دورية أكاديمية
أعرض في EDS

Retinal Detachment Associated with Retinal Dialysis: Clinical Features and Outcomes of Surgery in a 10-Year Study.

التفاصيل البيبلوغرافية
العنوان: Retinal Detachment Associated with Retinal Dialysis: Clinical Features and Outcomes of Surgery in a 10-Year Study.
المؤلفون: Rohowetz LJ; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florid., Jabbehdari S; Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas., Smiddy WE; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florid., Berrocal AM; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florid., Townsend JH; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florid., Chang JS; Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin., Yannuzzi N; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florid., Sridhar J; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florid., Haddock LJ; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florid., Fortun JA; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florid., Flynn HW Jr; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florid. Electronic address: hflynn@med.miami.edu.
مؤلفون مشاركون: Retinal Dialysis Study Group
المصدر: Ophthalmology. Retina [Ophthalmol Retina] 2023 Oct; Vol. 7 (10), pp. 857-861. Date of Electronic Publication: 2023 Jun 26.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Published by Elsevier Inc. on behalf of American Academy of Ophthalmology Country of Publication: United States NLM ID: 101695048 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2468-6530 (Electronic) Linking ISSN: 24686530 NLM ISO Abbreviation: Ophthalmol Retina Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, NY : Published by Elsevier Inc. on behalf of American Academy of Ophthalmology, [2017]-
مواضيع طبية MeSH: Retinal Detachment*/diagnosis , Retinal Detachment*/etiology , Retinal Detachment*/surgery , Retinal Perforations*/diagnosis , Retinal Perforations*/etiology , Retinal Perforations*/surgery , Cataract*/complications , Cataract*/diagnosis, Humans ; Male ; Adult ; Female ; Retrospective Studies ; Visual Acuity ; Vitrectomy
مستخلص: Purpose: To report the surgical approaches and outcomes in patients undergoing surgery for retinal detachment associated with retinal dialysis.
Design: Retrospective, consecutive case series.
Subjects: All patients who underwent surgery for retinal detachment secondary to retinal dialysis between January 1, 2012, and January 1, 2022.
Methods: Retrospective consecutive case series.
Main Outcome Measures: Best-corrected visual acuity (BCVA), single-operation success rate.
Results: The study cohort included 60 eyes of 58 patients with a mean age of 26.4 (standard deviation, 13.0) years. Males comprised 49 (84.5%) patients. Known trauma occurred in 35 (61.4%) cases. Initial surgical management included scleral buckling (SB) in 49 (81.7%) eyes and combined SB and pars plana vitrectomy (PPV) in 11 (18.3%) eyes. Preoperative BCVA correlated with BCVA at last follow-up visit (r = 0.66; P < 0.001). At last visit, the SB group had a mean logarithm of the minimum angle of resolution BCVA of 0.36 (20/46) and a single-operation success rate of 76.9% at 6 months, whereas the SB/PPV group had a mean logarithm of the minimum angle of resolution BCVA of 1.08 (20/238) and single-operation success rate of 77.8% (P = 0.04 and P = 0.96, respectively). Six eyes in the SB/PPV group received silicone oil tamponade. In eyes with at least 1 year of follow-up, 4 (14.8%) in the SB group and 6 (100%) in the SB/PPV group developed a visually significant cataract requiring cataract surgery (P < 0.001).
Conclusions: Retinal detachment associated with retinal dialysis is typically associated with trauma and more often occurs in young male patients. The current study confirms that SB without PPV is an effective initial treatment strategy for most patients with retinal dialysis and has a low rate of cataract formation.
Financial Disclosure(s): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.
(Copyright © 2023 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.)
References: Surv Ophthalmol. 2022 Jul-Aug;67(4):932-949. (PMID: 34896191)
Can J Ophthalmol. 2014 Apr;49(2):196-9. (PMID: 24767228)
Ophthalmology. 2017 May;124(5):667-673. (PMID: 28283281)
Ophthalmology. 2013 Sep;120(9):1804-8. (PMID: 23601799)
Ophthalmology. 2000 Jan;107(1):12-5; discussion 15-8. (PMID: 10647712)
J Pediatr Ophthalmol Strabismus. 2010 Sep-Oct;47(5):281-7. (PMID: 19873945)
Cochrane Database Syst Rev. 2019 Mar 08;3:CD009562. (PMID: 30848830)
Eye (Lond). 2004 Jul;18(7):709-13. (PMID: 14976542)
Eye (Lond). 2008 Apr;22(4):485-90. (PMID: 17139271)
Yan Ke Xue Bao. 2005 Mar;21(1):12-4, 26. (PMID: 17162910)
J Vitreoretin Dis. 2021 Jul 9;5(5):405-411. (PMID: 37008705)
Sci Rep. 2020 Jun 22;10(1):10020. (PMID: 32572124)
Graefes Arch Clin Exp Ophthalmol. 2020 Mar;258(3):467-478. (PMID: 31828426)
Ophthalmology. 2011 Jul;118(7):1429-34. (PMID: 21561662)
Retina. 2013 Feb;33(2):392-6. (PMID: 23222495)
Ophthalmic Surg Lasers Imaging Retina. 2016 Apr 1;47(4):336-40. (PMID: 27065373)
Asia Pac J Ophthalmol (Phila). 2020 Sep-Oct;9(5):435-439. (PMID: 32694346)
Asia Pac J Ophthalmol (Phila). 2015 Sep-Oct;4(5):259-62. (PMID: 26431208)
Trans Am Ophthalmol Soc. 1980;78:686-733. (PMID: 7257070)
معلومات مُعتمدة: P30 EY014801 United States EY NEI NIH HHS
فهرسة مساهمة: Keywords: Pars plana vitrectomy; Retinal detachment; Retinal dialysis; Scleral buckling; Trauma
تواريخ الأحداث: Date Created: 20230628 Date Completed: 20231023 Latest Revision: 20231106
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10592222
DOI: 10.1016/j.oret.2023.06.013
PMID: 37379884
قاعدة البيانات: MEDLINE
الوصف
تدمد:2468-6530
DOI:10.1016/j.oret.2023.06.013