Large Retinectomies for Retinal Detachment Complicated by Proliferative Vitreoretinopathy: Anatomical and Functional Outcome of Silicone Oil versus Perfluoropropane Gas

Brouzas Dimitrios, George Krassas, Maria Dettoraki, Anastasios Lavaris, Anna-Maria Sideri, Konstantinos Droutsas, Marilita M Moschos Department of Ophthalmology, School of Medicine, National and Kapodistrian University of Athens, Athens, GreeceCorrespondence: Brouzas DimitriosDepartment of Ophthalmo...

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Autores principales:	Dimitrios B, Krassas G, Dettoraki M, Lavaris A, Sideri AM, Droutsas K, Moschos MM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	large retinectomies proliferative vitreoretinopathy silicone oil tamponade perfluoropropane gas tamponade. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/441085a10491497c817d6ade25157dff
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spelling	oai:doaj.org-article:441085a10491497c817d6ade25157dff2021-12-02T08:20:08ZLarge Retinectomies for Retinal Detachment Complicated by Proliferative Vitreoretinopathy: Anatomical and Functional Outcome of Silicone Oil versus Perfluoropropane Gas1177-5483https://doaj.org/article/441085a10491497c817d6ade25157dff2020-09-01T00:00:00Zhttps://www.dovepress.com/large-retinectomies-for-retinal-detachment-complicated-by-proliferativ-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Brouzas Dimitrios, George Krassas, Maria Dettoraki, Anastasios Lavaris, Anna-Maria Sideri, Konstantinos Droutsas, Marilita M Moschos Department of Ophthalmology, School of Medicine, National and Kapodistrian University of Athens, Athens, GreeceCorrespondence: Brouzas DimitriosDepartment of Ophthalmology, School of Medicine, National and Kapodistrian University of Athens, 10 G. Papandreou Str, Byron-Athens 16231, GreeceEmail brouzas@yahoo.comPurpose: To assess the anatomic and functional outcomes of eyes undergoing vitrectomy and large retinectomy for the management of retinal detachment (RD) complicated by advanced proliferative vitreoretinopathy (PVR).Methods: A total of 66 eyes of 63 patients with RD complicated by PVR were treated with vitrectomy and 180° or more retinectomy and silicone oil (n=46) or perfluoropropane gas (n=20) were used as intraocular tamponades.Results: Retinal reattachment was achieved in 89.39% (59 eyes) of the cases. The mean follow-up was 33.7 months (range 12– 76 months). In gas-filled eyes, the final anatomic success rate was 85% (17 eyes) and in silicone oil-filled eyes was 91.3% (42 eyes) (p=0.46). After the initial retinectomy, the total anatomic success rate was 80.3% (53/66 eyes), 70% in gas-filled eyes (14/20 eyes) and 84.79% in silicone oil-filled eyes (39/46 eyes) (p=0.19). Visual acuity (VA) improved in 37 (56.06%) eyes, remained the same in 19 (28.78%) eyes and became worse in 10 (15.15%) cases. Best corrected VA was ≥ 20/200 in 22 eyes 33.33%. The final VA was associated with the preoperative VA (r=0.68), the preoperative status of the macula influence significantly the final visual acuity (p< 0.0001) and there is statistically significant difference in the final visual acuity between eyes with and without anatomic success (p< 0.05).Conclusion: The large circumferential retinectomies can be beneficial in eyes with RD complicated by advanced PVR. No significant difference was found in anatomic success rate, and rate of complications between eyes with silicone oil tamponade and long acting gas undergoing large retinectomy. Regarding the final BCVA, slight difference was found in favor of gas-filled eyes.Keywords: large retinectomies, proliferative vitreoretinopathy, silicone oil tamponade, perfluoropropane gas tamponadeDimitrios BKrassas GDettoraki MLavaris ASideri AMDroutsas KMoschos MMDove Medical Pressarticlelarge retinectomiesproliferative vitreoretinopathysilicone oil tamponadeperfluoropropane gas tamponade.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2679-2686 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	large retinectomies proliferative vitreoretinopathy silicone oil tamponade perfluoropropane gas tamponade. Ophthalmology RE1-994
spellingShingle	large retinectomies proliferative vitreoretinopathy silicone oil tamponade perfluoropropane gas tamponade. Ophthalmology RE1-994 Dimitrios B Krassas G Dettoraki M Lavaris A Sideri AM Droutsas K Moschos MM Large Retinectomies for Retinal Detachment Complicated by Proliferative Vitreoretinopathy: Anatomical and Functional Outcome of Silicone Oil versus Perfluoropropane Gas
description	Brouzas Dimitrios, George Krassas, Maria Dettoraki, Anastasios Lavaris, Anna-Maria Sideri, Konstantinos Droutsas, Marilita M Moschos Department of Ophthalmology, School of Medicine, National and Kapodistrian University of Athens, Athens, GreeceCorrespondence: Brouzas DimitriosDepartment of Ophthalmology, School of Medicine, National and Kapodistrian University of Athens, 10 G. Papandreou Str, Byron-Athens 16231, GreeceEmail brouzas@yahoo.comPurpose: To assess the anatomic and functional outcomes of eyes undergoing vitrectomy and large retinectomy for the management of retinal detachment (RD) complicated by advanced proliferative vitreoretinopathy (PVR).Methods: A total of 66 eyes of 63 patients with RD complicated by PVR were treated with vitrectomy and 180° or more retinectomy and silicone oil (n=46) or perfluoropropane gas (n=20) were used as intraocular tamponades.Results: Retinal reattachment was achieved in 89.39% (59 eyes) of the cases. The mean follow-up was 33.7 months (range 12– 76 months). In gas-filled eyes, the final anatomic success rate was 85% (17 eyes) and in silicone oil-filled eyes was 91.3% (42 eyes) (p=0.46). After the initial retinectomy, the total anatomic success rate was 80.3% (53/66 eyes), 70% in gas-filled eyes (14/20 eyes) and 84.79% in silicone oil-filled eyes (39/46 eyes) (p=0.19). Visual acuity (VA) improved in 37 (56.06%) eyes, remained the same in 19 (28.78%) eyes and became worse in 10 (15.15%) cases. Best corrected VA was ≥ 20/200 in 22 eyes 33.33%. The final VA was associated with the preoperative VA (r=0.68), the preoperative status of the macula influence significantly the final visual acuity (p< 0.0001) and there is statistically significant difference in the final visual acuity between eyes with and without anatomic success (p< 0.05).Conclusion: The large circumferential retinectomies can be beneficial in eyes with RD complicated by advanced PVR. No significant difference was found in anatomic success rate, and rate of complications between eyes with silicone oil tamponade and long acting gas undergoing large retinectomy. Regarding the final BCVA, slight difference was found in favor of gas-filled eyes.Keywords: large retinectomies, proliferative vitreoretinopathy, silicone oil tamponade, perfluoropropane gas tamponade
format	article
author	Dimitrios B Krassas G Dettoraki M Lavaris A Sideri AM Droutsas K Moschos MM
author_facet	Dimitrios B Krassas G Dettoraki M Lavaris A Sideri AM Droutsas K Moschos MM
author_sort	Dimitrios B
title	Large Retinectomies for Retinal Detachment Complicated by Proliferative Vitreoretinopathy: Anatomical and Functional Outcome of Silicone Oil versus Perfluoropropane Gas
title_short	Large Retinectomies for Retinal Detachment Complicated by Proliferative Vitreoretinopathy: Anatomical and Functional Outcome of Silicone Oil versus Perfluoropropane Gas
title_full	Large Retinectomies for Retinal Detachment Complicated by Proliferative Vitreoretinopathy: Anatomical and Functional Outcome of Silicone Oil versus Perfluoropropane Gas
title_fullStr	Large Retinectomies for Retinal Detachment Complicated by Proliferative Vitreoretinopathy: Anatomical and Functional Outcome of Silicone Oil versus Perfluoropropane Gas
title_full_unstemmed	Large Retinectomies for Retinal Detachment Complicated by Proliferative Vitreoretinopathy: Anatomical and Functional Outcome of Silicone Oil versus Perfluoropropane Gas
title_sort	large retinectomies for retinal detachment complicated by proliferative vitreoretinopathy: anatomical and functional outcome of silicone oil versus perfluoropropane gas
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/441085a10491497c817d6ade25157dff
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Large Retinectomies for Retinal Detachment Complicated by Proliferative Vitreoretinopathy: Anatomical and Functional Outcome of Silicone Oil versus Perfluoropropane Gas

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