Risk factors for multiple retinal tears in patients with acute posterior vitreous detachment.

Autor: Karahan E; Department of Ophthalmology, Van Training and Research Hospital, Van, Turkey., Karti O; Department of Ophthalmology, Bozyaka Training and Research Hospital, Saim Cıkrıkcı Caddesi No:59, Izmir, Turkey. kartiomer@gmail.com., Er D; Department of Ophthalmology, Dokuz Eylul University, Izmir, Turkey., Cam D; Department of Ophthalmology, Dokuz Eylul University, Izmir, Turkey., Aydın R; Department of Ophthalmology, Medipol University, Istanbul, Turkey., Zengin MO; Department of Ophthalmology, Bozyaka Training and Research Hospital, Saim Cıkrıkcı Caddesi No:59, Izmir, Turkey., Kaynak S; Department of Ophthalmology, Dokuz Eylul University, Izmir, Turkey.
Jazyk: angličtina
Zdroj: International ophthalmology [Int Ophthalmol] 2018 Feb; Vol. 38 (1), pp. 257-263. Date of Electronic Publication: 2017 Feb 03.
DOI: 10.1007/s10792-017-0455-0
Abstrakt: Purpose: To evaluate possible risk factors for multiple retinal tears in patients with acute posterior vitreous detachment.
Materials and Methods: Three hundred and seventy-six consecutive patients presenting with symptoms of floaters and/or flashes were examined. The associations of retinal tears with the duration of symptoms, multiple floaters, flashing, a family history of retinal detachment, peripheral retinal degeneration, lens status, myopia, tobacco dust, and retinal or vitreous hemorrhage were analyzed.
Results: Fifty-four (14.4%) of the 376 patients had 71 initial retinal tears. Forty of the 54 eyes had one retinal tear, and 14 eyes had multiple retinal tears. The presence of retinal or vitreous hemorrhage increased the risk of multiple retinal tears 6.1 times using univariate analysis and 7.0 times using multivariate analysis.
Conclusion: Unrecognized retinal tears in patients with acute posterior vitreous detachment can cause subsequent retinal detachment. It is therefore important to consider multiple retinal tears, especially in patients with retinal or vitreous hemorrhage.
Databáze: MEDLINE
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