Outcomes of surgery in eyes with familial exudative vitreoretinopathyassociated retinal detachment

Sen, Parveen; Singh, Niharika; Rishi, Ekta; Bhende, Pramod; Rao, Chetan; Rishi, Pukhraj; Bhende, Muna; Sharma, Tarun; Gopal, Lingam

doi:10.1016/j.jcjo.2019.11.001

Cited by 5 publications

(14 citation statements)

References 20 publications

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“…With improvements in vitreoretinal surgery, the initial success rate of vitrectomy in FEVR-RRD patients increased to 82.6%, according to Sen's study of 23 eyes. 10 However, the initial success rate of vitrectomy is commonly lower than that of SSB because of advanced PVR. Familial exudative vitreoretinopathy at any stage can progress to advanced PVR because of strong vitreoretinal traction.…”

Section: Discussionmentioning

confidence: 99%

“…9 Several studies of surgery for the treatment of FEVR-RRD have been published. [4][5][6][7][8][9][10] According to previous studies, SSB surgery for simple retinal breaks in mild FEVR-RRD yields good visual and anatomical outcomes. In 2020, Sen and associates performed SSB surgery in 12 eyes and achieved retinal reattachment in 10 eyes (83.3%) after a single surgery.…”

Section: Discussionmentioning

confidence: 99%

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Clinical Features and Surgical Outcomes of Encircling Scleral Buckling With Cryotherapy in Familial Exudative Vitreoretinopathy-Associated Rhegmatogenous Retinal Detachment

Huang

Liang

Lyu

et al. 2022

Retina

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Purpose: To report the clinical features and surgical outcomes of encircling scleral buckling surgery with cryotherapy in familial exudative vitreoretinopathy (FEVR) patients with rhegmatogenous RD.Methods: This study was a consecutive, retrospective interventional case series. Clinical features, including the FEVR stage, proliferative vitreoretinopathy grade, range of RD and degeneration, and presence of retinal breaks, and surgical outcomes, including the success rate, best-corrected visual acuity, and myopic shift, were analyzed.Results: There were 16 eyes with Stage 3A FEVR and eight eyes with Stage 4A FEVR. 13 eyes had Grade A proliferative vitreoretinopathy, and 11 eyes had Grade B proliferative vitreoretinopathy. Retinal reattachment was achieved in 22 of 24 eyes (91.67%) with FEVRrhegmatogenous RD after initial encircling scleral buckling surgery. The best-corrected visual acuity improved from a mean of 1.08 ± 0.86 logarithm of the minimum angle of resolution preoperatively to 0.45 ± 0.41 logarithm of the minimum angle of resolution postoperatively (P , 0.01). A myopic shift of 22.39 ± 1.38 (range, 21 to 26) diopter (P , 0.01) was observed. The mean follow-up period was 34.5 ± 27.7 (range, 7-104) months.Conclusion: Our study clarified the efficacy of encircling scleral buckling surgery with cryotherapy in FEVR-rhegmatogenous RD with Stage 3A or 4A FEVR and Grade A or B proliferative vitreoretinopathy, especially in patients with multiple retinal holes.RETINA 42:55-63, 2022F amilial exudative vitreoretinopathy (FEVR), a familial disorder characterized by incomplete retinal vascularization, was first described by Crisswick and Schepens in 1969. 1 Retinal detachment (RD) is a serious complication leading to visual disruption that occurs in 21% to 64% of eyes with FEVR. 2 In Eastern countries, FEVR-associated rhegmatogenous RD (FEVR-RRD) is more common than FEVRassociated tractional RD (TRD) or exudative RD. 3 The outcomes of the surgical treatment of FEVR-RRD have been reported, for which segmental scleral buckling (SSB) and vitrectomy with or without scleral buckling are extensively used, depending on the severity of the disease. 4-10 However, the indications for encircling scleral buckling (ESB) surgery have not been further discussed. Therefore, we retrospectively studied the clinical features and surgical outcomes of FEVR-RRD patients who underwent ESB surgery at our hospital. MethodsTwenty-four eyes with FEVR-RRD that underwent ESB surgery performed by experienced vitreoretinal 55

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinical Features and Surgical Outcomes of Encircling Scleral Buckling With Cryotherapy in Familial Exudative Vitreoretinopathy-Associated Rhegmatogenous Retinal Detachment

Huang

Liang

Lyu

et al. 2022

Retina

View full text Add to dashboard Cite

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“…Management of RRD in FEVR is complicated by its presentation in younger age as well as by the underlying abnormal vitreoretinal interface, which is more adherent and difficult to completely separate from the retina, resulting in postoperative pre-retinal proliferation and recurrent RD. [ 3 ] Unique surgical problems are associated with these RRDs, especially in the presence of associated falciform retinal folds. [ 3 ] Where peripheral breaks with falciform folds can be supported on a scleral buckle, posterior retinal breaks in eyes with falciform folds necessitating PPV and large posterior relaxing retinectomies result in particularly dismal outcomes.…”

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confidence: 99%

“…[ 3 ] Unique surgical problems are associated with these RRDs, especially in the presence of associated falciform retinal folds. [ 3 ] Where peripheral breaks with falciform folds can be supported on a scleral buckle, posterior retinal breaks in eyes with falciform folds necessitating PPV and large posterior relaxing retinectomies result in particularly dismal outcomes. [ 3 ]…”

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confidence: 99%