Downloads
Abstract
Objectives: To survey clinical and paraclinical characteristics of rhegmatogenous retinal detachment. To evaluate the outcomes of vitrectomy for treatment of rhegmatogenous retinal detachment.
Methods: Uncontrolled clinical intervention study on 50 patients undergoing vitrectomy surgery to treat primary rhegmatogenous retinal detachment at the Eye Center - Hue Central Hospital from January 2022 to October 2023. Follow - up period 6 months.
Results: The study included 50 eyes of 50 patients. The mean age was 55.72 ± 13.9 years old, 58,0% male and 42,0% female. The mean baseline visual acuity was 0.099 ± 0.170. At baseline, there were 72,0% phakic and 28,0% pseudophakic. Quadrants of retinal detachment were 20,0% with 1 quadrant, 38,0% with 2 quadrants, 26,0% with 3 quadrants, and 16,0% with 4 quadrants. Single surgery anatomic success rate 84,0%. The retina was reattached at the last follow - up in 46/50 (92%). The mean 3 months postoperative visual acuity was 0.217 ± 0.238.
Conclusion: In the current study of retinal detachment surgery, visual and anatomical outcomes at the last followup were generally favorable.
References
Đỗ Như Hơn, Bong võng mạc. Nhãn khoa tập 3. Nhà xuất bản Y học Hà Nội: Hà Nội. 2018:84 – 205.
Borowicz D, Nowomiejska K, Nowakowska D, Brzozowska A, Toro MD, Avitabile T, et al. Functional and morphological results of treatment of macula-on and macula-off rhegmatogenous retinal detachment with pars plana vitrectomy and sulfur hexafluoride gas tamponade. BMC Ophthalmol. 2019;19(1):118.
Li JQ, Welchowski T, Schmid M, Holz FG, Finger RP. Incidence of Rhegmatogenous Retinal Detachment in Europe - A Systematic Review and Meta-Analysis. Ophthalmologica. 2019;242(2):81-86.
Gupta B, Neffendorf JE, Williamson TH. Trends and emerging patterns of practice in vitreoretinal surgery. Acta Ophthalmol. 2018;96(7):e889-e890.
Macri C, Singh G, Selva D, Wong CX, Sun MT, Chan W. Nationwide Trends in Vitreoretinal Procedures within Australia. Ophthalmic Epidemiol. 2023;30(3):293-299.
Stavrakas P, Tranos P, Androu A, Xanthopoulou P, Tsoukanas D, Stamatiou P, et al. Anatomical and Functional Results Following 23-Gauge Primary Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment: Superior versus Inferior Breaks. J Ophthalmol. 2017;2017:2565249.
Idrees S, Sridhar J, Kuriyan AE. Proliferative Vitreoretinopathy: A Review. Int Ophthalmol Clin. 2019;59(1):221-240.
The classification of retinal detachment with proliferative vitreoretinopathy. Ophthalmology. 1983;90(2):121-5.
Trần Thị Lệ Hoa, Đánh giá kết quả điều trị lâu dài bong võng mạc nguyên phát tại Bệnh viện Mắt Trung ương. 2013, Hà Nội: Luận văn thạc sĩ y học, Trường Đại học Y Hà Nội.
Shanmugam P, Mahesh S, Pradeep M, Divyansh KC. Primary Vitrectomy in Rhegmatogenous Retinal Detachment, in Cutting-edge Vitreoretinal Surgery, A. Jain, S. Natarajan, and S. Saxena, Editors. Springer Singapore. 2021:139-154.
Bùi Văn Xuân, Đánh giá chức năng thị giác và một số liên quan sau phẫu thuật bong võng mạc nguyên phát. 2014, Hà Nội: Luận văn thạc sĩ y học, Trường Đại học Y Hà Nội.
Yorston D, Donachie PHJ, Laidlaw DA, Steel DH, Aylward GW, Williamson TH, et al. Stratifying the risk of re-detachment: variables associated with outcome of vitrectomy for rhegmatogenous retinal detachment in a large UK cohort study. Eye. 2023;37(8):1527-1537.
Kunikata H, Nishida K. Visual outcome and complications of 25-gauge vitrectomy for rhegmatogenous retinal detachment; 84 consecutive cases. Eye (Lond). 2010;24(6):1071-7.
| Published | 28-12-2024 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | No. 94 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.94.6 | |
| Keywords | Bong võng mạc nguyên phát, cắt dịch kính Rhegmatogenous retinal detachment, vitrectomy |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2024 Journal of Clinical Medicine Hue Central Hospital