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Natural History of Retinal Breaks Without Detachment

Natural History of Retinal Breaks Without Detachment Abstract One hundred seventy-six eyes with retinal breaks without detachment or with subclinical detachment were followed up without prophylactic treatment for six months to 16 years. In 31 (18%) progression occurred. The likelihood of progression was greater in the following circumstances: (1) fresh symptomatic horseshoe tears, (2) breaks with subclinical detachment, (3) aphakic eyes. Progression in eyes containing breaks with opercula or round holes without opercula or in phakic eyes containing asymptomatic horseshoe tears was unusual (5% to 10%). In the patient first seen with a fresh clinical retinal detachment in one eye due to a horseshoe tear or hole with operculum and an asymptomatic break of either of these types without detachment in the fellow eye, the eye with the asymptomatic break usually represents the chronologically more-advanced stage of vitreoretinal degeneration. References 1. Gonin J: Le décollement de la rétine: Pathogénie-traitement . Lausanne, Librairie. Payot et cie, 1934. 2. Schepens CL: Progress in detachment surgery . Trans Am Acad Ophthalmol Otolaryngol 55:606-615, 1951. 3. Meyer-Schwickerath G: Light Coagulation . St. Louis, CV Mosby Co, 1960. 4. Schepens CL: Subclinical retinal detachments . Arch Ophthalmol 47:593-606, 1952.Crossref 5. Okun E, Cibis PA: Photocoagulation in "limited" retinal detachment and breaks without detachment , in McPherson A (ed): New and Controversial Aspects of Retinal Detachment . New York, Paul B Hoeber Inc, 1968, pp 164-171. 6. Colyear BH Jr, Pischel DK: Clinical tears in the retina without detachment . Am J Ophthalmol 41:773-792, 1956. 7. Colyear BH Jr, Pischel DK: Preventative treatment of retinal detachment by means of light coagulation . Trans Pac Coast Otoophthalmol Soc 41:193-215, 1960. 8. Halpern JI: Routine screening of the retinal periphery . Am J Ophthalmol 62:99-102, 1966. 9. Rutnin U, Schepens CL: Fundus appearance in normal eyes: IV. Retinal breaks and other findings . Am J Ophthalmol 64:1063-1078, 1967. 10. Byer NE: Clinical study of retinal breaks . Trans Am Acad Ophthalmol Otolaryngol 71:461-473, 1967. 11. Teng CC, Katzin HM: An anatomic study of the periphery of the retina: I. Nonpigmented epithelial cell proliferation and hole formation . Am J Ophthalmol 34:1237-1248, 1951. 12. Okun E: Gross and microscopic pathology in autopsy eyes: III. Retinal breaks without detachment . Am J Ophthalmol 51:369-391, 1961. 13. Boniuk M, Butler FC: An autopsy study of lattice degeneration, retinal breaks and retinal pits , in McPherson A (ed): New and Controversial Aspects of Retinal Detachment . New York, Paul B Hoeber Inc, 1968, pp 59-75. 14. Foos RY, Allen RA: Retinal tears and lesser lesions of the peripheral retina in autopsy eyes . Am J Ophthalmol 64:643-655, 1967. 15. Neumann E, Hyams S: Conservative management of retinal breaks . Br J Ophthalmol 56:482-486, 1972.Crossref 16. Schepens CL, Marden D: Data on the natural history of retinal detachment: Further characterization of certain unilateral nontraumatic cases . Am J Ophthalmol 61:213-226, 1966. 17. Linder B: Acute posterior vitreous detachment and its retinal complications . Acta Ophthalmol , (suppl 87) , pp 1-108, 1966. 18. Straatsma BR, Allen RA, Christensen RE: The prophylaxis of retinal detachment . Trans Pac Coast Otoophthalmol Soc 46:211-236, 1965. 19. Mortimer CB: The prevention of retinal detachment . Can J Ophthalmol 1:206-212, 1966. 20. Colyear BH Jr: A clinical comparison of partially penetrating diathermy and xenon-arc photocoagulation , in McPherson A (ed): New and Controversial Aspects of Retinal Detachment . New York, Paul B Hoeber Inc, 1968, pp 176-185. 21. Söllner F: Über die prophylaktische Behandlung der Ablatio retinae durch Lichtcoagulation . Ber Dtsch Ophthalmol Ges 66:327-336, 1965. 22. Schepens CL: The preventative treatment of idiopathic and secondary retinal detachment , in Acta Concilium Ophthalmologicum , 1958, vol 1, pp 1019-1027. 23. Tasman WS: Posterior vitreous detachment and peripheral retinal breaks . Trans Am Acad Ophthalmol Otolaryngol 72:217-224, 1968. 24. Pischel DK: Detachment of the vitreous as seen with slit-lamp examination . Trans Am Ophthalmol Soc 50:329-346, 1952. 25. Schepens CL, in discussion, Okun and Cibis: Photocoagulation in "limited" retinal detachment and breaks without detachment , in McPherson A (ed): New and Controversial Aspects of Retinal Detachment . New York, Paul B Hoeber Inc, 1968, p 172. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Natural History of Retinal Breaks Without Detachment

Archives of Ophthalmology , Volume 92 (3) – Sep 1, 1974

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Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1974.01010010191001
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Abstract

Abstract One hundred seventy-six eyes with retinal breaks without detachment or with subclinical detachment were followed up without prophylactic treatment for six months to 16 years. In 31 (18%) progression occurred. The likelihood of progression was greater in the following circumstances: (1) fresh symptomatic horseshoe tears, (2) breaks with subclinical detachment, (3) aphakic eyes. Progression in eyes containing breaks with opercula or round holes without opercula or in phakic eyes containing asymptomatic horseshoe tears was unusual (5% to 10%). In the patient first seen with a fresh clinical retinal detachment in one eye due to a horseshoe tear or hole with operculum and an asymptomatic break of either of these types without detachment in the fellow eye, the eye with the asymptomatic break usually represents the chronologically more-advanced stage of vitreoretinal degeneration. References 1. Gonin J: Le décollement de la rétine: Pathogénie-traitement . Lausanne, Librairie. Payot et cie, 1934. 2. Schepens CL: Progress in detachment surgery . Trans Am Acad Ophthalmol Otolaryngol 55:606-615, 1951. 3. Meyer-Schwickerath G: Light Coagulation . St. Louis, CV Mosby Co, 1960. 4. Schepens CL: Subclinical retinal detachments . Arch Ophthalmol 47:593-606, 1952.Crossref 5. Okun E, Cibis PA: Photocoagulation in "limited" retinal detachment and breaks without detachment , in McPherson A (ed): New and Controversial Aspects of Retinal Detachment . New York, Paul B Hoeber Inc, 1968, pp 164-171. 6. Colyear BH Jr, Pischel DK: Clinical tears in the retina without detachment . Am J Ophthalmol 41:773-792, 1956. 7. Colyear BH Jr, Pischel DK: Preventative treatment of retinal detachment by means of light coagulation . Trans Pac Coast Otoophthalmol Soc 41:193-215, 1960. 8. Halpern JI: Routine screening of the retinal periphery . Am J Ophthalmol 62:99-102, 1966. 9. Rutnin U, Schepens CL: Fundus appearance in normal eyes: IV. Retinal breaks and other findings . Am J Ophthalmol 64:1063-1078, 1967. 10. Byer NE: Clinical study of retinal breaks . Trans Am Acad Ophthalmol Otolaryngol 71:461-473, 1967. 11. Teng CC, Katzin HM: An anatomic study of the periphery of the retina: I. Nonpigmented epithelial cell proliferation and hole formation . Am J Ophthalmol 34:1237-1248, 1951. 12. Okun E: Gross and microscopic pathology in autopsy eyes: III. Retinal breaks without detachment . Am J Ophthalmol 51:369-391, 1961. 13. Boniuk M, Butler FC: An autopsy study of lattice degeneration, retinal breaks and retinal pits , in McPherson A (ed): New and Controversial Aspects of Retinal Detachment . New York, Paul B Hoeber Inc, 1968, pp 59-75. 14. Foos RY, Allen RA: Retinal tears and lesser lesions of the peripheral retina in autopsy eyes . Am J Ophthalmol 64:643-655, 1967. 15. Neumann E, Hyams S: Conservative management of retinal breaks . Br J Ophthalmol 56:482-486, 1972.Crossref 16. Schepens CL, Marden D: Data on the natural history of retinal detachment: Further characterization of certain unilateral nontraumatic cases . Am J Ophthalmol 61:213-226, 1966. 17. Linder B: Acute posterior vitreous detachment and its retinal complications . Acta Ophthalmol , (suppl 87) , pp 1-108, 1966. 18. Straatsma BR, Allen RA, Christensen RE: The prophylaxis of retinal detachment . Trans Pac Coast Otoophthalmol Soc 46:211-236, 1965. 19. Mortimer CB: The prevention of retinal detachment . Can J Ophthalmol 1:206-212, 1966. 20. Colyear BH Jr: A clinical comparison of partially penetrating diathermy and xenon-arc photocoagulation , in McPherson A (ed): New and Controversial Aspects of Retinal Detachment . New York, Paul B Hoeber Inc, 1968, pp 176-185. 21. Söllner F: Über die prophylaktische Behandlung der Ablatio retinae durch Lichtcoagulation . Ber Dtsch Ophthalmol Ges 66:327-336, 1965. 22. Schepens CL: The preventative treatment of idiopathic and secondary retinal detachment , in Acta Concilium Ophthalmologicum , 1958, vol 1, pp 1019-1027. 23. Tasman WS: Posterior vitreous detachment and peripheral retinal breaks . Trans Am Acad Ophthalmol Otolaryngol 72:217-224, 1968. 24. Pischel DK: Detachment of the vitreous as seen with slit-lamp examination . Trans Am Ophthalmol Soc 50:329-346, 1952. 25. Schepens CL, in discussion, Okun and Cibis: Photocoagulation in "limited" retinal detachment and breaks without detachment , in McPherson A (ed): New and Controversial Aspects of Retinal Detachment . New York, Paul B Hoeber Inc, 1968, p 172.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Sep 1, 1974

References