Examining the etiological factors resulting in retinal detachment following prophylactic vitrectomy in the context of acute retinal necrosis syndrome.
Humans
Vitrectomy
/ methods
Retinal Detachment
/ surgery
Retinal Necrosis Syndrome, Acute
/ diagnosis
Retrospective Studies
Male
Female
Middle Aged
Adult
Visual Acuity
/ physiology
Postoperative Complications
/ prevention & control
Endotamponade
Aged
Young Adult
Silicone Oils
/ administration & dosage
Incidence
Acute retinal necrosis syndrome
Proliferative vitreoretinopathy
Prophylactic pars Plana Vitrectomy
Retinal detachment
Retinal necrosis
Journal
BMC ophthalmology
ISSN: 1471-2415
Titre abrégé: BMC Ophthalmol
Pays: England
ID NLM: 100967802
Informations de publication
Date de publication:
13 Jun 2024
13 Jun 2024
Historique:
received:
11
01
2024
accepted:
06
06
2024
medline:
14
6
2024
pubmed:
14
6
2024
entrez:
13
6
2024
Statut:
epublish
Résumé
The aim of this study is to elucidate the factors contributing to the occurrence of retinal detachment (RD) following prophylactic vitrectomy in cases of acute retinal necrosis (ARN) syndrome. A retrospective examination was undertaken, encompassing the medical records of patients diagnosed with ARN who underwent prophylactic vitreous intervention at the Ophthalmology Department of Wuhan University Renmin Hospital East Campus between October 2019 and September 2023. Subsequently, patients who manifested RD in the postoperative period were identified, and a comprehensive analysis was conducted to ascertain the factors underlying the occurrence of RD post-surgery. This study comprised 14 cases (involving 14 eyes) of patients diagnosed with ARN who underwent prophylactic vitreous intervention. The findings revealed that 4 patients experienced postoperative RD, resulting in an incidence rate of 28.57%. Notably, among these cases, 3 cases of RD manifested in the presence of silicone oil, while 1 case occurred subsequent to the removal of silicone oil. All 4 cases of RD exhibited varied degrees of proliferative vitreoretinopathy. Following the occurrence of RD, all patients underwent a secondary vitreous intervention coupled with silicone oil tamponade, leading to successful reattachment of the retina. However, despite these interventions, there was no significant enhancement observed in postoperative visual outcomes when compared to preoperative levels. RD following prophylactic vitrectomy in cases of ARN is not an infrequent occurrence and is primarily linked to the postoperative onset of proliferative vitreoretinopathy.
Identifiants
pubmed: 38872161
doi: 10.1186/s12886-024-03518-2
pii: 10.1186/s12886-024-03518-2
doi:
Substances chimiques
Silicone Oils
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
254Informations de copyright
© 2024. The Author(s).
Références
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