Persistent subretinal fluid following diabetic tractional retinal detachment repair: risk factors, natural history, and management outcomes
Purpose To study the natural history, anatomical and functional outcomes of persistent subretinal fluid (SRF) after pars plana vitrectomy (PPV) for diabetic tractional retinal detachment (TRD) and combined traction-rhegmatogenous retinal detachment (TRRD). Methods Retrospective interventional case s...
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| Veröffentlicht in: | International ophthalmology 2021-02, Vol.41 (2), p.453-464 |
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| creator | Algethami, Ahmed Talea, Mohammed Alsakran, Wael A. Mura, Marco Alsulaiman, Sulaiman M. |
| description | Purpose
To study the natural history, anatomical and functional outcomes of persistent subretinal fluid (SRF) after pars plana vitrectomy (PPV) for diabetic tractional retinal detachment (TRD) and combined traction-rhegmatogenous retinal detachment (TRRD).
Methods
Retrospective interventional case series of 43 patients (46 eyes) with persistent SRF following PPV for diabetic TRD or combined TRRD from January 2010 to December 2017 at single tertiary institution. Primary outcomes included best corrected visual acuity (BCVA) and central foveal thickness (CFT).
Results
Thirty-one eyes (67.4%) had macula-off TRD, 5 (10.9%) had fovea-threatening TRD and 10 (21.7%) had combined TRRD. The mean (± SD) duration of decreased vision was 48.0 ± 58.2 weeks. The mean follow-up duration was 21 ± 13.2 months. Residual macular SRF was detected by optical coherence tomography in all eyes at 3 months and in 10 eyes (23.8%) at 12 months after surgery. Only 3 eyes (6.5%) had persistent SRF at final follow up. The mean time to resolution was 10.6 ± 4.1 months [range 6.0–23.0]. Thirteen eyes received additional intervention to address SRF. The mean CFT gradually improved until final follow-up (
P
-value |
| doi_str_mv | 10.1007/s10792-020-01595-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2449962926</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2489118687</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-874ce46a344467246af79e98e2e60e82fce42e9eb22f27bb098b465fb189d6a33</originalsourceid><addsrcrecordid>eNp9kcFO3DAURS1EVYahP8CissSmC9I-O4kdd4dQC0hI7aKsLSd5HgxJPLUdVfMN_DQeBqjEgpUt3XPve_Yl5JjBVwYgv0UGUvECOBTAalUXmz2yYLUsCy5K2CcLYKIuagnsgBzGeAcASirxkRyUJZSyrtmCPPzGEF1MOCUa5zZgcpMZqB1m11Prh8H_c9OK9s60WepoCqZLzm-ZF7bHZLrbcZsQcG1c-E6Di_fUZtKHeEonk-aQwds8x4fNKTVTT0czmRU-ufycOj9iPCIfrBkifno-l-Tm548_55fF9a-Lq_Oz66LLS6eikVWHlTBlVVVC8nyzUqFqkKMAbLjNKkeFLeeWy7YF1bSVqG3LGtVnW7kkX3a56-D_zhiTHl3scBjMhH6OmleVUoKr_ItLcvIGvfNzyK_eUo1irBGNzBTfUV3wMQa0eh3caMJGM9DbqvSuKp2r0k9V6U02fX6OntsR-1fLSzcZKHdAzNK0wvB_9juxj4XXomA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2489118687</pqid></control><display><type>article</type><title>Persistent subretinal fluid following diabetic tractional retinal detachment repair: risk factors, natural history, and management outcomes</title><source>SpringerLink (Online service)</source><creator>Algethami, Ahmed ; Talea, Mohammed ; Alsakran, Wael A. ; Mura, Marco ; Alsulaiman, Sulaiman M.</creator><creatorcontrib>Algethami, Ahmed ; Talea, Mohammed ; Alsakran, Wael A. ; Mura, Marco ; Alsulaiman, Sulaiman M.</creatorcontrib><description>Purpose
To study the natural history, anatomical and functional outcomes of persistent subretinal fluid (SRF) after pars plana vitrectomy (PPV) for diabetic tractional retinal detachment (TRD) and combined traction-rhegmatogenous retinal detachment (TRRD).
Methods
Retrospective interventional case series of 43 patients (46 eyes) with persistent SRF following PPV for diabetic TRD or combined TRRD from January 2010 to December 2017 at single tertiary institution. Primary outcomes included best corrected visual acuity (BCVA) and central foveal thickness (CFT).
Results
Thirty-one eyes (67.4%) had macula-off TRD, 5 (10.9%) had fovea-threatening TRD and 10 (21.7%) had combined TRRD. The mean (± SD) duration of decreased vision was 48.0 ± 58.2 weeks. The mean follow-up duration was 21 ± 13.2 months. Residual macular SRF was detected by optical coherence tomography in all eyes at 3 months and in 10 eyes (23.8%) at 12 months after surgery. Only 3 eyes (6.5%) had persistent SRF at final follow up. The mean time to resolution was 10.6 ± 4.1 months [range 6.0–23.0]. Thirteen eyes received additional intervention to address SRF. The mean CFT gradually improved until final follow-up (
P
-value < 0.001). The mean BCVA improved from 1.62 ± 0.88 LogMAR at presentation to 1.05 ± 0.76 LogMAR at final follow up. No statistically significant difference in final BCVA was found between eyes that had intervention and eyes that were observed (
P
value = 0.762).
Conclusion
Persistent SRF after diabetic vitrectomy resolves slowly over time with gradual improvement in visual acuity. Additional drainage of persistent SRF may not be necessary.</description><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-020-01595-y</identifier><identifier>PMID: 33037551</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Acuity ; Diabetes ; Diabetes mellitus ; Eye ; Eye (anatomy) ; Fovea ; Medicine ; Medicine & Public Health ; Ophthalmology ; Original Paper ; Retina ; Retinal detachment ; Risk analysis ; Risk factors ; Risk management ; Statistical analysis ; Surgery ; Visual acuity</subject><ispartof>International ophthalmology, 2021-02, Vol.41 (2), p.453-464</ispartof><rights>Springer Nature B.V. 2020</rights><rights>Springer Nature B.V. 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-874ce46a344467246af79e98e2e60e82fce42e9eb22f27bb098b465fb189d6a33</citedby><cites>FETCH-LOGICAL-c375t-874ce46a344467246af79e98e2e60e82fce42e9eb22f27bb098b465fb189d6a33</cites><orcidid>0000-0003-3105-1989</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/s10792-020-01595-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10792-020-01595-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33037551$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Algethami, Ahmed</creatorcontrib><creatorcontrib>Talea, Mohammed</creatorcontrib><creatorcontrib>Alsakran, Wael A.</creatorcontrib><creatorcontrib>Mura, Marco</creatorcontrib><creatorcontrib>Alsulaiman, Sulaiman M.</creatorcontrib><title>Persistent subretinal fluid following diabetic tractional retinal detachment repair: risk factors, natural history, and management outcomes</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Purpose
To study the natural history, anatomical and functional outcomes of persistent subretinal fluid (SRF) after pars plana vitrectomy (PPV) for diabetic tractional retinal detachment (TRD) and combined traction-rhegmatogenous retinal detachment (TRRD).
Methods
Retrospective interventional case series of 43 patients (46 eyes) with persistent SRF following PPV for diabetic TRD or combined TRRD from January 2010 to December 2017 at single tertiary institution. Primary outcomes included best corrected visual acuity (BCVA) and central foveal thickness (CFT).
Results
Thirty-one eyes (67.4%) had macula-off TRD, 5 (10.9%) had fovea-threatening TRD and 10 (21.7%) had combined TRRD. The mean (± SD) duration of decreased vision was 48.0 ± 58.2 weeks. The mean follow-up duration was 21 ± 13.2 months. Residual macular SRF was detected by optical coherence tomography in all eyes at 3 months and in 10 eyes (23.8%) at 12 months after surgery. Only 3 eyes (6.5%) had persistent SRF at final follow up. The mean time to resolution was 10.6 ± 4.1 months [range 6.0–23.0]. Thirteen eyes received additional intervention to address SRF. The mean CFT gradually improved until final follow-up (
P
-value < 0.001). The mean BCVA improved from 1.62 ± 0.88 LogMAR at presentation to 1.05 ± 0.76 LogMAR at final follow up. No statistically significant difference in final BCVA was found between eyes that had intervention and eyes that were observed (
P
value = 0.762).
Conclusion
Persistent SRF after diabetic vitrectomy resolves slowly over time with gradual improvement in visual acuity. Additional drainage of persistent SRF may not be necessary.</description><subject>Acuity</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Eye</subject><subject>Eye (anatomy)</subject><subject>Fovea</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Original Paper</subject><subject>Retina</subject><subject>Retinal detachment</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Risk management</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Visual acuity</subject><issn>0165-5701</issn><issn>1573-2630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kcFO3DAURS1EVYahP8CissSmC9I-O4kdd4dQC0hI7aKsLSd5HgxJPLUdVfMN_DQeBqjEgpUt3XPve_Yl5JjBVwYgv0UGUvECOBTAalUXmz2yYLUsCy5K2CcLYKIuagnsgBzGeAcASirxkRyUJZSyrtmCPPzGEF1MOCUa5zZgcpMZqB1m11Prh8H_c9OK9s60WepoCqZLzm-ZF7bHZLrbcZsQcG1c-E6Di_fUZtKHeEonk-aQwds8x4fNKTVTT0czmRU-ufycOj9iPCIfrBkifno-l-Tm548_55fF9a-Lq_Oz66LLS6eikVWHlTBlVVVC8nyzUqFqkKMAbLjNKkeFLeeWy7YF1bSVqG3LGtVnW7kkX3a56-D_zhiTHl3scBjMhH6OmleVUoKr_ItLcvIGvfNzyK_eUo1irBGNzBTfUV3wMQa0eh3caMJGM9DbqvSuKp2r0k9V6U02fX6OntsR-1fLSzcZKHdAzNK0wvB_9juxj4XXomA</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Algethami, Ahmed</creator><creator>Talea, Mohammed</creator><creator>Alsakran, Wael A.</creator><creator>Mura, Marco</creator><creator>Alsulaiman, Sulaiman M.</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3105-1989</orcidid></search><sort><creationdate>20210201</creationdate><title>Persistent subretinal fluid following diabetic tractional retinal detachment repair: risk factors, natural history, and management outcomes</title><author>Algethami, Ahmed ; Talea, Mohammed ; Alsakran, Wael A. ; Mura, Marco ; Alsulaiman, Sulaiman M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-874ce46a344467246af79e98e2e60e82fce42e9eb22f27bb098b465fb189d6a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acuity</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Eye</topic><topic>Eye (anatomy)</topic><topic>Fovea</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Original Paper</topic><topic>Retina</topic><topic>Retinal detachment</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Risk management</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Visual acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Algethami, Ahmed</creatorcontrib><creatorcontrib>Talea, Mohammed</creatorcontrib><creatorcontrib>Alsakran, Wael A.</creatorcontrib><creatorcontrib>Mura, Marco</creatorcontrib><creatorcontrib>Alsulaiman, Sulaiman M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>PHMC-Proquest健康医学期刊库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</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)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</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>International ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Algethami, Ahmed</au><au>Talea, Mohammed</au><au>Alsakran, Wael A.</au><au>Mura, Marco</au><au>Alsulaiman, Sulaiman M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Persistent subretinal fluid following diabetic tractional retinal detachment repair: risk factors, natural history, and management outcomes</atitle><jtitle>International ophthalmology</jtitle><stitle>Int Ophthalmol</stitle><addtitle>Int Ophthalmol</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>41</volume><issue>2</issue><spage>453</spage><epage>464</epage><pages>453-464</pages><issn>0165-5701</issn><eissn>1573-2630</eissn><abstract>Purpose
To study the natural history, anatomical and functional outcomes of persistent subretinal fluid (SRF) after pars plana vitrectomy (PPV) for diabetic tractional retinal detachment (TRD) and combined traction-rhegmatogenous retinal detachment (TRRD).
Methods
Retrospective interventional case series of 43 patients (46 eyes) with persistent SRF following PPV for diabetic TRD or combined TRRD from January 2010 to December 2017 at single tertiary institution. Primary outcomes included best corrected visual acuity (BCVA) and central foveal thickness (CFT).
Results
Thirty-one eyes (67.4%) had macula-off TRD, 5 (10.9%) had fovea-threatening TRD and 10 (21.7%) had combined TRRD. The mean (± SD) duration of decreased vision was 48.0 ± 58.2 weeks. The mean follow-up duration was 21 ± 13.2 months. Residual macular SRF was detected by optical coherence tomography in all eyes at 3 months and in 10 eyes (23.8%) at 12 months after surgery. Only 3 eyes (6.5%) had persistent SRF at final follow up. The mean time to resolution was 10.6 ± 4.1 months [range 6.0–23.0]. Thirteen eyes received additional intervention to address SRF. The mean CFT gradually improved until final follow-up (
P
-value < 0.001). The mean BCVA improved from 1.62 ± 0.88 LogMAR at presentation to 1.05 ± 0.76 LogMAR at final follow up. No statistically significant difference in final BCVA was found between eyes that had intervention and eyes that were observed (
P
value = 0.762).
Conclusion
Persistent SRF after diabetic vitrectomy resolves slowly over time with gradual improvement in visual acuity. Additional drainage of persistent SRF may not be necessary.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>33037551</pmid><doi>10.1007/s10792-020-01595-y</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-3105-1989</orcidid></addata></record> |
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| language | eng |
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| subjects | Acuity Diabetes Diabetes mellitus Eye Eye (anatomy) Fovea Medicine Medicine & Public Health Ophthalmology Original Paper Retina Retinal detachment Risk analysis Risk factors Risk management Statistical analysis Surgery Visual acuity |
| title | Persistent subretinal fluid following diabetic tractional retinal detachment repair: risk factors, natural history, and management outcomes |
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