ANATOMICAL AND VISUAL OUTCOMES AFTER EPISCLERAL MACULAR BUCKLING COMPARED WITH THOSE AFTER PARS PLANA VITRECTOMY FOR RETINAL DETACHMENT CAUSED BY MACULAR HOLE IN HIGHLY MYOPIC EYES

Purpose. To investigate the vascular density of the optic nerve head (ONH) and macula using optical coherence tomography angiography (OCTA) in patients undergoing vitrectomy for rhegmatogenous retinal detachment (RRD) and to evaluate associations with visual outcomes. Methods. Patients with RRD, successfully treated with a pars plana vitrectomy (PPV) and a minimum three-month follow-up were included in this study. The vessel density (VD) of the ONH and peripapillary regions, foveal avascular zone (FAZ), foveal flow density (FFD), and parafoveal flow density (PFD) were evaluated using OCTA and compared to the fellow eye. Multivariate linear regression analysis was performed to determine correlations with visual outcomes. Results. Thirty-one patients with macula-off RRD were included in the study. Compared with the fellow eyes, eyes after RRD surgery had a lower peripapillary VD ( P < 0.01 ). No significant difference in superficial and deep FFD, PFD, and FAZ area was found compared to the fellow eyes. Postoperative peripapillary VD and baseline BCVA were significantly associated with BCVA three months after PPV ( P < 0.05 ). Conclusion. Rhegmatogenous retinal detachment eyes successfully treated with PPV had lower peripapillary vessel density than fellow healthy eyes. Postoperative BCVA was related to postoperative peripapillary VD.

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Anatomical and visual outcomes of phacoemulsification and 23-gauge pars plana vitrectomy assisted with perfluorocarbon and 27-gauge twin-chandelier endoillumination for primary rhegmatogenous retinal detachment

Journal of Clinical Ophthalmology and Research ◽

10.4103/jcor.jcor_99_17 ◽

2018 ◽

Vol 6 (3) ◽

pp. 99

Author(s):

ParthaRay Chaudhuri ◽

SoonWai Ch'ng ◽

Patel Gordon-Bennett ◽

Guzaliya Safiullina

Keyword(s):

Retinal Detachment ◽

Pars Plana Vitrectomy ◽

Rhegmatogenous Retinal Detachment ◽

Visual Outcomes ◽

Pars Plana ◽

23 Gauge

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Recurrent Retinal Detachment after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

10.21203/rs.2.21163/v1 ◽

2020 ◽

Author(s):

Yan Fu ◽

Yue-ling Zhang ◽

Zhaohui Gu ◽

Ren-Fei Geng ◽

Xin-Yu Yuan

Keyword(s):

Visual Acuity ◽

Risk Factor ◽

Retinal Detachment ◽

Pars Plana Vitrectomy ◽

Rhegmatogenous Retinal Detachment ◽

Univariate Analysis ◽

Visual Outcomes ◽

Primary Surgery ◽

Pars Plana

Abstract Background The recurrence of retinal detachment (RD) following rhegmatogenous retinal detachment (RRD) is a relatively common complication that threatens vision and needs further surgery. The purpose of this study is to investigate the risk factors and visual outcomes of recurrent RD following pars plana vitrectomy (PPV) for primary RRD.Methods This was a retrospective follow-up of 343 eyes that underwent initial PPV surgery for primary RRD. Patients were divided into a recurrence group and a reattachment group. The main outcome measures included the causative factors, visual outcomes of RD recurrence, and the perioperative factors most affecting the recurrence of RD.Results After retinal reattachment, we observed recurrence of RD after PPV for primary RRD in 42 out of 343 eyes (12.2%) during the follow-up period. Most recurrence (69%) occurred within 6 months after surgery. Univariate analysis showed that the primary risk factor significantly associated with recurrent RD was the presence of proliferative vitreoretinopathy (PVR) ≥ Grade C ( P = 0.003). Logistic regression analysis showed that a PVR ≥ Grade C (odds ration [OR]: 9.421, 95% confidence interval [CI]: 2.432 - 56.39; P =0.020) was a significant predictor for the development of recurrent RD. The recurrence of RD resulted in a significant decline in best-corrected visual acuity (BCVA) at the last follow-up visit compared with the reattachment group ( P =0.000). Eyes with PVR prior to primary surgery or at the diagnosis of re-detachment showed a worse final BCVA.Conclusions The presence of PVR ≥ Grade C was the predominant risk factor for the recurrence of RD. PVR prior to primary surgery, or at the diagnosis of re-detachment, limited the recovery of final visual acuity.

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EFFECT OF 360° EPISCLERAL BAND AS ADJUNCTIVE TO PARS PLANA VITRECTOMY AND SILICONE OIL TAMPONADE IN THE MANAGEMENT OF MYOPIC MACULAR HOLE RETINAL DETACHMENT

Retina ◽

10.1097/iae.0b013e3182a487ea ◽

2014 ◽

Vol 34 (4) ◽

pp. 670-678 ◽

Cited By ~ 3

Author(s):

Hammouda H. Ghoraba ◽

Hosam O. Mansour ◽

Sameh M. Elgouhary

Keyword(s):

Retinal Detachment ◽

Macular Hole ◽

Pars Plana Vitrectomy ◽

Silicone Oil ◽

Macular Hole Retinal Detachment ◽

Pars Plana ◽

Myopic Macular Hole ◽

Silicone Oil Tamponade

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Does Pars Plana Vitrectomy Improve Visual Outcomes in Patients with Complications of Proliferative Diabetic Retinopathy

50 Studies Every Ophthalmologist Should Know ◽

10.1093/med/9780190050726.003.0031 ◽

2020 ◽

pp. 185-190

Author(s):

Alan D. Penman ◽

Kimberly W. Crowder ◽

William M. Watkins

Keyword(s):

Clinical Trial ◽

Diabetic Retinopathy ◽

Retinal Detachment ◽

Proliferative Diabetic Retinopathy ◽

Pars Plana Vitrectomy ◽

Vitreous Hemorrhage ◽

Diabetic Patients ◽

Visual Outcomes ◽

Management Of Complications ◽

Pars Plana

The Early Treatment Diabetic Retinopathy Study (ETDRS) was a randomized clinical trial involving nearly four thousand diabetic patients with early proliferative retinopathy, moderate to severe nonproliferative retinopathy, and/or diabetic macular edema in each eye. This paper (ETDRS report number 17) describes the baseline previtrectomy characteristics, initial treatment assignments, indications for vitrectomy, and visual outcomes in the subgroup of patients in the ETDRS who had pars plana vitrectomy (PPV). The study showed that pars plana vitrectomy could improve visual outcomes in patients with complications from proliferative diabetic retinopathy such as vitreous hemorrhage and retinal detachment. PPV continues to play an important role in the management of complications from proliferative diabetic retinopathy.

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