Outcomes of Vitrectomy with Inferior Retinectomy in Patients with Recurrent Rhegmatogenous Retinal Detachments and Proliferative Vitreoretinopathy

Quiram, Polly A.; Gonzales, Christine R.; Hu, Wanda D.; Gupta, Anurag; Yoshizumi, Marc O.; Kreiger, Allan E.; Schwartz, Steven D.

doi:10.1016/j.ophtha.2006.05.039

Cited by 153 publications

(165 citation statements)

References 39 publications

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“…증식유리체망막병증은 열공망막박리의 5-10%에서 발견된다고 보고되며 [12], 70% 정도의 낮은 일차 재유착률을 보여 열공망 막박리의 나쁜 예후인자로 알려져 있다 [6,8]. 본 연구에서 전체 열공망막박리의 10.9%에서 증식유리체망막병증이 관찰되었고, Values are presented as mean SD.…”

Section: 고찰unclassified

Clinical Characteristics of Rhegmatogenous Retinal Detachment Combined with Proliferative Vitreoretinopathy Grade C or Higher

Ahn

Kwon

Lee

et al. 2017

J Retin

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Purpose: To classify rhegmatogenous retinal detachment (RRD) combined with proliferative vitreoretinopathy (PVR) grade C or higher according to clinical difficulties and age and to investigate the outcomes and operation methods. Methods: Eyes with RRD with PVR grade C or higher were reviewed retrospectively among 752 eyes of RRD over a period of 5 years. The cases with total retinal detachment combined with ocular hypotony, giant retinal tear, uveitis treated within 3 months, or atopic dermatitis were classified as the high risk group, and the others were the low risk group. Additionally, the low risk group was classified as the low risk group-older and low risk group-younger according to age 40. Operation methods and anatomical outcomes were analyzed according to group. Results: Eighty-two eyes with RRD with PVR grade C or higher were enrolled, representing 10.9% of the total RRD eyes. Of these, 36 eyes were assigned to the high risk group, and 46 eyes were in the low risk group. In the low risk group, 14 eyes were classified in the low risk group-older, and 32 eyes were in low risk group-younger. The eyes in the high risk group were mainly treated with encircling combined with vitrectomy (89.0%), but the primary anatomical success rate was low (61. 1%). Comparatively, scleral buckling was the main procedure performed in the low risk group-younger (94%), and a higher primary anatomical success rate was achieved (96.7%). The primary success rate of the low risk-older group was 71.4%. Conclusions:The risk factors seem to be important when deciding the operation method and for predicting the prognosis of RRD with PVR grade C or higher. Scleral buckling could be considered as the first option for treating RRD with PVR grade C or higher in the absence of risk factors in patients aged less than 40.

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Section: 고찰unclassified

Clinical Characteristics of Rhegmatogenous Retinal Detachment Combined with Proliferative Vitreoretinopathy Grade C or Higher

Ahn

Kwon

Lee

et al. 2017

J Retin

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“…Silicone oil removal is commonly done after 3 to 6 months, if the retina is attached but in cases of advanced PVR it can be delayed for up to 12 to 14 months. 4,30,38 Kampik et al have reported better anatomical outcomes with prolonged duration of tamponade in cases of advanced PVR. 39 Since, all our cases had advanced PVR (PVR D), duration of tamponade was longer and silicone oil removal was considered after at least 1 year follow-up or earlier if there were complications.…”

Section: Hypotony and Retinectomymentioning

confidence: 99%

“…[1][2][3] Several published reports have presented results of retinectomy for complex retinal detachments (RD) with variable rates of anatomic reattachment (14-80%). [3][4][5][6][7][8][9] Reported favorable outcomes of this technique include retinal reattachment, improvement or stabilization in visual acuity, regaining of ambulatory vision and visual field, etc. 1,[3][4][5][6][7][8][9] However, a review of literature shows lack of homogenous cohorts in analysis of this technique.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5]7,9 Further, we found that grades and extent of PVR were either not clearly specified (only stated as advanced PVR) 6 or there was a heterogeneous selection of cases as far as grading of PVR was concerned (PVR C-D, 4 subretinal fibrosis, 5 anterior PVR). [3][4][5] Few authors have made no mention regarding the size of retinectomy, 4,5 while still others have presented combined results of cases with varying sizes of retinectomies. 3 One of the important indications for this type of intervention in advanced PVR cases is in one-eyed patients, where achievement of at least ambulatory vision is important.…”

Section: Introductionmentioning

confidence: 99%

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Outcomes of Retinectomy of 180° or more in Retinal Detachment with Advanced Proliferative Vitreoretinopathy

Nagpal¹,

Jain²,

Nagpal³

et al. 2011

WJORV

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Aim: To study the functional and anatomic outcomes of retinectomy of 180° or more in eyes with rhegmatogenous retinal detachment (RD) with advanced proliferative vitreoretinopathy (PVR) Grade D. Materials and methods:A retrospective analysis of 51 eyes that underwent pars-plana vitrectomy (PPV) with 180° or more of retinectomy for RD with PVR Grade D was done. Main outcome measures included retinal reattachment, visual outcomes and complications at a follow-up of 12 months. Separate analysis for these parameters was also carried out for subgroup of one-eyed patients.Results: Overall retinal reattachment was achieved in 86.3% cases with mean improvement in BCVA of 0.59 ± 0.91 (statistically highly significant) at final follow-up. In subgroup of one-eyed patients (n = 11), retinal reattachment was achieved in 81.8% eyes with mean improvement of 0.52 ± 0.62 (significant) and 45.4% patients gained ambulatory vision. Main complications included recurrent PVR, optic atrophy, secondary glaucoma and hypotony.Conclusion: Retinectomies of 180° or more can help alleviate intractable traction in eyes with advanced PVR to achieve significant anatomical and functional improvement. This approach was found to be particularly valuable in one-eyed patients in order to achieve ambulatory vision.

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“…These individuals include those affected by proliferative diabetic retinopathy, proliferative vitreoretinopathy, and endophthalmitis or patients otherwise regarded as hopeless. [9][10][11] The vitreous body cannot regenerate, so the vitreous cavity must be filled with suitable artificial vitreous substitutes that will keep the retina in place and prevent phthisis bulbi. Artificial vitreous substitutes are one of the most interesting and challenging topics of research in ophthalmology.…”

Section: Introductionmentioning

confidence: 99%

A Novel Artificial Vitreous Substitute - Foldable Capsular Vitreous Body

Gao¹

2012

Advances in Ophthalmology

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Outcomes of Vitrectomy with Inferior Retinectomy in Patients with Recurrent Rhegmatogenous Retinal Detachments and Proliferative Vitreoretinopathy

Cited by 153 publications

References 39 publications

Clinical Characteristics of Rhegmatogenous Retinal Detachment Combined with Proliferative Vitreoretinopathy Grade C or Higher

Clinical Characteristics of Rhegmatogenous Retinal Detachment Combined with Proliferative Vitreoretinopathy Grade C or Higher

Outcomes of Retinectomy of 180° or more in Retinal Detachment with Advanced Proliferative Vitreoretinopathy

A Novel Artificial Vitreous Substitute - Foldable Capsular Vitreous Body

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