Giant retinal tears after prior pars plana vitrectomy: management strategies and outcomes

Marco A Gonzalez, Harry W Flynn Jr, William E Smiddy, Thomas A Albini, Audina M Berrocal, Paul Tenzel Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA Purpose: To evaluate management strategies and outcomes for patients with giant retinal tear (GRT)-associat...

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Autores principales:	Gonzalez MA, Flynn Jr HW, Smiddy WE, Albini TA, Berrocal AM, Tenzel P
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/d0c5b882845f4280914fd418f8f80cf1
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spelling	oai:doaj.org-article:d0c5b882845f4280914fd418f8f80cf12021-12-02T01:47:41ZGiant retinal tears after prior pars plana vitrectomy: management strategies and outcomes1177-54671177-5483https://doaj.org/article/d0c5b882845f4280914fd418f8f80cf12013-08-01T00:00:00Zhttp://www.dovepress.com/giant-retinal-tears-after-prior-pars-plana-vitrectomy-management-strat-a14170https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Marco A Gonzalez, Harry W Flynn Jr, William E Smiddy, Thomas A Albini, Audina M Berrocal, Paul Tenzel Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA Purpose: To evaluate management strategies and outcomes for patients with giant retinal tear (GRT)-associated retinal detachment (RD) that had undergone previous pars plana vitrectomy (PPV). Methods: A noncomparative consecutive case series between January 2005 and July 2010. Patients with a preceding history of PPV undergoing retinal reattachment surgery for GRTs were identified. Results: Using International Classification of Diseases 9 codes for GRTs, 227 cases were identified. A total of eight eyes in eight patients were identified as having had preceding PPV for non-RD-related pathology. The mean age was 45.5 (range of 10–79) years. The mean time between PPV and diagnosis of GRT was 2.4 months. The mean follow-up after RD surgery was 24.3 months. Presenting visual acuity was 20/400 or better in four of eight patients (50%). All patients underwent repeat PPV with either gas or oil tamponade. A scleral buckling procedure was performed in seven patients (88%). Perfluorocarbon liquid was used during reattachment surgery in four patients (50%). Although anatomic success was achieved in all patients, visual acuity at last follow-up was 20/400 or better in 6 patients (75%). Conclusion: GRTs are an uncommon complication of PPV. The majority of patients underwent repeat PPV, scleral buckling procedure, perfluorocarbon liquid use and silicone-oil tamponade. Patients presenting with GRT-associated RD after PPV undergoing additional surgery achieved high rates of anatomic success, but visual outcomes were variable. Keywords: giant retinal tear, retinal detachment, vitrectomy, perfluorocarbon liquidsGonzalez MAFlynn Jr HWSmiddy WEAlbini TABerrocal AMTenzel PDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1687-1691 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Gonzalez MA Flynn Jr HW Smiddy WE Albini TA Berrocal AM Tenzel P Giant retinal tears after prior pars plana vitrectomy: management strategies and outcomes
description	Marco A Gonzalez, Harry W Flynn Jr, William E Smiddy, Thomas A Albini, Audina M Berrocal, Paul Tenzel Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA Purpose: To evaluate management strategies and outcomes for patients with giant retinal tear (GRT)-associated retinal detachment (RD) that had undergone previous pars plana vitrectomy (PPV). Methods: A noncomparative consecutive case series between January 2005 and July 2010. Patients with a preceding history of PPV undergoing retinal reattachment surgery for GRTs were identified. Results: Using International Classification of Diseases 9 codes for GRTs, 227 cases were identified. A total of eight eyes in eight patients were identified as having had preceding PPV for non-RD-related pathology. The mean age was 45.5 (range of 10–79) years. The mean time between PPV and diagnosis of GRT was 2.4 months. The mean follow-up after RD surgery was 24.3 months. Presenting visual acuity was 20/400 or better in four of eight patients (50%). All patients underwent repeat PPV with either gas or oil tamponade. A scleral buckling procedure was performed in seven patients (88%). Perfluorocarbon liquid was used during reattachment surgery in four patients (50%). Although anatomic success was achieved in all patients, visual acuity at last follow-up was 20/400 or better in 6 patients (75%). Conclusion: GRTs are an uncommon complication of PPV. The majority of patients underwent repeat PPV, scleral buckling procedure, perfluorocarbon liquid use and silicone-oil tamponade. Patients presenting with GRT-associated RD after PPV undergoing additional surgery achieved high rates of anatomic success, but visual outcomes were variable. Keywords: giant retinal tear, retinal detachment, vitrectomy, perfluorocarbon liquids
format	article
author	Gonzalez MA Flynn Jr HW Smiddy WE Albini TA Berrocal AM Tenzel P
author_facet	Gonzalez MA Flynn Jr HW Smiddy WE Albini TA Berrocal AM Tenzel P
author_sort	Gonzalez MA
title	Giant retinal tears after prior pars plana vitrectomy: management strategies and outcomes
title_short	Giant retinal tears after prior pars plana vitrectomy: management strategies and outcomes
title_full	Giant retinal tears after prior pars plana vitrectomy: management strategies and outcomes
title_fullStr	Giant retinal tears after prior pars plana vitrectomy: management strategies and outcomes
title_full_unstemmed	Giant retinal tears after prior pars plana vitrectomy: management strategies and outcomes
title_sort	giant retinal tears after prior pars plana vitrectomy: management strategies and outcomes
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/d0c5b882845f4280914fd418f8f80cf1
work_keys_str_mv	AT gonzalezma giantretinaltearsafterpriorparsplanavitrectomymanagementstrategiesandoutcomes AT flynnjrhw giantretinaltearsafterpriorparsplanavitrectomymanagementstrategiesandoutcomes AT smiddywe giantretinaltearsafterpriorparsplanavitrectomymanagementstrategiesandoutcomes AT albinita giantretinaltearsafterpriorparsplanavitrectomymanagementstrategiesandoutcomes AT berrocalam giantretinaltearsafterpriorparsplanavitrectomymanagementstrategiesandoutcomes AT tenzelp giantretinaltearsafterpriorparsplanavitrectomymanagementstrategiesandoutcomes
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Giant retinal tears after prior pars plana vitrectomy: management strategies and outcomes

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