Visualization of ciliary body structures after preoperative anti-inflammatory in rhegmatogenous retinal detachment complicated by choroidal detachment
Background: Rhegmatogenous retinal detachment (RRD) can be complicated by choroidal detachment (CD). The state of the ciliary body in patients with RRD may indirectly indicate active intraocular inflammation. Purpose: To investigate ciliary body dimensions in RRD complicated by CD after preoperat...
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| Format: | Article |
| Language: | English |
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Ukrainian Society of Ophthalmologists
2018-02-01
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| Series: | Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://www.ozhurnal.com/en/archive/2018/1/10-fulltext |
| _version_ | 1797376552023883776 |
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| author | Y. Alibet O.S. Zadorozhnyy G.V. Levytska N.V. Pasyechnikova |
| author_facet | Y. Alibet O.S. Zadorozhnyy G.V. Levytska N.V. Pasyechnikova |
| author_sort | Y. Alibet |
| collection | DOAJ |
| description | Background: Rhegmatogenous retinal detachment (RRD) can be complicated by choroidal detachment (CD). The state of the ciliary body in patients with RRD may indirectly indicate active intraocular inflammation.
Purpose: To investigate ciliary body dimensions in RRD complicated by CD after preoperative anti-inflammatory treatment.
Materials and Methods: This study included 31 RRD+CD patients (31 eyes) with an intact fellow eye who were under observation. Before the vitrectomy, they received 4-mg intravitreal triamcinolone (IVT), either alone or in combination with 0.5 to 0.8 mL of perfluorpropane. Near-infrared transpalpebral transillumination (NIR TPT) and ultrasound biomicroscopy (UBM) of anterior eye structures were performed before and 1, 2, 3 or 4 days after preoperative intravitreal therapy.
Results: Mean baseline width and mean baseline thickness of the pars plicata in eyes with combined RRD and CD were statistically significantly greater than in intact fellow eyes (2.4 ± 0.1 mm versus 1.9 ± 0.1 mm, P = 0.01, and 0.83 ± 0.1 mm versus 0.65 ± 0.1 mm, P = 0.02, respectively). Mean post-treatment pars plana width in the affected eyes having axial length > 25.0 mm was 4.74 ± 0.63 mm, and the percentage of these eyes was 64.5% among eyes with combined RRD and CD. Mean thickness and mean width of the pars plicata in the affected eyes after treatment were 2.2 ± 0.1 mm и 0.66 ± 0.1 mm, respectively.
Conclusions: In eyes with combined RRD and CD, pars plicata width and thickness were greater than in intact fellow eyes. Ciliary body detachment tends to occur in longer eyes (therefore, those with a greater pars plana width) with RRD. In eyes with combined RRD and CD, there was evidence of re-attachment of the pars plana as well as reduction in pars plicata thickness and width after preoperative anti-inflammatory treatment.
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| first_indexed | 2024-03-08T19:40:14Z |
| format | Article |
| id | doaj.art-415ea59b5edc4f61994d78448322a8d6 |
| institution | Directory Open Access Journal |
| issn | 2412-8740 |
| language | English |
| last_indexed | 2024-03-08T19:40:14Z |
| publishDate | 2018-02-01 |
| publisher | Ukrainian Society of Ophthalmologists |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj.art-415ea59b5edc4f61994d78448322a8d62023-12-25T09:18:43ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402018-02-011545910.31288/oftalmolzh201815459Visualization of ciliary body structures after preoperative anti-inflammatory in rhegmatogenous retinal detachment complicated by choroidal detachmentY. Alibet0O.S. Zadorozhnyy1G.V. Levytska2N.V. Pasyechnikova3Filatov Institute of Eye Diseases and Tissue TherapyFilatov Institute of Eye Diseases and Tissue TherapyFilatov Institute of Eye Diseases and Tissue TherapyFilatov Institute of Eye Diseases and Tissue TherapyBackground: Rhegmatogenous retinal detachment (RRD) can be complicated by choroidal detachment (CD). The state of the ciliary body in patients with RRD may indirectly indicate active intraocular inflammation. Purpose: To investigate ciliary body dimensions in RRD complicated by CD after preoperative anti-inflammatory treatment. Materials and Methods: This study included 31 RRD+CD patients (31 eyes) with an intact fellow eye who were under observation. Before the vitrectomy, they received 4-mg intravitreal triamcinolone (IVT), either alone or in combination with 0.5 to 0.8 mL of perfluorpropane. Near-infrared transpalpebral transillumination (NIR TPT) and ultrasound biomicroscopy (UBM) of anterior eye structures were performed before and 1, 2, 3 or 4 days after preoperative intravitreal therapy. Results: Mean baseline width and mean baseline thickness of the pars plicata in eyes with combined RRD and CD were statistically significantly greater than in intact fellow eyes (2.4 ± 0.1 mm versus 1.9 ± 0.1 mm, P = 0.01, and 0.83 ± 0.1 mm versus 0.65 ± 0.1 mm, P = 0.02, respectively). Mean post-treatment pars plana width in the affected eyes having axial length > 25.0 mm was 4.74 ± 0.63 mm, and the percentage of these eyes was 64.5% among eyes with combined RRD and CD. Mean thickness and mean width of the pars plicata in the affected eyes after treatment were 2.2 ± 0.1 mm и 0.66 ± 0.1 mm, respectively. Conclusions: In eyes with combined RRD and CD, pars plicata width and thickness were greater than in intact fellow eyes. Ciliary body detachment tends to occur in longer eyes (therefore, those with a greater pars plana width) with RRD. In eyes with combined RRD and CD, there was evidence of re-attachment of the pars plana as well as reduction in pars plicata thickness and width after preoperative anti-inflammatory treatment. https://www.ozhurnal.com/en/archive/2018/1/10-fulltextrhegmatogenous retinal detachmentciliary bodyinfrared radiationtransillumination |
| spellingShingle | Y. Alibet O.S. Zadorozhnyy G.V. Levytska N.V. Pasyechnikova Visualization of ciliary body structures after preoperative anti-inflammatory in rhegmatogenous retinal detachment complicated by choroidal detachment Journal of Ophthalmology rhegmatogenous retinal detachment ciliary body infrared radiation transillumination |
| title | Visualization of ciliary body structures after preoperative anti-inflammatory in rhegmatogenous retinal detachment complicated by choroidal detachment |
| title_full | Visualization of ciliary body structures after preoperative anti-inflammatory in rhegmatogenous retinal detachment complicated by choroidal detachment |
| title_fullStr | Visualization of ciliary body structures after preoperative anti-inflammatory in rhegmatogenous retinal detachment complicated by choroidal detachment |
| title_full_unstemmed | Visualization of ciliary body structures after preoperative anti-inflammatory in rhegmatogenous retinal detachment complicated by choroidal detachment |
| title_short | Visualization of ciliary body structures after preoperative anti-inflammatory in rhegmatogenous retinal detachment complicated by choroidal detachment |
| title_sort | visualization of ciliary body structures after preoperative anti inflammatory in rhegmatogenous retinal detachment complicated by choroidal detachment |
| topic | rhegmatogenous retinal detachment ciliary body infrared radiation transillumination |
| url | https://www.ozhurnal.com/en/archive/2018/1/10-fulltext |
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