Retinal detachment surgery

The outcome of retinal detachment surgery in people with Wagner has been very poor. A lot of eyes went blind after rhegmatogenous retinal detachment. In 2007 a study was published about the success rate of retinal detachment surgery in people with Stickler. We are only assuming that this might apply for Wagner’s too.

Clinicians from the Western Eye Hospital (Moorfields) compared this kind of surgery in two periods: 1965-1985 and 1986-2003, and found a great improvement.

Graefes Arch Clin Exp Ophthalmol. 2007 Nov;245(11):1633-8.

Epub 2007 Jun 20.

Outcomes of surgery for retinal detachment in patients with Stickler syndrome: a comparison of two sequential 20-year cohorts.
Abeysiri P, Bunce C, da Cruz L

Refractory glaucoma after vitreous surgery

Clinicians from Ghent (Belgium) and Rotterdam (the Netherlands) published an article about managing uncontrolled intraocular pressure after vitreous surgery with a Baerveldt glaucoma implant. They mention 20% failure, 20% transient complications and 20% severe complications.

Acta Ophthalmol. 2008 Dec 16. [Epub ahead of print]
Baerveldt glaucoma implants in the management of refractory glaucoma after vitreous surgery.

Van Aken E, Lemij H, Vander Haeghen Y, de Waard P

Department of Ophthalmology, Service of Vitreoretinal Surgery, University Hospital Ghent, Belgium

From Moorfields also an article about this issue. Bill Aylward and others found that 19-28% of the eyes after vitreoretinal surgery suffered from uncontrolled intraocular pressure.

Br J Ophthalmol. 2004 March; 88(3): 341–343.

doi: 10.1136/bjo.2003.028076.

Long term outcome of secondary glaucoma following vitreoretinal surgery

P Tranos, R Asaria, W Aylward, P Sullivan, and W Franks

Moorfields Eye Hospital, London, UK

tips from others

In this section you can either make colleagues aware of publications you think are interesting for physicians who are treating Wagner patients, or you can share your own experience in treatment of Wagner patients, surgically or otherwise.

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page last modified June 26th 2009

Wagner syndrome