Frequency, Characteristics, and Risk Factors of Late Recurrence of Retinal Detachment

Zhioua, R.; Ammous, I.; Errais, K.; Zbiba, W.; Younès, Nadia; Lahdhiri, I.; Ouertani, A.

doi:10.1177/112067210801800617

Cited by 11 publications

(4 citation statements)

References 10 publications

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“…They found 10 cases that developed a late recurrence RRD, of which nine eyes were repaired by SB and one with pneumatic retinopexy, with a success rate of reattachment of 63%, but two cases developed a second late recurrence of retinal detachment at 85 and 100 months. Zhioua et al 12 analyzed 445 operated eyes for RRD, identifying nine eyes with a late recurrence RRD, of these, six eyes had SB and three eyes had vitrectomy with silicone oil injection and then silicone oil removal. The series were reported more than 15 years ago when SB was more commonly used to repair RRD; this has now changed and currently vitrectomy alone is the most common technique.…”

Section: Discussionmentioning

confidence: 99%

Late Recurrence of Retinal Detachment: Incidence, Clinical Features and Surgical Outcomes

Anguita,

Makuloluwa,

Sim

et al. 2023

Retina

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Purpose: To describe and evaluate demographics, clinical features, prognostic factors, rate of success of surgery, incidence and visual outcomes in patients with a late recurrence of rhegmatogenous retinal detachment(RRD) over a 10-year period at a large tertiary referral eye centre. Methods: A retrospective, observational case-series of patients with late recurrence of retinal detachment, defined as redetachment after at least 6 months of total reattachment in non-PVR RRD, after vitrectomy(PPV) surgery with gas tamponade. Results: 39 patients with a late recurrence of RRD out of 16,396 RRD operations. The mean of time between the first RD surgery and redetachment was 122.7 weeks(SD 115). On presentation with late recurrence, 72% of eyes were pseudophakic and 64% were macula-off. In 28 eyes small breaks were found. 38% had established PVR,(PVR-C in 80 %). 95% underwent PPV. Gas was used in 61%.The initial secondary success rate was 41%. Initial BCVA was 1.32 logMAR(6/120) and final was 0.8 logMAR(6/38)(p-value 0.002). Conclusion: Late recurrence of retinal detachment is rare. It is characterized by small retinal breaks which may be difficult to visualise. Although cases can be treated with favourable anatomical results, visual outcomes are often less good, the success rate is lower.

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Section: Discussionmentioning

confidence: 99%

Late Recurrence of Retinal Detachment: Incidence, Clinical Features and Surgical Outcomes

Anguita,

Makuloluwa,

Sim

et al. 2023

Retina

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“…In our cases, 2 eyes had high myopia with an AL >26.5 mm. Zhioua et al [13] reported the late rRRDs after SB (6 eyes) or PPV (3 eyes) were statistically independent of myopia. Our cases were initially treated by PPV and might have different characteristics.…”

Section: Discussion/conclusionmentioning

confidence: 99%

Four Cases of Rhegmatogenous Retinal Detachment That Recurred More than 10 Years after Initial Reattachment by Pars Plana Vitrectomy

Baba

Tatsumi

Oshitari

et al. 2021

Case Rep Ophthalmol

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Purpose: The purpose of this report was to present our findings in 4 cases of rhegmatogenous retinal detachment (RRD) that recurred 10, 11, 12, and 17 years after a reattachment surgery by pars plana vitrectomy (PPV). Methods: Four cases of a recurrent RRD had undergone scleral buckling surgery and vitrectomy. Patients: The recurrence of the RRD was observed 10–17 years after the successful attachment by PPV. The macula was detached in all cases, and none of the eyes had severe proliferative vitreoretinopathy. The cause of the recurrence was a new retinal break in 3 eyes and a reopening of an old retinal break in the other eye. The new breaks had a punched-out shape and had neither a horseshoe tear nor an atrophic hole associated with lattice degeneration. PPV combined with scleral buckling was performed, and a reattachment was achieved in all cases. The best-corrected visual acuity (BCVA) at the last visit ranged from 20/30 to 20/25, but the BCVA in 1 eye was 20/200 because of amblyopia. Conclusions: We experienced 4 rare cases of a recurrent retinal detachment 10–17 years after the primary RRD. PPV and scleral buckling were effective and the anatomical and the functional outcomes were good.

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“…Majority of the studies quote PVR ≥ Grade C, anterior and inferior PVR to be associated with a higher risk re-RD. [ 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21 22 26 ] It was previously reported that 86% of eyes with re-RD after vitrectomy have a component of anterior PVR[ 27 ] and eyes with anterior PVR have poorer surgical prognosis than those with posterior PVR. [ 28 ]…”

Section: Risk Factors Relating To Redetachmentmentioning

confidence: 99%

“…The second most common cause of redetachment was related to retinal breaks. Large breaks more than three disk diameters,[ 6 8 ] formation of new breaks or missed breaks[ 6 7 8 9 13 14 15 19 21 22 ] or ineffective closure of preexisting breaks either by improper positioning of the scleral buckle (SB) or by inadequate chorioretinal adhesion,[ 12 13 21 26 ] reopening of an old break[ 19 ] and reopened macular hole[ 22 ] lead to redetachment.…”

Section: Risk Factors Relating To Redetachmentmentioning

confidence: 99%

Management of recurrent rhegmatogenous retinal detachment

Nagpal¹,

Chaudhary²,

Wachasundar³

et al. 2018

Indian J Ophthalmol

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Rhegmatogenous retinal detachment (RRD) repair is one of the most common vitreoretinal surgeries a surgeon performs. In an ideal scenario, RRD can be repaired with a single surgical intervention; however, despite excellent skill, flawless technique, and the introduction of high-end technology, up to 10% of cases require additional interventions to ultimately repair recurrent detachments. It is thus important to study the outcomes of multiple interventions to understand whether performing repeat vitrectomy on patients with a history of failed surgeries is worthwhile. Thus, recurrent retinal detachment (re-RD) remains a significant challenge for vitreoretinal surgeons as well as the patients considering the economic and the emotional burden of undergoing multiple interventions. The advent of microincision vitrectomy system, perfluorocarbon liquids, and effective intraocular tamponades has opened new doors for managing re-RDs. In this article, we have reviewed and summarized the various causes and approaches for management for optimal anatomical and functional outcomes.

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Frequency, Characteristics, and Risk Factors of Late Recurrence of Retinal Detachment

Abstract: LRRD were rare. Most of them were due to a retinal break. This break can be a new break, or reopened break especially after removal of scleral buckle material. Vitreous traction, at the vitreous base, seemed to be the cause of these breaks.

Cited by 11 publications

References 10 publications

Late Recurrence of Retinal Detachment: Incidence, Clinical Features and Surgical Outcomes

Late Recurrence of Retinal Detachment: Incidence, Clinical Features and Surgical Outcomes

Four Cases of Rhegmatogenous Retinal Detachment That Recurred More than 10 Years after Initial Reattachment by Pars Plana Vitrectomy

Management of recurrent rhegmatogenous retinal detachment

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