Surgical and visual outcomes after vitreoretinal surgery for complex retinal capillary hemangioblastoma
Purpose: We evaluated the anatomical and functional outcomes after vitreoretinal surgery for complex retinal capillary hemangioblastoma (RCH). Methods: This was a retrospective case series of 15 patients (16 eyes) with tractional or combined retinal detachment (RD) managed with pars plana vitrectomy...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=11;spage=3544;epage=3551;aulast=Raval |
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| author | Vishal R Raval Aniruddha Agarwal Mudit Tyagi |
| author_facet | Vishal R Raval Aniruddha Agarwal Mudit Tyagi |
| author_sort | Vishal R Raval |
| collection | DOAJ |
| description | Purpose: We evaluated the anatomical and functional outcomes after vitreoretinal surgery for complex retinal capillary hemangioblastoma (RCH). Methods: This was a retrospective case series of 15 patients (16 eyes) with tractional or combined retinal detachment (RD) managed with pars plana vitrectomy and tumor endoresection (ER) with/without feeder vessel ligation. Results: The mean age at the time of surgery was 30 years (range, 14–46 years). The most common tumor locations were inferotemporal (six eyes) and temporal (six eyes) quadrants. Indications for surgery included exudative RD with fibrovascular proliferation (eight eyes), combined RD (five eyes), vitreous hemorrhage (four eyes), and rhegmatogenous RD (two eyes). Tumor destruction was performed with laser and/or cryotherapy in nine eyes (57%) and ER in seven eyes (43%). Feeder vessel was ligated and cauterized in 10 (63%) and six eyes (37%), respectively. Anatomical success after initial surgery was 50% (eight eyes), which improved to 88% (14 eyes) after they underwent a repeat procedure for recurrent RD (eight eyes). At the last visit, visual acuity improved in seven eyes (44%), was stable in four eyes (25%), and worsened in five eyes (31%) with a mean follow-up of 29 months (6–79 months). Comparison between the ER group and the laser/cryotherapy group revealed no significant difference in final retinal reattachment rate (89% vs. 86%, P > 0.05), with better visual outcomes in laser/cryotherapy group (57% vs. 78%, P < 0.05). Conclusion: Pars plana vitrectomy with/without tumor endoresection can be a safe and effective treatment option for complex RCHs, achieving good tumor control and anatomical success with limited functional success. |
| first_indexed | 2024-04-24T14:14:43Z |
| format | Article |
| id | doaj.art-05b9b364432a41f4ab840f514a685636 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-04-24T14:14:43Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-05b9b364432a41f4ab840f514a6856362024-04-03T08:54:09ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-0171113544355110.4103/IJO.IJO_3325_22Surgical and visual outcomes after vitreoretinal surgery for complex retinal capillary hemangioblastomaVishal R RavalAniruddha AgarwalMudit TyagiPurpose: We evaluated the anatomical and functional outcomes after vitreoretinal surgery for complex retinal capillary hemangioblastoma (RCH). Methods: This was a retrospective case series of 15 patients (16 eyes) with tractional or combined retinal detachment (RD) managed with pars plana vitrectomy and tumor endoresection (ER) with/without feeder vessel ligation. Results: The mean age at the time of surgery was 30 years (range, 14–46 years). The most common tumor locations were inferotemporal (six eyes) and temporal (six eyes) quadrants. Indications for surgery included exudative RD with fibrovascular proliferation (eight eyes), combined RD (five eyes), vitreous hemorrhage (four eyes), and rhegmatogenous RD (two eyes). Tumor destruction was performed with laser and/or cryotherapy in nine eyes (57%) and ER in seven eyes (43%). Feeder vessel was ligated and cauterized in 10 (63%) and six eyes (37%), respectively. Anatomical success after initial surgery was 50% (eight eyes), which improved to 88% (14 eyes) after they underwent a repeat procedure for recurrent RD (eight eyes). At the last visit, visual acuity improved in seven eyes (44%), was stable in four eyes (25%), and worsened in five eyes (31%) with a mean follow-up of 29 months (6–79 months). Comparison between the ER group and the laser/cryotherapy group revealed no significant difference in final retinal reattachment rate (89% vs. 86%, P > 0.05), with better visual outcomes in laser/cryotherapy group (57% vs. 78%, P < 0.05). Conclusion: Pars plana vitrectomy with/without tumor endoresection can be a safe and effective treatment option for complex RCHs, achieving good tumor control and anatomical success with limited functional success.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=11;spage=3544;epage=3551;aulast=Ravalfeeder vessel ligationretinal capillary hemangioblastomasretinal detachmentvitrectomy |
| spellingShingle | Vishal R Raval Aniruddha Agarwal Mudit Tyagi Surgical and visual outcomes after vitreoretinal surgery for complex retinal capillary hemangioblastoma Indian Journal of Ophthalmology feeder vessel ligation retinal capillary hemangioblastomas retinal detachment vitrectomy |
| title | Surgical and visual outcomes after vitreoretinal surgery for complex retinal capillary hemangioblastoma |
| title_full | Surgical and visual outcomes after vitreoretinal surgery for complex retinal capillary hemangioblastoma |
| title_fullStr | Surgical and visual outcomes after vitreoretinal surgery for complex retinal capillary hemangioblastoma |
| title_full_unstemmed | Surgical and visual outcomes after vitreoretinal surgery for complex retinal capillary hemangioblastoma |
| title_short | Surgical and visual outcomes after vitreoretinal surgery for complex retinal capillary hemangioblastoma |
| title_sort | surgical and visual outcomes after vitreoretinal surgery for complex retinal capillary hemangioblastoma |
| topic | feeder vessel ligation retinal capillary hemangioblastomas retinal detachment vitrectomy |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=11;spage=3544;epage=3551;aulast=Raval |
| work_keys_str_mv | AT vishalrraval surgicalandvisualoutcomesaftervitreoretinalsurgeryforcomplexretinalcapillaryhemangioblastoma AT aniruddhaagarwal surgicalandvisualoutcomesaftervitreoretinalsurgeryforcomplexretinalcapillaryhemangioblastoma AT mudittyagi surgicalandvisualoutcomesaftervitreoretinalsurgeryforcomplexretinalcapillaryhemangioblastoma |