Repair of progressive retinal detachment complicating degenerative retinoschisis: surgical management and outcomes in phakic eyes

Abstract Background Degenerative retinoschisis is a common condition defined by the splitting of the neurosensory retina that may rarely be associated with progressive retinal detachment (RD). Here, we aim to describe the anatomic and functional outcomes of surgical treatment of progressive symptoma...

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Autores principales:	Bradley Beatson, Alex Pham, Sally S. Ong, Ishrat Ahmed, J. Fernando Arevalo, James T. Handa
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Retinal detachment Schisis detachment Scleral buckle Degenerative retinoschisis Vitrectomy Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/b15a7416fa17402cb6be58cc04389f89
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spelling	oai:doaj.org-article:b15a7416fa17402cb6be58cc04389f892021-11-21T12:29:42ZRepair of progressive retinal detachment complicating degenerative retinoschisis: surgical management and outcomes in phakic eyes10.1186/s40942-021-00344-22056-9920https://doaj.org/article/b15a7416fa17402cb6be58cc04389f892021-11-01T00:00:00Zhttps://doi.org/10.1186/s40942-021-00344-2https://doaj.org/toc/2056-9920Abstract Background Degenerative retinoschisis is a common condition defined by the splitting of the neurosensory retina that may rarely be associated with progressive retinal detachment (RD). Here, we aim to describe the anatomic and functional outcomes of surgical treatment of progressive symptomatic retinal detachment complicating degenerative retinoschisis (PSRDCR) using pars plana vitrectomy (PPV), scleral buckle (SB), or combined PPV/SB procedure. Methods A retrospective chart review of patients with PSRDCR between Jan 1, 2008 and Dec 31, 2019 was conducted. Data regarding demographics, surgical approach, and anatomic/functional outcomes were collected. Results Of the 4973 charts with RD repair during the study period, 36 eyes (0.7%) had retinoschisis with RD. 18 eyes met inclusion criteria (0.4%). The median age was 54 years (range 18–74) and all eyes were phakic. All eyes had outer layer breaks (OLBs) and 16 eyes (89%) had identifiable inner layer breaks. All OLBs were posterior to the equator in charts where position was recorded (16 eyes). The single surgery anatomic success (SSAS) and final anatomical success rates were 66% (12/18) and 100%, respectively. Eyes treated with PPV/SB had an SSAS rate of 75% (9/12), while PPV and SB had SSAS rates of 66% (2/3) and 33% (1/3), respectively. Conclusions PSRDCR is an exceedingly rare complication of degenerative retinoschisis associated with an SSAS rate lower than for uncomplicated rhegmatogenous RD. The majority of PSRDCR were repaired via combined PPV/SB in our study, and the rarity of this complication limits statistical support of an optimal surgical method in our and prior studies. The role of SB combined with PPV for PSRDCR requires further investigation.Bradley BeatsonAlex PhamSally S. OngIshrat AhmedJ. Fernando ArevaloJames T. HandaBMCarticleRetinal detachmentSchisis detachmentScleral buckleDegenerative retinoschisisVitrectomyOphthalmologyRE1-994ENInternational Journal of Retina and Vitreous, Vol 7, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Retinal detachment Schisis detachment Scleral buckle Degenerative retinoschisis Vitrectomy Ophthalmology RE1-994
spellingShingle	Retinal detachment Schisis detachment Scleral buckle Degenerative retinoschisis Vitrectomy Ophthalmology RE1-994 Bradley Beatson Alex Pham Sally S. Ong Ishrat Ahmed J. Fernando Arevalo James T. Handa Repair of progressive retinal detachment complicating degenerative retinoschisis: surgical management and outcomes in phakic eyes
description	Abstract Background Degenerative retinoschisis is a common condition defined by the splitting of the neurosensory retina that may rarely be associated with progressive retinal detachment (RD). Here, we aim to describe the anatomic and functional outcomes of surgical treatment of progressive symptomatic retinal detachment complicating degenerative retinoschisis (PSRDCR) using pars plana vitrectomy (PPV), scleral buckle (SB), or combined PPV/SB procedure. Methods A retrospective chart review of patients with PSRDCR between Jan 1, 2008 and Dec 31, 2019 was conducted. Data regarding demographics, surgical approach, and anatomic/functional outcomes were collected. Results Of the 4973 charts with RD repair during the study period, 36 eyes (0.7%) had retinoschisis with RD. 18 eyes met inclusion criteria (0.4%). The median age was 54 years (range 18–74) and all eyes were phakic. All eyes had outer layer breaks (OLBs) and 16 eyes (89%) had identifiable inner layer breaks. All OLBs were posterior to the equator in charts where position was recorded (16 eyes). The single surgery anatomic success (SSAS) and final anatomical success rates were 66% (12/18) and 100%, respectively. Eyes treated with PPV/SB had an SSAS rate of 75% (9/12), while PPV and SB had SSAS rates of 66% (2/3) and 33% (1/3), respectively. Conclusions PSRDCR is an exceedingly rare complication of degenerative retinoschisis associated with an SSAS rate lower than for uncomplicated rhegmatogenous RD. The majority of PSRDCR were repaired via combined PPV/SB in our study, and the rarity of this complication limits statistical support of an optimal surgical method in our and prior studies. The role of SB combined with PPV for PSRDCR requires further investigation.
format	article
author	Bradley Beatson Alex Pham Sally S. Ong Ishrat Ahmed J. Fernando Arevalo James T. Handa
author_facet	Bradley Beatson Alex Pham Sally S. Ong Ishrat Ahmed J. Fernando Arevalo James T. Handa
author_sort	Bradley Beatson
title	Repair of progressive retinal detachment complicating degenerative retinoschisis: surgical management and outcomes in phakic eyes
title_short	Repair of progressive retinal detachment complicating degenerative retinoschisis: surgical management and outcomes in phakic eyes
title_full	Repair of progressive retinal detachment complicating degenerative retinoschisis: surgical management and outcomes in phakic eyes
title_fullStr	Repair of progressive retinal detachment complicating degenerative retinoschisis: surgical management and outcomes in phakic eyes
title_full_unstemmed	Repair of progressive retinal detachment complicating degenerative retinoschisis: surgical management and outcomes in phakic eyes
title_sort	repair of progressive retinal detachment complicating degenerative retinoschisis: surgical management and outcomes in phakic eyes
publisher	BMC
publishDate	2021
url	https://doaj.org/article/b15a7416fa17402cb6be58cc04389f89
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Repair of progressive retinal detachment complicating degenerative retinoschisis: surgical management and outcomes in phakic eyes

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