Retinal Displacement: Providing New Insights for Retinal Detachment Surgery
Purpose. To review the current literature on retinal displacement and provide a discussion of potential risk factors, postoperative outcomes, and future directions. Methods. Two databases, MEDLINE and EMBASE, were mined using a directed search strategy to identify all articles on retinal displacemen...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2021/9999797 |
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| _version_ | 1841524598524346368 |
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| author | Olivier Houle Eunice You Mélanie Hébert Shicheng Jin Susan Ruyu Qi Ali Dirani |
| author_facet | Olivier Houle Eunice You Mélanie Hébert Shicheng Jin Susan Ruyu Qi Ali Dirani |
| author_sort | Olivier Houle |
| collection | DOAJ |
| description | Purpose. To review the current literature on retinal displacement and provide a discussion of potential risk factors, postoperative outcomes, and future directions. Methods. Two databases, MEDLINE and EMBASE, were mined using a directed search strategy to identify all articles on retinal displacement. Results. We identified 1522 articles. A total of n = 14 articles were retained. We provide an overview on the potential influence of surgical type (n = 4), tamponade agents (n = 5), postoperative posture (n = 6), and preoperative retinal status (n = 5) on incidence of retinal displacement and visual outcomes (n = 8). Discussion. Pars plana vitrectomy (PPV) with gas tamponade is associated with displacement rates of up to 72%, typically in a downward direction. Meanwhile, pneumatic retinopexy and PPV with silicone oil may offer similar surgical success with a significantly lower risk of displacement. The impact of heavy liquids such as perfluorocarbon liquid, postoperative positioning and preoperative extent of detachment on displacement remains inconclusive. Patients with displacement had a significantly lower visual acuity and higher rates of distortion than those without displacement. However, not all patients with displacement experienced visual symptoms. Conclusion. Retinal displacement is a new concept in our understanding of retinal detachment. Additional studies are needed to better define its impact on postsurgical outcomes. |
| format | Article |
| id | doaj-art-0778cd58280b4f2584de8ebe2a78dd34 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-0778cd58280b4f2584de8ebe2a78dd342025-02-03T05:47:40ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/99997979999797Retinal Displacement: Providing New Insights for Retinal Detachment SurgeryOlivier Houle0Eunice You1Mélanie Hébert2Shicheng Jin3Susan Ruyu Qi4Ali Dirani5Faculté de Médecine, Université de Sherbrooke, Sherbrooke, CanadaDepartment of Ophthalmology, CHU de Québec—Université Laval, Québec, CanadaDepartment of Ophthalmology, CHU de Québec—Université Laval, Québec, CanadaDepartment of Ophthalmology, McGill University, Montreal, CanadaDepartment of Ophthalmology, CHU de Québec—Université Laval, Québec, CanadaDepartment of Ophthalmology, CHU de Québec—Université Laval, Québec, CanadaPurpose. To review the current literature on retinal displacement and provide a discussion of potential risk factors, postoperative outcomes, and future directions. Methods. Two databases, MEDLINE and EMBASE, were mined using a directed search strategy to identify all articles on retinal displacement. Results. We identified 1522 articles. A total of n = 14 articles were retained. We provide an overview on the potential influence of surgical type (n = 4), tamponade agents (n = 5), postoperative posture (n = 6), and preoperative retinal status (n = 5) on incidence of retinal displacement and visual outcomes (n = 8). Discussion. Pars plana vitrectomy (PPV) with gas tamponade is associated with displacement rates of up to 72%, typically in a downward direction. Meanwhile, pneumatic retinopexy and PPV with silicone oil may offer similar surgical success with a significantly lower risk of displacement. The impact of heavy liquids such as perfluorocarbon liquid, postoperative positioning and preoperative extent of detachment on displacement remains inconclusive. Patients with displacement had a significantly lower visual acuity and higher rates of distortion than those without displacement. However, not all patients with displacement experienced visual symptoms. Conclusion. Retinal displacement is a new concept in our understanding of retinal detachment. Additional studies are needed to better define its impact on postsurgical outcomes.http://dx.doi.org/10.1155/2021/9999797 |
| spellingShingle | Olivier Houle Eunice You Mélanie Hébert Shicheng Jin Susan Ruyu Qi Ali Dirani Retinal Displacement: Providing New Insights for Retinal Detachment Surgery Journal of Ophthalmology |
| title | Retinal Displacement: Providing New Insights for Retinal Detachment Surgery |
| title_full | Retinal Displacement: Providing New Insights for Retinal Detachment Surgery |
| title_fullStr | Retinal Displacement: Providing New Insights for Retinal Detachment Surgery |
| title_full_unstemmed | Retinal Displacement: Providing New Insights for Retinal Detachment Surgery |
| title_short | Retinal Displacement: Providing New Insights for Retinal Detachment Surgery |
| title_sort | retinal displacement providing new insights for retinal detachment surgery |
| url | http://dx.doi.org/10.1155/2021/9999797 |
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