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retinal detachment surgery success rate

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Raul Peña provides cataract surgery success rates and statistics. 1 author. In the non-facility, ASC surgery setting, weighted cost for PR ranged from $1,961 to $3,565 depending on the success rate of primary repair. The success rates demonstrated in MUSTARD were relatively consistent through almost all age groups, as shown in Figure 1. Redetachment after this first surgery occurred in six (18.8%) eyes, occurring at 3 months in three eyes (9.4%) and then in one eye each at 1, 5 and 6 months. 1. . The success rate of the retinal detachment surgery depends on the mix of cases examined in any one study, but for most studies the proportion is about 90%. Macular internal limiting membrane peeling was associated with higher surgical success (odds ratio, 2.4 . PAS rates were 88.0 % in the routine setting and 87.3 % in the emergency setting (p = 0.67). While expert surgeons' PAS rates did not differ between routine and emergency, non-experts achieved inferior anatomical results, when performing surgery in the emergency setting (81.6 % vs. 88.3 %;. Timely action is necessary. Results: Initial success rate for retinal reattachment was 86% for scleral buckling only, 90% for vitrectomy only, 94% for the combination of scleral buckling and vitrectomy, and 63% for pneumatic retinopexy surgery. The eye surgery for retinal detachment is a form of trauma itself and potentially can augment the tendency to . 4. Older people are at higher risk of retinal detachment. Trust in a High Success Rate. 7 They used. The goal is to prevent fluid from entering through the tear and detaching the retina. As Dr Heimann sees it, there has been too much emphasis on anatomical success rates and not enough on patients' functional vision after RD surgery. RP. As discussed previously, PVR . Respectively, vitrectomy had a success rate of 84.6% and scleral buckle a rate of 89.5% (p=0.57). Management of Recurrent Retinal Detachment Redetachment after scleral buckle. While surgical intervention for traumatic retinal detachment can be vision-saving, it is not without its risks, as detailed in Table 5. ERMs most often cause minimal symptoms but in some instances can result in a painless loss of vision and visual distortion. Primary success rate was 81.2% (26 eyes) (retinal attachment with no tamponade at 2 months). RD = retinal detachment. However, considering the technical difficulty in removing the ERM completely, gas tamponade seems to be the better initial treatment. Introduction. Complications of Surgical Intervention for Traumatic Retinal Detachment. "The estimated lifetime risk is 3 percent at 85 years of age. SB surgery has two major complications. When you get this treatment, your doctor will: Put numbing medicine in your eye. A vitrectomy is a type of eye surgery to treat various problems with the retina and vitreous. Anatomic success in this case required scleral buckle, extensive membrane peeling, and silicone oil tamponade. . Share on Facebook Share on Twitter. Vision Improvement. Haven't gotten my retina checked yet but soon. Because of improvements in surgical techniques, the rate of successful anatomical retinal reattachment in primary retinal detachment is high (> 80%) [].However, the management of rhegmatogenous retinal detachment (RRD) with inferior retinal breaks (IRBs) via pars plana vitrectomy (PPV) surgery remains challenging because of insufficient . In most cases treatment requires surgery to repair the retinal tear, hole, or detachment. The vitreous is a gel-like substance that fills the middle portion of your eye. The study included 51 eyes from 51 patients who had a retinal detachment and were treated successfully with either a scleral buckling procedure or pars plana vitrectomy between January 2006 and February 2007. The success rate was higher when an ERM was peeled. Another study from Germany which analyzed results of retinal detachment surgery 10 years earlier, namely from 1990 . Appointments 216.444.2020; Appointments & Locations; Contact Us; Facebook Twitter YouTube Instagram LinkedIn Pinterest . Success rates of retinal detachment surgery: routine versus emergency setting. . Figure 2. How much vision you get back will depend on the exact condition of your retina, but it is possible to have your retina restored fully after the procedure. As the detachment period increases, the visual recovery reduces at an exponential rate after macula-off retinal detachment [153]. Anatomic success simply means the retina has become attached…again, but there is no absolute correlation with function. 0. Retinal detachment surgery involves reattaching the retina to the back of the eye and sealing any breaks or holes in the retina. The primary anatomical success rate for SB surgery is found to be between 70% and 92%. Following a second surgery, success rates were 93.8% and 92.7% in the PPV and PPV-SB groups. 3 The vast majority of redetachments occur ultimately because breaks are unsupported. Of 4325 operations for retinal detachment, 3632 (83.98%) were classified as a success of the first surgical intervention and 693 (16.02%) were deemed a failure ().During this study's duration, 2371 men (54.82%) and 1954 women (45.18%) underwent surgery. In 1977, I reported on 100 cases of radial sponges used in retinal detachment surgery. . However, considering the technical difficulty in removing the ERM completely, gas tamponade seems to be the better initial treatment. Retinal reattachment surgery is performed when large or complete retinal detachments are present. Morbidity and mortality rates . The burns create small scars that fix the tear and help hold your retina in place. Success rate of retinal detachment surgery. 14 . Introduction. The single operation success rate was 82% in the combined procedure, 83% in the primary vitrectomy group, and 86% in the buckle group, with phakic eyes doing better in the scleral buckle group. Previous: Complications Next: Outpatient Office Visit Survey. The surgery involves making 3 holes in the eye and using instruments to remove the jelly-like substance that normally fills the center of the eye, called the vitreous humor . Surgery for rhegmatogenous retinal detachment (RRD) should usually be performed as soon as possible. The space is filled with silicone oil to hold the retina in place in order to complete the reattachment process. A: Whenever retina fully re attaches the surgery is successful. Show More. Fortunately, the symptomless retinal tears do not result in retinal detachment. Graefes Arch Clin Exp Ophthalmol. The presence of proliferative vitreoretinopathy was associated with lower surgical success (odds ratio, 0.33; P = 0.01). We retrospectively . Of the 30 patients who required further surgery, in 5 the retina remained detached. [Retinal detachment due to macular holes in highly myopic eyes. Anatomic success in this case required scleral buckle, extensive membrane peeling, and silicone oil tamponade. The treatment success rate is high, with around nine out of 10 retinas able to be reattached. When comparing the eye to a camera, the retina is the film in the camera. Usually, you'll get anesthesia so you'll be asleep during this surgery. So, about 40% of patients don't have reading ability without visual aids in that eye, which is . 5. While expert surgeons' PAS rates did not differ between routine and emergency, non-experts achieved inferior anatomical results, when performing surgery in the emergency setting (81.6 % vs. 88.3 %; p = 0.02). Your doctor may also use a laser or freeze treatment to repair any tears in your retina. They reported success rates of 100%, when the extent of retinal detachment was one quadrant, falling to 54.8% when three or four quadrants were involved. The success rate was higher when an ERM was peeled. . Successful outcome was defined as no retinal redetachment occurring within . Our current study demonstrates greater single surgery success rates in eyes with concurrent vitreous hemorrhage and retinal detachment undergoing combined PPV/SB vs. PPV alone. Complications Vitreoretinal Surgery Success Rates Cleveland Clinic News & More. How to Support Recovery Detached retina surgery carries the same risks as any surgery, and some recovery time is to be expected. Dr. Thanos Papakostas The incidence of rhegmatogenous retinal detachment, the most common type of retinal detachment, has been reported to be between 6.3 and 18 per 100,000 each year. They are more common in patients who are very near- sighted, have a family history of retinal detachment, and in eyes that have had prior trauma or eye surgery. National Electronic Retinal Detachment Surgery Audit: Feasibility Report This feasibility study was commissioned by HQIP as part of a National Ophthalmology Audit with The Royal College of Ophthalmologists as the Audit Provider. 31 It is characterised by cellular proliferation affecting both surfaces of the detached retina and the vitreous base, resulting in the formation of contractile periretinal membranes. The age-specific incidence increases to a peak in both sexes in the 60- to 70-year age group. I'm a 20 year old male with high myopia -11, -12. Figure 1. This was achieved in 132 patients (85.2%). Retinal detachment rates were 0.27% 1 year after cataract extraction and phacoemulsification, 0.71% at 5 years, 1.23% at 10 years, 1.58% at 15 years, and 1.79% at 20 years. Next, the retina is reattached with the use of a laser and the perfluoro-octane is removed. A thorough patient history and ophthalmic . Rhegmatogenous retinal detachment (RRD) is a common condition with an increasing incidence, related to the ageing demographics of many populations and the rising global prevalence of myopia, both well known risk factors. The study included 38 males and 13 females with a mean age of 51.9 years. From the 7 patients with retinal redetachment, successful anatomical result was achieved with one reoperation in 4 patients, while in 3 patients, a decision was made to . "Only about 60% of people can read unaided in the operated eye after retinal detachment surgery. Scleral buckling surgery is a common way to treat a detached retina. Treatment typically takes less than 15 minutes and is performed in your ophthalmologist's office. Figure 2. There are three types of retinal detachment surgery: scleral buckle, vitrectomy and pneumatic retinopexy. But in cases where they do, prompt treatment is required to prevent a full-blown retinal detachment. PVR remains the most predictive variable for failure of primary surgery with success rates dropping from 90% to 68% if PVR is present preoperatively. Purpose To analyze the correlation between lens status, age, and sex in the epidemiology and success rates of rhegmatogenous retinal detachment (RRD) surgery. . Surgery is an option if a retinal detachment is big enough that it can't be treated with laser photocoagulation and cryotherapy alone. The weighted costs for SB, PPV and laser prophylaxis were $4,873, $5,793 and $1,255, respectively. The band pushes gently on the sides of your eye and moves them inward toward your retina, which helps your retina reattach. Cost can also increase if hospitalization is required. PVR is a major concern after surgery for RD, with up to 56% of patients developing this complication . 2001 Jan;24(1):49-53. . Most of the primary failed buckling surgeries undergo PPV to achieve anatomical and functional success. The surgery used to reattach the retina, called a pars plana vitrectomy, has many . This diabetic retinopathy treatment has a very high success rate for improving vision. Initial success rate for retinal reattachment was 86% for scleral buckling only, 90% for vitrectomy only, 94% for the Prediction of proliferative vitreoretinopathy after retinal detachment surgery: potential of biomarker . Show More. Executive Summary Retinal detachment is a potentially blinding eye disease with an incidence of approximately 12 cases Share Facebook Twitter LinkedIn Email Print. When you are diagnosed with retinal detachment, you will be advised on one of the two main types of retinal detachment surgery procedures (which can be combined together if required): vitrectomy and scleral buckling surgery. . . The back of the eye naturally . 1. This means that 1 in 10 people (10%) will need more than one operation. Prognostic factors] J Fr Ophtalmol. The success rates are higher the earlier surgical repair is performed. Methods The files of all consecutive patients undergoing vitreoretinal surgery for uncomplicated RRD between Jan 2005 und Dec 2020 were retrospectively reviewed. Figure 1. PVR is most commonly reported to be the cause of failed surgery. REFERENCES. [Retinal detachment due to macular holes in highly myopic eyes. The price is dependent on health insurance coverage and the complexity of the surgery. Laser photocoagulation and cryotherapy may also be used in conjunction with surgery for complete treatment. . The reasons for this are new tears forming in the retina or the eye forming scar tissue which To improve our success rates after retinal detachment, we must find ways to limit the production and proliferation of PVR, either through pharmacologic means or enhanced surgical techniques. Retinal detachment: Retinal detachment refers to a rare condition in which the retina detaches or falls away from the . Once the scar tissue is no longer pulling on the retina, the retina will usually settle back into place and flatten out, which will improve vision. . We retrospectively . The retina is a layer of cells at the back of your eye. In this eye with complete rhegmatogenous retinal detachment after failed surgery in the presence of preretinal and subretinal PVR, failed laser demarcation can be noted to the right. 4.3. Of the failures many can be eventually repaired with an additional surgery. In this study, the success rate of primary surgery in the total RRD group was 75.0%, which was significantly lower than the partial RRD group (96.6%). During the surgery, your surgeon removes the vitreous and replaces it with another solution. by umisfitFD2332. By far the most common complication of scleral buckling surgery is retinal redetachment, which may be as high as 47% in the first year. . No significant differences in single surgery success rate between the 2 groups was noted. Retinal Detachment and Retinal Reattachment Surgery . Both techniques have a high success rate if performed appropriately and early enough. Success rates of retinal detachment surgery: routine versus emergency setting. Methods: As a retrospective interventional case series, Munster Study on Therapy Achievements in Retinal Detachment (MUSTARD . The average cost of a vitrectomy in the United States is between $8,000 to $14,000. Retinal Detachment / surgery . Purpose To analyze the correlation between lens status, age, and sex in the epidemiology and success rates of rhegmatogenous retinal detachment (RRD) surgery. What to Expect After Detached Retina Surgery. October 10, 2021. in Optometry. It may take up to a couple of months for the patient's vision to improve. Ocular trauma is the leading cause of decreased visual acuity in young adults []. Retinal surgery has a high success rate, and for most people vision is preserved. Retinal Detachment / surgery . We use the most advanced surgical equipment and techniques available for epiretinal membrane surgery. The overall suc-cess rate of all 4325 MUSTARD patients was 83.98%. 2001 Jan;24(1):49-53. . A superior SSAS in PPV/SB eyes was found despite on average a greater area of detachment (clock hours), higher rates of inferior pathology and pre-operative PVR, and a . Dollars per line-year saved ranged from $11 to $67. Rationale: Achieving success with the initial surgery is the most favorable outcome. The optimal management for RRD . Previous: Complications Next: Outpatient Office Visit Survey. The anatomical success rate with retinal reattachment 1 year after a single surgery or 1 year after SO removal was achieved in 94.0% of the cases (110/117 patients, Table 1). Purpose: To evaluate the anatomical success rate of scleral buckling surgery in the treatment of rhegmatogenous retinal detachment and to evaluate the differences in outcome between patients suffering macula-off retinal detachment and those without a macular involvement. Dollars per QALY saved ranged from $362 to $2,243. PDF | Background This study was investigated the surgical outcomes of primary rhegmatogenous retinal detachment (RRD) with inferior retinal breaks. RD = retinal detachment. The initial success rate was lowest for pneumatic retinopexy at 63 percent and highest for a combination of scleral buckling and vitrectomy, at 94 percent, but again, the one-year outcomes were similar for all procedures. Complications. | Find, read and cite all the research you . Because of improvements in surgical techniques, the rate of successful anatomical retinal reattachment in primary retinal detachment is high (> 80%) [].However, the management of rhegmatogenous retinal detachment (RRD) with inferior retinal breaks (IRBs) via pars plana vitrectomy (PPV) surgery remains challenging because of insufficient . al. Patients often complain of flashes, new floaters and a shadow . This is either because of missed breaks, inadequate or misplaced buckles, or inadequate retinopexy. Appointments 216.444.2020; Appointments & Locations; Contact Us; Facebook Twitter YouTube Instagram LinkedIn Pinterest . Results: One hundred and twenty-three patients (80%) had persisting retinal reattachment after a single procedure. (Image adapted from the internet) During the procedure, a surgeon attaches a silicone band around the eye, which forces the eye inward and reduces pressure . SB used as primary surgery was more likely to result in full SSAS compared with solely PPV (47.6% (10 out of 21) for primary SB compared to 11.5% (3 out of 26) for PPV only, P =.009) or the collective group of PPV only and combined SB/PPV (16.1% (5 out of 31) for SB/PPV, P =.005). However, a risk of operating in an emergency setting has to be . Around 30% to 50% of people with symptomatic tear tend to develop detachments, and preventative treatment reduces the rate to about 10%. At the initial examination, if retinal reattachment surgery is being considered, our doctors will assess whether or not there is the potential for recovery of vision. The single surgery success rate of phacovitrectomy for all types of primary rhegmatogenous retinal detachment was 85.1%. A retinal detachment occurs when a tear forms in the retina allowing fluid to get under the retina forming a detachment. "Randomized clinical trial of cryotherapy versus laser photocoagulation for retinopexy in conventional retinal detachment surgery." American Journal of . The visual recovery is variable in every case, the visual recovery takes 3-6 months and is never the same as before the detachment.. Retinal detachment is an important cause of vision loss. The retina is a thin piece of nervous tissue lining the back of the eye. Results: The success rate in patients with macula-off retinal detachment is 80.46% and thus 7.78% lower (p < 0.01) than that in those patients with their macula intact whose success rate amounted to 88.24%. Advances in technology means that cataract surgery is safer and more effective than ever. An epiretinal membrane (ERM) is a thin sheet of semi translucent, fibrous scar tissue that forms over the macula— the area most responsible for sharpest eyesight—and distorts vision. Hey guys! In this eye with complete rhegmatogenous retinal detachment after failed surgery in the presence of preretinal and subretinal PVR, failed laser demarcation can be noted to the right. So far I got my eye pressure checked and is fine so I'm not at risk for glaucoma. With modern surgical techniques, such as scleral buckling . The goal of retinal detachment surgery is to reattach the retina and thereby achieve "anatomic" success, that is, getting the retina back to where it belongs. The only way to fix a retinal detachment (example on the left) is to undergo retinal detachment surgery. However, a risk of operating in an . The success rate for retinal detachment surgery is approximately 90% with a single operation. At the 20-year mark, the risk of retinal detachment remained four times higher than would be expected in a comparable group of residents who did not have cataract surgery . During retinal tear surgery, a laser seals the retina to the wall of the eye. It may never be fully restored. 1. 2012; 250(12):1731-6 (ISSN: 1435-702X) Koch KR; Hermann MM; Kirchhof B; Fauser S. BACKGROUND: Surgery for rhegmatogenous retinal detachment (RRD) should usually be performed as soon as possible. . If left untreated, a detached retina can cause permanent damage to . To detect the prognostic factors associated with initial reattachment after primary pars plana vitrectomy (PPV) with air tamponade for rhegmatogenous retinal detachment (RRD). The band will stay on your eye permanently after the surgery. The later you postpone surgery, the greater the chances of surgical failure due to scarring from proliferative vitreoretinopathy. . In two cases, there was rejection of the radial sponge. The variability in success rates is based on several factors that vary from patient to patient. Share Facebook Twitter LinkedIn Email Print. Koch KR 1, Hermann MM, Kirchhof B, Fauser S. Author information. Successful outcome was defined as no retinal redetachment occurring within . The ophthalmologist sets a lens on the front of your eye to focus the laser. Reported primary success rates for rhegmatogenous retinal detachment repair range from 64 to 91%.1-3 Retinal redetachment following initial surgery may occur secondary to development of proliferative vitreoretinopathy (PVR), failure of treatment, for example missed or partially treated breaks, or development of new retinal breaks. The overall rate for success with one surgery was 84.6%, while the overall rate for success with one or more surgeries was 97.5%; 71.2% of patients achieved a final visual acuity better than 20/40. Retinal detachment is an important cause of vision loss. To detect the prognostic factors associated with initial reattachment after primary pars plana vitrectomy (PPV) with air tamponade for rhegmatogenous retinal detachment (RRD). According to Dr. Nadelstein, the anatomic success rate is approximately 92% and the function restoration success rate is about 75% to 85%. The success rate for a detached retina surgery is quite high and is up to 90% in most cases. In a study published in 2011, Schall and colleagues studied the success rate with 4 surgical techniques. Retinal detachment occurs in one in 10,000 Americans each year, with middle-aged and older individuals being at higher risk than the younger population. Laser surgery (photocoagulation) With this treatment, your doctor will shine a medical laser inside your eye and make small burns around the tear or hole in your retina. RECURRENT DETACHMENT. Complications Vitreoretinal Surgery Success Rates Cleveland Clinic News & More. Retinal detachment is a medical emergency which can cause vision loss and blindness. . There was no difference between expert (87.7 %) and non-expert surgeons (88.6 %) in the routine setting (p = 0.75). While expert surgeons' PAS rates did not differ between routine and emergency, non-experts achieved inferior anatomical results, when performing surgery in the emergency setting (81.6 % vs. 88.3 %; p = 0.02). The success rate was 94 percent. Patients with a previous history of ocular surgery in the . Thirty-three cases were not successful following the first surgery; 9 of these had incomplete vitreous separation. Girard P, Mimoun G, Karpouzas I, Montefiore G. Clinical risk factors for proliferative vitreoretinopathy after retinal detachment surgery . Vitrectomy surgery may also be used to remove scar tissue remaining as a result of retinal detachment. Methods The files of all consecutive patients undergoing vitreoretinal surgery for uncomplicated RRD between Jan 2005 und Dec 2020 were retrospectively reviewed. 0.8% of retinal detachments (RDs) in the general population are secondary to trauma [].Most of these traumatic RDs are in young patients with work-related trauma [3, 4].There is a general consensus that vitrectomy is the appropriate surgery for most traumatic RDs, but other interventions may . Previously untreatable, RRD now achieves primary surgical success rates of over 80%-90% with complex cases also amenable to treatment. Raul Peña provides cataract surgery success rates and statistics. In general, the longer a detachment has been present for and the severer it is, the less . Recovering from a scleral buckle or vitrectomy. The largest recent series is a retrospective study of 117 eyes with GRT without PVR, reported a primary procedure's success rate of 78.6% which increased to 94% with multiple surgeries. The primary success rate was defined as a retinal reattachment after single surgery. Epiretinal membrane surgery involves a vitrectomy and membrane peeling. The consequences of failure as a result of PVR . achievement of dry anatomical attachment of the retina. . Those suffering from chronic retinal detachment may not recover their vision. Prognostic factors] J Fr Ophtalmol. However, in . The initial success rate of retinal reattachment ranges from 63% to 94%, depending on the technique used. The first is a failure of reattachment due to PVR grades C-1 to C-3. Hendrikse F, Kijlstra A, la Heij EC. Affiliations. Insurance typically covers a vitrectomy if it is considered medically necessary. Reattachment success rates, pre- and postoperative visual acuity, complications, and change in refractive error were reviewed. , Mimoun G, Karpouzas I, Montefiore G. clinical risk factors for proliferative vitreoretinopathy had a success rate SB! 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Complete treatment Twitter YouTube Instagram LinkedIn Pinterest months for the patient & x27! Membrane surgery the overall suc-cess rate of retinal detachment surgery. & quot ; the estimated risk. Cryotherapy may also be used in conjunction with surgery for complete treatment la Heij EC with... But there is no absolute correlation with function to 70-year age group Care < /a > Introduction 3 at! Early enough may not recover their vision complexity of the radial sponge,. In 132 patients ( 85.2 % ) success ( odds ratio, 0.33 P... Germany which analyzed results of retinal detachment due to macular holes in highly myopic eyes for most people vision preserved! M a 20 year old male with high myopia -11, -12 from 1990 rates Cleveland News! Typically takes less than 15 minutes and is fine so I & # ;! Anatomical success rate for SB surgery is a common way to treat detached! Both sexes in the routine setting and 87.3 % in the camera G. clinical factors! 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And 13 females with a mean age of 51.9 years 84.6 % and scleral buckle for repair of... /a! The goal is to prevent fluid from entering through the tear and help hold your retina in in! Hermann MM, Kirchhof B, Fauser S. Author information Support Recovery detached retina surgery Procedures retinal detachment surgery success rate Care! 5,793 and $ 1,255, respectively to 94 %, depending on the technique.! Pars plana vitrectomy, has many full-blown retinal detachment Schall and colleagues studied success. For SB surgery is found to be the better initial treatment nervous tissue lining the back of your to... Koch KR 1, Hermann MM, Kirchhof B, Fauser S. Author information: //www.sciencedirect.com/science/article/pii/S2468653021003109 >. Inward and reduces pressure results of retinal reattachment ranges from 63 % to 94 %, depending on the of! Anesthesia so you & # x27 ; m a 20 year old male with high myopia,... The laser better initial treatment treatment, your surgeon removes the vitreous is a thin piece of tissue... Cases treatment requires surgery to repair any tears in your retina in place in order to complete reattachment! Burns create small scars that fix the tear and detaching the retina is a failure of due... Takes less than 15 minutes and is fine so I & # x27 ; s Office a. For epiretinal membrane surgery greater the chances of surgical failure due to macular holes in myopic. Laser photocoagulation and cryotherapy may also be used in conjunction with surgery for retinal... Be eventually repaired with an additional surgery B, Fauser S. Author information reattachment.... ; t gotten my retina checked yet but soon modern surgical techniques asleep during this surgery first! Order to complete the reattachment process ; Locations ; Contact Us ; Twitter., considering the technical difficulty in removing the ERM completely, gas tamponade seems to the... On Therapy Achievements in retinal detachment surgery //my.clevelandclinic.org/departments/eye/outcomes/717-vitreoretinal-surgery-success-rates '' > detached retina health insurance coverage and the of... Vitrectomy surgery may also be used to remove scar tissue remaining as a retrospective interventional series!

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