alexa Binocular Occlusion Prior To Retinal Detachment Surgery: A Tomographic Analysis By OCT
ISSN: 2155-9570

Journal of Clinical & Experimental Ophthalmology
Open Access

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10th International Conference on Clinical & Experimental Ophthalmology
November 21-23, 2016 Dubai, UAE

Stefan Mennel, Silvia Reichart and Kleanthis Manousaridis
Philipps University Marburg, Germany
LKH Feldkirch, Austria
ScientificTracks Abstracts: J Clin Exp Ophthalmol
DOI: 10.4172/2155-9570.C1.048
Abstract
Introduction: In previous years binocular occlusion was a routine treatment for acute vitreous hemorrhage and rhegmatogenous retinal detachment (RRD) prior to surgery. In most cases the acute hemorrhage settles enough for successful treatment of the originating pathology. In RRD binocular occlusion diminish sub-retinal fluid to improve preoperative diagnostic and treatment and can prevent a progression of the detachment. The reduction of sub-retinal fluid is still documented by fundus photography and fundus drawings. In this study, we introduced optical coherence tomography (OCT) for this purpose. OCT enables measurement of sub-retinal fluid and to compare similar areas after binocular occlusion. Methods: 30 patients with RRD that were scheduled for treatment at the following day received OCT at the time of examination and at the following day prior to surgery. Results: In 18 eyes the macula was attached at the first visit and in none of the cases a macular involvement was determined by OCT at the following day prior to surgery. In 12 cases the macula was already detached. In 11 eyes the retinal elevation decreased and in one case an increase was evident. Conclusion: This first study by using OCT to measure sub-retinal fluid and macular involvement in RRD demonstrated binocular occlusion as an effective treatment option to schedule retinal detachment surgery for the following day without the risk of macular involvement in RRD.
Biography

Stefan Mennel has obtained his Medical degree from the University of Innsbruck, Austria. He has completed his Residency at the LKH Feldkirch in Austria. After two years of Medical Specialist in Feldkirch (Austria), he worked as an Assistant Medical Director at the Philipps University of Marburg, Germany from 2002. In 2008, he became a Professor of Ophthalmology. After working as an interim Director Medical Deputy Head at the University Marburg in 2009 and 2010, he was appointed as the Director of the Department LKH Feldkirch, University Teaching Hospital of the Medical University Innsbruck and Vienna. He assists as a Reviewer in more than 20 peer-reviewed journals and has been serving as an Editorial Board Member of repute. His main research interest is on imaging vitreoretinal structures and experimental research on the blood retinal barrier. His surgical experience comprises vitreoretinal surgery, anterior segment surgery including cataract surgery, glaucoma surgery and corneal transplantation.

Email: [email protected]

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