Evidence map›Paper›PMID 38872161›Full record

ArticleBMC ophthalmology2024

Examining the etiological factors resulting in retinal detachment following prophylactic vitrectomy in the context of acute retinal necrosis syndrome.

Yu-Hong Nie, Yu Zhang, Zhen Chen, Yi-Qiao Xing

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Article in BMC ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Yu-Hong Nie *Department of Ophthalmology, Renmin Hospital of Wuhan University, No. 99 of Zhangzhidong Road, Wuchang District, Wuhan, 430060, China.
Yu Zhang *Department of Ophthalmology, Renmin Hospital of Wuhan University, No. 99 of Zhangzhidong Road, Wuchang District, Wuhan, 430060, China.
Zhen ChenDepartment of Ophthalmology, Renmin Hospital of Wuhan University, No. 99 of Zhangzhidong Road, Wuchang District, Wuhan, 430060, China.
Yi-Qiao XingDepartment of Ophthalmology, Renmin Hospital of Wuhan University, No. 99 of Zhangzhidong Road, Wuchang District, Wuhan, 430060, China. xing_yiqiao17@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study is to elucidate the factors contributing to the occurrence of retinal detachment (RD) following prophylactic vitrectomy in cases of acute retinal necrosis (ARN) syndrome.

methodsA retrospective examination was undertaken, encompassing the medical records of patients diagnosed with ARN who underwent prophylactic vitreous intervention at the Ophthalmology Department of Wuhan University Renmin Hospital East Campus between October 2019 and September 2023. Subsequently, patients who manifested RD in the postoperative period were identified, and a comprehensive analysis was conducted to ascertain the factors underlying the occurrence of RD post-surgery.

resultsThis study comprised 14 cases (involving 14 eyes) of patients diagnosed with ARN who underwent prophylactic vitreous intervention. The findings revealed that 4 patients experienced postoperative RD, resulting in an incidence rate of 28.57%. Notably, among these cases, 3 cases of RD manifested in the presence of silicone oil, while 1 case occurred subsequent to the removal of silicone oil. All 4 cases of RD exhibited varied degrees of proliferative vitreoretinopathy. Following the occurrence of RD, all patients underwent a secondary vitreous intervention coupled with silicone oil tamponade, leading to successful reattachment of the retina. However, despite these interventions, there was no significant enhancement observed in postoperative visual outcomes when compared to preoperative levels.

conclusionRD following prophylactic vitrectomy in cases of ARN is not an infrequent occurrence and is primarily linked to the postoperative onset of proliferative vitreoretinopathy.

Indexed as

Postoperative ComplicationsRetinal DetachmentRetinal Necrosis Syndrome, AcuteVisual AcuityVitrectomyAdultAgedEndotamponadeFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesSilicone OilsYoung AdultSilicone OilsAcute retinal necrosis syndromeProliferative vitreoretinopathyProphylactic pars Plana VitrectomyRetinal detachmentRetinal necrosis

Identifiers

PMID38872161
PMCPMC11170876

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