Risk factors for choroidal detachment following rhegmatogenous retinal detachment in a chinese population

Yu, Yaoxiang; An, Ming; Mo, Bin; Yang, Zhen; Liu, Wu

doi:10.1186/s12886-016-0319-9

Cited by 36 publications

(67 citation statements)

References 11 publications

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“…There were 26 (73.4%) patients with a history of IOP > 30 mmHg in two consecutive follow-ups in RRD-CD group, similar with those in RRD group (23, 43.4%, p = 0.23), but more than those in TRD group (10,22.2%, p < 0.001).…”

supporting

confidence: 56%

“…There are several factors in RRD-CD which may in uence the changes of IOP. It is noted that RRD-CD patients tend to have low IOP [10] . What's more, the presence of PM or postoperative glaucoma are factors known to be able to cause signi cant IOP variations before and after PPV surgery.…”

Section: Factors That May Be Related To the Variation Of Al Measured mentioning

confidence: 99%

“…Rhegmatogenous retinal detachment combined with choroidal detachment (RRD-CD) is a kind of RRD with speci c low IOP character and is reported to affect 8.6-19.2% cases with RRD in China [10,11] . The need of cataract extraction during PPV is present in RRD-CD cases due to di culties in viewing the fundus or dealing with proliferative vitreoretinopathy.…”

mentioning

confidence: 99%

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Changes in Axial Length After Vitrectomy for Rhegmatogenous Retinal Detachment With Associated Choroidal Detachment

Li¹,

Xu²,

Zhao³

2020

Preprint

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BACKGROUND The precise pre-operative measurements of axial length (AL) are essential for calculating intraocular lens power in cases undertaking pars plana vitrectomy (PPV) combined with cataract surgery. The changes in AL after PPV for rhegmatogenous retinal detachment (RRD) combined with choroidal detachment (CD) has not been reported. Here, we studied the postoperative AL changes in patients with RRD combined with CD (RRD-CD) and compared the changes in patients with RRD and tractional retinal detachment (TRD). METHODS In this retrospective cohort study, medical records of 129 patients who received PPV combined with silicone oil tamponade from January 2015 to December 2018 were reviewed. Patients included were divided into three groups, RRD-CD, RRD, and TRD. All patients had received AL measurements before PPV and before silicone oil removal (SOR). The changes in AL of three groups before PPV and before SOR were compared. The potential factors related to AL changes were analyzed. RESULTS The number of patients included in RRD-CD, RRD, TRD groups were 41, 43, and 45, respectively. In RRD-CD group, AL measured before SOR was longer than that measured before PPV with a median of 1.01 [0.37,1.79] mm (p = 0.02). There was no such significant difference in RRD group (0.15 [0.04, 0.42] mm, p = 0.58) or TRD group (0.07[-0.03,0.15] mm, p = 0.53). The amplitude of AL changes in RRD-CD group was greater than that in RRD group (p < 0.001) and that in TRD group (p < 0.001). AL increased 0.06 mm (0.06, R2 = 0.11, p = 0.03) in RRD-CD group and 0.02 mm (0.02, R2 = 0.11, p = 0.01) in RRD group when the IOP before SOR was 1 mmHg higher than that before PPV. After adjusting the effect of the factors as the presence of pathological myopia (p = 0.45), IOP before PPV (p = 0.86), sustained elevation of IOP in post-PPV follow up (p = 0.51), AL in RRD-CD group was 11.42 times (3.54, 46.80) more likely to increase for more than 1 mm compared to that in RRD group (p < 0.001, AIC = 86.15). CONCLUSION Patients with RRD-CD are very likely to have postoperative elongation of AL. The primary IOL implantation using pre-operative AL data may cause significant refractive error in combined surgery in patients with RRD-CD.

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confidence: 56%

Section: Factors That May Be Related To the Variation Of Al Measured mentioning

confidence: 99%

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Changes in Axial Length After Vitrectomy for Rhegmatogenous Retinal Detachment With Associated Choroidal Detachment

Li¹,

Xu²,

Zhao³

2020

Preprint

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“…In addition, oedema of the ciliary body further reduces the generation of aqueous humour and causes prominent hypotony, deteriorating the dilatation and hyperpermeability of choroidal vessels and leading to progression of choroidal detachment. Therefore, a positive feedback loop is established [6,7].…”

Section: Discussionmentioning

confidence: 99%

Surgical pearls: combined retinal detachment and choroidal detachment — can you insert an infusion cannula?

2019

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Combined retinal detachment and choroidal detachment is an uncommon diagnosis that a surgeon will occasionally face. Although the experienced vitreoretinal surgeon can manage nearly all obstacles during the surgery, an inexperienced vitreoretinal surgeon will face a few difficulties during certain steps. In this article, we describe a case report and highlight some of these obstacles and suggest some options to overcome them.

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“…The incidence of combined retinal detachment with associated choroidal detachment is reported about 2-8.6% [10][11][12]. Li et al [9].revealed that proportion of RRD/CD can be as high as 18.7% among RRD patients when diagnosed by UBM.…”

Section: Discussionmentioning

confidence: 99%

Phacovitrectomy without preoperative steroids for rhegmatogenous retinal detachment with associated choroidal detachment

Gui¹,

Ai²,

Huang³

2018

Preprint

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Background: To report the anatomical and visual outcomes of combined phacoemulsification and micro-invasive pars plana vitrectomy (phacovitrectomy) without preoperative administration of steroids in the treatment of combined retinal detachments associated choroidal detachment(RRD/CD). Methods: Medical records of patients who were diagnosed as RRD/CD without past ocular trauma and surgical history were retrieved and analyzed. All the patients were treated with phacovitrectomy plus silicone oil (SO) tamponade without preoperative steroids. Patients were followed up at least 3 months postoperatively. The mean follow-up time were 10.3±10.1 months. Results: Seventeen patients (17 eyes), 8 women and 9 men, met the including criteria with mean age of 60.4±8.4 years. None of these eyes had intraocular lens implanted and none had combined scleral procedures in the primary surgical intervention. Preoperative B ultrasound showed that choroidal detachment was severe in 10 eyes (58.8%), moderate in 2 eyes (11.8%) and mild in 5 eyes(29.4%). Fifteen eyes(82.4%) had retina reattached after single operation. Of these 15 eyes, 14 eyes had SO removed, 8 of them had intraocular lens implanted, 2 eye had epimacular membrane peeling at the time of SO removing and one eye was refilled with SO. Two patients had retinal redetached within a month after primary surgical repair due to proliferation and would not willing to take re-operation. Fifteen eyes had postoperative visual acuity improved, 10 eyes had postoperative visual acuity equal or great than 0.1(20/200). The mean IOP at final visit was 15.7±4.2 mmHg, ranging from 10 to 28 mmHg. Conclusions: Phacovitrectomy without preorerative steroids can achieve a satisfied single-operation anatomic and functional outcome. Free of preoperative steroid intervention will not only reduce the time waiting for surgery but also avoid the complications associated with systemic or local administration of steroids.

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Risk factors for choroidal detachment following rhegmatogenous retinal detachment in a chinese population

Cited by 36 publications

References 11 publications

Changes in Axial Length After Vitrectomy for Rhegmatogenous Retinal Detachment With Associated Choroidal Detachment

Changes in Axial Length After Vitrectomy for Rhegmatogenous Retinal Detachment With Associated Choroidal Detachment

Surgical pearls: combined retinal detachment and choroidal detachment — can you insert an infusion cannula?

Phacovitrectomy without preoperative steroids for rhegmatogenous retinal detachment with associated choroidal detachment

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