Titre
Prophylaxis for retinal detachment: evidence or eminence based?
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Auteur(s)
Kreis, A. J.
Auteure/Auteur
Aylward, G. W.
Auteure/Auteur
Wolfensberger, T. J.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0275-004X
Statut éditorial
Publié
Date de publication
2007-05
Volume
27
Numéro
4
Première page
468
Dernière page/numéro d’article
72
Notes
Journal Article --- Old month value: Apr-May
Résumé
PURPOSE: Prophylactic laser treatment of peripheral retinal lesions to prevent retinal detachment enjoys widespread use. However, clinical and scientific evidence for such treatment only exists for a few particular clinical situations. The aim of the present study was to delineate the current practice patterns for such prophylaxis among some European retinal specialists. METHODS: A postal survey was conducted among all members of BEAVRS (British and Eire Association of Vitreoretinal Surgeons; n = 236), all members of the German Retinological Society (n = 396), and Swiss retinal surgeons (n = 12) using a questionnaire with 6 case scenarios. The retinal specialists were asked to choose between three different options for each case: treat retinal lesion prophylactically, clinical follow-up, and other options. RESULTS: The return rates of the questionnaire were 36% in the United Kingdom, 42% in Germany, and 83% in Switzerland. There was a general tendency to apply laser prophylaxis to peripheral retinal lesions despite the absence of evidence in the medical literature. CONCLUSIONS: Nonevidence-based prophylactic laser treatment of peripheral retinal lesions remains a clinical and economic issue that must be addressed, and more evidence-based data are needed to establish clear clinical guidelines. Swiss retinal specialists are particularly conscientious in sending back a medical questionnaire.
Sujets
PID Serval
serval:BIB_AAA3E13D87F4
PMID
Date de création
2008-01-28T12:05:40.899Z
Date de création dans IRIS
2025-05-21T03:21:42Z