REABSORPTION OF ACQUIRED VITELLIFORM LESIONS IN VITREOMACULAR DISORDERS AFTER VITRECTOMY
| Autor: | Giuseppe Querques, Maria Vittoria Cicinelli, Andrea Appeltans, Giulio Bamonte |
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| Přispěvatelé: | Ophtalmology - Eye surgery, Faculty of Medicine and Pharmacy, Bamonte, Giulio, Appeltans, Andrea, Cicinelli, M, Querques, Giuseppe |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
0301 basic medicine Pars plana medicine.medical_specialty Visual acuity genetic structures Fundus Oculi medicine.medical_treatment Vitrectomy Retinal Pigment Epithelium Fundus (eye) 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Atrophy Retinal Diseases Optical coherence tomography Ophthalmology parasitic diseases medicine Humans Postoperative Period Aged Aged 80 and over Medicine(all) Retinal pigment epithelium medicine.diagnostic_test business.industry Retinal General Medicine medicine.disease eye diseases Vitreous Body 030104 developmental biology medicine.anatomical_structure chemistry Disease Progression 030221 ophthalmology & optometry Female sense organs medicine.symptom business Tomography Optical Coherence |
| Popis: | Purpose To describe cases of reabsorption of subretinal acquired vitelliform material (acquired vitelliform lesion [AVL]) associated with vitreomacular disorders after 25-gauge pars plana vitrectomy and peeling of internal limiting membrane. Methods Data of consecutive patients who underwent 25-gauge transconjunctival pars plana vitrectomy for vitreomacular disorders at the Department of Ophthalmology of the University Hospital of Brussels (Belgium) were collected. Patients featuring AVL on fundus examination or on spectral domain optical coherence tomography were recruited. Patients were followed up for 12 months after surgery. Results Four eyes of three consecutive white patients presenting AVL were included. Three cases were affected by macular pucker, whereas one case featured vitreomacular traction syndrome. Progressive flattening of the AVL after surgery was observed in three eyes of three patients. One eye did not show any resorption of the submacular accumulation. In two eyes, atrophy of the retinal pigment epithelium and the outer retinal layers was observed along with resolution of the AVL, with significant worsening of visual acuity postoperatively. Conclusion The outcome of surgery in cases of submacular AVL associated with vitreomacular interface syndromes could be heterogeneous and may depend on the duration of the disease and baseline optical coherence tomography characteristics of the lipofuscin accumulation. |
| Databáze: | OpenAIRE |
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