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Journals / MN Oftalmoloji / 2009 / Cilt: 16 - Sayı: 1

Outcomes of Pars Plana Vitrectomy in Recurrent Retinal Detachments

Nüks Retina Dekolmanlarında Pars Plana Vitrektomi Sonuçlarımız

Mehmet ÇAKIR
OSMAN ÇEKİÇ
GÖKHAN PEKEL
Evre PEKEL
Ahmet T. YAZICI
Ercüment BOZKURT
Ömer F. YILMAZ
Pages
23–28
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The most common cause of recurrent RD was inferiorlylocated RD and the most common post-operative complication was transient ocular hyper-tension.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim:To evaluate the surgical treatment results in recurrent retinal detachments.Material and Method:Nineteen eyes of 19 patients (14 male, 5 female; mean age: 40.2years) who underwent pars plana vitrectomy (PPV) due to recurrent retinal detachment (RD)were evaluated retrospectively.
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Key Findings & Data:The etiology of the RD: rhegmatogenous RD in 6 eyes (31.5%), traumatic RD in 6 eyes (31.5%), myopic RD in 3 eyes (15.8%), diabetic tractional RD in3 eyes (15.8%) and pseudophakic RD in 1 eye (5.4%).
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Conclusion & Impact:The most common cause of recurrent RD was inferiorlylocated RD and the most common post-operative complication was transient ocular hyper-tension.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim:To evaluate the surgical treatment results in recurrent retinal detachments.Material and Method:Nineteen eyes of 19 patients (14 male, 5 female; mean age: 40.2years) who underwent pars plana vitrectomy (PPV) due to recurrent retinal detachment (RD)were evaluated retrospectively. The etiology of the RD: rhegmatogenous RD in 6 eyes (31.5%), traumatic RD in 6 eyes (31.5%), myopic RD in 3 eyes (15.8%), diabetic tractional RD in3 eyes (15.8%) and pseudophakic RD in 1 eye (5.4%). The recurrent RD etiology was inferiorRD in 14 eyes (73.7%), diabetic tractional RD in 3 eyes (15.8%) and macular hole in 2 eyes(10.5%). Initial operations included combined scleral encircling and PPV in 15 eyes and onlyPPV in 4 eyes. Eighteen eyes underwent combined scleral encircling and PPV while other oneunderwent PPV for reoperation. Results:The mean follow-up period was 16.7 (SD: 5.1) months. The mean time intervalbetween two operations was 7.5 (SD: 5.2) months. At the last visit the visual acuity increasedin 10 eyes (53%), remained the same in 7 eyes (37%) and decreased in 2 eyes (10%).Complete retinal re-attachment is achieved in 17 eyes (89%) finally and in 2 eyes (11%) infe rior recurrent RD was detected at the last visit. The complications observed after re-PPV dueto recurrent RD were band keratopathy (2 eyes), bullous keratopathy (2 eyes), transient ocu-lar hypertension (5 eyes), cataract formation (1 eye) and silicon oil in the anterior chamber(3 eyes).Conclusion:Re-PPV operations applied for recurrent retinal detachments are found ef-fective anatomically and functionally. The most common cause of recurrent RD was inferiorlylocated RD and the most common post-operative complication was transient ocular hyper-tension.

Özet

Amaç: Nüks retina dekolmanlarındaki (RD) tedavi sonuçlarımızı değerlendirmek.Gereç ve Yöntem: Nüks RD nedeniyle pars plana vitrektomi (PPV) uygulanan 19 hastanın (14 erkek, 5 kadın; ortalama yaş: 40,2 yıl) 19 gözü geriye dönük olarak incelendi. RD etyolojisinin dağılımı: 6 gözde yırtıklı-delikli RD (%31,5), 6 gözde travmatik RD (%31,5), 3gözde miyopik RD (%15,8), 3 gözde diyabetik traksiyonel RD (%15,8) ve 1 gözde psödofakikRD (%5,4) şeklindeydi. Nüks RD etyolojisi ise 14 gözde alt yerleşimli dekolman (%73,7), 3gözde diyabetik traksiyonel RD (%15,8) ve 2 gözde maküla deliği (%10,5) şeklindeydi. İlk yapılan operasyonların 15'i çevresel skleral çökertme ve PPV, 4'ü PPV; ikinci yapılan operasyonların ise 18'i sadece PPV, 1 tanesi de çevresel skleral çökertme ve PPV idi.Bulgular: Ortalama takip süresi 16,7 (SD: 5,1) aydı. İki operasyon arası süre ortalama7,5 (SD: 5,2) aydı. Son kontrolde görme keskinliği 10 gözde (%53) arttı, 7 gözde (%37) aynıkaldı ve 2 gözde (%10) ise azaldı. Son kontrolde 17 gözde tam retina yatışıklığı sağlandı, 2gözde alt yerleşimli dekolman mevcuttu. Nüks RD için yapılan re-PPV'den sonra görülenkomplikasyonlar: band keratopati (2 göz), büllöz keratopati (2 göz), geçici göz içi basınç artışı (5 göz), katarakt gelişimi (1 göz) ve ön kamaraya silikon yağı geçişi (3 göz) olarak tespitedildi.Sonuç: Nüks retina dekolmanlarında tekrar PPV uygulaması anatomik ve fonksiyonel açıdan etkilidir. Nüks retina dekolmanlarında en sık rastlanılan etyoloji alt yerleşimli dekolmanlar olurken, en sık post-operatif komplikasyon da geçici göz içi basınç artışı olmuştur

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Cite This Article

ÇAKIR, M., ÇEKİÇ, O., PEKEL, G., PEKEL, E., YAZICI, A. T., BOZKURT, E., YILMAZ, Ö. F. (2009). Outcomes of Pars Plana Vitrectomy in Recurrent Retinal Detachments. MN Oftalmoloji, Cilt: 16 - Sayı: 1, 23–28. https://ajindex.com/articles/295807

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