Role of Prophylactic Vitrectomy in Acute Retinal Necrosis in Preventing Rhegmatogenous Retinal Detachment: Systematic Review and Meta-analysis
| Autor: | Shipei Fan, Yuqin Wang, Dan Lin |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Visual Acuity Vitrectomy Antiviral Agents 03 medical and health sciences 0302 clinical medicine Ophthalmology medicine Humans Immunology and Allergy Retrospective Studies 030203 arthritis & rheumatology business.industry Retinal Detachment Retinal detachment Retinal Necrosis Syndrome Acute medicine.disease eye diseases Meta-analysis 030221 ophthalmology & optometry Acute retinal necrosis business Systematic search |
| Zdroj: | Ocular Immunology and Inflammation. 30:515-519 |
| ISSN: | 1744-5078 0927-3948 |
| DOI: | 10.1080/09273948.2020.1800051 |
| Popis: | To evaluate the effects of prophylactic vitrectomy for rhegmatogenous retinal detachment (RRD) risk and visual outcome in acute retinal necrosis (ARN).A systematic search of online databases was performed for articles published between 1994 June and 2020 March. The main outcomes that were assessed by a fixed effects model were RRD risk and visual outcome during a follow up period.A total of 7 trials involving 265 eyes (121 prophylactic vitrectomy eyes vs 144 routine antiviral treatment eyes) were analyzed in this study. RRD risk significantly decreased in the prophylactic vitrectomy group compared to the routine antiviral treatment group (This meta-analysis of retrospective cohort studies revealed that prophylactic vitrectomy could reduce the risk of RRD. The silicone oil tamponade and long-term complications may result in deteriorated visual outcome. |
| Databáze: | OpenAIRE |
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