Year: 2021
Type: article
Study design: Observational Study
Abstract: Laser treatment with minimized eye movement (LTMEM) resulted in a 79% reattachment rate for retinal detachment in 39 phakic eyes with shallow subretinal fluid by decreasing subretinal fluid by minimizing reading, writing and physical activity. Purpose To evaluate the effectiveness of laser treatment (LT) to seal retinal breaks and resolve retinal detachment after decreasing subretinal fluid with minimized eye movement (MEM) by avoiding reading, writing, computer use, and physical activity, while allowing watching television. Methods Retrospective study of patients evaluated at the Retina Consultants of Hawaii, who developed retinal detachment and were willing to initially minimize eye movement prior to having a more invasive surgery for retinal detachment, such as pneumatic retinopexy, scleral buckle or vitrectomy. Charts were reviewed for baseline characteristics, success of retinal detachment repair, subsequent surgical procedures, and recurrence of retinal detachment with long term follow-up Results This study included 39 eyes of 35 patients with 31 patients having unilateral retinal detachment treated with LTMEM and four patients having bilateral retinal detachment treated with LTMEM. Follow up ranged from three months to 30 years. Reattachment of the retina with LTMEM was noted in 31 of 39 eyes (79%) and final reattachment rate following further surgery with scleral buckle resulted in 100% retinal reattachment rate (39 of 39 eyes). Conclusion LTMEM can provide a low risk, minimal intervention, low cost procedure that can be an effective means of treating selected retinal detachments, usually but not always with peripheral shallow detachment around the existing breaks.
Source: Ophthalmology Retina
Language: English
Topic: Retinal and Macular Surgery
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,000
OpenAlex ID: W3128837193