Aktuelle Trends bei der Behandlung rhegmatogener Netzhautablösungen und perioperative Lagerungsstrategien in Deutschland: Ergebnisse einer retina.net-Umfrage

• DOI: 10.1007/s00347-025-02216-8
• Publication Date: 2025-03-26T23:33:56Z
• Authors: Piotr Strzalkowski; Alicja Strzalkowska; Andreas Stahl; Alexander K. Schu...; Sema Kaya; Mathias Roth; Tim U. Krohne; Robert P. Finger; Friederike Schaub; Stefan Dithmar; Carsten Framme; Armin Wolf; Martin Spitzer; Hansjürgen Agostini; Nicolas Feltgen; Oliver Zeitz; Julian Klaas; Jost Hillenkamp; Amelie Pielen; Horst Helbig; Salvatore Grisanti; Hans Hoerauf; Nikolaos E. Bechr...; Peter Walter; Johann Roider; Jens Schrecker; Thomas Ach; Teresa Barth; Jan Tode; Gerd Geerling; Rainer Guthoff
• Keywords: Silicone oil; Vitreoretinal Surgery

Rhegmatogenous retinal detachment (RRD) is an ophthalmological emergency with increasing incidence in Germany. Despite established methods, perioperative positioning important to improve outcomes and avoid complications but may be challenging, particularly immobile patients. An analysis of the current trends surgical treatment practices for RRD Germany compared historical data from 2018 essential. online survey five hypothetical cases acute was distributed vitreoretinal surgeons via retina.net research network. A total 27 questionnaires were analyzed focusing on participant demographic data, techniques, anesthesia types, aftercare strategies. Of respondents 50% over 50 years old, 86% worked at university eye clinics 89% had performed 1000 procedures. For temporal upper quadrant, preoperative postoperative lateral recommended. consider crucial prevent macular folds. Complete subretinal fluid drainage favored by 82% 23 G trocars used 77%. phakic eyes uncomplicated chose buckling surgery, while opted silicone oil complex inferior cases. General preferred 61%, always in-patient setting. Preoperative followed prone quadrant RRD, whereas no specific recommended managed or surgery. Postoperative after pars plana vitrectomy (ppV) gas endotamponade considered decisive preventing The trocar system remains choice despite smaller alternatives. In certain still importance.