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Retinal Detachment Associated With Giant Retinal Tears: Surgical Management and Outcomes in the Past 2 Decades.
San Martín Varela, José Antonio; Gallegos Morales, Manuel Andrés; Verdaguer Díaz, Juan Ignacio; Zacharias Santamaría, Sergio Javier; Carpentier Giglio, Cristián Andrés; Filsecker López, Luis Hernán; Ibañez Langlois, Santiago; López Astaburuaga, José Manuel; Orellana Ríos, Jorge Andrés; Pérez Argandoña, Efraín Alonso; Ried Undurraga, José Miguel.
Afiliação
  • San Martín Varela JA; Fundación Oftalmológica Los Andes, Santiago, Chile.
  • Gallegos Morales MA; Fundación Oftalmológica Los Andes, Santiago, Chile.
  • Verdaguer Díaz JI; Fundación Oftalmológica Los Andes, Santiago, Chile.
  • Zacharias Santamaría SJ; Fundación Oftalmológica Los Andes, Santiago, Chile.
  • Carpentier Giglio CA; Fundación Oftalmológica Los Andes, Santiago, Chile.
  • Filsecker López LH; Fundación Oftalmológica Los Andes, Santiago, Chile.
  • Ibañez Langlois S; Fundación Oftalmológica Los Andes, Santiago, Chile.
  • López Astaburuaga JM; Fundación Oftalmológica Los Andes, Santiago, Chile.
  • Orellana Ríos JA; Fundación Oftalmológica Los Andes, Santiago, Chile.
  • Pérez Argandoña EA; Fundación Oftalmológica Los Andes, Santiago, Chile.
  • Ried Undurraga JM; Fundación Oftalmológica Los Andes, Santiago, Chile.
J Vitreoretin Dis ; 7(4): 293-298, 2023.
Article em En | MEDLINE | ID: mdl-37927327
Purpose: To describe the surgical outcomes of rhegmatogenous retinal detachments (RRDs) associated with giant retinal tears (GRTs) and define factors associated with primary anatomic failure. Methods: This retrospective consecutive study comprised primary GRT-RRD surgeries between 1999 and 2021 at a single institution. Exclusion criteria were a follow-up of less than 3 months and incomplete surgical data. Results: The series included 69 eyes (64 patients). Single-surgery anatomic success (SSAS) was achieved in 75% and final anatomic success (FAS) in 90%. The mean logMAR visual acuity improved from 1.5 ± 1.1 to 0.6 ± 0.9. Preoperative factors significantly associated with redetachment were proliferative vitreoretinopathy (PVR) (odds ratio [OR], 6.2; P < .01), hypotony (OR, 13.6; P < .01), and a 180-degree or larger GRT (OR, 3.3; P = .04). All cases were treated with pars plana vitrectomy (PPV) and perfluoro-N-octane (PFCL). Perfluoropropane (C3F8) was used in 59% and silicone oil in 41%; the redetachment rate was significantly lower in gas cases (15% vs 39%) (P = .02). An encircling band, placed in 84% eyes, had a tendency to reduce redetachment (22% vs 36%) (P = .32). Lensectomy was performed in 61% of phakic eyes, with no effect on redetachment (20% vs 21%) (P = .92). On multivariate analysis, PVR and hypotony were significantly associated with redetachment. Conclusions: PPV with PFCL achieved high SSAS and FAS rates. PVR and hypotony were the main preoperative factors associated with anatomic failure. In cases without PVR, C3F8 tamponade significantly increased SSAS. Encircling scleral buckling showed a nonsignificant tendency toward an increase in SSAS. Lensectomy had no effect on SSAS.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Vitreoretin Dis Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Chile País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Vitreoretin Dis Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Chile País de publicação: Estados Unidos