Cargando…

Surgical Outcomes of Vitrectomy for Primary Treatment of Rhegmatogenous Retinal Detachment in Patients with Atopic Dermatitis

PURPOSE: To investigate the clinical results of vitrectomy alone as the primary treatment for rhegmatogenous retinal detachment (RD) in patients with atopic dermatitis (AD). METHODS: The medical records of patients with AD treated for rhegmatogenous retinal detachment (RD) were retrospectively revie...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Kyung Ho, Chung, Yoo-Ri, Park, Ha Ryung, Woo, Tae Kyoung, Lee, Kihwang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Ophthalmological Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10151170/
https://www.ncbi.nlm.nih.gov/pubmed/36758537
http://dx.doi.org/10.3341/kjo.2022.0103
_version_ 1785035481707184128
author Lee, Kyung Ho
Chung, Yoo-Ri
Park, Ha Ryung
Woo, Tae Kyoung
Lee, Kihwang
author_facet Lee, Kyung Ho
Chung, Yoo-Ri
Park, Ha Ryung
Woo, Tae Kyoung
Lee, Kihwang
author_sort Lee, Kyung Ho
collection PubMed
description PURPOSE: To investigate the clinical results of vitrectomy alone as the primary treatment for rhegmatogenous retinal detachment (RD) in patients with atopic dermatitis (AD). METHODS: The medical records of patients with AD treated for rhegmatogenous retinal detachment (RD) were retrospectively reviewed. We investigated the characteristics of retinal breaks and detachments, applied surgical methods, and results. RESULTS: Twenty eyes of 14 patients with AD who presented with rhegmatogenous RD and treated by vitrectomy were included in this analysis. Sixteen eyes (80%) were treated with vitrectomy, either alone or in combination with cataract surgery, and the retina was successfully attached to 94% of the eyes. There were four cases in which vitrectomy was combined with encircling. Reoperation was needed in half of the eyes that received vitrectomy with encircling, which presented nearly total detachment, severe proliferative vitreoretinopathy, and pseudophakia. CONCLUSIONS: Vitrectomy alone, in combination with cataract surgery, may be sufficient to treat rhegmatogenous RD in patients with AD. Additional encircling or buckling should still be considered in complicated cases.
format Online
Article
Text
id pubmed-10151170
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Korean Ophthalmological Society
record_format MEDLINE/PubMed
spelling pubmed-101511702023-05-02 Surgical Outcomes of Vitrectomy for Primary Treatment of Rhegmatogenous Retinal Detachment in Patients with Atopic Dermatitis Lee, Kyung Ho Chung, Yoo-Ri Park, Ha Ryung Woo, Tae Kyoung Lee, Kihwang Korean J Ophthalmol Original Article PURPOSE: To investigate the clinical results of vitrectomy alone as the primary treatment for rhegmatogenous retinal detachment (RD) in patients with atopic dermatitis (AD). METHODS: The medical records of patients with AD treated for rhegmatogenous retinal detachment (RD) were retrospectively reviewed. We investigated the characteristics of retinal breaks and detachments, applied surgical methods, and results. RESULTS: Twenty eyes of 14 patients with AD who presented with rhegmatogenous RD and treated by vitrectomy were included in this analysis. Sixteen eyes (80%) were treated with vitrectomy, either alone or in combination with cataract surgery, and the retina was successfully attached to 94% of the eyes. There were four cases in which vitrectomy was combined with encircling. Reoperation was needed in half of the eyes that received vitrectomy with encircling, which presented nearly total detachment, severe proliferative vitreoretinopathy, and pseudophakia. CONCLUSIONS: Vitrectomy alone, in combination with cataract surgery, may be sufficient to treat rhegmatogenous RD in patients with AD. Additional encircling or buckling should still be considered in complicated cases. Korean Ophthalmological Society 2023-04 2023-02-09 /pmc/articles/PMC10151170/ /pubmed/36758537 http://dx.doi.org/10.3341/kjo.2022.0103 Text en © 2023 The Korean Ophthalmological Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access journal distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lee, Kyung Ho
Chung, Yoo-Ri
Park, Ha Ryung
Woo, Tae Kyoung
Lee, Kihwang
Surgical Outcomes of Vitrectomy for Primary Treatment of Rhegmatogenous Retinal Detachment in Patients with Atopic Dermatitis
title Surgical Outcomes of Vitrectomy for Primary Treatment of Rhegmatogenous Retinal Detachment in Patients with Atopic Dermatitis
title_full Surgical Outcomes of Vitrectomy for Primary Treatment of Rhegmatogenous Retinal Detachment in Patients with Atopic Dermatitis
title_fullStr Surgical Outcomes of Vitrectomy for Primary Treatment of Rhegmatogenous Retinal Detachment in Patients with Atopic Dermatitis
title_full_unstemmed Surgical Outcomes of Vitrectomy for Primary Treatment of Rhegmatogenous Retinal Detachment in Patients with Atopic Dermatitis
title_short Surgical Outcomes of Vitrectomy for Primary Treatment of Rhegmatogenous Retinal Detachment in Patients with Atopic Dermatitis
title_sort surgical outcomes of vitrectomy for primary treatment of rhegmatogenous retinal detachment in patients with atopic dermatitis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10151170/
https://www.ncbi.nlm.nih.gov/pubmed/36758537
http://dx.doi.org/10.3341/kjo.2022.0103
work_keys_str_mv AT leekyungho surgicaloutcomesofvitrectomyforprimarytreatmentofrhegmatogenousretinaldetachmentinpatientswithatopicdermatitis
AT chungyoori surgicaloutcomesofvitrectomyforprimarytreatmentofrhegmatogenousretinaldetachmentinpatientswithatopicdermatitis
AT parkharyung surgicaloutcomesofvitrectomyforprimarytreatmentofrhegmatogenousretinaldetachmentinpatientswithatopicdermatitis
AT wootaekyoung surgicaloutcomesofvitrectomyforprimarytreatmentofrhegmatogenousretinaldetachmentinpatientswithatopicdermatitis
AT leekihwang surgicaloutcomesofvitrectomyforprimarytreatmentofrhegmatogenousretinaldetachmentinpatientswithatopicdermatitis