Surgical management for treatment-resistant cases of inflammatory exudative retinal detachment: Mission impossible?
Indian J Ophthalmol
;
2023 Jun; 71(6): 2543-2547
Artigo
| IMSEAR
| ID: sea-225095
ABSTRACT
Purpose:
To report the outcome of surgical intervention for inflammatory, exudative retinal detachment (ERD).Methods:
A retrospective analysis of eyes with ERD that underwent vitrectomy.Results:
Twelve eyes (10 patients) with ERD, non?responsive to medical therapy, underwent vitrectomy. The mean age was 35.7 ± 17.7 years. Five eyes (42%) had Vogt–Koyanagi–Harada disease, three (25%) had presumed tuberculosis (TB), two (17%) pars planitis, and one (8%) had sympathetic ophthalmia. The mean time of vitrectomy was 6.76 ± 4.1 months after onset. Six (50%) eyes had a recurrence, two settled with medical treatment, and four underwent re?surgery. The mean follow?up was 2.7 years. At the last visit, 10 (83.3%) eyes had attached retina; the best?corrected visual acuity (BCVA) had reduced to 1.6 ± 0.7 logarithms of the minimum angle of resolution (logMAR) from 1.3 ± 0.7 at baseline.Conclusion:
Vitrectomy in ERD can act as an adjuvant to conventional medical therapy and help maintain structural integrity. Early vitrectomy may help preserve visual function.
Texto completo:
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Índice:
IMSEAR (Sudeste Asiático)
Revista:
Indian J Ophthalmol
Ano de publicação:
2023
Tipo de documento:
Artigo
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