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Beyond-the-edge proliferation after relaxing retinectomy
E Denion1, S Coffin-Pichonnet2, A Degoumois2
1Service d'ophtalmologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France; Inserm, U 1075 COMETE, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France; Faculté de médecin, Unicaen, pôle des formations des recherches en santé, 2, rue des Rochambelles, CS 14032, 14032 Caen cedex, France.
Journal Francais D'Ophtalmologie
|December 19, 2015
Summary
Beyond-the-edge proliferation (BTEP) is an unusual complication after relaxing retinectomies (RR). This condition can cause significant retinal traction and recurs frequently, requiring careful monitoring post-surgery.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Vitreoretinopathy
Background:
- Relaxing retinectomies (RR) involve removing fibrous tissue, potentially altering the vitreoretinal support structure.
- Proliferative vitreoretinopathy (PVR) remains a challenge in retinal detachment repair.
- Beyond-the-edge proliferation (BTEP) is a poorly understood phenomenon.
Purpose of the Study:
- To report the occurrence of beyond-the-edge proliferation (BTEP) following relaxing retinectomies (RR).
- To evaluate the tractional potential and long-term course of BTEP.
- To understand the mechanisms and clinical implications of BTEP.
Main Methods:
- Retrospective review of medical records of 83 patients who underwent RR between January 2009 and December 2014.
- Identification of patients who developed BTEP.
- Analysis of clinical presentation, timing, recurrence, and outcomes of BTEP.
Main Results:
- Six patients (aged 31-76) were identified with BTEP after RR for traumatic retinal incarceration or anterior PVR.
- BTEP occurred within weeks of RR, with some cases detected intraoperatively with silicone oil.
- BTEP recurred in 5 patients, leading to inferior tractional retinoschisis or retinal detachment.
Conclusions:
- BTEP is an unusual form of PVR that can develop after RR, likely due to cell migration along fluid interfaces.
- BTEP can cause significant retinal traction and recurs frequently after excision.
- Close monitoring is essential for patients developing BTEP post-RR.