Anatomic and functional prognosis of vitreoretinal surgery in rhegmatogenous retinal detachment associated with intraocular inflammation.

IF 2.8 3区医学 Q1 OPHTHALMOLOGY

Eye Pub Date : 2024-09-06 DOI:10.1038/s41433-024-03300-0

Adam Mainguy, Michel Weber, Adélaïde Toutée, Christine Fardeau, Olivier Lebreton, Hélène Massé, Bahram Bodaghi, Sara Touhami

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Abstract

Background/objectives: The predictive factors of surgical results in uveitic retinal detachment (RD) are lacking. The objective was to study the surgical outcomes and determine the risk factors for surgical failure in rhegmatogenous RD associated with intraocular inflammation (RRDIOI).

Methods: Retrospective series of consecutive eyes with RRDIOI undergoing vitreoretinal surgery between 2012 and 2019 in two French referral centres. Patients underwent 23- or 25 G pars plana vitrectomy (PPV), scleral buckling (SB), or a combination of both. The main objective was to describe the predictive factors of visual recovery and anatomical success after surgery.

Results: Seventy-one eyes were included. Posterior and panuveitis accounted for 91.5% of eyes. Seventy-five percent of eyes had an infectious cause for their uveitis. The first surgery consisted in PPV alone, SB alone, or both in 87.3%, 4.2% and 8.5% of cases respectively. The reattachment rate was 74.6% after one surgery (100% in case of SB, either alone or in association with PPV). On multivariate analysis, the only predictive factor of visual improvement was a baseline BCVA ≥ 20/400, while the only predictive factor for surgical success at 12 months was the absence of RD recurrence within the first 6 weeks of surgery.

Conclusions: RRDIOI has a relatively favourable anatomical prognosis. The addition of scleral buckling may be beneficial in selected cases.

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对伴有眼内炎症的流变性视网膜脱离进行玻璃体视网膜手术的解剖和功能预后。

背景/目的：葡萄膜炎性视网膜脱离（RD）手术结果的预测因素尚不明确。目的是研究手术结果，并确定与眼内炎症相关的流变性视网膜脱离（RRDIOI）手术失败的风险因素：方法：对2012年至2019年期间在法国两家转诊中心接受玻璃体视网膜手术的连续RRDIOI眼球进行回顾性系列研究。患者接受了23 G或25 G玻璃体旁切除术（PPV）、巩膜扣带术（SB）或两者结合的手术。主要目的是描述术后视力恢复和解剖成功的预测因素：结果：共纳入 71 只眼睛。91.5%的患者患有后葡萄膜炎和泛葡萄膜炎。75%的葡萄膜炎是由感染引起的。87.3%、4.2%和8.5%的病例的首次手术包括单纯PPV、单纯SB或两种手术。一次手术后的再接合率为74.6%（单独或同时进行SB和PPV手术的再接合率均为100%）。多变量分析显示，视力改善的唯一预测因素是基线BCVA≥20/400，而12个月时手术成功的唯一预测因素是术后6周内没有RD复发：结论：RRDIOI的解剖预后相对较好。结论：RRDIOI 在解剖学上的预后相对较好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Eye 医学-眼科学

CiteScore

6.40

自引率

5.10%

发文量

481

审稿时长

3-6 weeks

期刊介绍： Eye seeks to provide the international practising ophthalmologist with high quality articles, of academic rigour, on the latest global clinical and laboratory based research. Its core aim is to advance the science and practice of ophthalmology with the latest clinical- and scientific-based research. Whilst principally aimed at the practising clinician, the journal contains material of interest to a wider readership including optometrists, orthoptists, other health care professionals and research workers in all aspects of the field of visual science worldwide. Eye is the official journal of The Royal College of Ophthalmologists. Eye encourages the submission of original articles covering all aspects of ophthalmology including: external eye disease; oculo-plastic surgery; orbital and lacrimal disease; ocular surface and corneal disorders; paediatric ophthalmology and strabismus; glaucoma; medical and surgical retina; neuro-ophthalmology; cataract and refractive surgery; ocular oncology; ophthalmic pathology; ophthalmic genetics.