Surgical management of retinal detachment secondary to acute retinal necrosis: clinical features, surgical techniques, and long-term results
Purpose: To describe the clinical features of complicated retinal detachment secondary to acute retinal necrosis (ARN) and to present the long-term results of vitreous surgery in these cases. Methods: A retrospective study was conducted on 16 immunocompetent patients (18 eyes). The average follow-up...
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| Veröffentlicht in: | Japanese journal of ophthalmology 2003-09, Vol.47 (5), p.484-491 |
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| creator | Ahmadieh, Hamid Soheilian, Masoud Azarmina, Mohsen Dehghan, Mohammad H Mashayekhi, Arman |
| description | Purpose: To describe the clinical features of complicated retinal detachment secondary to acute retinal necrosis (ARN) and to present the long-term results of vitreous surgery in these cases.
Methods: A retrospective study was conducted on 16 immunocompetent patients (18 eyes). The average follow-up period was 60 months.
Results: Proliferative vitreoretinopathy (PVR) grade C, with the predominance of anterior PVR, and characteristic changes in the vitreous base area were present in all cases before surgery. All eyes underwent vitrectomy, membrane peeling, endolaser photocoagulation, and intraocular tamponade without scleral buckling. Additional procedures were performed in 13 eyes. Retinal reattachment was achieved in the 18 eyes (100%) in the short term. Variable degrees of reproliferation occurred in all cases after surgery. Other delayed complications included ocular hypotony, macular pucker, peripheral retinal neovascularization, and severe preretinal fibrosis. Improvement of visual acuity occurred in 13 eyes (72.2%). Eleven eyes (61.1%) achieved final ambulatory visual acuity of 5/200 or better.
Conclusions: Rhegmatogenous retinal detachment secondary to ARN has characteristic clinical features. Severe proliferative vitreoretinopathy with the predominance of anterior PVR develops rapidly. Reproliferation is the most important late postvitrectomy complication necessitating multiple surgical procedures in these cases. The visual results remain unfavorable due to the destructive nature of ARN. |
| doi_str_mv | 10.1016/S0021-5155(03)00139-4 |
| format | Article |
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Methods: A retrospective study was conducted on 16 immunocompetent patients (18 eyes). The average follow-up period was 60 months.
Results: Proliferative vitreoretinopathy (PVR) grade C, with the predominance of anterior PVR, and characteristic changes in the vitreous base area were present in all cases before surgery. All eyes underwent vitrectomy, membrane peeling, endolaser photocoagulation, and intraocular tamponade without scleral buckling. Additional procedures were performed in 13 eyes. Retinal reattachment was achieved in the 18 eyes (100%) in the short term. Variable degrees of reproliferation occurred in all cases after surgery. Other delayed complications included ocular hypotony, macular pucker, peripheral retinal neovascularization, and severe preretinal fibrosis. Improvement of visual acuity occurred in 13 eyes (72.2%). Eleven eyes (61.1%) achieved final ambulatory visual acuity of 5/200 or better.
Conclusions: Rhegmatogenous retinal detachment secondary to ARN has characteristic clinical features. Severe proliferative vitreoretinopathy with the predominance of anterior PVR develops rapidly. Reproliferation is the most important late postvitrectomy complication necessitating multiple surgical procedures in these cases. The visual results remain unfavorable due to the destructive nature of ARN.</description><identifier>ISSN: 0021-5155</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1016/S0021-5155(03)00139-4</identifier><identifier>PMID: 12967865</identifier><identifier>CODEN: JJOPA7</identifier><language>eng</language><publisher>Heidelberg: Elsevier Inc</publisher><subject>Acute retinal necrosis ; Adult ; Biological and medical sciences ; complex retinal detachment ; Follow-Up Studies ; Humans ; Male ; Medical sciences ; Middle Aged ; ocular hypotony ; Reoperation ; reproliferation ; Retinal Detachment - etiology ; Retinal Detachment - pathology ; Retinal Detachment - physiopathology ; Retinal Detachment - surgery ; Retinal Necrosis Syndrome, Acute - complications ; Retinal Perforations - etiology ; Retinal Perforations - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit ; Treatment Outcome ; Visual Acuity ; Vitrectomy - adverse effects ; Vitrectomy - methods ; Vitreoretinopathy, Proliferative - etiology ; Vitreoretinopathy, Proliferative - pathology</subject><ispartof>Japanese journal of ophthalmology, 2003-09, Vol.47 (5), p.484-491</ispartof><rights>2003 Japanese Ophthalmological Society</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c562t-66e752863d297cda1c984bc6236169603ff0f3856f809fffb122dc65066152973</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15165823$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12967865$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahmadieh, Hamid</creatorcontrib><creatorcontrib>Soheilian, Masoud</creatorcontrib><creatorcontrib>Azarmina, Mohsen</creatorcontrib><creatorcontrib>Dehghan, Mohammad H</creatorcontrib><creatorcontrib>Mashayekhi, Arman</creatorcontrib><title>Surgical management of retinal detachment secondary to acute retinal necrosis: clinical features, surgical techniques, and long-term results</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose: To describe the clinical features of complicated retinal detachment secondary to acute retinal necrosis (ARN) and to present the long-term results of vitreous surgery in these cases.
Methods: A retrospective study was conducted on 16 immunocompetent patients (18 eyes). The average follow-up period was 60 months.
Results: Proliferative vitreoretinopathy (PVR) grade C, with the predominance of anterior PVR, and characteristic changes in the vitreous base area were present in all cases before surgery. All eyes underwent vitrectomy, membrane peeling, endolaser photocoagulation, and intraocular tamponade without scleral buckling. Additional procedures were performed in 13 eyes. Retinal reattachment was achieved in the 18 eyes (100%) in the short term. Variable degrees of reproliferation occurred in all cases after surgery. Other delayed complications included ocular hypotony, macular pucker, peripheral retinal neovascularization, and severe preretinal fibrosis. Improvement of visual acuity occurred in 13 eyes (72.2%). Eleven eyes (61.1%) achieved final ambulatory visual acuity of 5/200 or better.
Conclusions: Rhegmatogenous retinal detachment secondary to ARN has characteristic clinical features. Severe proliferative vitreoretinopathy with the predominance of anterior PVR develops rapidly. Reproliferation is the most important late postvitrectomy complication necessitating multiple surgical procedures in these cases. The visual results remain unfavorable due to the destructive nature of ARN.</description><subject>Acute retinal necrosis</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>complex retinal detachment</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>ocular hypotony</subject><subject>Reoperation</subject><subject>reproliferation</subject><subject>Retinal Detachment - etiology</subject><subject>Retinal Detachment - pathology</subject><subject>Retinal Detachment - physiopathology</subject><subject>Retinal Detachment - surgery</subject><subject>Retinal Necrosis Syndrome, Acute - complications</subject><subject>Retinal Perforations - etiology</subject><subject>Retinal Perforations - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Treatment Outcome</subject><subject>Visual Acuity</subject><subject>Vitrectomy - adverse effects</subject><subject>Vitrectomy - methods</subject><subject>Vitreoretinopathy, Proliferative - etiology</subject><subject>Vitreoretinopathy, Proliferative - pathology</subject><issn>0021-5155</issn><issn>1613-2246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1O3DAUha2qVRl-HoEqG6pWaqh_4jsJm6pCtCAhsaCsLY99PbhKHLCdSn2HPjTOzADLriwdfffc63MIOWb0lFEGX28p5ayWTMpPVHymlImubt6QBQMmas4beEsWL8ge2U_pN6W04YK_J3uMd7BsQS7Iv9sprr3RfTXooNc4YMjV6KqI2YeiWsza3G_UhGYMVse_VR4rbaaML1RAE8fk01lleh82dg51niKmL1V63pDR3Af_OM2iDrbqx7CuM8ah-KSpz-mQvHO6T3i0ew_I3Y-LX-eX9fXNz6vz79e1kcBzDYBLyVsQlndLYzUzXdusDHABDDqgwjnqRCvBtbRzzq0Y59aApABMlhFxQD5ufR_iOJ-T1eCTwb7XAccpqaWABqSkBZRbcP5eiujUQ_RDiUAxquYa1KYGNWesqFCbGlRT5j7sFkyrAe3r1C73ApzsAJ1KNC7qYHx65SQD2XJRuG9bDkscfzxGlYzHYND6iCYrO_r_nPIE_5CmAA</recordid><startdate>20030901</startdate><enddate>20030901</enddate><creator>Ahmadieh, Hamid</creator><creator>Soheilian, Masoud</creator><creator>Azarmina, Mohsen</creator><creator>Dehghan, Mohammad H</creator><creator>Mashayekhi, Arman</creator><general>Elsevier Inc</general><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030901</creationdate><title>Surgical management of retinal detachment secondary to acute retinal necrosis: clinical features, surgical techniques, and long-term results</title><author>Ahmadieh, Hamid ; Soheilian, Masoud ; Azarmina, Mohsen ; Dehghan, Mohammad H ; Mashayekhi, Arman</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c562t-66e752863d297cda1c984bc6236169603ff0f3856f809fffb122dc65066152973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Acute retinal necrosis</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>complex retinal detachment</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>ocular hypotony</topic><topic>Reoperation</topic><topic>reproliferation</topic><topic>Retinal Detachment - etiology</topic><topic>Retinal Detachment - pathology</topic><topic>Retinal Detachment - physiopathology</topic><topic>Retinal Detachment - surgery</topic><topic>Retinal Necrosis Syndrome, Acute - complications</topic><topic>Retinal Perforations - etiology</topic><topic>Retinal Perforations - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Treatment Outcome</topic><topic>Visual Acuity</topic><topic>Vitrectomy - adverse effects</topic><topic>Vitrectomy - methods</topic><topic>Vitreoretinopathy, Proliferative - etiology</topic><topic>Vitreoretinopathy, Proliferative - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahmadieh, Hamid</creatorcontrib><creatorcontrib>Soheilian, Masoud</creatorcontrib><creatorcontrib>Azarmina, Mohsen</creatorcontrib><creatorcontrib>Dehghan, Mohammad H</creatorcontrib><creatorcontrib>Mashayekhi, Arman</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahmadieh, Hamid</au><au>Soheilian, Masoud</au><au>Azarmina, Mohsen</au><au>Dehghan, Mohammad H</au><au>Mashayekhi, Arman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical management of retinal detachment secondary to acute retinal necrosis: clinical features, surgical techniques, and long-term results</atitle><jtitle>Japanese journal of ophthalmology</jtitle><addtitle>Jpn J Ophthalmol</addtitle><date>2003-09-01</date><risdate>2003</risdate><volume>47</volume><issue>5</issue><spage>484</spage><epage>491</epage><pages>484-491</pages><issn>0021-5155</issn><eissn>1613-2246</eissn><coden>JJOPA7</coden><abstract>Purpose: To describe the clinical features of complicated retinal detachment secondary to acute retinal necrosis (ARN) and to present the long-term results of vitreous surgery in these cases.
Methods: A retrospective study was conducted on 16 immunocompetent patients (18 eyes). The average follow-up period was 60 months.
Results: Proliferative vitreoretinopathy (PVR) grade C, with the predominance of anterior PVR, and characteristic changes in the vitreous base area were present in all cases before surgery. All eyes underwent vitrectomy, membrane peeling, endolaser photocoagulation, and intraocular tamponade without scleral buckling. Additional procedures were performed in 13 eyes. Retinal reattachment was achieved in the 18 eyes (100%) in the short term. Variable degrees of reproliferation occurred in all cases after surgery. Other delayed complications included ocular hypotony, macular pucker, peripheral retinal neovascularization, and severe preretinal fibrosis. Improvement of visual acuity occurred in 13 eyes (72.2%). Eleven eyes (61.1%) achieved final ambulatory visual acuity of 5/200 or better.
Conclusions: Rhegmatogenous retinal detachment secondary to ARN has characteristic clinical features. Severe proliferative vitreoretinopathy with the predominance of anterior PVR develops rapidly. Reproliferation is the most important late postvitrectomy complication necessitating multiple surgical procedures in these cases. The visual results remain unfavorable due to the destructive nature of ARN.</abstract><cop>Heidelberg</cop><pub>Elsevier Inc</pub><pmid>12967865</pmid><doi>10.1016/S0021-5155(03)00139-4</doi><tpages>8</tpages></addata></record> |
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| subjects | Acute retinal necrosis Adult Biological and medical sciences complex retinal detachment Follow-Up Studies Humans Male Medical sciences Middle Aged ocular hypotony Reoperation reproliferation Retinal Detachment - etiology Retinal Detachment - pathology Retinal Detachment - physiopathology Retinal Detachment - surgery Retinal Necrosis Syndrome, Acute - complications Retinal Perforations - etiology Retinal Perforations - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Treatment Outcome Visual Acuity Vitrectomy - adverse effects Vitrectomy - methods Vitreoretinopathy, Proliferative - etiology Vitreoretinopathy, Proliferative - pathology |
| title | Surgical management of retinal detachment secondary to acute retinal necrosis: clinical features, surgical techniques, and long-term results |
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