Clinical study of profile of retinal detachment in vasculitis and its management at tertiary eye care hospital

Purpose: The aim of the study was to understand the clinical profile and anatomical and visual outcome in Tractional/Combined (Tractional + Rhegmatogenous) Retinal Detachment due to vasculitis after surgical intervention. Methods: It was an interventional retrospective study of all cases who under...

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Main Authors: Kalpana B Nagaraj, Chan-drashekarayya H Hiremath, Kavitha L Tumbadi, P S Pankaja, Y D Shilpa, B C Hemalatha
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=5;spage=2041;epage=2044;aulast=Nagaraj
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author Kalpana B Nagaraj
Chan-drashekarayya H Hiremath
Kavitha L Tumbadi
P S Pankaja
Y D Shilpa
B C Hemalatha
author_facet Kalpana B Nagaraj
Chan-drashekarayya H Hiremath
Kavitha L Tumbadi
P S Pankaja
Y D Shilpa
B C Hemalatha
author_sort Kalpana B Nagaraj
collection DOAJ
description Purpose: The aim of the study was to understand the clinical profile and anatomical and visual outcome in Tractional/Combined (Tractional + Rhegmatogenous) Retinal Detachment due to vasculitis after surgical intervention. Methods: It was an interventional retrospective study of all cases who underwent surgery for RD with vasculitis at a single tertiary eye care center for over a period of 6 years. Patients with retinal detachment due to vasculitis were included in the study. All patients underwent the following surgical procedures: 240 belt buckle with three-port pars plana vitrectomy with membrane dissection and peeling with fluid gas exchange/with endolaser with silicon oil/C3 F8 gas injection. Results: In our study, 83.33% had preoperative vision of less than 6/60, whereas postoperatively 66.66% had vision of less than 6/60. Postoperatively 33.33% patients had vision better than 6/36. Of the six eyes operated for vasculitis with RD, retina was attached in five eyes following surgery. One patient had recurrent retinal detachment due to extensive proliferative vitreoretinopathy changes, and he was advised re-procedure but was lost for follow-up. The anatomical success was 83.33% on the first surgery. Conclusion: The overall anatomic success rate of retina reattachment surgery in vasculitis patient was good, and the visual outcome following the surgery can improve in majority of the cases. Hence, timely intervention is advocated.
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spelling doaj.art-a27546d556be48c792199b4da2da6c402023-07-21T15:14:10ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-017152041204410.4103/ijo.IJO_2157_22Clinical study of profile of retinal detachment in vasculitis and its management at tertiary eye care hospitalKalpana B NagarajChan-drashekarayya H HiremathKavitha L TumbadiP S PankajaY D ShilpaB C HemalathaPurpose: The aim of the study was to understand the clinical profile and anatomical and visual outcome in Tractional/Combined (Tractional + Rhegmatogenous) Retinal Detachment due to vasculitis after surgical intervention. Methods: It was an interventional retrospective study of all cases who underwent surgery for RD with vasculitis at a single tertiary eye care center for over a period of 6 years. Patients with retinal detachment due to vasculitis were included in the study. All patients underwent the following surgical procedures: 240 belt buckle with three-port pars plana vitrectomy with membrane dissection and peeling with fluid gas exchange/with endolaser with silicon oil/C3 F8 gas injection. Results: In our study, 83.33% had preoperative vision of less than 6/60, whereas postoperatively 66.66% had vision of less than 6/60. Postoperatively 33.33% patients had vision better than 6/36. Of the six eyes operated for vasculitis with RD, retina was attached in five eyes following surgery. One patient had recurrent retinal detachment due to extensive proliferative vitreoretinopathy changes, and he was advised re-procedure but was lost for follow-up. The anatomical success was 83.33% on the first surgery. Conclusion: The overall anatomic success rate of retina reattachment surgery in vasculitis patient was good, and the visual outcome following the surgery can improve in majority of the cases. Hence, timely intervention is advocated.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=5;spage=2041;epage=2044;aulast=Nagarajretinal detachmentsurgical managementvasculitis
spellingShingle Kalpana B Nagaraj
Chan-drashekarayya H Hiremath
Kavitha L Tumbadi
P S Pankaja
Y D Shilpa
B C Hemalatha
Clinical study of profile of retinal detachment in vasculitis and its management at tertiary eye care hospital
Indian Journal of Ophthalmology
retinal detachment
surgical management
vasculitis
title Clinical study of profile of retinal detachment in vasculitis and its management at tertiary eye care hospital
title_full Clinical study of profile of retinal detachment in vasculitis and its management at tertiary eye care hospital
title_fullStr Clinical study of profile of retinal detachment in vasculitis and its management at tertiary eye care hospital
title_full_unstemmed Clinical study of profile of retinal detachment in vasculitis and its management at tertiary eye care hospital
title_short Clinical study of profile of retinal detachment in vasculitis and its management at tertiary eye care hospital
title_sort clinical study of profile of retinal detachment in vasculitis and its management at tertiary eye care hospital
topic retinal detachment
surgical management
vasculitis
url http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=5;spage=2041;epage=2044;aulast=Nagaraj
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