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Paper Information

Journal:   HORMOZGAN MEDICAL JOURNAL   Winter 2004 , Volume 7 , Number 4; Page(s) 161 To 166.
 
Paper: 

THE EFFECT OF ENCIRCLING BAND IN PATIENTS WITH RETINAL DETACHMENT COMPLICATED BY PROLIFERATIVE VITREORETINOPATHY

 
 
Author(s):  ALI SHIRI A.A.*, TABATABAEI S.A., SHAHAB JAHANLOU A.R.
 
* Department of Ophthalmology, Biochemistry, shahid Mohammodi Hospital Ophthalmology Ward, Hormozgan University of Medical Sciences. Bandar Abbas.Iran
 
Abstract: 

Introduction: Proliferative vitreoretinopathy (PVR) is distinguished by creation of cellular membrane on two sides of retina and vitreous body. The main aim of this study was evaluating the effect of encircling band in patients with retinal detachment complicated by proliferative vitreoretinopathy.
Method & Material: This clinical trial study was conducted on 53 eyes with retinal detachment complicated by posterior proliferative vitreoretinopathy. vitrectomy combined with encircling band in a group of 25 eyes and vitrectomy without band in another group of 28 eyes was performed. Both patients were followed for a period of 4 to 18 months.
Results: In 92% (23 eyes) of the eyes from first group, the retina was successfully reattached. This rate for the second group was 71%. The rate of successful anatomic retina was not significant in two groups. 16 eyes (64%) from the first group had a post operative visual acuity of 5/200 or better. In the second group 20 eyes (71%) out of 28 eyes had post operative visual acuity of 5/200 or better.
In aphakic eyes there was no difference in two groups, but in phakic retinal detachment complicated by proliferative vitreoretinopathy (PVR) there were more cases of redetachment in the second group (without band) (p<0.05).
Conclusion: We recommend vitrectomy combined with encircling band for phakic retinal detachment complicated by posterior PVR, but we don’t advise encircling band for aphakic patients with posterior PVR.

 
Keyword(s): VITREORETINOPATHY, PROLIFERATIVE – VITRECTOMY – RETINAL DETACHMENT
 
References: 
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