| Prophylaxis for retinal detachment: evidence or eminence based? | |
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MedLine Citation:
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PMID: 17420700 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Andreas J Kreis; G William Aylward; Thomas J Wolfensberger |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Retina (Philadelphia, Pa.) Volume: 27 ISSN: 0275-004X ISO Abbreviation: Retina (Philadelphia, Pa.) Publication Date: 2007 Apr-May |
Date Detail:
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Created Date: 2007-04-10 Completed Date: 2007-05-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309919 Medline TA: Retina Country: United States |
Other Details:
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Languages: eng Pagination: 468-72 Citation Subset: IM |
Affiliation:
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Jules Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Europe Evidence-Based Medicine Health Knowledge, Attitudes, Practice* Health Surveys Humans Laser Coagulation / methods* Middle Aged Physician's Practice Patterns* Questionnaires Retinal Detachment / surgery* Societies, Medical / trends |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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