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Published on: March 12, 2022
An evaluation of anatomical and functional outcomes in patients undergoing retinectomy for proliferative
Dilek Uzlu1, Hidayet Erdöl2, Ömer Berk Bulanık2
1Medical Faculty, Department of Ophthalmology, Karadeniz Technical University, Trabzon, Turkey. dilenkh@hotmail.com.
Background:
The objective of this study was to evaluate the anatomical and functional outcomes of patients who underwent relaxing retinotomy or retinectomy for retinal detachment complicated by proliferative vitreoretinopathy.
Methods:
The medical records of all patients who underwent retinectomy for retinal detachment complicated with proliferative vitreoretinopathy between 2015 and 2023 were reviewed retrospectively.
Results:
The patients' mean age was 60.83 ± 16.4 (21-90) years. The study population consisted of 28 male (42.4%) and 38 female (57.6%). The mean follow-up period was 21.72 ± 13.44 (12-65) months. The mean initial visual acuity was 2.1 ± 0.63 logMAR, while the mean final visual acuity was 1.94 ± 0.69 logMAR (p = 0.094). Twenty-one patients presented with rhegmatogenous retinal detachment (31.8%), 36 with tractional retinal detachment due to diabetes (54.5%), and nine with retinal detachment secondary to trauma (13.6%). Visual acuity increased in 30 patients (45.45%), decreased in 10 patients (15.15%), and did not change in 26 patients (39.39%). Mean intraocular pressure (IOP) values were 13.25 ± 4.67 mmHg (range 5-28) at baseline and 12.98 ± 4.75 mmHg (range 4-25) at the final examination. Twenty-seven patients underwent 90-degree retinectomy (40.9%), 18 underwent 180-degree retinectomy (27.3%), 6 underwent 270-degree retinectomy (9.1%), and 15 underwent 360-degree retinectomy (22.7%). When evaluating proliferative retinal detachment by etiology (rhegmatogenous, traumatic, diabetic), no statistically significant differences were observed in baseline and final visual acuity or intraocular pressure (p > 0.05), nor in recurrence rates (p = 0.42).
Conclusion:
The findings of this study indicate that retinectomy is a beneficial treatment for cases of difficult retinal detachment, particularly when there is a need for both functional vision and retinal stabilization.
