Retinotomy with retinal turnover to remove subretinal membranes under direct visualization for proliferative vitreoretinopathy

Masayo Kimura,1 Akira Nishimura,1 Yoshiaki Saito,1 Hiroko Ikeda,2 Kazuhisa Sugiyama11Department of Ophthalmology and Visual Science, 2Department of Human Pathology, Kanazawa University Graduate School of Medical Science, Kanazawa, JapanPurpose: The purpose of the study was to report the outcomes for...

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Autores principales: Kimura M, Nishimura A, Saito Y, Ikeda H, Sugiyama K
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Publicado: Dove Medical Press 2012
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spelling oai:doaj.org-article:d30058fd13d64a23b3a57d76e5e99f152021-12-02T07:41:57ZRetinotomy with retinal turnover to remove subretinal membranes under direct visualization for proliferative vitreoretinopathy1177-54671177-5483https://doaj.org/article/d30058fd13d64a23b3a57d76e5e99f152012-05-01T00:00:00Zhttp://www.dovepress.com/retinotomy-with-retinal-turnover-to-remove-subretinal-membranes-under--a9934https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Masayo Kimura,1 Akira Nishimura,1 Yoshiaki Saito,1 Hiroko Ikeda,2 Kazuhisa Sugiyama11Department of Ophthalmology and Visual Science, 2Department of Human Pathology, Kanazawa University Graduate School of Medical Science, Kanazawa, JapanPurpose: The purpose of the study was to report the outcomes for cases of proliferative vitreoretinopathy (PVR) that received retinotomy and removal of subretinal proliferative tissue under direct visualization using retinal turnover.Methods: Nineteen eyes with posterior and/or anterior grade C1–12 PVR that had undergone retinotomy and retinal turnover were reviewed. Main outcomes included the retinal reattachment rate, final best-corrected visual acuity (BCVA), postoperative intraocular pressure, extent of retinotomy, and complications.Results: Final retinal reattachment rates with silicone oil tamponade were 100%. The mean logarithm of the minimal angle of resolution (logMAR) BCVA was significantly improved (P = 0.001). Positive correlation was found between the extent of retinotomy and both preoperative logMAR BCVA (r = 0.663, P = 0.002) and postoperative logMAR BCVA (r = 0.619, P = 0.005). There was no correlation between the extent of retinotomy and the change in preoperative and postoperative logMAR BCVA (r = –0.267, P = 0.268). Negative correlation was found between preoperative logMAR BCVA and the change in logMAR BCVA (r = –0.587, P = 0.008). There was no correlation between the extent of retinotomy and the intraocular pressure at the final visit (r = –0.316, P = 0.188). Corneal decompensation due to silicone oil in the anterior chamber occurred in one eye.Conclusion: Removal of subretinal proliferative tissue with retinal turnover seems to be an effective procedure.Keywords: proliferative vitreoretinopathy, retinotomy, retinal turnover, subretinal proliferative tissue, under direct visualizationKimura MNishimura ASaito YIkeda HSugiyama KDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 781-788 (2012)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Kimura M
Nishimura A
Saito Y
Ikeda H
Sugiyama K
Retinotomy with retinal turnover to remove subretinal membranes under direct visualization for proliferative vitreoretinopathy
description Masayo Kimura,1 Akira Nishimura,1 Yoshiaki Saito,1 Hiroko Ikeda,2 Kazuhisa Sugiyama11Department of Ophthalmology and Visual Science, 2Department of Human Pathology, Kanazawa University Graduate School of Medical Science, Kanazawa, JapanPurpose: The purpose of the study was to report the outcomes for cases of proliferative vitreoretinopathy (PVR) that received retinotomy and removal of subretinal proliferative tissue under direct visualization using retinal turnover.Methods: Nineteen eyes with posterior and/or anterior grade C1–12 PVR that had undergone retinotomy and retinal turnover were reviewed. Main outcomes included the retinal reattachment rate, final best-corrected visual acuity (BCVA), postoperative intraocular pressure, extent of retinotomy, and complications.Results: Final retinal reattachment rates with silicone oil tamponade were 100%. The mean logarithm of the minimal angle of resolution (logMAR) BCVA was significantly improved (P = 0.001). Positive correlation was found between the extent of retinotomy and both preoperative logMAR BCVA (r = 0.663, P = 0.002) and postoperative logMAR BCVA (r = 0.619, P = 0.005). There was no correlation between the extent of retinotomy and the change in preoperative and postoperative logMAR BCVA (r = –0.267, P = 0.268). Negative correlation was found between preoperative logMAR BCVA and the change in logMAR BCVA (r = –0.587, P = 0.008). There was no correlation between the extent of retinotomy and the intraocular pressure at the final visit (r = –0.316, P = 0.188). Corneal decompensation due to silicone oil in the anterior chamber occurred in one eye.Conclusion: Removal of subretinal proliferative tissue with retinal turnover seems to be an effective procedure.Keywords: proliferative vitreoretinopathy, retinotomy, retinal turnover, subretinal proliferative tissue, under direct visualization
format article
author Kimura M
Nishimura A
Saito Y
Ikeda H
Sugiyama K
author_facet Kimura M
Nishimura A
Saito Y
Ikeda H
Sugiyama K
author_sort Kimura M
title Retinotomy with retinal turnover to remove subretinal membranes under direct visualization for proliferative vitreoretinopathy
title_short Retinotomy with retinal turnover to remove subretinal membranes under direct visualization for proliferative vitreoretinopathy
title_full Retinotomy with retinal turnover to remove subretinal membranes under direct visualization for proliferative vitreoretinopathy
title_fullStr Retinotomy with retinal turnover to remove subretinal membranes under direct visualization for proliferative vitreoretinopathy
title_full_unstemmed Retinotomy with retinal turnover to remove subretinal membranes under direct visualization for proliferative vitreoretinopathy
title_sort retinotomy with retinal turnover to remove subretinal membranes under direct visualization for proliferative vitreoretinopathy
publisher Dove Medical Press
publishDate 2012
url https://doaj.org/article/d30058fd13d64a23b3a57d76e5e99f15
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