Primary Vitrectomy for the Treatment of Retinal Detachment in Highly Myopic

NCT ID: NCT01480505

Last Updated: 2011-11-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

840 participants

Study Classification

OBSERVATIONAL

Study Start Date

1999-10-31

Study Completion Date

2005-02-28

Brief Summary

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Purpose:

To assess the functional and anatomical outcome of primary vitrectomy without scleral buckling for rhegmatogenous retinal detachment (RRD) in highly myopic eyes with axial length over 30 mm.

Methods Design: Retrospective single center series. Setting: University Hospital. Patients: High myopic patients treated with primary vitrectomy without scleral buckling for a rhegmatogenous retinal detachment.

Outcome measures: Anatomical success rate with complete reattachment of the retina without silicone oil tamponade and postoperative best-corrected visual acuity (BCVA).

Detailed Description

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Conditions

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Intraocular Pressure, Postoperative Complications

Keywords

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Retinal detachment high myopia macular hole axial length Scleral buckling Vitrectomy Visual acuity fundus examination results

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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High myopic eye

Persons with high Myopia suffered from Rhegmatogenous Retinal detachment

Pars plana vitrectomy with gas tamponade

Intervention Type PROCEDURE

A standard three-port 20 Gauge vitrectomy under a wide-angle-viewing contact lens was performed. Peripheral vitreous shaving was completed under slit-lamp illumination without contact lens by gentle scleral indentation. Posterior hyaloid detachment was checked and completed if necessary without dye. The epiretinal membrane removal or internal limiting membrane (ILM) peeling was performed if necessary. In general this latter procedure was not conducted for RD secondary to peripheral retinal tears without any sign of PVR or ERM but was done in almost all cases related to posterior break.

Subretinal fluid was aspirated through the retinal tear, the MH, the PVT or through a retinotomy to obtain a complete peroperative retinal reattachment.

Interventions

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Pars plana vitrectomy with gas tamponade

A standard three-port 20 Gauge vitrectomy under a wide-angle-viewing contact lens was performed. Peripheral vitreous shaving was completed under slit-lamp illumination without contact lens by gentle scleral indentation. Posterior hyaloid detachment was checked and completed if necessary without dye. The epiretinal membrane removal or internal limiting membrane (ILM) peeling was performed if necessary. In general this latter procedure was not conducted for RD secondary to peripheral retinal tears without any sign of PVR or ERM but was done in almost all cases related to posterior break.

Subretinal fluid was aspirated through the retinal tear, the MH, the PVT or through a retinotomy to obtain a complete peroperative retinal reattachment.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* retinal detachment secondary to peripheral breaks (retinal tears, atrophic retinal hole)
* secondary to posterior breaks (MH, PVT).

Exclusion Criteria

* severe eye injury,
* diabetic retinopathy,
* retinopathy of prematurity,
* uveitis.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire Dijon

OTHER

Sponsor Role lead

Responsible Party

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Nicot Frederic

Docteur

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ophthalmology Department

Dijon, Burgundy, France

Site Status

Countries

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France

Other Identifiers

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Brice 01

Identifier Type: -

Identifier Source: org_study_id