Long-term outcomes in patients undergoing vitrectomy for retinal detachment due to viral retinitis

David RP Almeida,1 Eric K Chin,1 Ryan M Tarantola,1 Elizabeth O Tegins,1 Christopher A Lopez,1 Herbert Culver Boldt,1 Karen M Gehrs,1 Elliott H Sohn,1 Stephen R Russell,1 James C Folk,1 Vinit B Mahajan1,2 1Department of Ophthalmology and Visual Sciences, 2Omics Laboratory, University of Iowa Hospit...

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Autores principales:	Almeida DRP, Chin EK, Tarantola RM, Tegins EO, Lopez CA, Boldt HC, Gehrs KM, Sohn EH, Russell SR, Folk JC, Mahajan VB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/d88e42d963c34f30895420d52ae6a17d
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spelling	oai:doaj.org-article:d88e42d963c34f30895420d52ae6a17d2021-12-02T04:36:31ZLong-term outcomes in patients undergoing vitrectomy for retinal detachment due to viral retinitis1177-5483https://doaj.org/article/d88e42d963c34f30895420d52ae6a17d2015-07-01T00:00:00Zhttp://www.dovepress.com/long-term-outcomes-in-patients-undergoing-vitrectomy-for-retinal-detac-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483David RP Almeida,1 Eric K Chin,1 Ryan M Tarantola,1 Elizabeth O Tegins,1 Christopher A Lopez,1 Herbert Culver Boldt,1 Karen M Gehrs,1 Elliott H Sohn,1 Stephen R Russell,1 James C Folk,1 Vinit B Mahajan1,2 1Department of Ophthalmology and Visual Sciences, 2Omics Laboratory, University of Iowa Hospitals and Clinics, Iowa City, IA, USA Purpose: To determine the outcomes in patients with rhegmatogenous retinal detachment (RRD) secondary to viral retinitis. Patients and methods: This was a retrospective, consecutive, noncomparative, interventional case series of 12 eyes in ten patients with RRD secondary to viral retinitis. Results of vitreous or aqueous biopsy, effect of antiviral therapeutics, time to retinal detachment, course of visual acuity, and anatomic and surgical outcomes were investigated. Results: There were 1,259 cases of RRD during the study period, with 12 cases of RRD secondary to viral retinitis (prevalence of 0.95%). Follow-up was available for a mean period of 4.4 years. Varicella zoster virus was detected in six eyes, herpes simplex virus in two eyes, and cytomegalovirus in two eyes. Eight patients were treated with oral valacyclovir and two patients with intravenous acyclovir. Lack of optic nerve involvement correlated with improved final visual acuity of 20/100 or greater. Pars plana vitrectomy (n=12), silicone-oil tamponade (n=11), and scleral buckling (n=10) provided successful anatomic retinal reattachment in all cases, with no recurrent retinal detachment and no cases of hypotony during the follow-up period. Conclusion: Varicella zoster virus was the most frequent cause of viral retinitis, and lack of optic nerve involvement was predictive of a favorable visual acuity prognosis. Vitrectomy with silicone-oil tamponade and scleral buckle placement provided stable anatomical outcomes. Keywords: viral retinitis, acute retinal necrosis, herpetic retinitis, vitrectomy, retinal detachment Almeida DRPChin EKTarantola RMTegins EOLopez CABoldt HCGehrs KMSohn EHRussell SRFolk JCMahajan VBDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 1307-1314 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Almeida DRP Chin EK Tarantola RM Tegins EO Lopez CA Boldt HC Gehrs KM Sohn EH Russell SR Folk JC Mahajan VB Long-term outcomes in patients undergoing vitrectomy for retinal detachment due to viral retinitis
description	David RP Almeida,1 Eric K Chin,1 Ryan M Tarantola,1 Elizabeth O Tegins,1 Christopher A Lopez,1 Herbert Culver Boldt,1 Karen M Gehrs,1 Elliott H Sohn,1 Stephen R Russell,1 James C Folk,1 Vinit B Mahajan1,2 1Department of Ophthalmology and Visual Sciences, 2Omics Laboratory, University of Iowa Hospitals and Clinics, Iowa City, IA, USA Purpose: To determine the outcomes in patients with rhegmatogenous retinal detachment (RRD) secondary to viral retinitis. Patients and methods: This was a retrospective, consecutive, noncomparative, interventional case series of 12 eyes in ten patients with RRD secondary to viral retinitis. Results of vitreous or aqueous biopsy, effect of antiviral therapeutics, time to retinal detachment, course of visual acuity, and anatomic and surgical outcomes were investigated. Results: There were 1,259 cases of RRD during the study period, with 12 cases of RRD secondary to viral retinitis (prevalence of 0.95%). Follow-up was available for a mean period of 4.4 years. Varicella zoster virus was detected in six eyes, herpes simplex virus in two eyes, and cytomegalovirus in two eyes. Eight patients were treated with oral valacyclovir and two patients with intravenous acyclovir. Lack of optic nerve involvement correlated with improved final visual acuity of 20/100 or greater. Pars plana vitrectomy (n=12), silicone-oil tamponade (n=11), and scleral buckling (n=10) provided successful anatomic retinal reattachment in all cases, with no recurrent retinal detachment and no cases of hypotony during the follow-up period. Conclusion: Varicella zoster virus was the most frequent cause of viral retinitis, and lack of optic nerve involvement was predictive of a favorable visual acuity prognosis. Vitrectomy with silicone-oil tamponade and scleral buckle placement provided stable anatomical outcomes. Keywords: viral retinitis, acute retinal necrosis, herpetic retinitis, vitrectomy, retinal detachment
format	article
author	Almeida DRP Chin EK Tarantola RM Tegins EO Lopez CA Boldt HC Gehrs KM Sohn EH Russell SR Folk JC Mahajan VB
author_facet	Almeida DRP Chin EK Tarantola RM Tegins EO Lopez CA Boldt HC Gehrs KM Sohn EH Russell SR Folk JC Mahajan VB
author_sort	Almeida DRP
title	Long-term outcomes in patients undergoing vitrectomy for retinal detachment due to viral retinitis
title_short	Long-term outcomes in patients undergoing vitrectomy for retinal detachment due to viral retinitis
title_full	Long-term outcomes in patients undergoing vitrectomy for retinal detachment due to viral retinitis
title_fullStr	Long-term outcomes in patients undergoing vitrectomy for retinal detachment due to viral retinitis
title_full_unstemmed	Long-term outcomes in patients undergoing vitrectomy for retinal detachment due to viral retinitis
title_sort	long-term outcomes in patients undergoing vitrectomy for retinal detachment due to viral retinitis
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/d88e42d963c34f30895420d52ae6a17d
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Long-term outcomes in patients undergoing vitrectomy for retinal detachment due to viral retinitis

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