SURGICAL OUTCOMES IN CONCURRENT SICKLE CELL AND DIABETIC RETINOPATHY.
Landon J Rohowetz1, Abdulla Shaheen1, Maria Magraner1
1Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida; and.
Retina (Philadelphia, Pa.)
|August 21, 2024
Summary
Vitreoretinal surgery for concurrent sickle cell retinopathy and diabetic retinopathy showed poor visual and anatomic outcomes. Preoperative vision was the strongest predictor of final visual acuity in retinal detachment cases.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Medical Complications
Background:
- Sickle cell retinopathy and diabetic retinopathy are leading causes of vision loss.
- Concurrent presentation poses unique surgical challenges.
- Limited data exists on surgical outcomes for combined retinopathy.
Purpose of the Study:
- To evaluate clinical features and surgical outcomes.
- Focus on eyes with co-existing sickle cell and diabetic retinopathy.
- Assess functional and anatomic results post-vitreoretinal surgery.
Main Methods:
- Retrospective case series (2014-2021).
- Included 20 eyes from 14 patients undergoing vitreoretinal surgery.
- Pars plana vitrectomy was the primary surgical approach.
Main Results:
- Tractional retinal detachment was the most common indication (60%).
- No significant change in best-corrected visual acuity (BCVA) post-surgery.
- Anatomic success achieved in 65% of retinal detachment cases.
Conclusions:
- Surgical outcomes for concurrent sickle cell and diabetic retinopathy are generally poor.
- Preoperative BCVA is a key predictor of postoperative vision in retinal detachment.
- Further research needed for improved management strategies.
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