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Post-vitrectomy delayed retinal breaks in proliferative diabetic retinopathy
PURPOSE: To report a series of cases of post-operative new secondary retinal breaks following vitrectomy for proliferative diabetic retinopathy (PDR). METHODS: This retrospective case series included data of patients diagnosed with post-operative retinal breaks following uneventful vitrectomy surger...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9890729/ https://www.ncbi.nlm.nih.gov/pubmed/36726158 http://dx.doi.org/10.1186/s40942-023-00444-1 |
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author | Venkatesh, Ramesh Parmar, Yash Mangla, Rubble Sharief, Shama Yadav, Naresh Kumar Chhablani, Jay |
author_facet | Venkatesh, Ramesh Parmar, Yash Mangla, Rubble Sharief, Shama Yadav, Naresh Kumar Chhablani, Jay |
author_sort | Venkatesh, Ramesh |
collection | PubMed |
description | PURPOSE: To report a series of cases of post-operative new secondary retinal breaks following vitrectomy for proliferative diabetic retinopathy (PDR). METHODS: This retrospective case series included data of patients diagnosed with post-operative retinal breaks following uneventful vitrectomy surgery for PDR from January 2018 to December 2021. RESULTS: New post-vitrectomy retinal breaks in PDR were seen in 7% of eyes (n = 10/148 eyes; 10 patients). Age of study patients ranged from 45 to 69 years and there were 8 males. Vitreous surgery was performed for vitreous hemorrhage in six eyes, macular tractional retinal detachment in three eyes and epiretinal membrane in one eye. Tractional fibrovascular proliferation near the retinal break prior to its development was noted either pre- or intra-operatively in 8 eyes. Mean time interval between the vitreous surgery and secondary retinal break development was 6.4 months. Residual fibrous tissue post-surgery adjacent to the break was noted in 4 cases. Sclerosed retinal vessel was noted in 4 eyes and associated inner retinal thinning or schisis in 5 eyes. No retinal detachment was noted in any case. Prophylactic barrage was done in 4 eyes. Last follow-up interval ranged from 4 to 53 months and visual acuity ranged from 6/6 to 6/60. No subretinal fluid, traction or break enlargement was noted at the last visit. CONCLUSION: Delayed post-operative retinal breaks following vitrectomy are uncommon in PDR eyes. Careful preoperative evaluation of the retinal proliferations, intraoperative dissection of the membranes and regular post-operative reviews are vital in anticipating the development of delayed post-vitrectomy retinal breaks. Observation could be the management strategy for these breaks. |
format | Online Article Text |
id | pubmed-9890729 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-98907292023-02-02 Post-vitrectomy delayed retinal breaks in proliferative diabetic retinopathy Venkatesh, Ramesh Parmar, Yash Mangla, Rubble Sharief, Shama Yadav, Naresh Kumar Chhablani, Jay Int J Retina Vitreous Original Article PURPOSE: To report a series of cases of post-operative new secondary retinal breaks following vitrectomy for proliferative diabetic retinopathy (PDR). METHODS: This retrospective case series included data of patients diagnosed with post-operative retinal breaks following uneventful vitrectomy surgery for PDR from January 2018 to December 2021. RESULTS: New post-vitrectomy retinal breaks in PDR were seen in 7% of eyes (n = 10/148 eyes; 10 patients). Age of study patients ranged from 45 to 69 years and there were 8 males. Vitreous surgery was performed for vitreous hemorrhage in six eyes, macular tractional retinal detachment in three eyes and epiretinal membrane in one eye. Tractional fibrovascular proliferation near the retinal break prior to its development was noted either pre- or intra-operatively in 8 eyes. Mean time interval between the vitreous surgery and secondary retinal break development was 6.4 months. Residual fibrous tissue post-surgery adjacent to the break was noted in 4 cases. Sclerosed retinal vessel was noted in 4 eyes and associated inner retinal thinning or schisis in 5 eyes. No retinal detachment was noted in any case. Prophylactic barrage was done in 4 eyes. Last follow-up interval ranged from 4 to 53 months and visual acuity ranged from 6/6 to 6/60. No subretinal fluid, traction or break enlargement was noted at the last visit. CONCLUSION: Delayed post-operative retinal breaks following vitrectomy are uncommon in PDR eyes. Careful preoperative evaluation of the retinal proliferations, intraoperative dissection of the membranes and regular post-operative reviews are vital in anticipating the development of delayed post-vitrectomy retinal breaks. Observation could be the management strategy for these breaks. BioMed Central 2023-02-01 /pmc/articles/PMC9890729/ /pubmed/36726158 http://dx.doi.org/10.1186/s40942-023-00444-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Original Article Venkatesh, Ramesh Parmar, Yash Mangla, Rubble Sharief, Shama Yadav, Naresh Kumar Chhablani, Jay Post-vitrectomy delayed retinal breaks in proliferative diabetic retinopathy |
title | Post-vitrectomy delayed retinal breaks in proliferative diabetic retinopathy |
title_full | Post-vitrectomy delayed retinal breaks in proliferative diabetic retinopathy |
title_fullStr | Post-vitrectomy delayed retinal breaks in proliferative diabetic retinopathy |
title_full_unstemmed | Post-vitrectomy delayed retinal breaks in proliferative diabetic retinopathy |
title_short | Post-vitrectomy delayed retinal breaks in proliferative diabetic retinopathy |
title_sort | post-vitrectomy delayed retinal breaks in proliferative diabetic retinopathy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9890729/ https://www.ncbi.nlm.nih.gov/pubmed/36726158 http://dx.doi.org/10.1186/s40942-023-00444-1 |
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