Prophylactic vitrectomy for acute retinal necrosis.
Jpn J Ophthalmol
; 53(5): 486-9, 2009 Sep.
Article
en En
| MEDLINE
| ID: mdl-19847603
ABSTRACT
PURPOSE:
To evaluate the efficacy of prophylactic vitrectomy for acute retinal necrosis.METHODS:
The clinical charts of 17 patients (18 eyes) with acute retinal necrosis and no retinal break or rhegmatogenous retinal detachment (RRD) were retrospectively analyzed for the efficacy of prophylactic vitrectomy. The retinal necrotic lesions at the initial presentation were classified into three groups according to the lesion site as described by Holland zone 1 (posterior pole; n = 3), zone 2 (midperiphery; n = 12), and zone 3 (periphery; n = 3). All patients were treated with intravenous antiviral therapy. Three zone 1 eyes and eight zone 2 eyes underwent prophylactic vitrectomy. Four zone 2 eyes and three zone 3 eyes did not receive prophylactic vitrectomy.RESULTS:
All zone 1 eyes developed RRD despite prophylactic vitrectomy. Among the 12 zone 2 eyes, eight of the eyes that underwent prophylactic vitrectomy did not develop RRD, whereas three of the four zone 2 eyes without prophylactic vitrectomy developed RRD. All zone 3 eyes were cured with only antiviral medication.CONCLUSIONS:
Prophylactic vitrectomy is effective in preventing the development of RRD in eyes where necrotic lesions do not extend beyond the midperiphery (zone 2).
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Vitrectomía
/
Desprendimiento de Retina
/
Síndrome de Necrosis Retiniana Aguda
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Jpn J Ophthalmol
Año:
2009
Tipo del documento:
Article