scholarly journals Surgical outcomes of 25-gauge pars plana vitrectomy for diabetic tractional retinal detachment

Eye ◽  
2015 ◽  
Vol 29 (9) ◽  
pp. 1213-1219 ◽  
Author(s):  
M S Dikopf ◽  
K H Patel ◽  
V J Setlur ◽  
J I Lim
Keyword(s):  
Retinal Detachment ◽  
Surgical Outcomes ◽  
Pars Plana Vitrectomy ◽  
Tractional Retinal Detachment ◽  
Pars Plana

scholarly journals Clinical Analysis of Persistent Subretinal Fluid after Pars Plana Vitrectomy in Macula with Diabetic Tractional Retinal Detachment

2021 ◽  
Vol 10 (24) ◽  
pp. 5929
Author(s):  
Yong-Koo Kang ◽  
Jae-Pil Shin
Keyword(s):  
Retinal Detachment ◽  
Kidney Function ◽  
Pars Plana Vitrectomy ◽  
Univariate Analysis ◽  
Subretinal Fluid ◽  
Clinical Analysis ◽  
Diabetic Patients ◽  
Contributing Factors ◽  
Tractional Retinal Detachment ◽  
Pars Plana

(1) Background: We analyzed the duration of persistent subretinal fluid (PSF) and the contributing factors of PSF after pars plana vitrectomy in patients who had a macula with diabetic tractional retinal detachment (TRD). (2) Methods: Forty eyes of 40 patients who had pars plana vitrectomy due to a macula with diabetic TRD, between 2014 and 2020, were retrospectively reviewed. The duration of PSF, as well as relevant ocular and systemic factors, was analyzed. (3) Results: The mean duration of PSF was 4.4 ± 4.7 months. The prevalence of PSF was 75.0% at 1 month, 50.0% at 3 months, 30.0% at 6 months and 10.0% at 12 months after surgery. Blood urea nitrogen, creatinine, and estimated glomerular filtration rate (eGFR) were significantly associated with the duration of PSF in the univariate analysis. In the multivariate analysis, only eGFR was significantly associated with the duration of PSF (β = −0.089, p = 0.030). (4) Conclusion: PSF may persist for more than 12 months in a macula with diabetic TRD after vitrectomy. Moreover, patients with impaired kidney function tended to have a delayed subretinal fluid absorption. Therefore, careful investigation of preoperative systemic conditions, especially kidney function, should be considered before TRD surgery in diabetic patients.

Macular Hole Formation After Pars Plana Vitrectomy for Diabetic Tractional Retinal Detachment

2018 ◽  
Vol 49 (12) ◽  
pp. e256-e262
Author(s):  
Jared T. Sokol ◽  
Kevin Ferenchak ◽  
Darin T. Rosen ◽  
Sidney A. Schechet ◽  
Dimitra Skondra
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
Pars Plana Vitrectomy ◽  
Hole Formation ◽  
Tractional Retinal Detachment ◽  
Pars Plana ◽  
Macular Hole Formation

scholarly journals Management of Retinal Detachment Associated with Morning Glory Disc Syndrome

2021 ◽  
pp. 457-463
Author(s):  
Tyler Etheridge ◽  
Zackery Oakey ◽  
Michael M. Altaweel
Keyword(s):  
Retinal Detachment ◽  
Gene Mutation ◽  
Pars Plana Vitrectomy ◽  
Subretinal Fluid ◽  
Morning Glory ◽  
Pax6 Gene ◽  
Fluid Exchange ◽  
Tractional Retinal Detachment ◽  
Morning Glory Disc Anomaly ◽  
Pars Plana

We report a case of morning glory disc anomaly in a young patient with tractional retinal detachment successfully repaired with complex pars plana vitrectomy, membrane peel, laser, and oil tamponade. A 19-year-old female with a history of right morning glory disc anomaly associated with PAX6 gene mutation presented with floaters, photopsia, central scotoma, and visual acuity (VA) of 1/200. A complex macula-involving tractional retinal detachment centered around the optic nerve with a morning glory disc anomaly. Retinal detachment was treated with 25-gauge pars plana vitrectomy with difficult separation of the posterior hyaloid. Fibrous preretinal membranes were peeled, a temporal relaxing retinotomy was required, subretinal fluid was drained through a superonasal retinotomy during air-fluid exchange, endolaser was applied, and tamponade was achieved with 1,000-centistoke silicone oil. The retina remained attached at 1-year follow-up, with VA count fingers throughout. Morning glory disc is a rare congenital anomaly associated with PAX6 gene mutation that most often occurs unilaterally. It is rarely associated with tractional retinal detachment. Optimization of visual outcome is imperative despite a poor visual prognosis.

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