Outcome of surgical management for rhegmatogenous retinal detachment in Behçet’s disease

Abstract

BackgroundThe purpose of the current study is to evaluate the surgical outcome for rhegmatogenous retinal detachment (RD) associated with Behçet’s disease (BD).MethodsThe current retrospective study included all patients operated for rhegmatogenous RD associated with BD in our institution from June 2007 to June 2012. Surgical repair was done either by scleral buckling (SB) or pars plana vitrectomy (PPV) according to the topography and clinical criteria of the detachment.ResultsThe current study included 7 eyes of 7 patients (6 males and one female). The mean age was 34.3 ± 4.9 years and all patients showed systemic features of BD. In 3 eyes, intravitreal triamcinolone acetonide (IVTA) was injected within 8 weeks prior to the occurrence of rhegmatogenous RD. Five eyes were treated with SB (segmental buckle in 4 cases and encircling buckle in one case) and 2 cases were treated by PPV. One case was initially treated by SB but showed recurrence of RD which was surgically repaired by PPV with successful closure of the retinal break. The retina was successfully reattached in all cases at the end of follow up period (22.0 ± 6.7 months).ConclusionsRhegmatogenous RD in BD can be effectively treated by scleral buckling in selected cases and PPV in more complex cases. Intravitreal injections may be a precipitating factor for rhegmatogenous RD.

Risk Factors for Development of Rhegmatogenous Retinal Detachment in Patients with Uveitis

“…[27][28][29][30][31][32] Prior intravitreal injections might form a predisposing factor for RRD development. This was already noted in previous reports 33,34 which hypothesized that intravitreal injection might induce PVD and thereby increase a risk of retinal tears. In our study, with the application of multivariate analysis, we cannot confirm this association.…”

Successful repair of combined tractional and rhegmatogenous retinal detachment with pars plana vitrectomy without scleral buckle in severe Behçet’s disease

“…Our findings are in concordance with a few reported cases [ 6 , 8 ]. Mesquida et al ., in a retrospective review, reported three eyes with retinal detachments managed with PPV in patients with vitreoretinal complications of Behçet’s-associated uveitis.…”

“…Posterior segment sequelae of BD requiring surgical management include persistent vitreous opacities, vitreous hemorrhage, epiretinal membrane, macular hole and rarely retinal detachment [ 6 , 7 ]. Data regarding the surgical management of retinal detachment in eyes with BD is sparse, and even more limited for combined rhegmatogenous retinal detachment and tractional retinal detachment (RRD/TRD) involving the macula [ 6 , 8 ].…”

Cataract surgery combined with micro-incision vitrectomy in patients with behcet’s disease uveitis

“…One-stage surgery could simultaneously resolve cataract and posterior segment involvement, thereby shortening patient discomfort, reducing costs and accelerating visual recovery. Our results obtained using combined phacoemulsification, IOL implantation and MIVS in a single surgery confirm the efficiency of this technique, which has been described in previous reports [ 13 – 16 ]. Moreover, MIVS improves operative efficiency and is a relatively non-invasive surgery with an acceptable complication rate and mild postoperative inflammatory reactions.…”