Is There a Link Between Vitreous Cortex Remnants and Anatomic Outcome of Vitrectomy for Primary Rhegmatogenous Retinal Detachment?
Alexandre Assi,1 Ahmad M Mansour,2 Abdul Razzak Charbaji,3 Maurizio Battaglia Parodi4 1Beirut Eye Clinic and VitreoRetinal Department, Beirut Eye Specialist Hospital, Beirut, Lebanon; 2Department of Ophthalmology, American University of Beirut, Beirut, Lebanon; 3Department of Statistics and Research...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-05-01
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| Series: | Clinical Ophthalmology |
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| Online Access: | https://www.dovepress.com/is-there-a-link-between-vitreous-cortex-remnants-and-anatomic-outcome--peer-reviewed-fulltext-article-OPTH |
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| author | Assi A Mansour AM Charbaji AR Battaglia Parodi M |
| author_facet | Assi A Mansour AM Charbaji AR Battaglia Parodi M |
| author_sort | Assi A |
| collection | DOAJ |
| description | Alexandre Assi,1 Ahmad M Mansour,2 Abdul Razzak Charbaji,3 Maurizio Battaglia Parodi4 1Beirut Eye Clinic and VitreoRetinal Department, Beirut Eye Specialist Hospital, Beirut, Lebanon; 2Department of Ophthalmology, American University of Beirut, Beirut, Lebanon; 3Department of Statistics and Research Methodology, Lebanese American University, Beirut, Lebanon; 4Department of Ophthalmology and IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, ItalyCorrespondence: Ahmad M Mansour, Department of Ophthalmology, American University of Beirut, POB 113-6044, Beirut, Lebanon, Tel +9613377633, Email ammansourmd@gmail.comPurpose: To study the anatomic outcome of leaving vitreous cortex remnants (VCR) during pars plana vitrectomy (PPV) for primary rhegmatogenous retinal detachment (RRD).Methods: The study comprised patients with RRD who had PPV by a single surgeon between January 2019 and December 2020 and followed for 6 months. After intravitreal injection of triamcinolone acetonide, the topographic pattern of VCR at the periphery (p) and macula (m) was divided into 2 types by extent: complete or 4 quadrants (pVCR4Q), and between 2 and 4 quadrants ≥ 2 quadrants (pVCR> 2Q), or by location > 1 inferior retinal quadrant (pVCR> 1InfQ), and at the macula (mVCR). Anatomical failure or retinal re-detachment within 6 months after surgery was the primary outcome measures. The occurrence of grade C proliferative vitreoretinopathy (PVR) and epiretinal membrane (ERM) were used as secondary outcome indicators.Results: A 6-month prospective follow-up was performed on 103 patients. pVCR4Q was detected in 31 eyes, pVCR> 2Q in 40 eyes, pVCR> 1InfQ in 40 eyes and mVCR in 54 eyes. Recurrent RRD developed in 9 (8.7%) eyes, PVR grade C in 6 (5.8%) eyes and ERM in 11 (10.7%) eyes. According to multivariate regression analysis, the existence of any type of VCR did not correlate with anatomical failure, PVR or ERM.Conclusion: The initial success rate of PPV and the growth of PVR or ERM do not appear to be impacted by keeping VCR.Keywords: vitreous cortex remnants, pars plana vitrectomy, primary rhegmatogenous retinal detachment, epiretinal membrane, proliferative vitreoretinopathy |
| first_indexed | 2024-03-13T08:37:24Z |
| format | Article |
| id | doaj.art-c40e83a3a8b746e081f7e030caee569c |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-03-13T08:37:24Z |
| publishDate | 2023-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-c40e83a3a8b746e081f7e030caee569c2023-05-30T19:13:35ZengDove Medical PressClinical Ophthalmology1177-54832023-05-01Volume 171489149684057Is There a Link Between Vitreous Cortex Remnants and Anatomic Outcome of Vitrectomy for Primary Rhegmatogenous Retinal Detachment?Assi AMansour AMCharbaji ARBattaglia Parodi MAlexandre Assi,1 Ahmad M Mansour,2 Abdul Razzak Charbaji,3 Maurizio Battaglia Parodi4 1Beirut Eye Clinic and VitreoRetinal Department, Beirut Eye Specialist Hospital, Beirut, Lebanon; 2Department of Ophthalmology, American University of Beirut, Beirut, Lebanon; 3Department of Statistics and Research Methodology, Lebanese American University, Beirut, Lebanon; 4Department of Ophthalmology and IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, ItalyCorrespondence: Ahmad M Mansour, Department of Ophthalmology, American University of Beirut, POB 113-6044, Beirut, Lebanon, Tel +9613377633, Email ammansourmd@gmail.comPurpose: To study the anatomic outcome of leaving vitreous cortex remnants (VCR) during pars plana vitrectomy (PPV) for primary rhegmatogenous retinal detachment (RRD).Methods: The study comprised patients with RRD who had PPV by a single surgeon between January 2019 and December 2020 and followed for 6 months. After intravitreal injection of triamcinolone acetonide, the topographic pattern of VCR at the periphery (p) and macula (m) was divided into 2 types by extent: complete or 4 quadrants (pVCR4Q), and between 2 and 4 quadrants ≥ 2 quadrants (pVCR> 2Q), or by location > 1 inferior retinal quadrant (pVCR> 1InfQ), and at the macula (mVCR). Anatomical failure or retinal re-detachment within 6 months after surgery was the primary outcome measures. The occurrence of grade C proliferative vitreoretinopathy (PVR) and epiretinal membrane (ERM) were used as secondary outcome indicators.Results: A 6-month prospective follow-up was performed on 103 patients. pVCR4Q was detected in 31 eyes, pVCR> 2Q in 40 eyes, pVCR> 1InfQ in 40 eyes and mVCR in 54 eyes. Recurrent RRD developed in 9 (8.7%) eyes, PVR grade C in 6 (5.8%) eyes and ERM in 11 (10.7%) eyes. According to multivariate regression analysis, the existence of any type of VCR did not correlate with anatomical failure, PVR or ERM.Conclusion: The initial success rate of PPV and the growth of PVR or ERM do not appear to be impacted by keeping VCR.Keywords: vitreous cortex remnants, pars plana vitrectomy, primary rhegmatogenous retinal detachment, epiretinal membrane, proliferative vitreoretinopathyhttps://www.dovepress.com/is-there-a-link-between-vitreous-cortex-remnants-and-anatomic-outcome--peer-reviewed-fulltext-article-OPTHvitreous cortex remnantspars plana vitrectomyprimary rhegmatogenous retinal detachmentepiretinal membraneproliferative vitreoretinopathy. |
| spellingShingle | Assi A Mansour AM Charbaji AR Battaglia Parodi M Is There a Link Between Vitreous Cortex Remnants and Anatomic Outcome of Vitrectomy for Primary Rhegmatogenous Retinal Detachment? Clinical Ophthalmology vitreous cortex remnants pars plana vitrectomy primary rhegmatogenous retinal detachment epiretinal membrane proliferative vitreoretinopathy. |
| title | Is There a Link Between Vitreous Cortex Remnants and Anatomic Outcome of Vitrectomy for Primary Rhegmatogenous Retinal Detachment? |
| title_full | Is There a Link Between Vitreous Cortex Remnants and Anatomic Outcome of Vitrectomy for Primary Rhegmatogenous Retinal Detachment? |
| title_fullStr | Is There a Link Between Vitreous Cortex Remnants and Anatomic Outcome of Vitrectomy for Primary Rhegmatogenous Retinal Detachment? |
| title_full_unstemmed | Is There a Link Between Vitreous Cortex Remnants and Anatomic Outcome of Vitrectomy for Primary Rhegmatogenous Retinal Detachment? |
| title_short | Is There a Link Between Vitreous Cortex Remnants and Anatomic Outcome of Vitrectomy for Primary Rhegmatogenous Retinal Detachment? |
| title_sort | is there a link between vitreous cortex remnants and anatomic outcome of vitrectomy for primary rhegmatogenous retinal detachment |
| topic | vitreous cortex remnants pars plana vitrectomy primary rhegmatogenous retinal detachment epiretinal membrane proliferative vitreoretinopathy. |
| url | https://www.dovepress.com/is-there-a-link-between-vitreous-cortex-remnants-and-anatomic-outcome--peer-reviewed-fulltext-article-OPTH |
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