Surgical and Visual Outcome for Recurrent Retinal Detachment Surgery

Purpose. To evaluate the anatomical and functional outcome of repeated surgeries for recurrent retinal detachment. Methods. We retrospectively reviewed 70 cases with refractory retinal detachment of various etiologies that required multiple operations. Anatomical success (attached retina) or failure...

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Main Authors: Constantin Pournaras, Chrysanthi Tsika, Catherine Brozou, Miltiadis K. Tsilimbaris
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2014/810609
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author Constantin Pournaras
Chrysanthi Tsika
Catherine Brozou
Miltiadis K. Tsilimbaris
author_facet Constantin Pournaras
Chrysanthi Tsika
Catherine Brozou
Miltiadis K. Tsilimbaris
author_sort Constantin Pournaras
collection DOAJ
description Purpose. To evaluate the anatomical and functional outcome of repeated surgeries for recurrent retinal detachment. Methods. We retrospectively reviewed 70 cases with refractory retinal detachment of various etiologies that required multiple operations. Anatomical success (attached retina) or failure (totally/partially-detached retina) was assessed biomicroscopically. The BCVA was used for the evaluation of the functional outcome, at presentation and at the end of follow-up. Various pre-, intra-, and postoperative factors were associated with anatomical success or failure as well as with final functionality. Results. The mean number of surgeries was 4 (range: 2 to 10). The anatomical success rate was 80% (56 attached cases, 14 detached cases). 29% of the attached cases had a BCVA better than 20/40 (Snellen chart). The number of operations doesn’t seem to affect significantly the final visual acuity. The PVR was found to affect both the anatomical and functional outcome (P=0.014 & P=0.002, respectively). Conclusions. In the present study, it is suggested that multiple operations for refractory retinal detachment may result in successful anatomic results, with a fare functional outcome at the same time. Eventually, we verified that the existence of PVR worsens the prognosis.
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spelling doaj-art-1bdd8fd1f3a44999a38eadf56cc9b7252025-02-03T01:31:29ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/810609810609Surgical and Visual Outcome for Recurrent Retinal Detachment SurgeryConstantin Pournaras0Chrysanthi Tsika1Catherine Brozou2Miltiadis K. Tsilimbaris3University Eye Clinic of Geneva, 1211 Geneva, SwitzerlandUniversity Eye Clinic of Heraklion, 71500 Heraklion, GreeceDepartment of Ophthalmology, University of Larissa, 41110 Larissa, GreeceUniversity Eye Clinic of Heraklion, 71500 Heraklion, GreecePurpose. To evaluate the anatomical and functional outcome of repeated surgeries for recurrent retinal detachment. Methods. We retrospectively reviewed 70 cases with refractory retinal detachment of various etiologies that required multiple operations. Anatomical success (attached retina) or failure (totally/partially-detached retina) was assessed biomicroscopically. The BCVA was used for the evaluation of the functional outcome, at presentation and at the end of follow-up. Various pre-, intra-, and postoperative factors were associated with anatomical success or failure as well as with final functionality. Results. The mean number of surgeries was 4 (range: 2 to 10). The anatomical success rate was 80% (56 attached cases, 14 detached cases). 29% of the attached cases had a BCVA better than 20/40 (Snellen chart). The number of operations doesn’t seem to affect significantly the final visual acuity. The PVR was found to affect both the anatomical and functional outcome (P=0.014 & P=0.002, respectively). Conclusions. In the present study, it is suggested that multiple operations for refractory retinal detachment may result in successful anatomic results, with a fare functional outcome at the same time. Eventually, we verified that the existence of PVR worsens the prognosis.http://dx.doi.org/10.1155/2014/810609
spellingShingle Constantin Pournaras
Chrysanthi Tsika
Catherine Brozou
Miltiadis K. Tsilimbaris
Surgical and Visual Outcome for Recurrent Retinal Detachment Surgery
Journal of Ophthalmology
title Surgical and Visual Outcome for Recurrent Retinal Detachment Surgery
title_full Surgical and Visual Outcome for Recurrent Retinal Detachment Surgery
title_fullStr Surgical and Visual Outcome for Recurrent Retinal Detachment Surgery
title_full_unstemmed Surgical and Visual Outcome for Recurrent Retinal Detachment Surgery
title_short Surgical and Visual Outcome for Recurrent Retinal Detachment Surgery
title_sort surgical and visual outcome for recurrent retinal detachment surgery
url http://dx.doi.org/10.1155/2014/810609
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