Giant retinal tears: clinical features and outcomes of vitreoretinal surgery at a university teaching hospital (2011–2017)

Giant retinal tears: clinical features and outcomes of vitreoretinal surgery at a university teaching hospital (2011–2017)

Marianeli Rodriguez, James Lin, Justin H Townsend, William E Smiddy, Thomas A Albini, Audina M Berrocal, Jayanth Sridhar, Harry W Flynn Jr Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA Purpose: The purpose of this study was...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Rodriguez M, Lin J, Townsend JH, Smiddy WE, Albini TA, Berrocal AM, Sridhar J, Flynn Jr HW
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2018
Materias:
Giant retinal tears
perfluorocarbon liquid
retinal detachment
vitrectomy
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/8b4ffccc4e3e4c30858c89c11ca07b47
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:8b4ffccc4e3e4c30858c89c11ca07b47
record_format dspace
spelling oai:doaj.org-article:8b4ffccc4e3e4c30858c89c11ca07b472021-12-02T07:32:10ZGiant retinal tears: clinical features and outcomes of vitreoretinal surgery at a university teaching hospital (2011–2017)1177-5483https://doaj.org/article/8b4ffccc4e3e4c30858c89c11ca07b472018-10-01T00:00:00Zhttps://www.dovepress.com/giant-retinal-tears-clinical-features-and-outcomes-of-vitreoretinal-su-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Marianeli Rodriguez, James Lin, Justin H Townsend, William E Smiddy, Thomas A Albini, Audina M Berrocal, Jayanth Sridhar, Harry W Flynn Jr Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA Purpose: The purpose of this study was to report clinical features and outcomes in patients with giant retinal tears (GRTs) undergoing vitreoretinal surgery and to compare data from this contemporary series to a previous study from the same institution. Materials and methods: A retrospective, interventional, consecutive case series was conducted for all patients diagnosed with GRTs who underwent vitreoretinal surgery between January 2011 and August 2017. Intraoperative data including the use of scleral buckling, perfluorocarbon liquid, and intraocular tamponade were collected and compared according to GRT size. These parameters, along with postoperative anatomic success and best-corrected visual acuity (BCVA), were compared with the previous series. Results: The study included 80 eyes of 79 patients with a presentation of retinal detachment with a GRT. Management approach for repair of GRT-associated retinal detachments included scleral buckle (SB) alone (three eyes, 4%), pars plana vitrectomy (PPV) (16 eyes, 20%), and combined SB/PPV (61 eyes, 76%). Perfluorocarbon liquids were used in 60/77 eyes (78%) undergoing PPV, and silicone oil was used in 54/77 eyes (70%). Single surgery success rate was in 69/80 eyes (86%). Eyes managed with SB (including SB alone and SB/PPV) or PPV without SB had similar rates of recurrent retinal detachment (16% vs 6%; P=0.33). Anatomic success was achieved in 76/80 eyes (95%) with one or more surgical procedures, and 54/80 eyes (68%) achieved postoperative BCVA of ≥20/400. Conclusions: In the current series, repairs of retinal detachment due to GRTs were most commonly managed with combined PPV/SB and perfluorocarbon liquid, resulting in reasonably generally favorable anatomic and visual outcomes. Keywords: giant retinal tears, perfluorocarbon liquid, retinal detachment, vitrectomyRodriguez MLin JTownsend JHSmiddy WEAlbini TABerrocal AMSridhar JFlynn Jr HWDove Medical PressarticleGiant retinal tearsperfluorocarbon liquidretinal detachmentvitrectomyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 2053-2058 (2018)
institution DOAJ
collection DOAJ
language EN
topic Giant retinal tears
perfluorocarbon liquid
retinal detachment
vitrectomy
Ophthalmology
RE1-994
spellingShingle Giant retinal tears
perfluorocarbon liquid
retinal detachment
vitrectomy
Ophthalmology
RE1-994
Rodriguez M
Lin J
Townsend JH
Smiddy WE
Albini TA
Berrocal AM
Sridhar J
Flynn Jr HW
Giant retinal tears: clinical features and outcomes of vitreoretinal surgery at a university teaching hospital (2011–2017)
description Marianeli Rodriguez, James Lin, Justin H Townsend, William E Smiddy, Thomas A Albini, Audina M Berrocal, Jayanth Sridhar, Harry W Flynn Jr Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA Purpose: The purpose of this study was to report clinical features and outcomes in patients with giant retinal tears (GRTs) undergoing vitreoretinal surgery and to compare data from this contemporary series to a previous study from the same institution. Materials and methods: A retrospective, interventional, consecutive case series was conducted for all patients diagnosed with GRTs who underwent vitreoretinal surgery between January 2011 and August 2017. Intraoperative data including the use of scleral buckling, perfluorocarbon liquid, and intraocular tamponade were collected and compared according to GRT size. These parameters, along with postoperative anatomic success and best-corrected visual acuity (BCVA), were compared with the previous series. Results: The study included 80 eyes of 79 patients with a presentation of retinal detachment with a GRT. Management approach for repair of GRT-associated retinal detachments included scleral buckle (SB) alone (three eyes, 4%), pars plana vitrectomy (PPV) (16 eyes, 20%), and combined SB/PPV (61 eyes, 76%). Perfluorocarbon liquids were used in 60/77 eyes (78%) undergoing PPV, and silicone oil was used in 54/77 eyes (70%). Single surgery success rate was in 69/80 eyes (86%). Eyes managed with SB (including SB alone and SB/PPV) or PPV without SB had similar rates of recurrent retinal detachment (16% vs 6%; P=0.33). Anatomic success was achieved in 76/80 eyes (95%) with one or more surgical procedures, and 54/80 eyes (68%) achieved postoperative BCVA of ≥20/400. Conclusions: In the current series, repairs of retinal detachment due to GRTs were most commonly managed with combined PPV/SB and perfluorocarbon liquid, resulting in reasonably generally favorable anatomic and visual outcomes. Keywords: giant retinal tears, perfluorocarbon liquid, retinal detachment, vitrectomy
format article
author Rodriguez M
Lin J
Townsend JH
Smiddy WE
Albini TA
Berrocal AM
Sridhar J
Flynn Jr HW
author_facet Rodriguez M
Lin J
Townsend JH
Smiddy WE
Albini TA
Berrocal AM
Sridhar J
Flynn Jr HW
author_sort Rodriguez M
title Giant retinal tears: clinical features and outcomes of vitreoretinal surgery at a university teaching hospital (2011–2017)
title_short Giant retinal tears: clinical features and outcomes of vitreoretinal surgery at a university teaching hospital (2011–2017)
title_full Giant retinal tears: clinical features and outcomes of vitreoretinal surgery at a university teaching hospital (2011–2017)
title_fullStr Giant retinal tears: clinical features and outcomes of vitreoretinal surgery at a university teaching hospital (2011–2017)
title_full_unstemmed Giant retinal tears: clinical features and outcomes of vitreoretinal surgery at a university teaching hospital (2011–2017)
title_sort giant retinal tears: clinical features and outcomes of vitreoretinal surgery at a university teaching hospital (2011–2017)
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/8b4ffccc4e3e4c30858c89c11ca07b47
work_keys_str_mv AT rodriguezm giantretinaltearsclinicalfeaturesandoutcomesofvitreoretinalsurgeryatauniversityteachinghospital2011ndash2017
AT linj giantretinaltearsclinicalfeaturesandoutcomesofvitreoretinalsurgeryatauniversityteachinghospital2011ndash2017
AT townsendjh giantretinaltearsclinicalfeaturesandoutcomesofvitreoretinalsurgeryatauniversityteachinghospital2011ndash2017
AT smiddywe giantretinaltearsclinicalfeaturesandoutcomesofvitreoretinalsurgeryatauniversityteachinghospital2011ndash2017
AT albinita giantretinaltearsclinicalfeaturesandoutcomesofvitreoretinalsurgeryatauniversityteachinghospital2011ndash2017
AT berrocalam giantretinaltearsclinicalfeaturesandoutcomesofvitreoretinalsurgeryatauniversityteachinghospital2011ndash2017
AT sridharj giantretinaltearsclinicalfeaturesandoutcomesofvitreoretinalsurgeryatauniversityteachinghospital2011ndash2017
AT flynnjrhw giantretinaltearsclinicalfeaturesandoutcomesofvitreoretinalsurgeryatauniversityteachinghospital2011ndash2017
_version_ 1718399349730312192

Ejemplares similares