RECURRENCES OF RETINAL DETACHMENT AFTER RETINECTOMY
| Autor: | Frédéric Matonti, Anne-Laure Le Piffer, Herve Rouhette, Sebastien Guigou, P.-Y. Mérité, Olivier Rebollo, Umberto Lorenzi, Eric Denion, Thomas Beuste, Vincent Soler, Eric Parrat, F. Meyer |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Proliferative vitreoretinopathy Visual acuity Adolescent Visual Acuity Retina Retinal detachment surgery Young Adult 03 medical and health sciences 0302 clinical medicine Recurrence Vitrectomy Ophthalmology medicine Humans Young adult Aged Retrospective Studies 030304 developmental biology Aged 80 and over 0303 health sciences business.industry Retinal Detachment Retinal detachment Retrospective cohort study General Medicine Middle Aged medicine.disease Vitreous Body Multicenter study 030221 ophthalmology & optometry Female medicine.symptom business Tomography Optical Coherence |
| Zdroj: | Retina. 40:1315-1324 |
| ISSN: | 0275-004X |
| DOI: | 10.1097/iae.0000000000002592 |
| Popis: | To evaluate the different mechanisms of retinal detachment recurrence after retinectomy for rhegmatogenous retinal detachment (RD) complicated by proliferative vitreoretinopathy (PVR) and to study its outcome and prognosis.Retrospective, multicenter study conducted between January 2009 and November 2016. Retrospective review of 56 patients with recurrent RD (RRD) after a first relaxing retinectomy.The secondary retinal attachment rate was 58.9% (33/56 cases). The various mechanisms of RRD were mainly related to PVR (52/56 cases: 93%). This PVR was anterior in 10 cases (21%), posterior in 31 cases (60%), and combined anterior and posterior in 11 cases (21%). The RRD mechanism was not PVR in 4 of the 56 cases. Some of the RRD mechanisms were specific to retinectomy: fibrosis of the edge of the retinectomy (26 cases: 46.4%), beyond-the-edge proliferation (8 cases: 14.3%), and severe inferior retinal folding (2 cases: 3.6%). In the 2 cases of severe inferior retinal folding, the retina could not be reattached. The anatomical outcome and the mechanism of RRD (anterior PVR, posterior PVR, or combined anterior and posterior PVR) were not correlated (P = 0.12). Visual acuity was significantly better only in patients with complete secondary success, that is, having an attached retina after silicone oil removal: mean preoperative visual acuity was 2.01 logarithm of the minimum angle of resolution versus 1.01 logarithm of the minimum angle of resolution postoperatively (P = 0.019).Proliferative vitreoretinopathy caused most of the recurrences, and the anatomical outcome did not depend on the type of PVR involved. Only complete secondary success (attached retina after silicone oil removal) was accompanied by visual acuity improvement. |
| Databáze: | OpenAIRE |
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