Outcomes of rhegmatogenous retinal detachment surgery in patients with Stickler syndrome.
Graefes Arch Clin Exp Ophthalmol
; 262(7): 2093-2099, 2024 Jul.
Article
in En
| MEDLINE
| ID: mdl-38358525
ABSTRACT
PURPOSE:
Despite recent developments in vitrectomy technology and instrumentation, rhegmatogenous retinal detachment in Stickler syndrome (RDS) remains a challenge for surgeons. RDSs are associated with a higher rate of complications and surgical failures than those not associated with Stickler syndrome. This study is a report about anatomic and visual outcomes of RDS surgery and describes the surgical techniques associated with the treatment of this specific condition.METHODS:
This is a retrospective, interventional, consecutive case series of patients with RDS undergoing retinal reattachment surgery from 1990 to 2020 at the Institute of Ocular Microsurgery (IMO) in Barcelona, Spain.RESULTS:
Twenty-four eyes of 18 patients with genetically confirmed Stickler syndrome were included in the study. Ten eyes (41.6%) presented a giant retinal tear. Retinal reattachment was achieved in all cases after an average of 1.21 (range 1-6) surgical interventions. Nineteen eyes (79%) required only one operation to achieve complete retinal reattachment. The most common first surgical procedure was a 4-mm scleral buckle with posterior pars plana vitrectomy and silicone oil endotamponade, performed on 16 (66.6%) of the eyes. The mean follow-up period was 10.2 years. Mean preoperative visual acuity LogMar was 1.10 (Snellen equivalent 20/252), which improved to 0.50 (Snellen equivalent 20/63) at final follow-up (p < 0.05).CONCLUSION:
In most RDS cases, anatomic success and visual acuity improvement can be achieved with the first surgical procedure, using a combination of silicone oil tamponade and a 4-mm scleral encircling band. In some early cases of RDS, other less invasive surgical techniques can be used.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Scleral Buckling
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Vitrectomy
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Retinal Detachment
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Visual Acuity
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Connective Tissue Diseases
Limits:
Adolescent
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Adult
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Child
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Female
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Humans
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Male
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Middle aged
Language:
En
Journal:
Graefe's archive for clinical and experimental ophthalmology
/
Graefes Arch Clin Exp Ophthalmol
/
Graefes arch. clin. exp. ophthalmol
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: