Giant retinal tears

Manoharan Shunmugam, Ghee Soon Ang, Noemi Lois

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

A giant retinal tear (GRT) is a full-thickness neurosensory retinal break that extends circumferentially around the retina for three or more clock hours in the presence of a posteriorly detached vitreous. Its incidence in large population-based studies has been estimated as 1.5% of rhegmatogenous retinal detachments, with a significant male preponderance, and bilaterality in 12.8%. Most GRTs are idiopathic, with trauma, hereditary vitreoretinopathies and high myopia each being causative in decreasing frequency. The vast majority of GRTs are currently managed with a pars plana vitrectomy; the use of adjunctive circumferential scleral buckling is debated, but no studies have shown a clear anatomical or visual advantage with its use. Similarly, silicone oil tamponade does not influence long-term outcomes when compared with gas. Primary and final retinal reattachment rates are achieved in 88% and 95% of patients, respectively. Even when the retina remains attached, however, visual recovery may be limited. Furthermore, fellow eyes of patients with a GRT are at higher risk of developing retinal tears and retinal detachment. Prophylactic treatment under these circumstances may be considered but there is no firm evidence of its efficacy at the present time.
Original languageEnglish
Pages (from-to)192-216
JournalSurvey of ophthalmology
Volume59
Issue number2
Early online date15 Oct 2013
DOIs
Publication statusPublished - Mar 2014

Bibliographical note

Copyright © 2013 Elsevier Inc. All rights reserved.

ASJC Scopus subject areas

  • Ophthalmology

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