Use of IVB as an adjunct to other treatment modalities has been mentioned in literature.4 In another study, it was highlighted that excessive laser photocoagulation done conservatively for management of ED can result in iatrogenic retinal breaks
formation, adding to the chances of retinal detachment.10 Use of IVB can spare excessive laser treatment, thus reducing number of visits and chances of retinal detachment.
Multiple regression analysis was used to evaluate the correlation between the expression levels of hsa-miR-148a-3p and the independent variables such as the corrected pixels of the retinal break
, the range of RD, and the time from onset from RRD to vitrectomy.
They have some important characteristics such as optical clarity, permanent retention and chemical inertness but they are also associated with many complications such as poor contact with retina due to the hydrophobic nature, cataract, oil in anterior chamber, less tamponade effect in case of inferior retinal breaks
, irreversible cell damage, postoperative retinal detachment etc .
To evaluate the impact of these two surgical techniques on anatomic and visual recovery, only patients who met the following criteria were included in the analysis: the presence of RRD with retinal breaks
associated with vitreous hemorrhage resulting from rupture of a peripheral retinal blood vessel and not obscuring the view of the fundus periphery (especially the retinal break
region), optic disc and vascular structures (grade1- mild vitreous hemorrhage with visible fundus details).
If RD is secondary to retinal breaks
outside the colobomatous area, it can be treated by scleral buckling; however, when the coloboma is etiologically responsible for RD5 management options are different6.
Treatment should only be performed in exceptional cases such as enlargement into the foveal area, posterior layer retinal breaks
, schisis-detachment and progressive, frank, symptomatic RD.
With closed infusion, the retinal break(s) were localized, the eye was rotated in order to position the region of the retinal break
as high as possible, and air infusion was started with a pressure of 30-35 mmHg.
Scleral buckle alleviate vitreous and retina traction and causes the margins of retinal break
to come close to underlying retinal pigment epithelium.2
Study also aims to analyze characteristics of type of retinal breaks
, other eye findings and etiological factors in pediatric RRD.
There is no association with retinal break
lattice degeneration, a previous retinal break
, and age-related retinoschisis.
On the other hand, in the ERM that occur after rhegmatogenous RD, the retinal pigment epithelial cells are thought to migrate to the vitreous cavity through the retinal break
and settle on the retinal surface, forming the membrane .