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Vitrectomy Due to Vitreous Hemorrhage and Tractional Retinal Detachment Secondary to Eales' Disease
Turk J Ophthalmol. 2021 04 29; 51(2):102-106.TJ

Abstract

Objectives

To investigate visual and anatomical outcomes of vitreoretinal surgeries in patients with Eales' disease.

Materials and Methods

In this retrospective study, 22 eyes of 21 patients with vitreous hemorrhage (VH) or tractional retinal detachment (TRD) secondary to Eales' disease who underwent vitreoretinal surgery between January 1997 and December 2015 and had at least 1 year of follow-up were included.

Results

The mean best corrected visual acuity (BCVA) was significantly higher at final visit (0.6±0.9 logMAR) than the preoperative values (1.8±1.1 logMAR) (p<0.001). After surgery, BCVA was stable in 4 eyes (18.2%), increased in 16 eyes (72.7%), and decreased in 2 eyes (9.1%). Although the mean BCVA was better in the VH group (0.3±0.34 logMAR) than the TRD group (0.9±1.1 logMAR), the difference was not statistically significant (p=0.1). Multivariable linear regression analyses revealed that final BCVA was negatively associated with preoperative or postoperative proliferative vitreoretinopathy grade C (PVR-C), preoperative retinal detachment involving the macula, postoperative neovascular glaucoma, and long preoperative duration of disease, and positively associated with preoperative BCVA. Final BCVA was not associated with preoperative retinal and disc neovascularization, rubeosis iridis, total posterior hyaloid detachment, preoperative retinal laser photocoagulation, indication of surgery, diameter of sclerotomy (20 or 23 gauge), preoperative lens status, preoperative or postoperative epimacular membrane, peroperative iatrogenic retinal breaks, postoperative hypotony, cystoid macular edema, and new or recurrent retinal detachment. The primary anatomic success rate was 81.8% and the final anatomic success rate was 90.9%.

Conclusion

In Eales' disease, good visual results can be obtained with vitreoretinal surgery if the detachment area does not involve the macula and PVR-C does not develop pre- or postoperatively.

Authors+Show Affiliations

İstanbul Retina Institute, İstanbul, Turkeyİstanbul Retina Institute, İstanbul, Turkeyİstanbul Retina Institute, İstanbul, Turkeyİstanbul Retina Institute, İstanbul, Turkeyİstanbul Retina Institute, İstanbul, Turkey

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33951898

Citation

Ersöz, M Giray, et al. "Vitrectomy Due to Vitreous Hemorrhage and Tractional Retinal Detachment Secondary to Eales' Disease." Turkish Journal of Ophthalmology, vol. 51, no. 2, 2021, pp. 102-106.
Ersöz MG, Hocaoğlu M, Sayman Muslubaş IB, et al. Vitrectomy Due to Vitreous Hemorrhage and Tractional Retinal Detachment Secondary to Eales' Disease. Turk J Ophthalmol. 2021;51(2):102-106.
Ersöz, M. G., Hocaoğlu, M., Sayman Muslubaş, I. B., Arf, S., & Karaçorlu, M. (2021). Vitrectomy Due to Vitreous Hemorrhage and Tractional Retinal Detachment Secondary to Eales' Disease. Turkish Journal of Ophthalmology, 51(2), 102-106. https://doi.org/10.4274/tjo.galenos.2020.43709
Ersöz MG, et al. Vitrectomy Due to Vitreous Hemorrhage and Tractional Retinal Detachment Secondary to Eales' Disease. Turk J Ophthalmol. 2021 04 29;51(2):102-106. PubMed PMID: 33951898.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vitrectomy Due to Vitreous Hemorrhage and Tractional Retinal Detachment Secondary to Eales' Disease AU - Ersöz,M Giray, AU - Hocaoğlu,Mümin, AU - Sayman Muslubaş,Işıl Bahar, AU - Arf,Serra, AU - Karaçorlu,Murat, PY - 2021/5/6/entrez PY - 2021/5/7/pubmed PY - 2021/11/20/medline KW - Eales’ disease KW - tractional retinal detachment KW - vitrectomy KW - vitreous hemorrhage SP - 102 EP - 106 JF - Turkish journal of ophthalmology JO - Turk J Ophthalmol VL - 51 IS - 2 N2 - Objectives: To investigate visual and anatomical outcomes of vitreoretinal surgeries in patients with Eales' disease. Materials and Methods: In this retrospective study, 22 eyes of 21 patients with vitreous hemorrhage (VH) or tractional retinal detachment (TRD) secondary to Eales' disease who underwent vitreoretinal surgery between January 1997 and December 2015 and had at least 1 year of follow-up were included. Results: The mean best corrected visual acuity (BCVA) was significantly higher at final visit (0.6±0.9 logMAR) than the preoperative values (1.8±1.1 logMAR) (p<0.001). After surgery, BCVA was stable in 4 eyes (18.2%), increased in 16 eyes (72.7%), and decreased in 2 eyes (9.1%). Although the mean BCVA was better in the VH group (0.3±0.34 logMAR) than the TRD group (0.9±1.1 logMAR), the difference was not statistically significant (p=0.1). Multivariable linear regression analyses revealed that final BCVA was negatively associated with preoperative or postoperative proliferative vitreoretinopathy grade C (PVR-C), preoperative retinal detachment involving the macula, postoperative neovascular glaucoma, and long preoperative duration of disease, and positively associated with preoperative BCVA. Final BCVA was not associated with preoperative retinal and disc neovascularization, rubeosis iridis, total posterior hyaloid detachment, preoperative retinal laser photocoagulation, indication of surgery, diameter of sclerotomy (20 or 23 gauge), preoperative lens status, preoperative or postoperative epimacular membrane, peroperative iatrogenic retinal breaks, postoperative hypotony, cystoid macular edema, and new or recurrent retinal detachment. The primary anatomic success rate was 81.8% and the final anatomic success rate was 90.9%. Conclusion: In Eales' disease, good visual results can be obtained with vitreoretinal surgery if the detachment area does not involve the macula and PVR-C does not develop pre- or postoperatively. SN - 2149-8709 UR - https://www.unboundmedicine.com/medline/citation/33951898/Vitrectomy_Due_to_Vitreous_Hemorrhage_and_Tractional_Retinal_Detachment_Secondary_to_Eales'_Disease DB - PRIME DP - Unbound Medicine ER -