!

http://www./r/hs