Characteristics, Risks, and Prevention of Rhegmatogenous Retinal Detachment in the Contralateral Eye.

IF 3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Rami Al-Dwairi, Omar Saleh, Hasan Mohidat, Seren Al Beiruti, Ali Alshami, Leen El Taani, Abdullah Sharayah, Ahmed H Al Sharie, Abdelwahab Aleshawi
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引用次数: 0

Abstract

Background/Objectives: Rhegmatogenous retinal detachment (RRD) is a potentially blinding retinal disorder. RRD in the first eye is a well-recognized risk factor for bilateral RRD since risk factors that predispose to RRD affect both eyes. In this study, we assess the presenting factors that predispose individuals to bilateral RRD and evaluate the role of prophylactic retinopexy in preventing fellow-eye RRD. Methods: Retrospectively, all patients who underwent RRD repair through pars plana vitrectomy were included. A medical database was utilized to extract the data. The primary outcome was to report the development of RRD in the fellow eyes according to the presenting risk factors. Secondary outcomes included the prophylactic effect of laser retinopexy for the fellow eye. Results: In this study, 348 patients were included. The mean age of the patients was 46.3 years. Bilateral RRD was developed in 13.7% of the patients. It was found that total RRD in the first eye (p-value = 0.045), the presence of lattice degeneration in the first eye (p-value = 0.036), the presence of high-risk breaks (p-value = 0.0001) or lattice degeneration (p-value = 0.0004) in the fellow eye, the involvement of the inferior-nasal quadrant in the first eye (p-value = 0.043), and the presence of connective tissue diseases (p-value = 0.008) were significantly associated with the development of fellow-eye RRD. Performing prophylactic retinopexy was associated with a reduction in the incidence of fellow-eye RRD (with or without high-risk breaks) (p-value = 0.0001). It was not associated with a reduction in the risk of fellow-eye RRD in cases of lattice degeneration alone. Conclusions: Recognition of certain perioperative risk factors (such as high-risk retinal tears) during the presentation of first-eye RRD is crucial. Prophylactic laser retinopexy may have a critical role in preventing fellow-eye RRD. Patients' awareness should be raised about the symptoms of RRD.

对侧眼孔源性视网膜脱离的特点、风险及预防。
背景/目的:孔源性视网膜脱离(RRD)是一种潜在致盲性视网膜疾病。第一只眼睛的RRD是公认的双侧RRD的危险因素,因为易患RRD的危险因素会影响两只眼睛。在这项研究中,我们评估了个体易患双侧视网膜视网膜病变的表现因素,并评估了预防性视网膜固定手术在预防双侧眼视网膜视网膜病变中的作用。方法:回顾性分析所有通过玻璃体切割行RRD修复术的患者。利用医学数据库提取数据。主要结果是根据出现的危险因素报告同伴眼RRD的发展情况。次要结果包括激光视网膜固定手术对另一只眼的预防作用。结果:本研究共纳入348例患者。患者平均年龄46.3岁。13.7%的患者发生双侧RRD。结果发现,首眼RRD的发生与总RRD (p值= 0.045)、首眼晶格变性(p值= 0.036)、伴眼高危断裂(p值= 0.0001)或晶格变性(p值= 0.0004)、伴眼鼻下象限受累(p值= 0.043)和结缔组织疾病(p值= 0.008)的发生有显著相关性。进行预防性视网膜固定手术与降低同眼RRD发生率(伴或不伴高风险破裂)相关(p值= 0.0001)。在单纯晶格变性的情况下,它与降低同眼RRD的风险无关。结论:在出现第一眼RRD时,识别某些围手术期危险因素(如高危视网膜撕裂)是至关重要的。预防性激光视网膜固定术可能在预防同眼RRD中起关键作用。应提高患者对RRD症状的认识。
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
Journal of Clinical Medicine
Journal of Clinical Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
5.70
自引率
7.70%
发文量
6468
审稿时长
16.32 days
期刊介绍: Journal of Clinical Medicine (ISSN 2077-0383), is an international scientific open access journal, providing a platform for advances in health care/clinical practices, the study of direct observation of patients and general medical research. This multi-disciplinary journal is aimed at a wide audience of medical researchers and healthcare professionals. Unique features of this journal: manuscripts regarding original research and ideas will be particularly welcomed.JCM also accepts reviews, communications, and short notes. There is no limit to publication length: our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible.
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