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      The effect of single periocular injection of methylprednisolone and drainage of suprachoroidal fluid in the treatment of rhegmatogenous retinal detachment combined with choroidal detachment

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      Eye
      Springer Nature

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          Abstract

          In this study we compared the anatomic and functional outcomes of two steroid treatments on rhegmatogenous retinal detachment (RRD) combined with choroidal detachment (CD), namely treatment with oral prednisolone (1 mg/kg daily) for 3–7 days before vitrectomy or a single periocular injection of methylprednisolone (40 mg) 1–3 days before vitrectomy. We also analyzed the outcomes of the eyes with subsided CD and the eyes with persistent CD that underwent drainage of suprachoroidal fluids during the vitrectomy. This was a prospective randomized study. Seventy five eyes with RRD combined with CD were divided into 2 groups based on the two different treatment regimens as above. The eyes in each group were further divided into 2 subgroups (A: CD subsided eyes; B: CD persistent eyes) according to the response of CD to the treatment of steroids. Retinal reattachment rates were measured at 6 months after the removal of silicone oil. At 6 months after silicone oil removal, the retinal reattachment rate was similar ( p  = 0.666) in the oral prednisolone group (91.7%, 33/36) and the periocular injection group (94.9%, 37/39). Similar retinal reattachment rates ( p  = 0.364) were also found in the CD subsided eyes (97.1%, 34/35) and the CD persistent eyes (90.0%, 36/40). The retinal reattachment rate was comparable among the subgroups ( p  = 0.395; oral prednisolone A group: 95.2%, 20/21; oral prednisolone B group: 86.7%, 13/15; periocular injection A group: 100%, 14/14; periocular injection B group: 92.0%, 23/25). For RRD combined with CD, eyes treated with a single periocular injection of methylprednisolone (40 mg, 1–3 days before pars plana vitrectomy) combined with the drainage of suprachoroidal fluids during the surgery had similar anatomic and functional outcomes compared to the eyes treated with oral prednisolone for 3–7 days before vitrectomy.

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          Most cited references15

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          Choroidal detachment associated with primary retinal detachment.

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            Combined choroidal and retinal detachment.

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              Quantitative analysis of rhegmatogenous retinal detachment associated with choroidal detachment in Chinese using UBM.

              To investigate the characteristics of rhegmatogenous retinal detachment associated with choroidal detachment (RRDCD) in a Chinese population by using ultrasound biomicroscope (UBM).
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                Author and article information

                Journal
                Eye
                Eye
                Springer Nature
                0950-222X
                1476-5454
                April 2 2019
                Article
                10.1038/s41433-019-0420-4
                7002403
                30940887
                2b9b464e-7ba7-4084-8b94-33e287f6c549
                © 2019

                http://www.springer.com/tdm

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