Retina最新文献_第5页

A middle-aged woman with progressive macular atrophy 一名患有进行性黄斑萎缩的中年女性

Retina Pub Date : 2024-05-07 DOI: 10.1097/iae.0000000000004149

Landon J. Rohowetz, Janet L. Davis

引用次数: 0

Response to Letter to the Editor regarding “Modified Carlevale Intraocular Lens Fixation Technique: Two Vitrectomy Ports As Lens Plug Fixation Sites” 对有关 "改良卡氏眼内透镜固定技术 "的致编辑信的回复：将两个玻璃体切割口作为晶状体塞固定位置"

Retina Pub Date : 2024-05-07 DOI: 10.1097/iae.0000000000004151

T. Caporossi, Alessandra Scampoli, Lorenzo Governatori

引用次数: 0

Surgical outcomes in concurrent sickle cell and diabetic retinopathy 镰状细胞和糖尿病并发视网膜病变的手术治疗效果

Retina Pub Date : 2024-05-07 DOI: 10.1097/iae.0000000000004156

Landon J. Rohowetz, Abdulla R. Shaheen, Maria Magraner, Harry W. Flynn, Basil K. Williams, W. Smiddy, J. Sridhar, Jonathan F. Russell, J. Townsend, A. Berrocal, Thomas Albini, Nicolas A. Yannuzzi

{"title":"Surgical outcomes in concurrent sickle cell and diabetic retinopathy","authors":"Landon J. Rohowetz, Abdulla R. Shaheen, Maria Magraner, Harry W. Flynn, Basil K. Williams, W. Smiddy, J. Sridhar, Jonathan F. Russell, J. Townsend, A. Berrocal, Thomas Albini, Nicolas A. Yannuzzi","doi":"10.1097/iae.0000000000004156","DOIUrl":"https://doi.org/10.1097/iae.0000000000004156","url":null,"abstract":"\u0000 \u0000 To report the clinical features and outcomes in eyes that underwent vitreoretinal surgery for complications of concurrent sickle cell retinopathy (SR) and diabetic retinopathy (DR).\u0000 \u0000 \u0000 \u0000 Retrospective, consecutive case series of all eyes that underwent vitreoretinal surgery for complications secondary to concurrent SR and DR between 1/1/2014 and 12/31/2021.\u0000 \u0000 \u0000 \u0000 The study included 20 eyes of 14 patients. Indications for surgery included tractional retinal detachment (TRD) in 12 (60%) eyes, combined TRD/rhegmatogenous retinal detachment in 6 (30%) eyes, and vitreous hemorrhage in 2 (10%) eyes. Pars plana vitrectomy (PPV) was performed in all eyes. One eye received a scleral buckle at the same time as PPV. There was no change in mean BCVA at last follow-up examination (1.5 [20/678]) when compared to mean preoperative BCVA (1.6 [20/762], P = 0.83). Preoperative BCVA correlated with postoperative BCVA at last follow-up examination in eyes with retinal detachment (r = 0.49, P = 0.04). Single operation anatomic success was achieved in 11 of 17 (65%) eyes with retinal detachment.\u0000 \u0000 \u0000 \u0000 Functional and anatomic outcomes after surgery in eyes with concurrent SR and DR are relatively poor.\u0000","PeriodicalId":21178,"journal":{"name":"Retina","volume":"113 S1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-term Visual Outcomes and OCT Biomarkers in Eyes with Macular Edema Secondary to Retinal Vein Occlusion following Anti-VEGF Therapy 抗血管内皮生长因子疗法后视网膜静脉闭塞继发黄斑水肿患者的长期视觉效果和 OCT 生物标志物

Retina Pub Date : 2024-05-07 DOI: 10.1097/iae.0000000000004157

Pasquale Viggiano, Giulia Bisceglia, D. Bacherini, Jay Chhablani, M. Grassi, Giacomo Boscia, Enrico Borrelli, Michele Reibaldi, Federica Evangelista, Giovanni Alessio, Francesco Boscia

{"title":"Long-term Visual Outcomes and OCT Biomarkers in Eyes with Macular Edema Secondary to Retinal Vein Occlusion following Anti-VEGF Therapy","authors":"Pasquale Viggiano, Giulia Bisceglia, D. Bacherini, Jay Chhablani, M. Grassi, Giacomo Boscia, Enrico Borrelli, Michele Reibaldi, Federica Evangelista, Giovanni Alessio, Francesco Boscia","doi":"10.1097/iae.0000000000004157","DOIUrl":"https://doi.org/10.1097/iae.0000000000004157","url":null,"abstract":"\u0000 \u0000 To evaluate the structural characteristics and long-term visual outcomes in eyes impacted by macular edema as a consequence of retinal vein occlusion (RVO) that have undergone effective treatment with anti-vascular endothelial growth factor (VEGF) therapy.\u0000 \u0000 \u0000 \u0000 Inclusion criteria comprised 42 eyes of 41 patients, subjected to long-term follow-up, displaying resolved macular edema after a minimum of 5 years since the commencement of anti-VEGF therapy. During the final visit, two experienced observers evaluated several qualitative parameters using spectral-domain optical coherence tomography (SD-OCT), such as the integrity of the external limiting membrane (ELM), the state of the ellipsoid zone (EZ) and retinal pigment epithelium (RPE), and the presence of retinal inner layer disorganization (DRIL). Additionally, a quantitative evaluation of the inner and outer retinal thicknesses was conducted for the purpose of topographical analysis.\u0000 \u0000 \u0000 \u0000 The most prominent qualitative correlation identified with best-corrected visual acuity (BCVA) during the final visit was connected to the presence of DRIL (P=0.004) and the integrity of the ELM (P=0.015). In relation to quantitative aspects, a noteworthy correlation was noted between the visual acuity during the last visit and the parafoveal thickness in both the inner (P=0.003) and outer retina (P=0.018).\u0000 \u0000 \u0000 \u0000 In eyes where macular edema resulting from RVO has been successfully resolved with anti-VEGF therapy, changes in the status of the ELM and the presence of DRIL serve as valuable OCT biomarkers, indicating prolonged visual outcomes.\u0000","PeriodicalId":21178,"journal":{"name":"Retina","volume":"176 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141002093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pedicle transposition flap, inverted flap, free flap, and standard peel for large full thickness macular holes: a comparative study. 用于治疗大面积全厚黄斑孔的椎管转位瓣、倒置瓣、游离瓣和标准剥离术：一项比较研究。

Retina Pub Date : 2024-05-02 DOI: 10.1097/iae.0000000000004142

Iacopo Macchi, Fernando J. Huelin, Tafadzwa Young-Zvandasara, Sandro Di Simplicio, Mustafa R Kadhim, Harshika Chawla, R. Hillier

{"title":"Pedicle transposition flap, inverted flap, free flap, and standard peel for large full thickness macular holes: a comparative study.","authors":"Iacopo Macchi, Fernando J. Huelin, Tafadzwa Young-Zvandasara, Sandro Di Simplicio, Mustafa R Kadhim, Harshika Chawla, R. Hillier","doi":"10.1097/iae.0000000000004142","DOIUrl":"https://doi.org/10.1097/iae.0000000000004142","url":null,"abstract":"\u0000 \u0000 To compare anatomical and functional outcomes of four different techniques for the treatment of large idiopathic full-thickness macular holes (FTMH).\u0000 \u0000 \u0000 \u0000 Single-centre retrospective study including 129 eyes of 126 patients with large (>500μm) FTMH between January 2018-October 2022. All patients underwent 23/25G vitrectomy and gas with standard internal limiting membrane (ILM) peel, pedicle transposition, inverted, or free flap technique. Postoperative OCT images were assessed by 2 independent masked graders.\u0000 \u0000 \u0000 \u0000 Mean age was 73.2 years (SD 8.4) with median F/U of 5 months (IQR 8). Overall anatomical success rate was 81%; significantly lower (59%) for the standard ILM peel (p<0.0001). The pedicle transposition flap showed superior visual recovery compared to the free flap (+27 vs +12 ETDRS letters, p=0.02). At 3 months, restoration of the ELM was significantly better for the pedicle transposition flap compared to free flap and standard ILM peel (p=0.008 and p=0.03), and superior to all the other techniques at 6 months (p=0.02, p=0.04 and p=0.006).\u0000 \u0000 \u0000 \u0000 Standard ILM peel alone offers inferior outcomes for the management of large FTMH. Of the alternative ILM techniques, despite similar closure rates, foveal microstructural recovery is most complete following the pedicle transposition flap, and least complete following the free flap.\u0000","PeriodicalId":21178,"journal":{"name":"Retina","volume":"21 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141018564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of early surgical intervention on aniseikonia in patients with epiretinal membrane: A prospective cohort study 早期手术干预对视网膜外膜患者失明的影响：前瞻性队列研究

Retina Pub Date : 2024-05-02 DOI: 10.1097/iae.0000000000004146

Jaehwan Choi, Seul Gi Lim, Sewoong Kang, Sang Jin Kim, Ki Young Son, Sungsoon Hwang

{"title":"The impact of early surgical intervention on aniseikonia in patients with epiretinal membrane: A prospective cohort study","authors":"Jaehwan Choi, Seul Gi Lim, Sewoong Kang, Sang Jin Kim, Ki Young Son, Sungsoon Hwang","doi":"10.1097/iae.0000000000004146","DOIUrl":"https://doi.org/10.1097/iae.0000000000004146","url":null,"abstract":"\u0000 \u0000 to investigate the efficacy of early surgical intervention in ameliorating aniseikonia among patients with epiretinal membrane (ERM).\u0000 \u0000 \u0000 \u0000 This prospective cohort study enrolled patients underwent surgery for ERM. Patients were divided into early (symptom onset within 1 year) and late (symptom onset ≥ 1 year) treatment groups. Changes in aniseikonia, best-corrected visual acuity, and tangential retinal displacement were assessed and compared at postoperative 6- and 12-months.\u0000 \u0000 \u0000 \u0000 Of the 56 patients, 30 (53.6%) belonged to the early treatment group and 26 (46.4%) to the late treatment group. The early treatment group demonstrated a significant reduction in aniseikonia score at 6- and 12-month follow-up visits, (-1.10 ± 1.50 [P = 0.002] and -1.18 ± 1.79 [P = 0.003], respectively); however, no improvement was observed in the late treatment group (0.98 ± 4.62 [P = 0.310] and 1.52 ± 4.35 [P = 0.124], respectively). The early treatment group showed larger tangential retinal displacement at postoperative 12-month follow-up visit. In addition, the amount of tangential retinal displacement was associated with postoperative changes in aniseikonia.\u0000 \u0000 \u0000 \u0000 Early surgical intervention is helpful in improving aniseikonia in patients with ERM. The degree of recovery in inner retinal displacement was associated with the improvement of aniseikonia.\u0000","PeriodicalId":21178,"journal":{"name":"Retina","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141020446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SMARTQC“Micro VFC" - A simple homemade new tool to access sub-retinal space in a controlled way. SMARTQC "微型 VFC"--一种简单的自制新工具，用于以可控方式进入视网膜下空间。

Retina Pub Date : 2024-05-02 DOI: 10.1097/iae.0000000000004137

S. Boral, Shouvick Dan, Santanu Mitra

{"title":"SMARTQC“Micro VFC\" - A simple homemade new tool to access sub-retinal space in a controlled way.","authors":"S. Boral, Shouvick Dan, Santanu Mitra","doi":"10.1097/iae.0000000000004137","DOIUrl":"https://doi.org/10.1097/iae.0000000000004137","url":null,"abstract":"\u0000 \u0000 To develop a simple tool to remove retained sub-macular PFCL bubbles (R-PFCL), and to inject rt- Plasminogen Activator(rt-PA) safely in sub-retinal space in sub-macular hematomas (SMH).\u0000 \u0000 \u0000 \u0000 A retrospective, interventional study was performed where we developed a simple homemade Micro-VFC to gain access to sub-retinal space in a controlled way. We cut the rubber cap of the plunger of a 1ml syringe and this cut rubber cap of the plunger was fitted inside an empty 1 ml tuberculin syringe and its end was fitted with the tubings of VFC of the vitrectomy machine. Now VFC mode was activated attaching a 38G/41G sub-retinal needle for extracting sub-macular PFCL bubbles (R-PFCL group, n=12) and to deliver rt-PA injection in significant SMH cases (SMH group, n=32). BCVA, fundus photograph and OCT were analysed. Follow-up was done for at least 6 months.\u0000 \u0000 \u0000 \u0000 Vision improved from preoperative mean BCVA LogMAR 0.99(20/195) ± 0.27 to post-operative mean BCVA LogMAR 0.75(20/112) ± 0.21 (p-value <0.05) in R-PFCL group and from preoperative mean BCVA LogMAR 1.99(20/1954) ± 0.75 to post-operative mean BCVA LogMAR 0.75(20/112) ± 0.37 (p-value <0.001) in SMH group.\u0000 \u0000 \u0000 \u0000 Our homemade Micro-VFC is a safe tool to extract retained sub-macular PFCL bubbles and to deliver a precise dose of sub-retinal drugs like rt-PA for a sub-retinal hematoma in a controlled way.\u0000","PeriodicalId":21178,"journal":{"name":"Retina","volume":"37 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141019843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SMARTQCSurgical Outcomes of Retinal Detachment Associated with Proliferative Sickle Cell Retinopathy SMARTQ与增殖性镰状细胞视网膜病变相关的视网膜脱离的手术结果

Retina Pub Date : 2024-05-02 DOI: 10.1097/iae.0000000000004145

Ishrat Ahmed, Taku Wakabayashi, Anthony F Gonzales, Sally S. Ong, Jacob J Light, James T. Handa, Yoshihiro Yonekawa, Adrienne W. Scott

{"title":"SMARTQCSurgical Outcomes of Retinal Detachment Associated with Proliferative Sickle Cell Retinopathy","authors":"Ishrat Ahmed, Taku Wakabayashi, Anthony F Gonzales, Sally S. Ong, Jacob J Light, James T. Handa, Yoshihiro Yonekawa, Adrienne W. Scott","doi":"10.1097/iae.0000000000004145","DOIUrl":"https://doi.org/10.1097/iae.0000000000004145","url":null,"abstract":"\u0000 \u0000 To evaluate the long-term anatomic and visual outcomes in eyes with sickle cell retinopathy (SCR)-related retinal detachments (RDs).\u0000 \u0000 \u0000 \u0000 Patients who underwent surgery for SCR-related RDs at the Wilmer Eye Institute or Wills Eye Hospital between 2008 and 2020 and followed for at least 6 months post-operatively were retrospectively reviewed. The primary outcome was the rate of single surgery anatomic success (SSAS) and final reattachment.\u0000 \u0000 \u0000 \u0000 This study included 30 eyes from 28 patients (16 female and 12 male) with tractional RD (TRD) (n=13), rhegmatogenous RD (RRD) (n=1), and combined TRD/RRD (n=16). Mean age was 42.1 ± 15.1 years. Mean follow-up duration was 47.8 ± 34.1 months. Twenty-five (83.3%) eyes underwent pars plana vitrectomy (PPV) and 5 (16.7%) eyes underwent PPV with scleral buckle (SB). SSAS was achieved in 21 (70.0%) eyes at 1 year. Final reattachment was achieved in 28 (93.3%) eyes (22 eyes [73.3%] without tamponade). Recurrence of RDs was significantly associated with male gender (P=0.041), absence of previous laser (P= 0.032), iatrogenic breaks (P=0.035), retinectomy (P=0.034), and SO tamponade (OR 7.857, P= 0.024). Overall, the logarithm of the minimum angle of resolution (logMAR) visual acuity improved from 1.53 ± 0.57 (Snellen equivalent, 20/678) to 1.15 ± 1.01 (20/283) at final visit (p = 0.03); however, eyes with recurrent RD did not achieve significant visual improvement.\u0000 \u0000 \u0000 \u0000 PPV to repair SCR-related RDs was effective in achieving anatomic success and improving vision in most eyes. SSAS is critical for optimizing visual outcomes.\u0000","PeriodicalId":21178,"journal":{"name":"Retina","volume":"28 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141021499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vision and Metamorphopsia Outcomes of Macular Buckling for Foveoschisis Associated Macular Detachment in Highly Myopic Eyes 高度近视眼黄斑扣膜术治疗眼窝裂孔相关性黄斑脱离的视力和变性结果

Retina Pub Date : 2024-05-02 DOI: 10.1097/iae.0000000000004148

Qi Zhang, Xiujuan Zhao, Bingqian Liu, Shida Chen, Xia Huang, Qingxiu Wu, Jinlian Zhan, Lin Lu

{"title":"Vision and Metamorphopsia Outcomes of Macular Buckling for Foveoschisis Associated Macular Detachment in Highly Myopic Eyes","authors":"Qi Zhang, Xiujuan Zhao, Bingqian Liu, Shida Chen, Xia Huang, Qingxiu Wu, Jinlian Zhan, Lin Lu","doi":"10.1097/iae.0000000000004148","DOIUrl":"https://doi.org/10.1097/iae.0000000000004148","url":null,"abstract":"\u0000 \u0000 To assess the functional outcomes in visual acuity, metamorphopsia, and vision-related quality of life (VR-QOL) and to evaluate prognostic factors after macular buckling (MB) surgery in eyes with high myopia and foveoschisis (FS) associated macular detachment (MD).\u0000 \u0000 \u0000 \u0000 Thirty-nine eyes of 39 patients with FS associated MD underwent MB surgery were enrolled. Measured outcomes comprised best-corrected visual acuity (BCVA), metamorphopsia, VR-QOL, axial length (AL), macular reattachment, and resolution of foveoschisis. Additionally, factors affecting final BCVA and metamorphopsia were analyzed.\u0000 \u0000 \u0000 \u0000 At 12 months postoperatively, 36 eyes (92.31%) achieved macular reattachment, 37 eyes (94.87%) achieved complete resolution of foveoshisis, and metamorphopsia diminished in 31 eyes (79.49%). LogMAR BCVAs at baseline and months 1, 3, 6 and 12 postoperatively were 0.62±0.35 (20/83), 0.65±0.3 (20/89), 0.59±0.31 (20/77), 0.54±0.31 (20/69) and 0.46±0.27 (20/57) (P < 0.001), respectively. Metamorphopsia scores by M-CHARTS were 1.36°±0.51°, 1.04°±0.51°, 0.74°±0.47°, 0.59°±0.47° and 0.13°±0.29° (P < 0.001). All VFQ-25 subscales demonstrated significant improvement postoperatively, with the exception of “general health” (P = 0.08) and “driving” (P = 0.111). Preoperative BCVA was an independent risk factor for postoperative BCVA at month 12 (r = 0.638, P < 0.001), and the preoperative M-score was an independent risk factor for postoperative M-score at month 12 (r = 0.187, P = 0.045).\u0000 \u0000 \u0000 \u0000 MB surgery significantly improved BCVA, metamorphopsia, and VR-QOL in patients with FS associated MD. Preoperative BCVA and metamorphopsia score were prognostic factors for postoperative BCVA and metamorphopsia score at month 12.\u0000","PeriodicalId":21178,"journal":{"name":"Retina","volume":"27 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141021522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anatomic Outcomes of Lens-Sparing Vitrectomy for Stage 3 or 4 Familial Exudative Vitreoretinopathy 家族性渗出性玻璃体视网膜病变 3 或 4 期保晶体玻璃体切除术的解剖结果

Retina Pub Date : 2024-05-02 DOI: 10.1097/iae.0000000000004147

Huanyu Liu, Wenting Zhang, Victoria Y. Gu, Xueru Zhang, Yuan Yang, Haodong Xiao, Jiawei Yin, Dian Jiao, Tian Tian, Jie Peng, Peiquan Zhao

{"title":"Anatomic Outcomes of Lens-Sparing Vitrectomy for Stage 3 or 4 Familial Exudative Vitreoretinopathy","authors":"Huanyu Liu, Wenting Zhang, Victoria Y. Gu, Xueru Zhang, Yuan Yang, Haodong Xiao, Jiawei Yin, Dian Jiao, Tian Tian, Jie Peng, Peiquan Zhao","doi":"10.1097/iae.0000000000004147","DOIUrl":"https://doi.org/10.1097/iae.0000000000004147","url":null,"abstract":"\u0000 \u0000 To report the anatomic outcomes and retinal structure changes from lens-sparing vitrectomy (LSV) for eyes with Stage 3 or 4 familial exudative vitreoretinopathy (FEVR).\u0000 \u0000 \u0000 \u0000 We retrospectively reviewed 133 consecutive eyes of 119 patients with Stage 3 (51 eyes) or 4 (82 eyes) FEVR who underwent LSV between January 2012 to May 2023.\u0000 \u0000 \u0000 \u0000 129 eyes (97.0%) achieved traction relief through one LSV operation. The extent of retinal detachment extent improved in 98 eyes (73.7%), remained stable in 32 eyes (24.1%), and progressed in 3 eyes (2.3%). At long-term follow-up, 39 (29.3%) and 60 (45.1%) eyes had completely or partially reattached retina, respectively. The median change of venular angle was 3.6° (95% CI, 3.5 to 10.5; P < 0.001) and -9.9° (95% CI, -15.8 to -4.6; P < 0.001) for temporal and nasal vessels. The mean disc-fovea distance was 0.3 papillary diameter shorter (95% CI, -0.4 to -0.2; P < 0.001) and mean temporal venular arcade distance was 0.02 papillary diameter larger (95% CI, -0.16 to 0.21; P = 0.361).\u0000 \u0000 \u0000 \u0000 These results suggest that LSV can relieve vitreoretinal traction and reattach the retina in late Stage FEVR eyes. Improvements in temporal and nasal venular angle, and disc-fovea distance reflect positive retinal structure changes for patients.\u0000","PeriodicalId":21178,"journal":{"name":"Retina","volume":"55 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141018098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0