[Prevention of retinal detachment in Wagner-Stickler disease. Comparative study of different methods. Apropos of 22 cases].
Prophylactic treatment in patients presenting Wagner-Stickler disease has not been yet well defined. We retrospectively studied twenty-two patients who had a retinal detachment on the first eye. Among the ten patients treated by peripheral confluent laser photocoagulation, five had a retinal detachment after a mean follow-up of fifteen months; with a 42% rate of spontaneous retinal detachment bilateralization, we can conclude that laser therapy has not been efficient. Four patients treated by focal or circular laser photocoagulation, cryotherapy or vitrectomy developed retinal detachment. Eight eyes treated by a preventive encircling scleral buckle did not develop retinal detachment, with a mean follow-up of twenty-one months. This follow-up is still too short, but greater than the mean bilateralization delay. Per and postoperative complications had no consequences.
Monin
C
C
Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts, Paris.
Van Effenterre
G
G
Andre-Sereys
P
P
Haut
J
J
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D017679:Cryotherapy; D015785:Eye Diseases, Hereditary / Q000150:complications / Q000601:surgery; D005260:Female; D006801:Humans; D053685:Laser Therapy; D008297:Male; D012162:Retinal Degeneration / Q000150:complications / Q000235:genetics / Q000628:therapy*; D012163:Retinal Detachment / Q000209:etiology / Q000517:prevention & control* / Q000601:surgery; D014822:Vitreous Body
Prophylaxie du décollement de rétine de la maladie de Wagner-Stickler. Etude comparative des différentes méthodes. A propos de vingt-deux cas.