Giant retinal tears: Clinical features and outcomes of vitreoretinal surgery at a university teaching hospital (2011–2017)

Marianeli Rodriguez, James Lin, Justin Townsend, William E Smiddy, Thomas A Albini, Audina Berrocal, Jayanth Sridhar, Harry W Flynn

Research output: Contribution to journalArticle

Abstract

Purpose: The purpose of this study was to report clinical features and outcomes in patients with giant retinal tears (GRTs) undergoing vitreoretinal surgery and to compare data from this contemporary series to a previous study from the same institution. Materials and methods: A retrospective, interventional, consecutive case series was conducted for all patients diagnosed with GRTs who underwent vitreoretinal surgery between January 2011 and August 2017. Intraoperative data including the use of scleral buckling, perfluorocarbon liquid, and intraocular tamponade were collected and compared according to GRT size. These parameters, along with postoperative anatomic success and best-corrected visual acuity (BCVA), were compared with the previous series. Results: The study included 80 eyes of 79 patients with a presentation of retinal detachment with a GRT. Management approach for repair of GRT-associated retinal detachments included scleral buckle (SB) alone (three eyes, 4%), pars plana vitrectomy (PPV) (16 eyes, 20%), and combined SB/PPV (61 eyes, 76%). Perfluorocarbon liquids were used in 60/77 eyes (78%) undergoing PPV, and silicone oil was used in 54/77 eyes (70%). Single surgery success rate was in 69/80 eyes (86%). Eyes managed with SB (including SB alone and SB/PPV) or PPV without SB had similar rates of recurrent retinal detachment (16% vs 6%; P=0.33). Anatomic success was achieved in 76/80 eyes (95%) with one or more surgical procedures, and 54/80 eyes (68%) achieved postoperative BCVA of ≥20/400. Conclusions: In the current series, repairs of retinal detachment due to GRTs were most commonly managed with combined PPV/SB and perfluorocarbon liquid, resulting in reasonably generally favorable anatomic and visual outcomes.

Original languageEnglish (US)
Pages (from-to)2053-2058
Number of pages6
JournalClinical Ophthalmology
Volume12
DOIs
StatePublished - Jan 1 2018

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Vitreoretinal Surgery
Retinal Perforations
Teaching Hospitals
Temazepam
Vitrectomy
Retinal Detachment
Fluorocarbons
Visual Acuity
Scleral Buckling
Silicone Oils

Keywords

  • Giant retinal tears
  • Perfluorocarbon liquid
  • Retinal detachment
  • Vitrectomy

ASJC Scopus subject areas

  • Ophthalmology

Cite this

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title = "Giant retinal tears: Clinical features and outcomes of vitreoretinal surgery at a university teaching hospital (2011–2017)",
abstract = "Purpose: The purpose of this study was to report clinical features and outcomes in patients with giant retinal tears (GRTs) undergoing vitreoretinal surgery and to compare data from this contemporary series to a previous study from the same institution. Materials and methods: A retrospective, interventional, consecutive case series was conducted for all patients diagnosed with GRTs who underwent vitreoretinal surgery between January 2011 and August 2017. Intraoperative data including the use of scleral buckling, perfluorocarbon liquid, and intraocular tamponade were collected and compared according to GRT size. These parameters, along with postoperative anatomic success and best-corrected visual acuity (BCVA), were compared with the previous series. Results: The study included 80 eyes of 79 patients with a presentation of retinal detachment with a GRT. Management approach for repair of GRT-associated retinal detachments included scleral buckle (SB) alone (three eyes, 4{\%}), pars plana vitrectomy (PPV) (16 eyes, 20{\%}), and combined SB/PPV (61 eyes, 76{\%}). Perfluorocarbon liquids were used in 60/77 eyes (78{\%}) undergoing PPV, and silicone oil was used in 54/77 eyes (70{\%}). Single surgery success rate was in 69/80 eyes (86{\%}). Eyes managed with SB (including SB alone and SB/PPV) or PPV without SB had similar rates of recurrent retinal detachment (16{\%} vs 6{\%}; P=0.33). Anatomic success was achieved in 76/80 eyes (95{\%}) with one or more surgical procedures, and 54/80 eyes (68{\%}) achieved postoperative BCVA of ≥20/400. Conclusions: In the current series, repairs of retinal detachment due to GRTs were most commonly managed with combined PPV/SB and perfluorocarbon liquid, resulting in reasonably generally favorable anatomic and visual outcomes.",
keywords = "Giant retinal tears, Perfluorocarbon liquid, Retinal detachment, Vitrectomy",
author = "Marianeli Rodriguez and James Lin and Justin Townsend and Smiddy, {William E} and Albini, {Thomas A} and Audina Berrocal and Jayanth Sridhar and Flynn, {Harry W}",
year = "2018",
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doi = "10.2147/OPTH.S180353",
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T1 - Giant retinal tears

T2 - Clinical features and outcomes of vitreoretinal surgery at a university teaching hospital (2011–2017)

AU - Rodriguez, Marianeli

AU - Lin, James

AU - Townsend, Justin

AU - Smiddy, William E

AU - Albini, Thomas A

AU - Berrocal, Audina

AU - Sridhar, Jayanth

AU - Flynn, Harry W

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Purpose: The purpose of this study was to report clinical features and outcomes in patients with giant retinal tears (GRTs) undergoing vitreoretinal surgery and to compare data from this contemporary series to a previous study from the same institution. Materials and methods: A retrospective, interventional, consecutive case series was conducted for all patients diagnosed with GRTs who underwent vitreoretinal surgery between January 2011 and August 2017. Intraoperative data including the use of scleral buckling, perfluorocarbon liquid, and intraocular tamponade were collected and compared according to GRT size. These parameters, along with postoperative anatomic success and best-corrected visual acuity (BCVA), were compared with the previous series. Results: The study included 80 eyes of 79 patients with a presentation of retinal detachment with a GRT. Management approach for repair of GRT-associated retinal detachments included scleral buckle (SB) alone (three eyes, 4%), pars plana vitrectomy (PPV) (16 eyes, 20%), and combined SB/PPV (61 eyes, 76%). Perfluorocarbon liquids were used in 60/77 eyes (78%) undergoing PPV, and silicone oil was used in 54/77 eyes (70%). Single surgery success rate was in 69/80 eyes (86%). Eyes managed with SB (including SB alone and SB/PPV) or PPV without SB had similar rates of recurrent retinal detachment (16% vs 6%; P=0.33). Anatomic success was achieved in 76/80 eyes (95%) with one or more surgical procedures, and 54/80 eyes (68%) achieved postoperative BCVA of ≥20/400. Conclusions: In the current series, repairs of retinal detachment due to GRTs were most commonly managed with combined PPV/SB and perfluorocarbon liquid, resulting in reasonably generally favorable anatomic and visual outcomes.

AB - Purpose: The purpose of this study was to report clinical features and outcomes in patients with giant retinal tears (GRTs) undergoing vitreoretinal surgery and to compare data from this contemporary series to a previous study from the same institution. Materials and methods: A retrospective, interventional, consecutive case series was conducted for all patients diagnosed with GRTs who underwent vitreoretinal surgery between January 2011 and August 2017. Intraoperative data including the use of scleral buckling, perfluorocarbon liquid, and intraocular tamponade were collected and compared according to GRT size. These parameters, along with postoperative anatomic success and best-corrected visual acuity (BCVA), were compared with the previous series. Results: The study included 80 eyes of 79 patients with a presentation of retinal detachment with a GRT. Management approach for repair of GRT-associated retinal detachments included scleral buckle (SB) alone (three eyes, 4%), pars plana vitrectomy (PPV) (16 eyes, 20%), and combined SB/PPV (61 eyes, 76%). Perfluorocarbon liquids were used in 60/77 eyes (78%) undergoing PPV, and silicone oil was used in 54/77 eyes (70%). Single surgery success rate was in 69/80 eyes (86%). Eyes managed with SB (including SB alone and SB/PPV) or PPV without SB had similar rates of recurrent retinal detachment (16% vs 6%; P=0.33). Anatomic success was achieved in 76/80 eyes (95%) with one or more surgical procedures, and 54/80 eyes (68%) achieved postoperative BCVA of ≥20/400. Conclusions: In the current series, repairs of retinal detachment due to GRTs were most commonly managed with combined PPV/SB and perfluorocarbon liquid, resulting in reasonably generally favorable anatomic and visual outcomes.

KW - Giant retinal tears

KW - Perfluorocarbon liquid

KW - Retinal detachment

KW - Vitrectomy

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