Multiple subretinal fluid blebs after pars plana vitrectomy for rhegmatogenous retinal detachment repair
Purpose To investigate the incidence of and clinical risk factors for multiple subretinal fluid (SRF) blebs after pars plana vitrectomy (PPV). Methods This study examined patients who underwent PPV (25- or 27-gauge) to repair a primary rhegmatogenous retinal detachment (RRD). Clinical characteristic...
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| Veröffentlicht in: | Graefe's archive for clinical and experimental ophthalmology 2019-05, Vol.257 (5), p.921-929 |
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| creator | Otsuka, Yuki Oishi, Akio Suda, Kenji Tsujikawa, Akitaka Kurakazu, Toshiaki |
| description | Purpose
To investigate the incidence of and clinical risk factors for multiple subretinal fluid (SRF) blebs after pars plana vitrectomy (PPV).
Methods
This study examined patients who underwent PPV (25- or 27-gauge) to repair a primary rhegmatogenous retinal detachment (RRD). Clinical characteristics, including age, sex, axial length, symptom duration, and postoperative best-corrected visual acuity (BCVA), were compared between eyes with and without multiple SRF blebs. Intentional drainage retinotomy and cryotherapy use were also performed. Main outcome measures were the effect of these parameters on multiple SRF bleb incidence 1 month after surgery.
Results
A total of 108 eyes of 106 patients (76 men and 32 women; mean age = 58.9 ± 9.0 years) were included. Multiple SRF blebs were observed in 8 eyes (7.4%). Logistic regression analysis showed that creation of intentional drainage retinotomy and 27-gauge PPV are risk factors for the development of multiple SRF blebs. The number and size of blebs spontaneously decreased over time, and SRF had completely resolved in 5 eyes (62.5%) 1 year after surgery.
Conclusion
Multiple SRF blebs developed even after small gauge vitrectomy. The SRF did not affect postoperative BCVA and gradually absorbed without treatment. |
| doi_str_mv | 10.1007/s00417-018-04231-9 |
| format | Article |
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To investigate the incidence of and clinical risk factors for multiple subretinal fluid (SRF) blebs after pars plana vitrectomy (PPV).
Methods
This study examined patients who underwent PPV (25- or 27-gauge) to repair a primary rhegmatogenous retinal detachment (RRD). Clinical characteristics, including age, sex, axial length, symptom duration, and postoperative best-corrected visual acuity (BCVA), were compared between eyes with and without multiple SRF blebs. Intentional drainage retinotomy and cryotherapy use were also performed. Main outcome measures were the effect of these parameters on multiple SRF bleb incidence 1 month after surgery.
Results
A total of 108 eyes of 106 patients (76 men and 32 women; mean age = 58.9 ± 9.0 years) were included. Multiple SRF blebs were observed in 8 eyes (7.4%). Logistic regression analysis showed that creation of intentional drainage retinotomy and 27-gauge PPV are risk factors for the development of multiple SRF blebs. The number and size of blebs spontaneously decreased over time, and SRF had completely resolved in 5 eyes (62.5%) 1 year after surgery.
Conclusion
Multiple SRF blebs developed even after small gauge vitrectomy. The SRF did not affect postoperative BCVA and gradually absorbed without treatment.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-018-04231-9</identifier><identifier>PMID: 30613917</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acuity ; Cryotherapy ; Eye ; Medicine ; Medicine & Public Health ; Ophthalmology ; Patients ; Retina ; Retinal Disorders ; Risk factors ; Surgery ; Wound drainage</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2019-05, Vol.257 (5), p.921-929</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>Graefe's Archive for Clinical and Experimental Ophthalmology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-1a825615ade6c8c991c322388bdcde403cd9f0f9237be239c35352a258a7f7773</citedby><cites>FETCH-LOGICAL-c441t-1a825615ade6c8c991c322388bdcde403cd9f0f9237be239c35352a258a7f7773</cites><orcidid>0000-0002-0977-9458</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-018-04231-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-018-04231-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30613917$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Otsuka, Yuki</creatorcontrib><creatorcontrib>Oishi, Akio</creatorcontrib><creatorcontrib>Suda, Kenji</creatorcontrib><creatorcontrib>Tsujikawa, Akitaka</creatorcontrib><creatorcontrib>Kurakazu, Toshiaki</creatorcontrib><title>Multiple subretinal fluid blebs after pars plana vitrectomy for rhegmatogenous retinal detachment repair</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Purpose
To investigate the incidence of and clinical risk factors for multiple subretinal fluid (SRF) blebs after pars plana vitrectomy (PPV).
Methods
This study examined patients who underwent PPV (25- or 27-gauge) to repair a primary rhegmatogenous retinal detachment (RRD). Clinical characteristics, including age, sex, axial length, symptom duration, and postoperative best-corrected visual acuity (BCVA), were compared between eyes with and without multiple SRF blebs. Intentional drainage retinotomy and cryotherapy use were also performed. Main outcome measures were the effect of these parameters on multiple SRF bleb incidence 1 month after surgery.
Results
A total of 108 eyes of 106 patients (76 men and 32 women; mean age = 58.9 ± 9.0 years) were included. Multiple SRF blebs were observed in 8 eyes (7.4%). Logistic regression analysis showed that creation of intentional drainage retinotomy and 27-gauge PPV are risk factors for the development of multiple SRF blebs. The number and size of blebs spontaneously decreased over time, and SRF had completely resolved in 5 eyes (62.5%) 1 year after surgery.
Conclusion
Multiple SRF blebs developed even after small gauge vitrectomy. The SRF did not affect postoperative BCVA and gradually absorbed without treatment.</description><subject>Acuity</subject><subject>Cryotherapy</subject><subject>Eye</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Patients</subject><subject>Retina</subject><subject>Retinal Disorders</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Wound drainage</subject><issn>0721-832X</issn><issn>1435-702X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kUtLxDAUhYMoOo7-ARcScOOmmpu0TbuUwReMuFFwF9L0dqbSl0kqzL832lHBhasLud8595BDyAmwC2BMXjrGYpARgyxiMRcQ5TtkBrFIIsn4yy6ZMckhygR_OSCHzr2ywIsE9smBYCmIHOSMrB_GxtdDg9SNhUVfd7qhVTPWJS0aLBzVlUdLB20dHRrdafpee4vG9-2GVr2ldo2rVvt-hV0_OvptUaLXZt1i58PToGt7RPYq3Tg83s45eb65flrcRcvH2_vF1TIycQw-Ap3xJIVEl5iazOQ5GMG5yLKiNCXGTJgyr1iVcyEL5CI3IhEJ1zzJtKyklGJOziffwfZvIzqv2toZbEJ2DAEVhzROwoWgm5OzP-hrP9qQfqIYE2kGgeITZWzvnMVKDbZutd0oYOqzBzX1oEIP6qsHlQfR6dZ6LFosfyTfHx8AMQEurLoV2t_b_9h-AKMglAw</recordid><startdate>20190501</startdate><enddate>20190501</enddate><creator>Otsuka, Yuki</creator><creator>Oishi, Akio</creator><creator>Suda, Kenji</creator><creator>Tsujikawa, Akitaka</creator><creator>Kurakazu, Toshiaki</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0977-9458</orcidid></search><sort><creationdate>20190501</creationdate><title>Multiple subretinal fluid blebs after pars plana vitrectomy for rhegmatogenous retinal detachment repair</title><author>Otsuka, Yuki ; Oishi, Akio ; Suda, Kenji ; Tsujikawa, Akitaka ; Kurakazu, Toshiaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-1a825615ade6c8c991c322388bdcde403cd9f0f9237be239c35352a258a7f7773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acuity</topic><topic>Cryotherapy</topic><topic>Eye</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Patients</topic><topic>Retina</topic><topic>Retinal Disorders</topic><topic>Risk factors</topic><topic>Surgery</topic><topic>Wound drainage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Otsuka, Yuki</creatorcontrib><creatorcontrib>Oishi, Akio</creatorcontrib><creatorcontrib>Suda, Kenji</creatorcontrib><creatorcontrib>Tsujikawa, Akitaka</creatorcontrib><creatorcontrib>Kurakazu, Toshiaki</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Otsuka, Yuki</au><au>Oishi, Akio</au><au>Suda, Kenji</au><au>Tsujikawa, Akitaka</au><au>Kurakazu, Toshiaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multiple subretinal fluid blebs after pars plana vitrectomy for rhegmatogenous retinal detachment repair</atitle><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle><stitle>Graefes Arch Clin Exp Ophthalmol</stitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><date>2019-05-01</date><risdate>2019</risdate><volume>257</volume><issue>5</issue><spage>921</spage><epage>929</epage><pages>921-929</pages><issn>0721-832X</issn><eissn>1435-702X</eissn><abstract>Purpose
To investigate the incidence of and clinical risk factors for multiple subretinal fluid (SRF) blebs after pars plana vitrectomy (PPV).
Methods
This study examined patients who underwent PPV (25- or 27-gauge) to repair a primary rhegmatogenous retinal detachment (RRD). Clinical characteristics, including age, sex, axial length, symptom duration, and postoperative best-corrected visual acuity (BCVA), were compared between eyes with and without multiple SRF blebs. Intentional drainage retinotomy and cryotherapy use were also performed. Main outcome measures were the effect of these parameters on multiple SRF bleb incidence 1 month after surgery.
Results
A total of 108 eyes of 106 patients (76 men and 32 women; mean age = 58.9 ± 9.0 years) were included. Multiple SRF blebs were observed in 8 eyes (7.4%). Logistic regression analysis showed that creation of intentional drainage retinotomy and 27-gauge PPV are risk factors for the development of multiple SRF blebs. The number and size of blebs spontaneously decreased over time, and SRF had completely resolved in 5 eyes (62.5%) 1 year after surgery.
Conclusion
Multiple SRF blebs developed even after small gauge vitrectomy. The SRF did not affect postoperative BCVA and gradually absorbed without treatment.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30613917</pmid><doi>10.1007/s00417-018-04231-9</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-0977-9458</orcidid></addata></record> |
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| subjects | Acuity Cryotherapy Eye Medicine Medicine & Public Health Ophthalmology Patients Retina Retinal Disorders Risk factors Surgery Wound drainage |
| title | Multiple subretinal fluid blebs after pars plana vitrectomy for rhegmatogenous retinal detachment repair |
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